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Home My Public Portal AboutForm 460 ( Feb 19 - June 30, 2005) Recipient Committee Campaign Statement Cover Page (GoY~rnment Code Sections 84200-84216.5) Type or print In Ink. statement covers period from 2/20/05 6/30/05 SEE INSTRUCTIONS ON REVERSE through 1. Type _of Recipient Committee: AU Committees - Comptete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee 0 Prll11llrlly Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Reca" 0 Controlled (AIIIoCompleteP8tt5) 0 Sponsored (AlsO Compl/llll Pert tJ) 121 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3 Committee Information 11.0. NUMBER . 1274317 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 0 Primarily Formed Candidate! Officeholder Committee (AI$) Comp/eI8 Pert 7) Preserve Claremont STREET ADDRESS (NO P.O. BOX) 333 North Indian Hill Blvd. CITY STATE ZIP CODE Claremont CA 91711 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR PO. BOX AREA CODE/PHONE 909-621-4313 CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAl: FAX / E-MAIL ADDRESS Date Stamp R...It~C' 1IJ":"Ia'ij¡\lllJt::...~ ~- . ,oJ a:.:.:.. H Y" ~ Ft., Date of election if applicable: (Month, Day. Year) JON 2 0 20m) COVER PAGE CALIFORNIA 460 2001/02 FORM Page of For Official Use Only 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 Executed on By Slgnatul8 of Control!klg OIIIœtllldllr. CancIdate, Slate Mea8uI8 Proponent or Responsllle OIIIœr of Sponsor ÞlAtæ 8') 200; cnv Cii.t:~'d{ eÐ 1'" ùi' Oil i't¡a~H"'j;r'(1 2. Type of Statement: 0 Preelection Statement 0 Semi-annual Statement IlJ Termination Statement (Also file a Form 410 Termination) I 0 Amendment (Explain below) Treasurer(s) NAME OF TREASURER Francine Baker MAILING ADDRESS 333 N. Indian Hill Blvd. CITY Claremont NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS STATE CA STATE ZIP CODE 91711 AREA CODE/PHONE 909-621-4313 ZIP CODE AREA CODE/PHONE 4. Verification I have used ail reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the Information contained herein and in the attached schedules is true and complete. I certify under penalty of pe~ury under the laws olthe SIBle.. of California lllat the Ioregolng 10 true and ""rrec:t. . ' .A Executed on bu/.t~ ¿ft». ~ By., ~ðd~// ~~~ ) 7 . CaW' . ~liTr8asUl8fori~ntTl8asurer Executed on By ea. ea. Executed on By ea. S!gnaU8 Ii Cot1roIlng anœholder, caOCÜll8, State M8asu-e Proponent Slgnatl.nliQ)!'Ûollngallœtllkfer, canctilte, State Measure Proponert FPPC Form 460 (JanuaryIO5) FPPC ToD-Free Hetptlne: 8661ASK-FPPC (8681275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Preserve Claremont Contributions Received 1, Monetary Contributions ......................,.................... SoheduleA, 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) ............................... SchecluleF. Line 3 10. Nonmonetary Adjustment .......... """""" ....... ........ ..... Scheclule C, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... PreviousSummaryPage,Line16 $ 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, Pari 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents.. ,.................. ......... .......... See instructions on reverse 19. Outstanding Debts ",""""""""""" Add Line 2+ Line9in Column Babove Type or print In Ink. Amounts may be rounded to whole dollars. Column A TOTAl. THIS PERIOD (FROMATTACHED SCHBJULES) $ 2723.00 $ 2723.00 $ 2723.00 8846.20 8846.20 8846.20 6123.20 2723.00 8846.20 0 $ $ $ from through Column B CALENDAR YEAR TOTAl. TO~TE $ 9136.00 $ 9136.00 $ 9136.00 $ 9136.00 $ 9136.00 $ 9136.00 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 CALIF OR. NIA 4 6 0 FORri1 2/20/05 6/30/05 Page I.D. NUMBER of 1274317 Calendar Year Summary for Candidates Running In Both the State Primary and General Elections 1/1 through 6130 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 (mmlddlyy) Total to Date I I $ I I $ *Amounts in this section may be different from amounts reported In Column B. FPPC Form 460 (JanuaryIO6) FPPC Toll-Free Helpfine: 866/ASK.FPPC (886/276-3772) Schedule A Monetary Contributions Received Type or print in Ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period CAL.IFOR~,JIA 460 FORM from 2/20/05 through SEE INSTRUCTIONS ON REVERSE NAME OF FilER Preserve Claremont Page I.D. NUMBER 1274317 D6.TE RECEIVED 2/20/05 2/27/05 2/27/05 2/27/05 2/27/05 of IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ~IND Judy Cody 0 COM Phys. Asst. Foothill 200.00 200.00 2340 San Joaquin Ct. OOTH Phych. Services Claremont CA 91711 OPTY oscc ~IND Judy Cody 0 COM Phys. Asst. Foothill 500.00 700.00 2340 San Joaquin Ct. OOTH Phych. Services Claremont CA 91711 OPTY oscc (lIIND Michael Fay DCOM Finance Adv. 100.00 200.00 4085 Olive Hill Drive OOTH Claremont Financial Claremont CA 91711 OPTY oscc IiZIIND Rose Ash DOOM artist 50.00 150.00 795 West 10th St. OOTH Claremont CA 91711 DPTY osce IiZIIND Diann Ring fr~ DOOM none 200.00 200.00 8't 'OJ II) 5 V.... A OOTH <: ~1rt4ffl()~1 (A 4/1/1 OPTY osec SUBTOTAL $ 1,050.00 I .. Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) ........................................,............................................................... $ 2. Amount received this period- unitemized monetary 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 $ ::! 'r *Contributor Codes IN D -Individual COM - Recipient Committee (other than PTY or seC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/Ð6) FPPC Toll-Free Helpline: 8661ASK-FPPC (8881276-3772) Schedule A Monetary Contributions Received Type or print in Ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Preserve Claremont 06.TE ' RECEIVED 2/27/05 2/27/05 2/27/05 3/1/05 3/1/05 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0, NUMSER) CODE * Valerie Martinez 296 Lamar Drive Claremont CA 91711 IilJIND 0 COM OaTH OPTY OSCC r;zJIND 0 COM OaTH OPTY OSCC IlIIND 0 COM OaTH OPTY OSCC IilJIND 0 COM OaTH OPTY Dscc IiZ]IND 0 COM OaTH OPTY Dscc IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF selF-EMPlOYED, ENTER NAME OF BUSINESS) Public Relations VMA Communications Inc. teacher Bonita Unified School District retired realator Quackenbos-Bell Realators attorney Paul Held, Atty At Law SUBTOTAL $ Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals,) ...........,.........,.......................,........,.............,....,............................,. $ 2, Amount received this period - unitemized monetary 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 $ Rosemary Henderson 606 Delaware Drive Claremont CA 91711 Barry Ulrich 808 Northwestern Drive Claremont CA 91711 Nicholas Quackenbos 675 West Foothill #302 Claremont CA 91711 Paul Held 429 Willamette Lane Claremont CA 91711 SCHEDULE A from Statement covers period 2/20/05 CALIFORf\JlA 460 FORM through AMOONT RECEIVED THIS PERIOD $50.00 200.00 200.00 100.00 250.00 800.00 I. 6/30/05 Page 1.0. NUMBER 1274317 of CUMULATIVE TO 06.TE CALENDAR YEAR (JAN. 1 - DEC, 31) PER ELECTION TO DATE (IF REQUIRED) $300.00 200.00 400.00 200.00 349.00 .,.- *Contributor Codes IND -Individual COM - Recipient Convnittee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party sec - Small Contributor Committee ~ FPPC Form 460 (JanuaryIO6) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Preserve Claremont DÞ.TE. RECEIVED 3/1/05 3/2/05 2/20/05 Type 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.D. NUMBER) CODE * Joe Unis 532 West 10th Street Claremont CA 91711 Helaine Goldwater 2331 North Coalinga Ct. Claremont CA 91711 Diane Schuster 1558 Tulane Road Claremont CA 91711 ~IND 0 COM OaTH OPTY OSCC IlJIND DCOM OaTH OPTY OSCC ;lJ IND 0 COM OaTH OPTY OSCC OIND DCOM DOTH OPTY oscc OIND 0 COM OaTH OPTY OSCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF seLF-EMPlOYED, ENTER NAME OF BUSINESS) clinical professor Loma Linda University interior designer self employed educator Hebrew Union College SUBTOTAL $ Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) ...................",......,.,................,............,..",...,....."........,.....,.........,.. $ 2, Amount received this period - unitemized monetary 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 $ ..' SCHEDULE A from Statement covers period 2/20/05 CALlFOF~. f\JlA 4 6 0 FOR~.1 through AMOUNT RECEIVED THIS PERIOD 200.00 150.00 100.00 450.00 I 2300.00 423.00 2723.00 6/30/05 Page J.D. NUMBER 1274317 of CUMULATIVE TO DÞ.TE CALENDAR YEAR (JAN, 1 - DEC, 31) PER ELECTION TODÞ.TE (IF REQUIRED) " *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 FPPC Form 460 (JanuaryIO6) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 2/20/05 CALlFOR.NIA 460 FORM SCHEDULEE SEE INSTRUCTIONS ON REVERSE NAME OF FILER Preserve Claremont through 6/30/05 Page of 1.0. NUMBER 1274317 CODES:, If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Q,1p campaign paraphernalia/misc. MeR 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 Ta t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks 1RC candidate travel, lodging, and meals FND fundralsing events POl polling and survey research TRS staff/spouse travel, lodging, and meals N> Independent expondllute supporting/opposing others (explsln)' fI:)S POllage, delivery end me..enger services TSF lransfer between committees 0/ the some ""ndldatelsponsol LEG legal defense PRO professional services (legal, accounting) VaT voter registration LIT campaign literature and mailings FRT print ads WEB information technology costs (internet, e-mail) NAME AND AD~ESS OF PAYEE (IF COMMITTEE, AlSO ENTER 1.0, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID VMA Communications 141 Spring Spring Street Claremont CA 91711 Voiceshot PHO $370.00 Family Emergency Fund 660 North Mountain Avenue Claremont CA 91711 CVC donation to the city family relief fund $424.38 City of Claremont 207 Harvard Avenue Claremont CA 91711 OFC make copies $2.20 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 796.58 Schedule E Summary 1. Itemized payments made this period. (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. ColumnA, line 6.) ............................. TOTAL $ 8846.20 8846.20 FPPC Form 460 (JanuarylO6) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule E (Continuation Sheet) Payments Made , Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) from 2/19/05 £1/3010.( CALIFORf\JlA 460 FORM Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Preserve Claremont through Page 1.0, NUMBER 1274317 of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. QJP campaign paraphernalia/misc. MeR member communications RAe 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' FEr petition circulating Ta t.v. or cable airtime and production costs FIL candidate filing/ballot fees PliO phone banb TRC candidate travel, lodging, and meals FND fundralsfng events POL polling and survey research TRS staff/spouse travel, lodging, and meals INO Independent expenditure supporting/opposing others (explaln)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads V\EB 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 Ave Claremont CA 91711 Advertisement PRT $5,699.40 Claremont Courier 111 South College Ave Claremont CA 91711 Advertisement PRT $966.00 Political Data Inc. P.O. Box 1707 Burbank CA 91507 Phone trans PHO $375.51 Claremont Print and Copy 108 Spring Street Claremont CA 91711 Mailers LIT $160.10 A&M Direct Mail Services 949 N. Cataract Ave. Unit I San Dimas CA 91773 Mailers LIT $848.61 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. .,- SUBTOTAL $ $ 0 '1. 9~ fI ~ FPPC Form 480 (JanuaryIO6) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)