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Home My Public Portal AboutForm 460 (Feb 20 - July 25, 2005) Recjpient Committee Campaign Statement Cover Page (~VŒnment C(Ç~OOpV Type or print in ink. Date Stamp CALIFORNIA 4 6 0 2001/02 FORM COVER PAGE Statement covers period from 02/20/05 Date of election if applicable: (Month, Day, Year) Page I of /1 SEE INSTRUCTIONS ON REVERSE through 07/25/05 03/08/05 For Official Use Only 1. Type .~f Recipient Committee: All Committees - Complete Parts 1. 2, 3, and 4. lXJ Officeholder, Candidate Controlled Committee 0 Ballot Measure Committee 0 State Candidate Election Committee 0 Primarily Formed 0 Recall 0 Controlled (Also Complete Pan 5) 0 Sponsored (Also Complete Part 6) 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 2. Type of Statement: 0 IX] /XI 0 Preelection Statement Semi-annual Statement Termination Statement Amendment (Explain below) 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 0 Primarily Formed Candidate/ Officeholder Committee (Atso Complete Pan 7) 3 Committee Information ,I.D. NUMBER . 1273509 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Sam Pedroza Treasurer(s) NAME OF TREASURER Brian Teuber STREET ADDRESS (NO P.O. BOX) 580 Cinderella Drive CITY STATE ZIP CODE Claremont CA 91711 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P,o. BOX MAILING ADDRESS 553 Redlands Avenue AREA CODE/PHONE 909-621-0615 CITY Claremont NAME OF ASSISTANT TREASURER, IF ANY STATE CA ZIP CODE 91711 AREA CODE/PHONE 909-482-1568 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 4. Verification I have used all reasonable diligence In preparing and reviewing litis stalement and 10 Ihe best of my knowledge lite Information 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"i~ tryê and correct. "7 2 ('" ,. r"' , ..) ," ,. ) Date '/ .- J- ~ -t)ç Date By Executed on Executed on By Executed on Date By Executed on Date By Signature of Controlling Officeholder. Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Type or print in ink. Recipient Comm ittee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE - Sam Pedroza OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City of Claremont - City Council RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STAlE ZIP 580 Cinderella Drive Claremont. CA 91711 Related Committees Not Included in this Statement: Listanycommittees not included in this statement that are control/ed by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STAlE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STAlE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 CALIFORNIA 4 6 0 FORM Page Z- of I' 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 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 officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Sam Pedroza Contributions Received 1. Monetary Contributions .......................................,... Schedule A, Line 3 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 Expenditures Made 6. Payments Made .............................."....................... Schedule E, Line 4 7. Loans Made ......"..................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ."................................. Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ... ..... ....................... Schedule F. Line 3 10. Nonmonetary Adjustment .......................................... ScheduleC, 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. Miscellaneous Increases to Cash ........................... Schedule " Line 4 15. Cash Payments........... .................. ..... ..... "" ....... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts .."..................... Add Line:,2 + Line 9 in Column B above Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 7725.08 -5000.00 2725.08 152.69 2877.77 $ $ $ 5862.80 0.00 5862.80 -1064.30 152.69 4951.19 $ $ $ 3137.72 2725.08 0.00 5862.80 0.00 $ $ 0.00 $ $ 0.00 0.00 from through Column B CALENDAR YEAR TOTAL TO DATE $ 12232.98 0.00 12232.98 542.73 12775.71 $ $ $ 12232.98 0.00 12232.98 0.00 542.73 12775.71 $ $ To calculate Column B, add amounts in Column A to the corresponding amounts from eolumn 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 tiled for this calendar year. only carryover the amounts from Lines 2,7, and 9 (if any). SUMMARY PAGE Statement covers period CALIFORNIA 4 6 0 FORM 02/20105 07/25/05 Page 3 of Î 1.0. NUMBER 1273509 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 Limit) Date of Election Total to Date (mm/dd/yy) I 1 $ I 1 $ I I $ I I $ 1 I $ I I $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in eolumn B. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Eleèt Sam Pedroza seHEDULE A from Statement covers period 02/20/05 CALIFORNIA 4 6 0 FORM through 07/25/05 Page 4 of I' 1.0. NUMBER 1273509 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (If SELF-EMPlOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 02/22/05 Suzanne Thompson I8JINO College Professor 50.00 50.00 50.00 OCOM 836 Stanislaus Circle OaTH Claremont, CA 91711 OPTY Pomona College oscc 03/08/05 Suzanne Thompson /K] IND College Professor 50.00 100.00 100.00 0 COM 836 Stanislaus Circle OOTH Claremont, CA 91711 OPTY Pomona College osee 02/24/05 Committee to Elect Louie Lujan OINO 99.00 99.00 99.00 IKJ COM 17320 Villa Park OOTH La Puente, CA 91744 OPTY 10#990885 oscc 03/01/05 Georgeann Andrus IX] INO Retired 75.00 150.00 oeoM 150.00 231 W. 10th Street OaTH Claremont, CA 91711 OPTY osee 03/01/05 Judy Wright IX] INO Writer 150.00 250.00 250.00 OCOM 472 W. 10th Street OaTH Claremont, CA 91711 OPTY Claremont Historic oscc Society SUBTOTAL $ Schedule A Summary 1. Amount received this period - contributions of $100 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 the Summary Page, Column A, Line 1.) ....................... TOTAL $ 6920.08 805.00 7725.08 424.00 ,.- . *Contnbutor Codes tNO-lndividual COM - Recipient eommittee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Contributor Committee .... ~ " FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Committee to Elect Sam Pedroza DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * Jeffrey Yann IXIINO 03/01/05 0 COM 1622 Adalia Avenue OaTH Hacienda Heights, CA 91745 OPTY Oscc IX]INO 03/02/05 Julie Albert OCOM 1096 Harvard Avenue OaTH Claremont, CA 91711 OPTY Oscc Committee to Elect Chris Lancaster OIND 03/02/05 /KJ COM 2148 Bellbrook Street OaTH Covina, CA 91724 OPTY \þ.r{ ,-z.-'J~qt. oscc Lewis Ellenhorn IXIINO 03/02/05 0 COM 715 W. 9th Street OaTH Claremont, CA 91711 OPTY oscc Stephen Zetterberg IKJ INO 03/04/05 OCOM 350 W. Radcliffe Drive OaTH Claremont, CA 91711 OPTY osce ~ .Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or See) OTH - Other PTY - Political Party sec - Small Contributor Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Engineer Retired SCHEDULE A (CONT.) from Statement covers period 02120/05 CALIFORNIA 460 FORM through AMOUNT RECEIVED THIS PERIOD 250.00 07/25/05 Page S I.D. NUMBER of II 1273509 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 250.00 250.00 Social Worker 75.00 75.00 75.00 Lorna Linda University Hospital 250.00 250.00 250.00 Retired Attorney Stephen Zetterberg Attorney at Law SUBTOTAL $ 100.00 50.00 725.00 100.00 100.00 75.00 75.