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HomeMy Public PortalAboutForm 460 (Jan 19 - Feb 15, 2003) f4 COVERA\GE Recipient Committee Campaign Statement Cover Page (GlM!mment Code Sedioos 84200-84216.5) Type or print in Ink. 0Itte ~ l4_~l~~~'~~ 4 460 FORr: trOIIII statement co".,. ......od 1/19/2003 DIft of election If .......: (Month, Day, Year) RECEIVED FEB 1 9 2003 Page of 1 Fof 0ItiJl Use Only SEE INSTRUCTIONS ON REVERSE through 2/15/2003 March 4, 2003 CITY CLERK CITY OF CLAREMONT 1. TYPe of Recipient Committee: AI eo......... - ~..... 1,2. 3".... 4- III 0lIic8h0Ider, Carddate Controlled Commiltee 0 B8Ilot Measure Commillee o State Candidate EIedion Commillee 0 Primarily Formed o Rec8lI 0 ConlroIed (Also~PtIotSl 0 SpolISOr8d (AIso~PtIotllil 2. TYPe of St8tement: III Pt aell c.tion Statement o SemHmu8I Statement o Tennination Statement o Amendment (&plain below) o CllBterly Statement o Sped8I Odd- Year Report o Supplemental Preelection Statement - Attadl Form 495 e o GeMfaI PI.wpose Commillee o SpolISOr8d o Small ConlrtlulorCommiltee o Political Par1y!Cenlral Commiltee o Primarily Formed Cantldatef 0fticehaIdef Commiltee (AIso~flMt1.l 3 Com ittee I ----- 1.0. NUNBER . m n,Vt....uv.. 1247614 CONNlTlEE NAME (OR CI\NDlIlAlFS NAME IF NO CONNlTTEE) Peter Yao for City Council ~s) ~ COOEhPHONE MANE OF TREASURER Diana P. Owings NAlllNG ADDRESS 239 Dale Court CITY SV<lE ZIP CODE Brea CA 92821 NAME OF ASSISTANT TREASURER, IF ~'( Peter Yao NAILING A.tlOftESS 3414 Yankton Ave CITY SWE ZIP CODE Claremont CA 91711 0Pl1(lNAL Ft\"lt Q E-MM.. A.tlOftESS MEA COOElPHONE (714) 256-0793 STREET ADDRESS (NO P.O. BO)Q 3414 Yankton Ave. CITY S~lE ZIP CODE Claremont CA 91711 NAlllNG ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. 80X Same CITY S~lE ZIP CODE Same OPl'lONN..:: FAX Q E-MM.. ADDRESS ~ COOEIPHONE (714) 256-0793 AAEi\ COOEhf'HONE (909) 626-3624 e 4. Verlftcetlon I NNe used all reasonable cIIigence in pfepalirIg and re\liewing ltlis slatement and to lhe best of my kno'wIedge lhe inbmation conlained herell'l and in lhe attached sdleduIes is lrue and ~ I certify under penally of perjI.wy under lhe laws of lhe State of CaIIamia that lhe begoq is lrue and ( =: f!~7P3 By l-.. By ...~0IIli:IIt"'~ &ewted 00 tlIIlt By SlilllaNlloDft ~oo tlIIlt By ___"'~~.~SlilllaMMllon~ FPPC F_" (JuneIt1) FPPC ~ thIpIne: IlWASK-FPPC s-. of c.IromlIl lft>>e or print In Ink. COVERA\GE -PART2 Recipient Committee !!!! Campaign Statement Cover Page - Part 2 ..... 1 af 1 S. OftIcehoIder or Candidate Controlled Committee 6. 88110t ....ure Committee NAME OF 0FFlCEH0lDER OR CANDIDATE NAME OF8AU.OTNEASURE Peter S. Yao None OFFICE SOUGHT OR HELD (lNClUOE LOCATION AI<<) DISTRICT NUMBER F APPLlCA8LE) 8AU.OT NO. OR lETTER I JURISDICTION IB=T City Council Member, Claremont, CA RESlOENnAUBUSlNESS ADDRESS (NO. AI<<) SlMEl) CITY STIQE ZIP 3414 Yankton Ave. Claremont CA 91711 identify the controlling oftIcehoIder, candidate, or state ......... ~ If any. NAME OF ~ CANOlOf.TE.. OR PROPONENT Releted Committees Not Included In this Statement: LIst.. c_lillil.. OfFICE SOUGHT OR HElD IllOS11llCT "" F "'" ftOf lftdudId In fNs stet_If..., _ ~ by JOIf 01' _................, ID .... contIifMIfIons 01'...... ......... Oft ...... of,.... altdJrlKJ. COWfiTEENAME l.D. NUMBER None NAME OF TREASURER CONTROUEDCONMTlEE? 