HomeMy Public PortalAboutForm 460
OPTIOIto\L: FAX¡E-MAIL ADDRESS
() /
4. Verification
~ have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information containArl h~~ ~ attached schedules
IS true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true an~ff...r.f-~
---->
Recipient Committee
Cam paig n Statement
(Government Code Sections 84200 - 84216.5)
Statement covers period
from
01/01/2005
through 06 /30/2005
1. Type of Recipient Committee:
0 Officeholder, Candidate Controlled Committee 0 Ballot Measure Committee
0 State Candidate Election Committee 0 Primarily Formed
0 Recall 0 Controlled
0 Sponsored
III General Purpose Committee
i) Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
0 Primarily Formed Candidate
Officeholder Committee
3. Committee Information
II.D. NUMBER
1274841
COMMITTEE NAME
Claremont Police Officers Association PAC
Sponsored by: Claremont Police Officers Association
STREET ADDRESS (NO P.O. BOX)
570 West Bonita Ave.
CITY
Claremont
STATE
ZIP CODE
AREA CODE/pHONE
(909) 399 - 5424
CA 91 7 11
STREET ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Executed on
10/11/2005
DATE
By
COVER PAGE - LONG FORM
Date Stamp
C\LIHm'\L\ 460
FOR]\(
Ii.".","
¡:r{
'" "" "
lor
7
~ ~
Page
Date of Election if applicable:
n r T ", 2. 2l1Q5.'
.,~".¡ - 1;1.1.,
A For Official Use Only
(Month, Day, Year)
crry Ct£~v.
CITY OF CU:Ef!d,'.;¡:a
/
/
2. Type of Statement:
0 Pre-election Statement
I!I Semi-annual Statement
0 Tennination Statement
0 Amendment (Explain below)
0 Quarterly Statement
0 Special Odd-Year Report
0 Supplemental Pre-election
Statement - Attach Form 495
T reasurer( S)
NAME OF TREASURER
Bill Hall
STREET ADDRESS
570 West Bonita Ave.
CITY
Claremont
STATE
ZIP CODE
AREA CODE/PHONE
(909) 399 -5411
CA 91711
NAME OF ASSISTANT TREASURER, IF ANY
David L. Gould
STREET ADDRESS
555 South Flower Street, Suite 4210
CITY
Los Angeles
OPTIONAL: FAX¡E-MAIL ADDRESS
STATE
ZIP CODE
AREA CODE/PHONE
(213) 489 -4792
CA 90071
Executed on
10/11/2005
DATE
By
~'U~E OF TREASURER OR ASSISTA~fREASURER
SIGNATURE OF CONTROLLING OFFICEHOlDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
Executed on
10/11/2005
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
Executed on
10/11/2005
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
State of California Fair Political Practices Commission.
S/CCW - PUSBO3073502228 (Rev, 9/99)
Recipient Committee
Campaign Statement
Cover Page - Part 2
COVER PAGE - PART 2
C.\I.IH>R'I.\ 460
FORM
NAME OF OFFICEHOLDER OF CANDIDATE
5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee
Page
201
7
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY
STATE
ZIP CODE
Related Committees Not Included in this Statement: List any committees
not included in this consolidated statement that are controlled by you or which are primarily
formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
.
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
[] SUPPORT
[] OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE OR, PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
0 SUPPORT
0 OPPOSE
0 SUPPORT
0 OPPOSE
0 SUPPORT
0 OPPOSE
0 SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
Recipient Committee
Summary Page
NAMEOFRŒR Claremont Police Officers Association PAC
Sponsored by: Claremont Police Officers Association
Contributions Received Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions..................................... Schedule A, Line 3 $
2. Loans Received................................................ Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS """"""""" Add Lines 1 + 2 $
4. Non-monetary Contributions ............................. Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED """""""'" Add Lines 3 + 4 $
Expenditures Made
6. Cash Payments................................................ Schedule E, Line 4 $
7. Loans Made ...................................................... Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS .........................,.. Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) """"""""""" Schedule F, Line 3
10. Nonmonetary Adjustment................................ Schedule C, Line 3
11. TOTAL EXPENDITURES MADE """"""""" Add Lines 8 + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance """"" Previous Summary Page, Line 16 $
13. Cash Receipts ......................................... Column A, Line 3 above
14. Misœllaneous Increases to Cash """""""""'" Schedule I, Line 4
15. Cash Payments....................................... Column A, Line 8 above
16. ENDING CASH BA~ames 12 + 13 + 14, then subtract Line 15 $
If this is a Termination Statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVEDSchedule B, Part 1, Column (b) $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................................................$.... ......
19. Outstanding Debts ........., Add Line 2 + Line 9 in Column C above $
S/CCW - PUSBO3073502228 (Rev. 9/99)
0.00
0.00
0.00
0.00
0.00
2,230.62
0.00
2,230.62
0.00
0.00
2,230.62
2,800.00
0.00
0.00
2,230.62
569.38
0.00
0.00
0.00
SUMMARY PAGE
from
Statement covers period
01/01/2005
C.\I.IH>R\I.\ 460
FOR 1\1
through 06/30/2005
Column B
CALENDAR YEAR
TOTAL TO DATE
$
0.00
0.00
$
0.00
0.00
$
0.00
$
2,230.62
0.00
$
2,230.62
0.00
$
0.00
2,230.62
Page 3 of
I.D. NUMBER
7
1274841
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30
7/1 to Date
20. Contributions
Received .... $
21. Expenditures
Made .......... $
Expenditl8'e Umit Summary for State
Candidates
22. Cumulative Expenditure Made.
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/YY)
Total to Date
Schedule D
. Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
NAME OF FILER
Slak..de..d covers period
from
01/01/2005
through 06/30/2005
Claremont Police Officers Association PAC
Sponsored by: Claremont Police Officers Association
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
¡ TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
AMOUNT THIS
PERIOD
03/16/2005 Russ
City
City
Display Ads
0 Monetary
Contribution
00 Non-Monetary
Contribution
0 Independent
Expenditure
Display Ads
0 Monetary
Contribution
00 Non-Monetary
Contribution
0 Independent
Expenditure
172.50
Brown
Council Member
of Claremont
172 .50
00 Support
03/16/2005 Al Leiga
City Council Member
City of Claremont
0 Oppose
00 support
0 Oppose
03/04/2005 Russ
City
City
. ¡
00 support
0 Oppose
Printing, List, Postage
0 Monetary for mai leI
Contribution
00 Non-Monetary
Contribution
0 Independent
Expenditure
936.81
Brown
Council Member
of Claremont
SCHEDULE D
CAUl.:OI{,\L\ 460
FORM
Page 4 of
1.0. NUMBER
7
1274841
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC, 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1,109.31!
I
I
1,109.31
1,109.31
SUBTOTAL $
~I"-III ;111';:'11~;::~!::::~ii~I~~'~'!~~ '!:~~.:~
1 , 2 81 . 81 ~ ---" '1'J.._.1~ -.. r 1- "'ïlr'~~-
"'_--ll__l____l__1f1íI,"}_Jl___~!o_---~.... ~
Schedule D Summary
2,218.62
1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule 0 subtotals.) ............................................... $
0.00
2. Contribution and independent expenditures made this period of under $100 .............................................................................................................. $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......".. TOTAL $
2,218.62
Schedule D (Continuation Sheet)
Summary of Expenditures
. Supporting/Opposing Other
Candidates, Measures and Committees
NAME OF FILER
SCHEDULE D (CaNT.)
from
Statement covers period
C.\UHm'\L\ 460
FOR!\I
01/01/2005
through 06/30/2005
Claremont Police Officers Association PAC
Sponsored by: Claremont Police Officers Association
DATE
NAME OF CANDIDATE, OFFICE,AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
03/04/2005 Ai Leiga
City Council Member
City of Claremont
[!] Support
0 Support
.
0 Support
0 Support
0 Oppose
0 Oppose
0 Oppose
0 Oppose
¡ TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
.
. f.
. ..f-
. .. -
EJ
.
.
.
.
0 Monetary
Contribution
0 Non-Monetary i
Contribution ¡
0 Independent
Expenditure
0 Monetary
Contribution
0
0 Independent
Expenditure
Non-Monetary ¡
Contribution i
SUBTOTAL
AMOUNT THIS
PERIOD
936.81
Page 5 of
1.0. NUMBER
7
1274841
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1,109.31
$
I
' 'J"-~,¡,,-'-"'" ~...- ~.........-
9 3 6 . 81 ~dJ-- ÆITII --_-~_-,~~____--_-xffillllJi~
---_---JI~- ----------_.-:-[::::1111.-- 1 ,,----------JII"ØÎ
------ ---------__---_lIiIR
Claremont Police Officers Association PAC
Sponsored by: Claremont Police Officers Association
CODES: If one of the following codes accurately describes the payment, you may enter the code.
CMP campaign paraphernalia/misc. MBR member communications
CNS campaign consultants MTG meetings and appearances
CTB contribution (explain nonmonetary)* OFC office expenses
CVC civic donations PET pet~ion circulating
FI L candidate filing/ballot fees PHO phone banks
FND fundraising events POL polling and survey research
IND independent expenditure supporting/opposing others (explain)* P~S postage, delivery and messenger services
LEG legal defense PRO professional services (legal, accounting)
LIT campaign literature and mailings PRT print ads
Schedule E
Payments Made
NAME OF FILER
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER
Claremont Courier
111 S. College Ave.
Claremont, CA 91711
CTB
Claremont Courier
CTB
(Cont.)
Claremont Print & Copy
108 Sj>ring St.
Claremont, CA 91711
CTB
SCHEDULE E
f
Statement covers period
CALlHm\L\ 460
FORM
from
01/01/2005
through 06/30/2005
Page 6 of
I.D. NUMBER
7
1274841
Otherwise, describe the payment.
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers salaries
TEL 1. v. or cable airtime and production costs
TRC candidate travel, lodging and meals (explain)
TRS staff/spouse travel, lodging and meals (explain)
TSF transfer between committees of the same candidate/sponsor
VaT voter registration
WEB information technology costs (internet, e-mail)
CODE
AMOUNT PAID
OR
DESCRIPTION OF PAYMENT
172.50 Display Ads for:
Brown for City Council
(ID# 1274061)
1674 Chattanooga
Claremont, CA 91711
345.00
172.50 Display Ads for:
Ai Leiga for City council
(ID# 1272629)
610 Charleston Dr.
Claremont, CA 91711
936.81 printing,List,postage
Brown for City Council
(ID# 1274061)
1674 Chattanooga
Claremont, CA 91711
for mailer for:
1,873.62
SUBTOTAL $
2,218.62
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ...........................................................................
2. Unitemized payments made this period of under $100. ...................................................................................................................
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule 8, Part 2, Column(d).) ....................................
4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .... TOTAL
$
$
$
$
2,218.62
12.00
0.00
2,230.62
OR DESCRIPTION OF PAYMENT
936.81 Printing,List,Postage
Al Leiga for City Council
(ID# 1272629)
610 Charleston Dr.
Claremont, CA 91711
Schedule E
(Continuation Sheet)
Payments Made
NAME OF FILER
Claremont Police Officers Association PAC
Sponsored by: Claremont Police Officers Association
CODES: If one of the following codes accurately describes the payment, you may enter the code.
CMP campaign paraphernalia/misc. MBR member communications
CNS campaign consultants MTG meetings and appearances
CTB contribution (explain nonmonetary)* OFC office expenses
CVC civic donations PET petition circulating
FIL candidate filing/ballot fees PHO phone banks
FNO fundraising events POL polling and survey research
INO independent expenditure supporting/opposing others (explain)* P~S postage, delivery and messenger services
LEG legal defense PRO professional services (legal, accounting)
LIT campaign literature and mailings PRT print ads
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER
Claremont Print & Copy (continued)
CODE
CTB
.
SCHEDULE E (CONT.)
Statement covers period
C.\I.IH)R\I.\ 460
)<,()Ri\1
from
01/01/2005
through 06/30/2005
Page 7 of
I.D. NUMBER
7
1274841
Otherwise, describe the payment.
RAD radio airtime and production costs
RFO returned contributions
SAL campaign workers salaries
TEL 1. v. or cable airtime and production costs
TRC candidate travel, lodging and meals (explain)
TRS staff/spouse travel, lodging and meals (explain)
TSF transfer between committees of the same candidate/sponsor
VaT voter registration
WEB information technology costs (internet, e-mail)
AMOUNT PAID
for mailer for:
SUBTOTAL $
0.00