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Home My Public Portal AboutForm 496 Report No. 1 Late Independent Expenditure Report NAME OF FILER Preserve Claremont AREA CODE/PHONE NUMBER Type or print in ink. Amounts may be rounded to whole dollars. Date of This Filing 909-621-4313 STREET ADDRESS 1274317 1.0. NUMBER (if applicable) Report No. 333 North Indian Hill Blvd. CITY STATE Claremont CA 1. List Only One Candidate or Ballot Measure NAME OF CANDIDATE SUPPORTED OR OPPOSED Corey Calaycay OFFICE SOUGHT OR HELD DISTRICT NO. Claremont City Council ZIP CODE 0 Amendment to Report No. (explain below) 91711 No. of Pages 3/2105 PC 1 3 LATE INDEPENDENT EXPENDITURE REPORT Date Stamp RE" ~~'IiìÌ/Ì\,i"~W";¡, "l;tt:!i! ~ i::ù f;I1/1¡R 0 1 2005 c~rv CU',(!:t< f.:TfV fi.)f ~::tARl.€ü¡¡¡Q.i;n NAME OF BALLOT MEASURE SUPPORTED OR OPPOSED SUPPORT OPPOSE K BALLOT NO.lLETTER DATE 2. Independent Expenditures Made Attach additionalinfonnation on appropriately labeled continuation sheets. DESCRIPTION OF EXPENDITURE 2/23/05 newspaper ad 3/2/05 newspaper ad Reason for Amendment: JURISDICTION CALIFORNIA 496 FORM Fo-iOfficiaTUse On1y SUPPORT OPPOSE AMOUNT 579,69 579,69 FPPC Form 496 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/27S-3772) Late Independent Expenditure Report NAME OF FILER Preserve Claremont 3. Contributions of $100 or More Received '* DATE RECEIVED 2/20,2/27 2/27/05 2/27/05 2/27/05 2/27/05 FUll NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, AlSO ENTER I.D. NUMBER) CONTRIBUTOR CODE** Judy Cody 2340 San Joaquin Ct. Claremont CA 91711 Michael Fay 4085 Olive Hill Dr, Claremont CA 91711 Barry Ulrich 808 Northwestern Drive Claremont CA 91711 Diann Ring 816 Peninsula Ave, Claremont CA 91711 Rosemary Henderson 606 Delaware Drive Claremont CA 91711 *Major donor and independent expenditure committees that do not receive contributions are not required to complete Part 3. IRJ IND 0 COM OaTH 0 pry OSCC I&IND 0 COM OaTH 0 pry OSCC f&] IND 0 COM OaTH 0 pry OSCC f&] IND 0 COM OaTH 0 pry OSCC IRIIND 0 COM OaTH 0 pry OSCC [j IND 0 COM OaTH 0 pry OSCC ,.. **Contributor Codes IND-Individual COM - Recipient Committee (other than pry or SCC) OTH - Other (e.g., business entity) pry - Political Party SCC - Sma" Contributor Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF S8..F-EMPLOYED, ENTER NAME OF BUSINESS) Physician Assistant Foothill Psychiatric,Services Financial Advisor Claremont Financial retired none teacher Bonita Unified School District "' ~ LATE INDEPENDENT EXPENDITURE REPORT AMOUNT RECEIVED 700.00 100,00 200,00 200,00 200,00 CALIFORNIA 496 FORM 1.0. NUMBER (If applicable) 1274317 INTEREST RATES If loan, enter interest rate, if any % If loan, enter interest rate, if any % If loan, enter interest rate, if any % If loan, enter interest rate, if any % If loan, enter interest rate, if any % If loan, enter interest rate, if any % FPPC Form 496 (January/O5) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Late Independent Expenditure Report NAME OF FILER Preserve Claremont 3. Contributions of $100 or More Received 111 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE ** 3/1/05 Nicholas Quackenbos 675 West Foothill Blvd, Suite 302 Claremont CA 91711 IKIIND 0 COM OOTH 0 PTY Osec I&J IND DcOM DoTH 0 PTY OSCC OIND DeeM DoTH 0 PTY Oscc OIND DcoM OOTH 0 PTY Osec OIND 0 COM OOTH 0 PTY OSCC OIND 0 COM OOTH 0 PTY OSCC 3/1/05 Paul Held 429 Willamette Lane Claremont CA 91711 *Major donor and independent expenditure committees that do not receive contributions are not required to complete Part 3. " **Contributor Codes IND-Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g.. business entity) PTY - Political Party SCC - Small Contributor Committee LATE INDEPENDENT EXPENDITURE REPORT CALIFORNIA 496 FORM 1.0. NUMBER (If applicable) 1274317 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF S8..F-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED INTEREST RATES realtor Quackenbos Bell Real Estate 100,00 If loan, enter interest rate, if any % attorney Paul Held attorney at Law 250,00 If loan, enter interest rate, if any % If loan, enter interest rate, if any % If loan, enter interest rate, if any % If loan, enter interest rate, if any % If loan, enter interest rate, if any % ..., ~ FPPC Form 496 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)