7. PrilMlrlly Formed Committee LIst ....... of ...,.GJrIItfsI 01' CMdrdItfII(~ ftw ..... INs C41mm.... Is ........... ftarnted. DYES ONO COMMITTEEAOORESS SlREET AOOfESS (NO p.o. BOX) NAME OF CIFFlCEHOlDER OR CANDIDATE OFFICE SOUGHT OR HElD o SUPPORT o 0fP0SE CITY STIQE ZIP CQOE NEA C'OOE.AtONE NAME OF CIFFlCEHOlDER OR CAHDlOATE OfFICE SOUGHT OR HElD o SUPPORT o 0fP0SE COMNITlEENAME I.D.N\...:R NAME OF 0fRCEH0lDER OR ~TE OFfICE SOUGHT OR HElD o SUPPORT o 0fP0SE NAMEOF~ CONTROUED~ NAME OF 0fRCEH0lDER OR CANDIDATE OFfICE SOUGHT OR HElD DYES ONO o SUPPORT o OPPOSE COMMITTEEAOORESS SlREET ADDRESS (NO p.o. BOX) CITY STIQE ZIP CQOE NEA C'OOE.AtONE AUKIt condrtRfion $heels II IlK IS s., FPPC F<<M"'~) FPPC T...,.... twpIne:: llfIItA.SK-FPPC s..... of c.lIGmla e e Campaign Disclosure Statement Summary Page see INSTRUCTIONS ON REVeRse NAME Of FILER Peter Yao for City Council Contributions Received 1. Monetary Contributions ........................................... Sdledl.RA, LN3 2, Loans Received ...................................................... Sdledl.R 8. LN 3 3. SUBTOTAl CASH CONTRIBUTIONS ......................... Add lNs . .2 .. Nonmonetary Contributions .................................... Sdledl.R C,LN 3 5. TOTAl CONTRIBUTIONS RECEIVED ........................... Add lNs 3.. lftMt Of print ... ink. Amounts may be rounded to whole don.rs. stMNoRYA\GE from ttwough .....nt covers period 1/19/2003 l.o,_~OR'j.o, 460 F ,'R'" 2/15/2003 1 CoIunWIA CoIunWI B lOW. WlSl'SllllO CIlI.EtlDIlR 'Wl:M \FMINAT'lN:HEDSCHEIlIJlES) lO1N.lOOIIlE $ 2,845.00 $ 5,463.00 0 0 $ 2,845.00 $ 5,463.00 0 0 $ 2,845.00 $ 5,463.00 PIige cI to- NlJNBER 1247614 Calend8r V..r SUmmary for Candld8tes Running in Both the S1ate PrImary and General ElectIons 1#1 hollgh 6130 1#1 to 0... e 20. Con1ribulions Received $ $ 21. Elcpendillns Made $ $ expenditures Made 6. Payments Made ....................................................... Sdledl.R e. LN. $ 7. Loans Made ............................................................. Sdledl.R H. LN 3 8. SUBTOTAl CASH PAYMENTS .................................... Add UlN 6 . 7 $ 9. Acaued Expenses (Unpaid Bills) ............................... Sdledl.R F.LN 3 10. Nonmonetary Adjustment .......................................... Sdledl.R C,LN 3 11. TOTAl EXPENDITURES MADE ................................Md UlN.. 9 . .0 $ 4,948.79 o 4,948.79 o o 4,948.79 $ 4,948.79 o 4,948.79 o o 4,948.79 expenditure LImit Summary for S1ate Candld8tes 22.. Cumuldve ExpencRtures ..... (If~to""""'~u.ll) Date of Eleclion lbtaI to Date (rnrnIddIyy) ----1----1_ $ ----1---1_ $ ----1---1_ $ ----1----1_ $ ----1---1_ $ ----1----1_ $ Current Cash Statement 12. Beginning Cash Balance....................... ~~,.,U/Ie.6 $ 13. Cash Receipts ................................................... ~A..LN 3... 1.. Miscellaneous Increases to Cash ........................... S'dlledIIA lLN . 15. Cash Paytnents .................................................. ~A..LN ,... 16. ~CASHBM.ANCE .......... Add Lines .2. 'H .... __ suIlhctlile 'S $ If this is . I'emIi18fion .sfalemefl(, Line 16 must be zero.. 6,183.21 2,845.00 o 4,948.79 4,079.42 10 ceIcuIate Column B.. add anlfMlts in Column A to 1M ~ amounts torn Column 8 of ywElasl: report. Some emounls in Column A may be negatNe figlns that should be subtracted torn pnNious period emounls.. If Ills is the first l8pOIt being lied fof Ills calendar year, only carry 0\I8f the amounts "Since January 1, 2001. Amounts in lhis section may be torn Lines 2, 7, and 9 (If dilktrent torn amounts reported in Column 8- any). $ $ 17. LOAN GUARANTEES RECEIVED ........................... Sdledl.R 8. ,..U $ o Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See ~ on __ $ 19. OUtstanding Debts ......................... MdLN2.LN9ilCobnnSar-e $ o o e FPPC Form .... (JuneI81) FPPC ToI-F.... HelplIne: M1ASK-FPPC Schedule A Monetary Contributions Received Type or print In Ink. Amounts m.y 1M rounded to whole doRIlrs.. SEE INSTRUCTIONS ON REVERSE NAME OF FIleR Peter Yao for City Council SCHEDUlE A Statement COftn period 1/19/2003 C::'L,FORN::' 460 FORr: ffom thl'OUth 2/15/2003 1 .... of l-D,NtJN8eR 1247614 Dl'<lE RECEIVED FUlL NAME. STREET ADDRESS AN) ZIP CODe OF CONTRIBUTOR CONl'Rl8lJ'TQR t'F~N..soal1auo..lUIlIER) CODe . ClMJl.AlNE TO Dl'<lE ~YeAR (JAN. 1 - DEC- 31) IF AN lNDlVlDUAl. ENTER ~TlONAN)BFlOYER t'F SElJ'.ENIlI.ovm, ENleR_ OI'lIUSIESS) ~ RECEM:D THIS PERIOD PERElECnON TODI'<lE (IF REQUIRED) See attached statement ON> DOOM OOTH OPTY OSCC ON> DOOM OOTH OPTY OSCC ON> DOOM OOTH OPTY OSCC ON) DOOM OOTH OPTY OSCC ON) DOOM OOTH OPTY OSCC e e SUBTOTAL $ Schedule A Summary 1, Amount received this period - contributions of $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 lines 1 and 2. Enter here and on the SUmmary Page, Column A, line 1.) ..."...."..."",,,,, TOTAL $ 1 ,785.00 1 ,060.00 "CMtrlbulor Codes H>-lnthidu8I OOM- R8cipientCornmlltee (oller than PTY or SCC) OTH - Olher PTY - PoIiticeI P8r1y scc- Small ConlribulorCommil.tee 2,845.00 FPPC Form _ (J-*,1) FPPC ToI-Free Helpline: 8661ASK-FPPC Schedule A Monetary Contributions Peter Yao For City Council Period from 1/19/2003 to 2/15/2003 1/19/2003 Thomas W. Wing IND Retired 100 100 1326 W. Baseline Claremont, CA 91711 1/19/2003 Kathy Q. Anderson IND Nurse 250 250 3414 Grand Ave Dr. Bollinger Claremont, CA 91711 1/22/2003 Diana Ajuria IND Housewife 75 75 1520 Clark St. e Uland, CA 1/26/2003 Louise Moon Kestenbaum IND Physician 60 60 4803 Webb Canyon Rd. Kaiser Permanente Claremont, CA 91711 1/27/2003 Linda Sue Chin Yao IND Library Director 250 250 3414 Yankton Ave City of Upland Claremont, CA 91711 1/27/2003 Peter S. Yao IND Manager 250 250 3414 Yankton Ave Raytheon Claremont, CA 91711 1/28/2003 Leslie Sue Chin Szeto IND Housewife 250 250 15 Fairdawn Irvine, CA 1/28/2003 Wai S. Szeto IND Manager 250 250 15 Fairdawn Kingston e Irvine, CA Semiconductor 2/3/2003 Georgia Anne Bellemin IND Teacher 100 100 806 Berkeley Upland School Claremont, CA 91711 District 2/4/2003 Carol Hutton IND Retired 100 100 1447 N. Euclid Ave Uland, CA 2/5/2003 Jesse C. Salas, Jr. IND CPA 100 100 469 11th St. Self-Employed Claremont, CA 91711 1 Schedule A Monetary Contributions Peter Yao For City Council Period from 1/19/2003 to 2/15/2003 Subtotal 1785 Schedule A, Line 1 2 e e from 1/19/2003 ,-' '\L F(lR\;::" 4 6 0 FllR'" sctElU.EE Schedule E Payments Made 1P or print in ..... Amoun1s may be rounded to we.ot. dollars. statement COftrS period see INSTRUCTIONS ON REVERSE NAMe OF FIlER Peter S. Yao through 2/15/2003 1 Paue- 01_ LD.NUU8ER 1247614 CODES: If one of the following codes accurately describes the payment. you may enter the code. Otherwise, describe the payment (JI) campaign paraphernaIiaI' MlR membercornrnta'llcati RAIl ndo aiftime and production oosts os ~ oonsuItwlts MTG meetings and appe8lIillCeS RFD returned oontributions CT8 oontrb.llion (explain l'lOllllOlllet8ly)''' a:c otllce upenses SAt campaign work81'S' salaries eve cMc doMlions Fa petilion dfcuIating 1B. t.V. or cable IIirtime and production rmts FL ca'ldidate fiIn9Ib8IIot fees AD phone banlls ~ ca'ldidate travel.. lodging, and meals RID fUndralsing events PC1 polling and SUMty research TRS stamspouse RIel. Iodglng. and meals . tI) independent upencituIe supportingfoppo olhel's (uplain)'" POS poslage, dehefy and mUSll'9!f seMces lSF transfw betvIeen COIIlINllees of lhe same candidaWsponsor .. lEG legal defeme FR> professional seMces (legal, accounting)' 'lOT votw feglstration UT campaign literature and ~ Fm' print ads WEB inbmetlon t8ch.lOIogy oosts (internet., e-mail) NAME AND ADDRESS OF MYEE tl'COlIMT1&..~SOemRUl..~ CQOE OR DeSCRlPllON OF MYNENT ANOUNTIWD See Attached Schedule e ., PIIymeab that .. conbibuIions or ............ upendftures must also be _rind on Schedule D. SUBTOTALS Schedule E Summary 1. Paytnents made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 2. Unltefnized payments made this period of under $100 .............. ........ ...... ..................... ............ ................................ ............ .............. ....... ...... ...... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................... $ ... Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A. Line 6.) ............................. toTAL $ 4,830.84 117.95 o 4,948.79 FPPC Fonn _ (JuneWI) FPPC ToI-F... Helpline: I6tIASK.fPPC Schedule E Payments Made Peter Yao For City Council Period 1/19/03 to 2/15/03 A&M 949 N. Cataract Ave. #1 San Dimas, Ca A&M 949 N. Cataract Ave. #1 San Dimas, Ca Claremont Courier 111 S. College Ave. Claremont, CA 91711 LIT LIT PRT Absentee flyer $1,307.76 High Propensity flyer $2,533.08 Ad, 7 times $990.00 Subtotal $4,830.84 (to Schedule E Line 1 1 e e