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ,Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Committee to Elect Sam Pedroza DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * Georgia Bellemin IXIND 03/05/05 OCOM 806 Berkeley Avenue OOTH Claremont, CA 91711 OPTY osec IXIIND 03/05/05 Luis Cetina OCOM 316 W. Museum Drive OOTH Los Angeles, CA 90065 OPTY oscc 03/05/05 Explorer Industries OIND oeoM 915 W. Foothill Boulevard fXJ OTH Claremont, CA 91711 OPTY DsCC Shirl Rothman IXIND 03/05/05 DCOM 862 Scripps Avenue OaTH Claremont, CA 91711 DPTY osce Carousel Insurance Services OIND 03/06/05 DcOM PO Box 5122 IXI OTH Lake Forest, CA 92609 OPTY DsCC ,. *Contributor Codes 'NO - Individual eOM - Recipient Committee (other than PTY or See) OTH - Other pry - Political Party see - Small eontributor Committee \.. -' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Teacher Upland High School Government Relations Representative Metropolitan Water District Retired SUBTOTAL $ SCHEDULE A (CONT.) Statement covers period CALIFORNIA 4 6 0 FORM from 02/20/05 Page b of II 1.0. NUMBER 1273509 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 150.00 150.00 150.00 through 07/25/05 100.00 100.00 100.00 99.00 99.00 99.00 100.00 100.00 100.00 250.00 250.00 250.00 699.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Committee to Elect Sam Pedroza DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER J.D. NUMBER) CODE * 03/06/05 Barbara King 26022 Pal a Street Mission Viejo, CA 92691 03/09/08 Grace Burgess 4153 Pacific Circle La Verne, CA 91750 06/29/05 Sam Pedroza 580 Cinderella Drive Claremont, CA 91711 IX'JINO DeeM OOTH OPTY osce IX1INO OCOM OOTH OPTY osce IX'] INO DeeM OaTH OPTY oscc IXIINO DCOM OOTH OPTY oscc OINO OCOM /X'10TH OPTY oscc ,.- *Contributor Codes INO - Individual COM - Recipient eommittee (other than PTY or SCC) OTH - Other PTY - Political Party sce - Small eontributor Committee l IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF.EMPLOYED. ENTER NAME OF BUSINESS) Office Manager Carousel Insurance Services Executive Director San Gabriel Basin Water Quality Authority Environmental Planner County Sanitation Districts of Los Angeles County SUBTOTAL $ SCHEDULE A (CONT.) Statement covers period CALIFORNIA 4 6 0 FORM from 02/20/05 Page 7 of II 1.0. NUMBER 1273509 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 100.00 100.00 100.00 through 07/25/05 99.00 99.00 99.00 4873.08 4873.08 4873.08 5072.08 FPPC Form 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK-FPPC PER ELECTION ** 0.00 01/15/05 5000.00 $ $ DATE DUE DATE INCURRED CAlENDAR YEAR % $ $ RATE PER ELECTION ** $ $ DATE DUE DATE INCURRED 0.00 $ 0.00 (Enter (e) on Schedule E. Line 3) 0.00 Schedule B - Part 1 Loans Received Type or print in ink. Amounts may be rounded to whole dollars. from 02/20/05 Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 07/25/05 Committee to Elect Sam Pedroza FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE. ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (If SELf-EMPLOYED. ENTER NAME OF BUSINESS) (d) (a) (b) (c) OUTSTANDING OUTSTANDING AMOUNT AMOUNT PAID BALANCE AT BALANCE RECEIVED THIS OR FORGIVEN CLOSE OF THIS BEGINNING THIS PERIOD THIS PERIOD * PERIOD PERIOD (e) INTEREST PAID THIS PERIOD Sam Pedroza 580 Cinderella Drive Claremont, CA 91711 Environmental Planner County Sanitation Districts of Los Angeles County ~PAID $ 126.92 $ 0.00 0 % ~ FORGIVEN RATE 0.00 $ 2373.08 $ 0.00 DATE DUE $ 2500.00 $ t IX! IND OCOM 0 OTH OP1Y 0 SCC Sam Pedroza Environmental Planner 580 Cinderella Drive County Sanitation Claremont, CA 91711 Districts of Los Angeles County 2500.00 $ $ t IX! IND 0 COM 0 OTH OP1Y 0 SCC 0 PAID 0 0.00 % RATE $ ~ FORGIVEN $ 0.00 $ 2500.00 0 PAID $ 0 FORGIVEN $ $ $ $ to (NO 0 COM 0 OTH 0 P1Y 0 SCC SUBTOTALS $ 0.00 $ 5000.00 $ 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 $100 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. 5000.00 -5000.00 (May be a negative number) [ t Contributor Codes: IND -Individual COM - Recipient Committee (other than PTY or SCC) see - Small Contributor Committee ] FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC OTH - Other PTY - Political Party SCHEDULE B - PART 1 CALIFORNIA 4 6 0 FORM Page B of J I 1.0. NUMBER 1273509 (f) (9) ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR $ 2500.00 $ 2500.00 PER ELECTION** 01/07/05 2500.00 Ii DATE INCURRED CALENDAR YEAR $ 2500.00 $ 5000.00 ,. .., * Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. ... .J . Schèdule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Sam Pedroza Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMllTEE. ALSO ENTER 1.0. NUMBER) IF AN INDIVIDUAL. ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER CODE * (IF SELf-EMPLOYED. ENTER NAME OF BUSINESS) 02/21/05 Candlelight Pavilion 455 W. Foothill Boulevard Claremont, CA 91711 OIND DCOM IX'jOTH OPTY OSCC IKIIND OCOM OaTH OPTY OSCC IRIND DCOM OaTH OPTY OSCC ~IND OCOM OaTH OPTY OSCC 03/06/05 Julie Pedroza 580 Cinderella Drive Claremont, CA 91711 03/06/05 Julie Pedroza 580 Cinderella Drive Claremont, CA 91711 03/08/05 Julie Pedroza 580 Cinderella Drive Claremont. CA 91711 Homemaker None Homemaker None Homemaker .None Homemaker None Attach additional information on appropriately labeled continuation sheets. DESCRIPTION OF GOODS OR SERVICES Copies Postage Refreshments for campaign rally Refreshements decorations for campaign meeting 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 SCHEDULE C from 02/20/05 through AMOUNTI FAIR MARKET VALUE 47.17 76.65 152.69 152.69 0.00 152.69 07/25/05 10.00 18.87 CALIFORNIA 4 6 0 FORM Page 9 of II 1.0. NUMBER 1273509 CUMULATIVE TO PER ELECTION DATE TO DATE CALENDAR YEAR (IF REQUIRED) (JAN 1 - DEC 31) 70.00 70.00 18.87 100.67 147.84 147.84 224.49 224.49 .~ 1" *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Contributor Committee ~ FPPC Form 460 (June/O1) FPPC TolI.Free Helpline: 866/ASK-FPPC Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 02/20/05 CALIFORNIA 4 6 0 FORM SCHEDULEE SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 07/25/05 Page I D 1.0. NUMBER of , I Committee to Elect Sam Pedroza 1273509 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CtvP campaign paraphernalia/misc. MBR 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 evc civic donations ÆT petition circulating TEL t. v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks rnc candidate travel, lodging, and meals FND fundraising events POL polling and survey research rns staff/spouse travel, lodging, and meals !NO 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 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 Judy Wright Reimbursement for Whalen Bindery & Mailing Service 535 W. Allen Avenue No. 16 San Dimas, CA 91773 Claremont Courier 111 S. College Avenue Claremont, CA 91711 POS 1867.66 PRT 3892.94 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5760.60 Schedule E Summary 1. Payments made this period of $1 00 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 2. Unitemized payments made this period of under $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 $ 5760.60 1 02.20 0.00 5862.80 FPPC Form 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK-FPPC . Schedule F Accrued Expenses (Unpaid Bills) from 02/20/05 07/25/05 CALIFORNIA 460 FORM SCHEDULE F Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Sam Pedroza through Page I / of t I CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 0vP campaign paraphernalia/misc. MBR 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 ÆT petition circulating m 1. v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND 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 LIT campaign literature and mailings PRr print ads WEB information technology costs (internet, e-mail) 1.0. NUMBER 1273509 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 Claremont Courier 111 S. College Avenue Claremont, CA 91711 PRT 1014.30 0.00 1014.30 0.00 1014.30 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 1014.30 $ 0.00 $ 1014.30 $ 1014.30 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 on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ 0.00 1064.30 -1064.30 May be a negative number FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC