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Home My Public Portal AboutForm 460 (Feb 22 - June 30, 2005) Recip,ent Committee Campaign Statement C;overPage (Government Code Sections 84200-84216.5) COVER PAGE Type or print In Ink. Date Stamp CALIFORNIA 460 2001/02 FORM from 2/22/05 Date of election If applicable: (Month. Day, Year) Page 1 of 20 Statement covers period For Official Use Only SEE INSTRUCTIONS ON REVERSE through 6/30/05 03/08/05 1. Type of Recipient Committee: All Committees - Complete Parts 1,2,3, and 4. 0 Officeholder, Candidate Controlled Committee 0 Ballot Measure Committee 0 State Candidate Election Commmee 0 Primarily Formed 0 Recall 0 Controlled (A/soCompietePari5) 0 Sponsored (Also Complete Part 6) 2. Type of Statement: 0 Preelection Statement iii Semi-annual Statement 0 Termination Statement 0 Amendment (Explain below) 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee fi) Primarily Formed Candidate/ Officeholder Committee (A/so Complete Pari 7) 3. Committee Information 11.0. NUMBER 1272663 COMMITTEE NAME (OR CANDIDATE'S NAME tF NO COMMITTEE) Committee to Elect Corey Calaycay Treasurer(s) NAME OF TREASURER Robert W. Bowcock STREET ADDRESS (NO P.O. BOX) 1555 West Baseline Road CITY STATE ZIP CODE Claremont CA 91711 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE (909) 621-2079 MAILING ADDRESS 1021 Belleville Court CITY Claremont NAME OF ASSISTANT TREASURER. IF ANY STATE CA ZIP CODE 91711 AREA CODE/PHONE (909) 621-1266 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAl: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS (909) 621-1196 / bbowcock@irmwater.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knfw ;Iv. "'V )!!formation contained herein and in the 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 and rrect. ,,- -- Ex d 06/29/05 B ,.', ecute on y Date (\ ~sjgnatureo1freasureror~rer Ex t d 06/29/05 B ~ ~~ ~ 1 ~eoo y Dale Signature ofControlHng OIIIcehoIder, C . te, S easure ProponentarRes~¡jble~ofSponso. Ex~ted on Dale By Ex~ted on Dale By Signature ofControlRng OIIiceholder, Candidate, State Measure Proponent FPPC Fonn 460 (JuneIO1) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Type or print In Ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME-OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: LIst any committees not Included In this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behaff of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES DNO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA 460 FORM Page 2 of 20 0 SUPPORT 0 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 List names of offlceholder(s) or candldate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE Corey Calaycay NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD fiëI SUPPORT 0 OPPOSE City Council OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE OFFICE SOUGHT OR HELD 0 SUPPORT D OPPOSE OFFICE SOUGHT OR HELD 0 SUPPORT D OPPOSE Attach continuation sheets if necessary FPPC Fonn 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Campàign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay Contributions Received 1. Monetary Contributions ......................................,.... Schedule A, Une 3 $ 2. Loans Received ....................................................., Schedule B, Una 3 3. SUBTOTAL CASH CONTRIBUTIONS ............,............ Add Unes 1 + 2 $ 4. Nonmonetary Contributions """""""""""""""""" Schedule C, Una 3 5. TOTAL CONTRIBUTIONS RECENED """"""""""""'" Add Unes 3 + 4 $ Expenditures Made 6. Payments Made """" ..........................".. ............"... Schedule E, Une 4 $ 7. Loans Made .............. ..... ...,.. """""""'" ............. ...... Schedule H, Una 3 8. SUBTOTAL CASH PAYMENTS ................".................. Add Unes 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ..........................,.... Schedule F, Une 3 10. Nonmonetary Adjustment ......................,................... Schedu/eC, Une3 11. TOTAL EXPENDITURES MADE ................................Add Unes 8+ 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance """"""""""'" Previous Summary Page, Une 16 $ 13. Cash Receipts """"""""""""""""""""""""'" ColumnA, Une3above 14. Miscellaneous Increases to Cash ........................... Schedule I, Una 4 15. Cash Payments .................... """"""""""" ........ Column A, Una 8 above 16. ENDING CASH BALANCE .......... AddUnes 12 + 13 + 14, then subtractUne 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED """"""""""""'" Schedule B, Parl2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents """"""'" .."..... ""'" ......." See instructions on reverse $ 19. Outstanding Debts......................... Add~ne2+Une9inColumnBabove $ Type or print In Ink. Amounts may be rounded to whole dollars. Column A TOTAL. THS PERIOD (FROM A TTACt£D SCHEDULES) 4,148.00 0.00 4,148.00 493.02 4,641.02 12,889.34 0.00 12,889.34 0.00 0.00 12,889.34 9,028.38 4,148.00 0.00 12,889.34 287.04 $ 0.00 0.00 0.00 from through Column B CÞ-LENOAR YEAR TOTAL. TO Df\TE $ 12,614.00 0.00 12,614.00 740.52 13,354.52 $ $ $ 17,025.46 0.00 17,025.46 0.00 0.00 17,025.46 $ $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this Is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). SUMMARY PAGE Statement covers period CALIFORNIA 4 6 0 FORM 2/22/05 6/30/05 3 of 20 Page I.D. NUMBER 1272663 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 $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made. (If Subject to Voluntary expenditure Umltl Date of Election Total to Date (mm/dd/yy) I I $ I I $ I I $ I I $ I I $ I I $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A Monetary Contributions Received Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 4 6 0 FORM Schedule A Summary 1. Amount received this period - contributions of $1 00 or more. (Include all Schedule A subtotals.) ............" ........... ............................. ......." ....... ............. ..... ................ $ 2. Amount received this period - unitemized contributions of less than $100 .......................................... ... $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on toe Summary Page, Column A, Line 1.) ....................... TOTAL $ SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 2/26/05 Col. Paul D. Geiger KJINO oeoM 472 Arden Avenue OaTH Buellton, California 93427-6804 OPTY osec 2/26/05 Christian Schank K)IND 0 COM P.O. Box 1506 OaTH Riverside, California 92502-1506 OPTY oscc 2/26/05 Mary Lou Siegrist K)IND oeoM 1832 Teasdale OaTH Claremont, California 91711-3006 OPTY Dsce 2/26/05 Eugene Siegrist K)IND DeoM 1832 Teasdale OaTH Claremont, California 91711-3006 DPTY oscc 2/26/05 Cheryl Carter K)IND oeoM 1042 Fuller DOTH Claremont, California 91711-1496 DPTY osee SCHEDULE A from 2/22/05 through 6/30/05 4 20 Page of I.D. NUMBER 1272663 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Retired $250.00 $250.00 Retired $250.00 $250.00 Retired $250.00 $250.00 Attorney $250.00 $250.00 Homemaker $250.00 $250.00 SUBTOTAL $ 1,250.00 I 3,748.00 400.00 . *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party see - Small Contributor Committee 4,148.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) 'TYpe or print In Ink. Amounts may be rounded to whole dollars. 2/22/05 NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED 2/26/05 3/1/05 3/1/05 3/2/05 3/2/05 FUll NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITIEE, ALSO ENTER I.D. NUMBER) CODE * Earl Carter 1042 Fuller Claremont, California 91711-1496 rKIlND OCOM OaTH OPTY OSCC I8IIND OCOM OaTH OPTY OSCC I8IIND OCOM OaTH OPTY OSCC rKIlND OCOM OaTH OPTY OSCC I8IIND OCOM OOTH OPTY OSCC Modesto Paredes, Jr. 6338 Sombrero Avenue Cypress. California 90630-5326 Jim & Beverly Dorst 4142 Via Padova Claremont, California 91711-1437 Louise Dekluyver 1115 Cooke Avenue Claremont, California 91711-1498 Manoj Kumar Patel 2435 East Huntington Drive Duarte. California 91010-2103 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee .. Statement covers period CALIFORNIA 460 FORM from through 6/30/05 of 20 Page 5 J.D. NUMBER 1272663 IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF.EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Attorney $250.00 $250.00 Retired $100.00 $100.00 Businessman CalSpas $249.00 $249.00 Homemaker $100.00 $100.00 MD $100.00 $100.00 SUBTOTAL $ 799.00 I FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received 1Ype or print in ink. Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED 3/2/05 3/2105 3/5/05 3/5/05 3/5/05 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE,A1.SOENTERI.D.NUMBER) CODE * Robert & Gayle Pacheco 643 EI Vallencito Drive Walnut, California 91789-4402 fiëllND OCOM OaTH DPTY OSCC DIND DCOM I&J OTH OPTY oscc KIND OCOM OaTH DPTY DsCC OINO OCOM 181 OTH OPTY OSCC KIND OCOM OaTH OPTY OSCC Coye Management Company 783 East Arrow Highway Pomona, California 91767 Michael Costuma 5449 Via De Mansion La Verne, California 91750-1628 21 Choices, LLC 2058 North Mills Avenue Claremont, California 91711-2812 Dr. Venerando Jaurigue 2421 Stagner Avenue Warrington, Pennsylvania 18976-1512 .Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Contributor Committee . SCHEDULE A (CONT.) from 2/22/05 through 6/30/05 of 17 Page 6 1.0. NUMBER 1272663 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS} Retired Assemblyman $100.00 $100.00 $100.00 $200.00 Businessman $250.00 $250.00 $100.00 $100.00 MD $100.00 $100.00 SUBTOTAL $ 650.00 I FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED 3/5/05 3/5/05 317/05 3/5/05 3/8/05 SCHEDULE A (CONT.) 1Ype or print In Ink. Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE. AlSO ENTER I.e. NUMBER) CODE * Dr. Miranda Alimario 1005 Hollywood Grosse Pointe Woods, Michigan 48236-1370 Explorer Industries, Inc. 915 West Foothill Boulevard Claremont, California 91711-3356 Dr. Antonio Mataban 74 North Liberty Street Hammonton, New Jersey 08037-1834 Raymond Slater 786 Northwestern Drive Claremont, California 91711-4151 Jim Spring P.O. Box 748 Rialto, California 92337-0748 , .Contributor Codes INO -Individual. COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party see - Small Contributor Committee ... .. KIND DCOM DOTH DPTY OSCC DINO /ieOM OaTH OPTY osee IKJ INO OCOM OaTH OPTY osce K]INO OCOM OaTH OPTY OSCC KIND DCOM OaTH OPTY osee Statement covers period CALIFORNIA 460 FORM 2122/05 from through 6/30/05 of 17 Page 7 1.0. NUMBER 1272663 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) MD $100.00 $100.00 $99.00 $99.00 MD $100.00 $100.00 Businessman $100.00 $100.00 Retired $250.00 $250.00 SUBTOTAL $ 649.00 I FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) Type or print In Ink. Amounts may be rounded to whole dollars. 2/22/05 NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I.D. NUMBER) CODE * 3/8/05 Dr. Caridad Baldonado 11802 Pomering Road Downey, California 90241-4627 IKIIND OCOM OaTH OPTY OSCC IKIIND OCOM OaTH OPTY osce IKIIND OCOM OaTH OPTY OSCC OIND OCOM OaTH DPTY DSCC OIND OCOM OaTH OPTY OSCC 3/8/05 Dr. Cesar Maniquis 303 East Park Avenue Libertyvilfe, fflinois 60048-3784 3/19/05 Dr. Norberto Sugayan 5000 Towne Center Southfield, Michigan 48075-2976 , *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party sce - Small Contributor Committee Statement covers period CALIFORNIA 460 FORM from through 6/30/05 of 17 Page 8 I.D. NUMBER 1272663 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPlOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) MD $200.00 $200.00 MD $100.00 $100.00 MD $100.00 $100.00 SUBTOTAL $ 400.00 ¡ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule B - Part 1 Lòans Received Type or print In Ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay SCHEDULE B - PART 1 Statement covers period CALIFORNIA 460 FORM from 2/22/05 through 6/30/05 of 20 Page 9 /.D. NUMBER 1272663 If) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE .. FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (el (d) (e) (a) (b) OUTSTANDtNG INTEREST IF AN INDIVIDUAL. ENTER OUTSTANDING AMOUNT AMOUNT PAID BALANCE AT PAID THIS OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN CLOSE OF THIS PERIOD (IF seLF-EMPLOYED. ENTER BEGINNING THIS PERIOD THIS PERIOD * PFRIOD NAME OF BUSINESS) PERIOD 0 PAID $ 0 FORGIVEN $ $ $ to IND 0 COM 0 OTH 0 PTY 0 sec 0 PAID $ 0 FORGIVEN $ $ $ to IND 0 COM 0 OTH 0 PTY 0 SCC 0 PAID $ 0 FORGIVEN s s $ to tND 0 COM 0 OTH 0 PTY 0 sec SUBTOTALS $ 0.00 $ Schedule B Summary 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ (Total Column (c) plus loans under $1 00 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. CALENDAR YEAR $ S PER ELECTION** % RATE $ 0.00 $ S $ DATE DUE DATE INCURRED CALENDAR YEAR $ % $ $ RATE PER ELECTION ** $ S DATE DUE DATE INCURRED CALENDAR YEAR $ % $ $ RATE PER ELECTION ** S $ DATE DUE DATE INCURRED 0.00 $ 0.00 l (Enter (e) on SchedIAe E, Une 3) 0.00 , , *Amounts forgiven or paid by another party also must be 0.00 reported on Schedule A. ** If required. ~ 0.00 (May be a negative number) [ t Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - SmaU Contributor Committee ] FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule B - Part 2 Lòan Guarantors SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay ., FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE DIND DeOM OaTH DPTY osec DIND DeoM OaTH DPTY osee DIND OCOM OaTH OPTY Dsec OIND DeeM DOTH DPTY DsCC SCHEDULE B - PART 2 Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 4 6 0 FORM from 2/22/05 through 6/30/05 IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Page 10 of 20 LD. NUMBER 1272663 AMOUNT CUMULATIVE BALANCE LOAN GUARANTEED OUTSTANDING THIS PERIOD TO DATE TO DATE LENDER CALENDAR YEAR $ DATE PER ELECTION (IF REQUIRED) S CALENDAR YEAR LENDER S PER ELECTION DATE (IF REQUIRED) S CALENDAR YEAR LENDER S PER ELECTION DATE (IF REQUIRED) S CALENDAR YEAR LENDER S PER ELECTION DATE (IF REQUIRED) S Enter on SUBTOTAL $ 0.00 Summary Page, Line 17 only. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule C Nonmonetary Contributions Received Type or print In Ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER CODE * (IF SElF-EMPLOYED, ENTER NAME OF BUSINESS) K]IND 0 COM OOTH OPTY osee IX)IND 0 COM OOTH OPTY OSCC OIND 0 COM OOTH OPTY OSCC OIND 0 COM OOTH OPTY OSCC Attach additional information on appropriately labeled continuation sheets. 3/5/05 Linda Kovach 916 Glenville Drive Claremont, California 91711-1501 Community Advocate 3/5/05 Ted Kovach 916 Glenville Drive Claremont, California 91711-1501 Retired DESCRIPTION OF GOODS OR SERVICES Postage, Cards Postage, Cards SUBTOTAL $ Schedule C Summary 1. Amount received this period - nonmonetary contributions of$100 or more. (Include all Schedule C subtotals.) ..................................................................................................................... $ 2. Amount received this period -unitemized nonmonetary contributions of less than $100 .................................... $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ Statement covers period from 2/22/05 through 6/30/05 AMOUNTI FAIR MARKET VALUE $250.00 $243.02 $493.021 493.02 0.00 493.02 SCHEDULE C CALIFORNIA 460 FORM Page 11 of 20 I.D. NUMBER 1272663 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) $250.00 $243.02 .Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SCHEDUlE D 'lYpe or print In Ink. Amounts may be rounded to whole dollars. from 2/22/05 CALIFORNIA 460 FORM Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FtLER Comr:nittee to Elect Corey Calaycay through 6/30/05 12 Page I.D. NUMBER of 20 1272663 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 CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC.31) PER ELECTION TO DATE (IF REQUIRED) 0 Monetary Contribution 0 Nonmonetary Contribution 0 Support 0 Oppose 0 Independent Expenditure 0 Support 0 Oppose 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Support 0 Oppose 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure SUBTOTAL $ 0.00 Schedule D Summary 1. Contributions and independent expenditures made this period of$100 or more. (Include all Schedule D subtotals.) """"""""""""""""""""""" $ 2. Unitemized contributions and independent expenditures made this period of under $100 ....................................................................................,. $ 0.00 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ...."........ TOTAL $ 0.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER Committee to Elect Corey Calaycay DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE 0 Support 0 Oppose 0 Support 0 Oppose 0 Support 0 Oppose 0 Support 0 Oppose Type or print In Ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL $ SCHEDULE D {CONT. from Statement covers period 2/22/05 CALIFORNIA 460 FORM through AMOUNT THIS PERIOD 6/30/05 13 Page I.D. NUMBER of 20 1272663 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 0.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E Payments Made from 2/22/05 CALIFORNIA 4 6 0 FORM SCf-EDULEE Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 6/30/05 Page 14 of I.D. NUMBER 20 Committee to Elect Corey Calaycay 1272663 CODES~ If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. o.,p campaign paraphernalia/misc. tÆR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTa contribution (explain nonmonetary). OFC office expenses SAL campaign workers' salaries CVC civic donations ÆT petition circulating TEL tv. or cable airtime and production costs AL candidate filing/ballot fees PH) phone banks 1RC candidate travel, lodging, and meals FN:> fund raising events POL polling and survey research TRS staff/spouse travel, lodging, and meals N) independent expenditure supporting/opposing others (explain). POS postage. delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VaT voter registration LIT campaign literature and mailings PRT print ads V'ÆB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. MJMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Covina Postmaster 170 East College Street Covina, California 91723-9998 POS Checks 1115, 1122 $399.06 Coastal Value Publications, Inc. 2355 Foothill Boulevard #552 La Verne. California 91750-3027 PRT Check 1120, 1125 $4,053.37 Printing Works 681 East Foothill Boulevard Pomona, California 91767 PRT Check 1116,1117,1118 $392.76 * Payments that are contributions or Independent expendItures must also be summarized on Schedule D. SUBTOTAL $ 4,845.19 Schedule E Summary 1. Payments made this period of $1 00 or more. (Include all Schedule E subtotals.) ......... ................ ...... """ ........... .......... .............. """"""'" ........... $ 2. Unitemized payments made this period ofunder$100 .......................................................................................................................................... $ 3. Total interest paid this period'on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 12,889.34 0.00 0.00 12,889.34 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULE E {CaNT.} through 2/22/05 6/30/05 CALIFORNIA 460 FORM Schedule E (Çontinuation Sheet) Payments Made Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay 15 Page I.D. NUMBER 1272663 of 20 CODES; If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OJP campaign paraphernalia/misc. weR member communications RAD radio airtime and production costs CNS campaign consultants MfG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries eve civic donations ÆT petition circulating 1EL tv. or cable airtime and production costs AL candidate filing/ballot fees Pt-Ð phone banks TRC candidate travel. lodging. and meals FNJ fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals N> Independent expenditure supporting/opposing others (explain)* POS postage. delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services {legal, accounting} VaT voter registration ur campaign literature and mailings PRf print ads WEB information technology costs (internet. e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Claremont Courier 111 South College Avenue Claremont, California 91711-5051 Check1123,1126,1127 $3,980.30 PRT Daily Bulletin 2041 East Fourth Street Ontario, California 91761 Check 1114 $626.24 PRT Master Sign 1846 B West Eleventh Street Upland, California 91786 Check 1118 $350.00 PRT Comcast Cable 8098 Sandpiper Circle Baltimore, Maryland 21236 Check 1119 $2,313.95 TEL Political Data P.O. Box 1706 Burbank, California 91507 Check 1124 $773.66 POL * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 8,044.15 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 2/22/05 6/30/05 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to EJect Corey CaJaycay through Page I.D. NUMBER 16 of 20 1272663 CODES: If one of the following codes accurately describes the payment, you may enter the code, Otherwise, describe the payment. o,p campaign paraphernalia/misc. weR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations Ær petition circulating TEL tv. or cable airtime and production costs AL candidate filinglballot fees PH) phone banks TRC candidate travel, lodging, and meals fN) fundraislng events POL polling and survey research TRS staff/spouse travel, lodging, and meals NJ independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VaT voter registration LIT campaign literature and mailings PRT print ads V\B3 Information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, AlSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00 $ 0.00 $ 0.00 $ 0.00 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 0 00 on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ . May be a negative number 0.00 0.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Type or print In Ink. Amounts may be rounded to whole dollars. SCHEDULE F (CONT.) Statement covers period from 2122/05 6/30/05 CALIFORNIA 46 0 FORM through Page J.D. NUMBER 17 of 20 NAME OF FILER Committee to Elect Corey Calaycay . CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. O.P campaign paraphernalia/misc. tIBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions cm contribution (explain nonmonetary). OFC office expenses SAL campaign workers' salaries evc civic donations PEr petition circulating 1EL tv. or cable airtime and production costs AL candidate filinglballot fees PH:> phone banks TRC candidate travel, lodging, and meals FN) fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals N) independent expenditure supporting/opposing others (explain). POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal. accounting) VaT voter registration UT campaign literature and mailings PRT print ads \t\£B information technology costs (internet, e-mail) * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. 1272663 NAME AND ADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER tD. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (e) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS $ 0.00 $ 0.00 $ 0.00 $ 0.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Type or print In Ink. Amounts may be rounded to whole dollars. SCHEDULE G Statement covers period from 2/22/05 CALIFORNIA 4 6 0 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay NAME OF AGENT OR INDEPENDENT CONTRACTOR through 6/30/05 Page 18 LD. NUMBER 1272663 of 20 NON,E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. o,p campaign paraphernalia/misc. WBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses gAl campaign workers' salaries CVC civic donations Ær petition circulating TEl tv. or cable airtime and production costs AL candidate filing/ballot fees PK> phone banks TRC candidate travel, lodging, and meals fN) fundraising events POl polling and survey research TRS staff/spouse travel, lodging, and meals N) Independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services {legal, accounting} VaT voter registration UT campaign literature and mailings PRT print ads ~B infonnation technology costs (Internet, e-mail) * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, AlSO ENTER J.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL * $ 0.00 * Do not transfer to any other schedule or to the Surpmary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. : FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULE H from 2/22/05 CALIFORNIA 460 FORM Schedule H Loans Made to Others. 'TYpe or print in ink. Amounts may be rounded to whole dollars. Statement covers period Committee to Elect Corey Calaycay Page 19 of 20 1.0. NUMBER 1272663 IF AN INDIVIDUAL. ENTER (a) Cb) (el OUTST~DING (e) t) CUI OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT REPAYMENT OR INTEREST ORIGINAL CUMULATIVE BALANCE BALANCE AT (IF SELF-EMPLOYED, ENTER BEGINNING THIS lOANED THIS FORGIVENESS CLOSE OF THIS RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD LOAN TO DATE 0 PAID CALENDAR YEAR S S % S $ 0 FORGNEN RATE PER ELECTION" $ $ $ $ $ DATE DUE DATE INCURRED 0 PAID CALENDAR YEAR $ $ % $ $ 0 FORGNEN RATE PER ELECTION" $ $ $ $ $ DATE DUE DATE INCURRED through 6/30/05 SEE INSTRUCTIONS ON REVERSE NAME OF FILER FUll NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE. ALSO ENTER I.D. NUMBER) *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ 0.00 $ 0.00 $ 0.00 $ 0.00 (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period ........ """""""" ...,.... .... """"""""" ...."...... ...... ..., """" ...,. ... ... "'" ...... ...,. .......... """ ..... ........ ...... $ (Total Column (b) plus unitemized loans less than $100.) 0.00 I **If Required I 2. Payments received on loans .........................................................................................................................................., $ (Total Column (c) plus unitemized payments less than $100.) 0.00 3. Net change this period. (Subtract Line 2 from Line 1.) ........................................................................................ NET $ 0.00 (Enter the net here and on the Summary Page I Column A, Line 7.) (May be a negative number) FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedùle I Miscellaneous Increases to Cash Type or print In Ink. Amounts may be rounded to whole dollars. from Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through Committee to Elect Corey Calaycay DATE RECENED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT Attach additional information on appropriately labeled continuation sheets. Schedule I Summary 1. Increases to cash of $100 or more this period. ....................................................................................."""""""""'" $ 2. Un itemized increases to cash under $100 this period. ..........................................................................................".. $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .............................".. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ...... ...........,....... ....................,. """ ........... .."................. ........,..... ..,...... ...... """'" TOTAL $ 2122105 6/30/05 SCHEDULE I CALIFORNIA 46 0 FORM Page 20 1.0. NUMBER of 20 1272663 AMOUNT OF INCREASE TO CASH SUBTOTAL $ 0.00 0.00 0.00 0.00 0.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC