HomeMy Public PortalAboutForm 460 Amendment (Jan 1 - Jan 18, 2003)
f
Recipient Committee
Campaign Statement
Cover Page
(GlM!mrnent Code Sections 84200-84216..5)
COVERFME
1P or print In Ink.
DIIIa ~
L'~;,;F,~~~ ~ 460
~l'R'"
tiom
stIlteIMnt covers period
1/1/03
Date of eIedIon If IIppIc:IIbIe:
(Mon1h. Day, v...)
RECEIVED
FEB 1 9 2003
.....
1
of
1
Fof 0llldIIl 1M Only
see INSTRUCTIONS ON REVERSE
1hrough
1/18/03
March 4,2003
CITY CLERK
CITY OF CLAREMONT
1. 1YPe of Recipient Committee: All CeiL. __ - ~ .....1, z.:s.........
III 0IIiceh0Idef, Candidate ControIed Commitlee 0 BaIot Measln Coml.1Iittee
o Slate CandidlIte Election Committee 0 Prim8riIy Fanned
o Recall 0 ControIed
(Nso~flMt.!il 0 Sponsofed
(Nso~I'lIItGl
o Genel'8I Purpose Committee
o SfXJIIlSOnId
o SInaI ContribulorCommillee
o Pollical PartylCen1ral Commillee
o Prim8riIy Fanned CandidlIW
0lIIceh0ldef Committee
(Nso~Fwt1)
2. 1YPe of Statement:
o Preelar;tionSlatement
o SemHrmuaI Statement
o ~Statement
III Amendment (&plain below)
To correct error on Schedule A
o Quarterly Slatement
o SpecillI Odd- v... Report
o SupplementII Preala clion
Statement - A1lach Form 495
-
3. Comm---I------ tD, NUNBER
1"'_ ",vnU4UlVn 1247614
CONNnTeE HAlE (OR ~TE'S twIE IF NO CONNlTTEE)
Peter Yao for City Council
1nMlsurer(s)
AREA CODeIif'HONE
NAME Of mEASUReR
Diana P. Owings
MAIlING ADDRESS
239 Dale Court
CITY S1I\.1E ZIP CODE
Brea CA 92821
HAlE Of ASSlSTI\.NT TREASURER. IF /lH't
Peter Yao
MAIlING ADDRESS
3414 Yankton Ave
CITY SWE ZIP CODE
Claremont CA 91711
OPTlOtW.;: FAX q E-UM. ADDRESS
AREA CODEIPHONE
(714) 256-0793
smEET ADDRESS (NO p,O, BOX)
3414 Yankton Ave
CITY S1I\.1E ZIP CODE
Claremont CA 91711
MM.lNG ADDRESS (IF DIFFERENT.! NO- AM) STREET OR P,O, BOX
Same
CITY S1I\.1E ZIP CODE
Same
OPTlOtW.;: FAX q E-UM. ADDRESS
AREA CODEI1"HONE
(909) 626-3624
MEA CODEAPHONE
(909) 626-3624
-
4. VertftcatIon
I have used aI reasonable <<IIgerQ in preparing and reWMing INs slatement and to ltle best of my knowledge 1he infonnaIion contIined herein and in 1he aUached sdleduI8s is true and ~ I
Cf.Mtify l.Ilder penaIty~ of' l.Ilder ltle IlIWs of ltle Slate of CaIfomia that ltle begoing is true and
&ewted 00 L--P.3 By
17(;3
~oo . D* By
D*
...~
ofS1ponsloir
~oo
By
.~
&eoMd 00
~
By
SlgMlUleof~OIbIloilJoIr.~,s-.---.~
FPPC F_ ... (JuneIt1)
FPPC ~ ~ 1IIIASK.fPPC
.... cI c.Iron*
.
Recipient Committee ...,.. .. print In ink. COVERFW'3E -PART2
~
Campaign Statement
Cover Page - Part 2
.... 1 of 1
S. OIftc:ehoIder or Candidate Con1rol1ed Committee 6. BIlliot Measure Committee
NAME OF OFFICEHOlDER OR ~TE NAMEOF8AU.OT~
Peter S. Yao None
OfFICe SOUGHT OR HElD (lNCl.UDE LOCAT1ON AND ~T NlIN8ER F APPl.lCABLE) 8AU.OTNO. OR lETTER IJURlSOlCTtON IB~T
City Council Member, Claremont, CA
~AOORESS ~ANDslAEET) CITY SWE ZIP "
3414 Yankton Ave. Claremont CA 91711 identify .... controlling oftIc8oIder. candid_. .. state ......... proponent" If any.
NAME OF 0FFlCEtl0lDER. ~TE.. OR PROPONENT
ReI.led Committees Not Included In this Statement: Usf.., nml __ I """""T NO. F ""
not ....., In .. s........... ..., _ COI""" .. ,. .. _ .......... ........, ID .... OfFICe SOUGHT OR HElD
~..... ........._ on .....oIJ'OW~.
CONMTTEENME 1.0.. NUN8ER
NAME OFlREASURER CONTROl.l.EDcotMTTEE? 7. Prim8rily Fonned Committee Usf_ oI~ or~~ Ibr
wNdt .. I:CIlQI .... Is ,.,....,. .........
DYES oNO
COMNlTTEEAOOflESS STREET ADOAESS (NO RO. BOX) NAME OF 0fFlCEH0lDER OR CANDIDATE OfFICe SOUGHT OR HElD o SUPPORT
o OPPOSE
cmr STlQE ZIP CODE NEA~ NAME OF 0fFlCEH0lDER OR CANDIDATE OfFICe SOUGHT OR HElD
o SUPPORT
o OPPOSE
OOUlrITTEEtwoE 1.0.. NlIN8ER e
NAME OF OFFICEHOlDER OR CANDIDATE OfFICe SOUGHT OR HElD o SUPPORT
o OPPOSE
NAME OFTREASUAER CONTROl.l.EDCONYTTEE? NAME OF 0fFlCEH0lDER OR CANDIDATE OfFICe SOUGHT OR HElD
DYES oNO o SUPPORT
o OPPOSE
COMNlTTEEAOOflESS STREET ADOAESS (NO RO. BOX)
CITY STlQE ZIP CODE NEA~ AftiIdt confiINMtflon shMIs If ~
FPPC .... .. (.JwleIt1)
FPPC T...... ~~-FPPC
... of CaII'onIIa
Campaign Disclosure Statement
Summary Page
1P Of print In ....
Amounts ma, be fOUnded
to whole doa.rs..
see INSTRUCTIONS ON REVERSE
tw.E OF FllER
Peter Yao for City Council
Contributions Received
1, Monetary Contributions .""......"..."........"...."."."... SdledUIlt A., line 3
2. Loans Received ......................."".............."........". ~ 8, line 3
3. SUBTOTAl CASH CONTRIBUTIONS ...."....."...""..... Add UIes 1 + 2
4. Nonmonetary Contributions ..".............."......"........ ~ C, line 3
5. TOTAl CONTRIBUTIONS RECEIVED ........................... Add Ules 3 +.
SUlIWIRYA\GE
from
through
st.tement co".,. period
1/1/03
l'..\_ F(1f.\~..\ 460
F c~R','
1/18/03
1
of
CoUnnA CoUnn B
lOlN..lMSl'alIllO ~-
\flQIIM1NHD~ lO1IlllOllI\1E
$ 2,618.00 $ 2,618.00
0 0
$ 2,618.00 $ 2,618.00
0 0
$ 2,618.00 $ 2,618.00
1
Plate
to. NtAeER
1247614
Calendar Veer SUmmary for Candidates
R...nlng In Both the State Primary and
General ElectIons
161 hoogh 6t3O m to Date
-
20. Contributions
Received $ $
21. Ellf*Idibns
Made $ $
Expenditures Made
6. Payments Made ..........................."........"."..........". ~ e. line. $
1. Loans Made "........"............""..................".."......... ~ f( line 3
8. SUBTOTAl CASH PAYMENTS ............."...".""........... Add UIes 6 + ., $
9. Accrued Expenses (Unpaid Bills) ......."...................... ~ F, line 3
10. Nonmonetary A~ustrnent ........."............................... ~ c,une 3
11. TOTAl EXPENDITURES MADE ................................Add Ules 8 + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance ...".................. flIIWous~'" line 16 $
13. Cash Receipts ................................................... CliIftlmftA., line3aw.
14. Miscellaneous Increases to Cash ........................." ~ l line.
15. Cash Payments .................................................. QllumftA., line 8aw.
16. BlDltGCASHBALANCE .......... AddUles 12+ 13+ 1" .......,une 1S $
If fIlis is a f&tminllflbn ~lt, U. 16 must be DfO.
3,565.21
2,618.00
o
o
6,183.21
11. LOAN GUARANTEES RECEIVED ........................... ~ 8, PM 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......................................" See ~ 011_ $
19. Outstanding Debts ......................... AdrIune 2 + line 9 it CliIftlmft B above $
TO CIIIcuIate Column 8" add
MlOUnb in Column A to lhe
con...~ amol.Wlls
tom Column 8 of yaw IlIIst
report. Some amol.Wlls in
Column A may be negative
1Igures 1h8t shoukI be
subtraded from previous
period lnOUnts.. If tis is
the first report being tied
for this C8Iendar yew, only
cany 01181' lhe 8mOlM'lts "Since.J.wary 1, 2001. Amounts in this section may be
tom lines 2, 7, and 9 (If dlhent from 8f1lOIM'lts reported in Column 8.
any).
o
o
o
o
o
o
$
$
$
o
o
o
o
o
o
o
o
o
expenditure limit Summary for State
Candidates
22. CumulatWe Expenditures ....
1lf..............,bpoNIIInUllol)
Dele of EIedion Total to Date
(rnmIddIyy)
---1---1_ $
---1~_ $
---1---1_ $
---1---1_ $
---1---1_ $
---1---1_ $
(.\
FPPC Form .. (J.....1)
FPPC ToII-Free Helpline: 16WASK.fPPC
Schedule A
MonetaryContributionsReceived
... or print In !nit.
Amounts m.y be fOUnded
to whole dohrs.
sctEDlU A
SEE INSTRUCTIONS 0t4 REVERSE
NAME OF FIlER
Peter Yao for City Council
from
~nt covers period
1/1/03
l-'\~'F0RN'-'\ 460
~CRr/
through
1/18/03
PIIge of
ANOlJ<<
RECENED THIS
PERlOO
1,307.00
1,311.00
2,618.00
~TE
RECel\IED
FUll NANE, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIIUTOR
IFIXJIMTlEE.~amRl.O-lUdIIER) CODE '"
LD.NtJM8ER
1247614
F AN NlMDUAL, ENTER
OCCUPATlONAND ENPlOYER
IFSlEl.F-aFl.OYal,amR_
OfllUSlMESSl
CUNUlATNETOMTE
CAI..ENIlAR YEAR
(JNt 1 - DEe. 31)
PER ElECTION
TOMTE
(IF REQUIRED)
See Attached Schedule
ON>
DOOM
OOTH
o PlY
Oscc
ON>
DOOM
OOTH
o PlY
Oscc
ON>
DOOM
OOTH
o PlY
Oscc
ON>
DOOM
OOTH
o PlY
Oscc
ON>
DOOM
OOTH
o PlY
Oscc
-
-
SUBTOTAl. $
Schedule A Summary
1. Amount received this period - con1ributions 01$100 or more.
(Include an Schedule A subtotals.) ., .......'.. ............ ....... ,...... ....................." ......., .......... .............." ......... $
2. Amount received this period - unitemized contributions of less than $100 ............................................. $
3, Total monetary contributions received this period.
(Add Unes 1 and 2. Enter here and on the Summary Page, Column A. Une 1.) ....................... TOTAL $
"Con1ribulor Codes
N>-1ndNiduaI
OOM- RecipientCorrmiltee
(olhef 1han PlY or SCC)
OTH -Olhef
PlY - Polilic8I Party
SCC-SmaI Con1ribulorCornmil:lee
FPPC Form _ (J......1)
FPPC ToI-Fr. HelplIne: lMi6IASK..fPPC
Schedule A
Monetary Contributions
Peter Yao For
City Council
Period from 1/1/03
to 1/18/03
r~":'~:~:r ."-:-':":-:-' ','-,.. , .. ~~~- ~- , - I ' , , - . -~- - "'" -.-~..,- ~ :;: ,-~~~~ "'"' .-: I'. - , , ,~-= ~ I, -:; ;- n",,"",",: r
, , " ,;:
-
~~nl'~ ~;""""<h' , "}' " " _- > - , ,
~~~!~\~"~ \::~~;~~.~;f~~~~';~ ;~,~~>'~r ,',~ l ~'->~ . ~ . '~ - - , , . ,', .' -
l .
_,.\~~~;&f::d~'k'~::':~0'ii'~~"1 ' ~ ~J' ~. ~~ ",-,,~ - " " - .
1/1/2003 Kim Crusey IND Lawyer 250 250
1727 Massaethusetts Ave NW. Apt. 614 DOD
Washington DC
1/3/2003 Marilyn Lubarsky IND Teacher 100 100
647 E. Windham Upland Unified
Claremont, CA 91711
1/6/2003 Genise Hasan, Syed Hasan IND Owner 100 100
424 Macalester PI. Jack In The Box
Claremont, CA 91711
1/9/2003 Janice Cox IND Retired 100 100
2116 Albright Ave
Claremont, CA 91711
1/11/2003 Beverly Ernst IND Retired 100 100
1868 Derby Way
UDland, CA
1/12/2003 Ellen Brodie IND Retired 99 99
2438 San Antonio Crewcent
Upland, CA
1/12/2003 Jim Merrylees IND Contract Director 108 108
834 Lawrence Cir Baxter
Claremont, CA 91711 Healthcare
1/12/2003 Norman Smith IND Retired 250 250
5505 Ridgeview
La Verne, CA
1/15/2003 M.N. Moore IND Retired 100 100
P.O. Box 1540
WriahhNood, 92397
1/17/2003 Cathleen Simonson IND President 100 100
1 015 Belleville Ct. Albertson
Claremont, CA 91711
Subtotal 1307
To Schedule A, Line 1
1
--
C)
Schedule A
Monetary Contributions
Peter Yao For
City Council
Period from 1/1/03
to 1/18/03
ml_q~!S:f] Fj~,: ~,~;!::'iqHq ~ . ',' ..',' ....c.', "';, ,<:~ ; :-':>:'~,', .!{: '~';':':}:':
~~,~ilf'4-::"''1'''-t'''N ~(,_,-.,.;l.$l K'.l ~n,"_'~ ~~ i'i k...., - ~ -, "'" ~ ~ ">. ~ <. . "" ,_~ ~ >,~" c" < !.....'
..''''' - ~ -" ~
1/1/2003 Kim Crusey INO Lawyer 250 250
1727 Massaethusetls Ave NW. Apt. 614 000
Washinaton DC
1/3/2003 Marilyn Lubarsky INO Teacher 100 100
647 E. Windham Upland Unified
Claremont, CA 91711
1/6/2003 Genise Hasan, Syed Hasan INO Owner 100 100
424 Macalester PI. Jack In The Box 0-
Claremont, CA 91711
1/9/2003 Janice Cox INO Retired 100 100
2116 Albright Ave
Claremont, CA 91711
1/11/2003 Beverly Ernst INO Retired 100 100
1868 Derby Way
Upland, CA
1/12/2003 Ellen Brodie INO Retired 99 99
2438 San Antonio Crewcent
Upland, CA
1/12/2003 Jim Merrylees INO Contract Director 108 108
834 Lawrence Cir Baxter
Claremont, CA 91711 Healthcare
1/12/2003 Norman Smith INO Retired 250 250
5505 Ridgeview ~)
La Verne, CA
1/15/2003 M.N. Moore INO Retired 100 100
P.O. Box 1540
WriahhNood, 92397
1/17/2003 Cathleen Simonson INO President 100 100
1015 Belleville Ct. Albertson
Claremont, CA 91711
Subtotal 1307
To Schedule A, Line 1
1