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HomeMy Public PortalAboutForm 460 (Dec 14, 2000 - Jan 20, 2001)Recipient Committee Campaign Statement (Government Code Sectlons84200-84218.5) SEE INSTRUCTIONS ON REVERSE 1YPe or prfrrt in ink Statement covers period from 12/14/00 through 1/20/01 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 7. ® Officeholder, .Candidate ^ Primarily Formed Candidate/ • Controlled Committee Officeholder Committee (A/sv G>a~lat~ Pad~LJ (A/so Comp/e/e Pad 6/ ^ Ballot Measure Committee ^ General Purpose Committee Q Primarily Formed Q Sponsored Q Controlled Q Broad Based Q Sponsored (A,tAO Cor~Veh, Pad~J 3. Committee Information I.D. NUMBER Not Yet Received Date Stamp Date of election H applicable: (Morph. Day, Year) COVER PAGE Page ~ of 11 For omdel use Dory 3/6/01 2. Type of Statement: ® Pre-elecction Statement ^ Semi-annual Statement ^ Termination Statement ^ Amendment (Explain below) ^ Quarterly Statement ^ Special Odd-Year Report ^ Supplemental Pre-election Statement -Attach Form 495 Treasurer(s) NAME OF TREASURER Bo Bollinger for City Council STREET ADDRESS (NO P.O. BOX) 306 Alamosa Drive :ITY STATE ZIP CODE AREACODE/PHONE Claremont, CA 91711 (909) 399-9201 MAILING ADDRESS QF DIFFERENT) NO. AND STREET OR P.O. BOX crrY STATE ZIP CODE AREACODE/PHONE .OPTIONAL• FAX / E-MAIL ADDRESS Cynthia J. Sullivan MAILING ADDRESS 1016 F~nory Drive CITY STATE ZIPCODE AREACODE/PHONE Claremont, CA 91711 (909) 62i-1303 NAME OF ASSISTANT TREASURER, IF ANY Adam Russell MAILING ADDRESS 1569 Seneca Place CITY STATE ZIPCODE AREACODE/PMONE Claremont, CA 91711 (909) 624-0344 OPTIONAL: FAX/E~AAILADDRESS FPPC Form 480 (8/99) For Technical Assistance: 916r322~660 State of CalMomla Recipient Committee TYPe or PNnt In Ink COVER PAaE -PART 2 Campaign Statement ~ ~ ~ ~ ~ • 1 Cover Page -Part 2 Page 2 of ~- 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Bernard D. Bollinger, Jr. OFFCE SOUGHTOR HELD (MCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, City of Claremont • RESIDENTU-UBUSINESS RDDRESS (NO. AND STREET) CITY STATE ZIP 306 Alamosa Drive, Claremont, CA 91711` Related Committees Not Included in this Statement: uaranyrornmAris"ea not /na/uded /n O'Na QOrmolldehMsErMnx»f obat enr cer>'h~c/%d by yvu or wA/cA sisP,rllmadh' h~m/edlb is~c~e/wc~aobIDvDtaoa orfbinaks erper>!dMviea on brha/Yolyoureand/dsry. COMMITTEE NAME NAME OF TREASURER I.D. NUMBER ^ YES ^ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE gy r .uuu.~sR.~.r/. •~ - • ov~~ SIGNATURE OF CONTROWNG OFFICEHOLDER, CANDIDATE, STATE MEASURE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE Attecri ~dnrretkn sheets ifner,~ssery ~. Verification I have used all 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 perjury under the laws of the State of California that the foregoing is true and correct. /~j A ~ L ~ 1 0 /I Executed on "v D Executed on ~c7~J<kab.!<`4 Zyt 2p0 l DATE Executed On DATE Executed On DATE fay DISTRICT NO. IF ANY OR ASSISTANT TREASURER OF3PONSOR fay 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION ^ SUPPORT ^ OPPOSE Identity the controtling officeholder, candidate, or state meaauro proponerrt, M eny. NAME OF OFFICEHOLDER, CANDIDATE OR, PROPONENT OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE 6. Primarily Formed Committee UstnamraoloA7cr/;•a/deq'a~arcand/dstls~a~ forwh/ch Lh/s c~anm/Mews/aplmsi//ylormed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE SIGNATURE OF CONTROWNG OFFICOiOIDEF>L CANDIDATE, STATE MEASURE PROPONENT fay SIGNATURE OF CONTROWNG OFFCEMOLDER CANDIDATE, STATE MEASURE PROPONENT FPPC Forth 460 (8/99) For Technical Assistance: 918x322-5660 State of Callfomta Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Summary Page Amounts may be rounded towhciedollars Statement covers period ~ • ' ~ ~ , . ~, 12/14/00 • ' ~ SEE INSTRUCTIONS ON REVERSE through 1 /20/01 paw 3 0} 11 NAME OF FILER I.D. NUMBER Bernard D. Bollinger, Jr./Bo Bollinger for City Council Not Yet Received Contributions Received column A column B• Column C TOTAL THIS PERIOD TOTAL PREVIOUS PERIOD TOTAL TO DATE (FROM ATTACHED SCHEDULES) (SEE NDTE SELONn (COLUMNS A . B) 1. Monetary Contributions ...................................................... Schedu/e A, Line 3 • Loans R@C@iV@d ................................................................... Schedule B, Line 7 3.. SUBTOTAL CASH CONTRIBUTIONS ................................... Add[ines ~+2 4. Nonmonetary Contributions ............................................... scneduie c, tine 3 5. TOTAL CONTRIBUTIONS RECEIVED.•...•..••••••••....•....•.•.••..••• Add[ines3+4 $ 7,211.00 0 $ 7,211.00 0 $ 7,211.00 $ n $ 7,211.00 0 0 $ o $ 7,211.00 0 0 g 0 $ 7,211.00 Expenditures Made 6. Payments Made .................................................................... Scneduie E Line ~ 7. Loans Mad@ .......................................................................... Schedu/e N, Line 1 8. SUBTOTAL CASH PAYMENTS ............................................ .... Add Lines s + 7 9. Accrued Expenses (Unpaid Bills) ............:............................. .. Schedu/e F Llne 9 10. Nonmonetary Adjustment ..................................................... .. Schedu/e C, Llne 3 l 1. TOTAL EXPENDITURES MADE ......................................... Add Lines B + 9 + t0 $ 5,028.84 0 $ 5,028.84 0 0 $ 5,028.84 $ 5,028.84 0 g 5,028.84 0 0 g 5,028.84 $ 0 n g 0 0 0 $ 0 urrent Cash Statement . Beginning Cash Balance ................................ Previous summary Page, tine is $ 0 'From previous statement Summary Page, Column C. However, if this 13. Cash Receipts 7 , 211 .00 is the first report flied for the calendar year, Cdumn B should be blank .............................................................. Co/umn A, Line 3 above except for Loans ReceNed (L1ne 2), Loans Made (LJne 7), and Accrued 14. Miscetlan@ous Increases to Cash ....................................... scneduiei cine~ 0 Expenses (Line 9). 15. Cash Payments .................................................:.......... Co/umn A, Line B above 5 , 028.84 16. ENDING CASH BALANCE ..............Addunes f2+ ts+ t4, IhensubtiectLine 15 $ 2.182.16 Summary for Candidates to Both June and /1M/s/se Ieim/natlonstefemenl, Une lsmusfbere/n. 17. LOAN GUARANTEES RECEIVED. ................... Schedu/e B, Part 1, Co/umn (e~ $ --- Cash Equivalents and Outstanding Debts 18. Cash EquivalentS ..................................................... See instroctions on reverse $ --- 19. Outstanding Debts ................................... Add Line 2 + Line 9 in Co/umn C above $ --- November Elections 1/1 through 8/30 7/1 to Date 20. Contributions --- Received ............ $ --- 21. Expenditures --- ___ Made .................. $ FPPC Form 460 (8/99) For Technical Assistance: 916/322660 Schedule A Monetary Contributions Received Type or print In Ink Amounts may be rounded to whole dollars. Statementcovera period from 17/14/~n SCHEDULE A SEE INSTRUCTIONS ON REVERSE through 1 ~20~01 psi 4 of 11 NAME OF FILER I.D. NUMBER Bernard D. Bollinger, Jr./Bo Bollinger for City Council Not Yet Receivarl DATE FULL NAME, MAIUNO ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATNE TO DATE CUMULATIVE TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECENEDTHIS CALFNDARYEAR OTHER - (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF APPLJCABLE) OFBUSME9S) • 12/22/0 W. J. McLaughlin [IND physicist P.O. Box 396 ^ COM Solid Team LLC 250.00 Claremont, CA 91711 ^ OTH Richard Saks (BIND president 12/26/00 16633 Ventura Blvd, Suite 1000 ^ COM Title Trust Deed 250.00 Encino, CA 91436 ^ OTH Services Edward Tannenbaum ^~ICNODM Managing Partner 12/26/00 12812 Bristol Circle Bear Stearns 250.00 Los Angeles, CA 90049 ^ OTH David Tannenbaum ®IND Stockbroker 12/26/00 12236 Paisley Lane ^ COM Bear Stearns 250.00 Los Angeles, CA 90049 ^ OTH Bud Petrick ^IND Owner 12/26/00 15308 Sunset Blvd. ^ COM Bud Petrick and 250.00 Pacific Palisades, CA 90272 ®OTH Associates, Inc. SUBTOTAL $ 1,250.00 Schedule A Summary 1.~ Amount received this period -contributions of $100 or more. (Include all Schedule A subtotals.) ...............:....................................................................................... $ -- 5, 274.00 •CorTtributorCodes 2. Amount received this period - unitemized contributions of less than $100 ......................................... $ 1.937.00 IND-IrTdMdual COM - Redpient Committee 3. Total monetary contributions received this period. oTH-other 7, 211.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ FPPC Fonn 460 (8/99) For Technical Asslatance: 916/3223660 Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In Ink. Amour-ts may be rounded to whole dollars. NAME OF FILER Bernard D. Bollinger, Jr./Bo Bollinger for City Council t Yet Received DATE FULL NAME, MAIUNCt ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TD DATE CALENDAR YEAR CUMULATIVE TO DATE OTHER RECEIVED (~ CDMMn7EE, ALSO ENTER I.D. NUMBER) CODE + (IF SELF-EMPLDYED, ENTER NAME of eusiNESS) PERIOD (JAN 1 -DEC 31) (IF APPLICABLE) 2/27/00 Lois Bollinger 2507 Countr Club Drive BIND ^ COM None y 250.00 Glendora, CA 91741 ^ OTM Bernard Bollinger ®IND Teacher -Citrus 12/28/00 2507 Country Club Drive O COM College; Owner - 250.00 Glendora, CA 91741 ^ OTH Ben Bollinger Productions Inc. dba Candlel' ht Pavilion Ben Bollinger ®IND 12/28/00 115 Verdugo ^ COM None 250.00 Glendora, CA 91740 ^ 0TH Marc Beilinson ®IND Attorney 12/21/00 1871 Michael Lane ^ COM Pachulski, Stang, 250.00 Pacific, Palisades, CA 90272 ^ OTH Ziehl & Young Christine Beilinson ]IND 12/21/00 1871 Michael Lane ^ COM None 250 00 Pacific Palisades, CA 90272 ^ OTH . Kenneth Corhan ~ IND Attorney 12/20/00 2163 Bonnie Brae Avenue ^ COM Lewis Operating Claremont, CA 91711. ^ OTM Corp, 250.00 SUBTOTALS 1,500.00 i 'CArltributorCodes IND - Individual COM = Redpient Committee OTH -Other Statement covers period from ~J~/00 SCHEDULE A (CONT.) through 1/20/01 I p~ c'. a1~ FPPC Form 480 (8/99) For Technical Assistance: 916/3225680 Schedule A (Continuation Sheet) Typsorprlntinlnk SCIiEDULEA (CONT.) Monetary Contributions Received nmour->;s may De rounaea Statement covers period • ~ ' to whole dollars. ~ 1 from 12114/nn . • • through 1/20/01 p~ 6 ~ 11 NAME OF FlLER I.D. NUMBER Bernard D. Bollinger, Jr./Bo Bollinger for City Council Not Yet Received DATE FULL NAME, MAILJNO ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECENED THIS CUMULATNE TO DATE CALENDAR YEAR CUMULATIVE TO DATE OTHER RECENED (IFCOMMmEE.AL30ENn31I.D.NVMBER) CODE • QF SELF-EMPL01'ED, ENTER NAME OF BUSINESS) PERIOD (JAN 1 -DEC 31) (IF APPLICABLE) Paul Arrow ®IND Attorney 'l/30/00 1033 High Point Street ^ COM Buchalter, Nemer, 100.00 Los Angeles, CA 90035 ^ OTH Fields & Younger Dan Sauter ®IND Retired 1/10/O1 324 E. Alamosa ^ COM 100.00 Claremont, CA 91711 ^ OTH Michael Fox ®IND Business Owner 1/9/01 g~ ~p Springs Drive a oTM Fox Transport 100.00 Claremont, CA 91711 Joan Presecan ®IND Teacher 1/8/01 727 Alamosa O COM Retired 100.00 Claremont, CA 91711 ^ oTH ~" Diann Ring ®IND Retired 1/9/01 816 Peninsula .Avenue ^ COM 100.00 Claremont, CA 91711 ^ OTH Michael Westhusing ~JIND Partner 1/10/O1 5190 Via del Valle ^ COM Insight Holdings 250.00 La Verne, CA 91750 ^ OTH SUBTOTALS 750.00 'Contributor Codes IND - IrldMdual COM - Redpient Committee OTH -Other FPPC Form 460 (8199) For Technical /lsalstance: 916/322660 Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.) Monetary. Contributions Received wmounts mey de rounaea Statement covers period • ~ to whole dollars. ~ ~ , from 12/14/00 • ' through 1/20/01 ~ p~ 7 ~ 11 NAME OF FlLER LD. NUMBER Bernard D. Bollinger, Jr./Bo Bollinger for City Council Not Yet Received DATE FULL NAME, MAILING ADDRESS AND Z1P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECENED THIS CUMULATNE TO DATE CALENDAR YEAR CUMULATNE TO DATE ~ OTHER RECENED QF COMMnTEE. AL$O ENTER I.D. NUMBER) ~ CODE • (IFSELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN 1 • DEC 31) (IF APPLICABLE) David Seccombe ^IND Dentist /11/O1 460 N. Indian Hill Blvd. ^ ~M David Seccombe, 150.00 Claremont, CA 91711 f~ OTH DDS Michael Bidart BIND Attorney 1/12/01 600 S. Indian Hill Blvd. ^ COM Shernoff Bidart 100.00 Claremont, CA 91711 ^ OTH & Darras Herbert Hafif ^IND Attorney 1/12/01 265 W. Bonita Avenue ^ COM Law Offices of 100.00 Claremont, CA 91711 ~ OTH Herbert Hafif Alisa Allen Shyer ®IND Teacher 1/13/01 309 E. Alamosa ^ COM Claremont Unified 100.00 Claremont, Ca 91711 ^ OTH School District r Janice Lee ]IND Music/Voice Teache 1/12/01 628 Smead Way ^ COM Janice Lee 75.00 San Dimas, CA 91773 ^ OTH Ann Bollinger ~71ND Retired 1/12/01 115 Verdugo ^ COM 250.00 Glendora,'CA 91740 ^ OTH SUBTOTALS 775.00 'ConMbueor Codes IND -Individual COM - RedpieM Comrtdttee OTH -Other FPPC Forth 460 (6/99) For TechnicalAsslstance: 916/322-5660 Schedule A (Continuation Sheet) Type or print in InR SCHEDULE A (CONT.) Monetary Contributions Received nmoums may de rounaea Statement covers period • ' to whole dollars. ~ ~ , from 12/14/00 • ' through 1/20/01 p~~_ ~~~ NAME OF FlLER I.D. NUMBER Bernard D. Bollinger, Jr./Bo Bollinger for City Council Not Yet Received DATE FULL NAME, MAILIWC9 ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECENEDTHIS CUMULATNE TO DATE CALENDAR YEAR CUMULATNE TO DATE OTHER RECENED (IF COMMfTTEE. ALSO ENTER I.D. NUMBER) CODE • pFSFLF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN 1 -DEC 31) (IF APPLICABLE) Mary Ann Milhous ®IND Printer ``18/01 4976 Sanctuary Lane ^ COM Milhous Group 100.00 Boca Raton, FL 33431 ^ OTH Joe Unis ®IND physician 1/17/01 532 West 10th Street ^ COM Joseph S. Unis, 100.00 Claremont, CA 91711 ^ OTH ~ Judith Collom ®IND ^ COM Retired 100.00 1/17/01 1557 Greenwich Road San Dimas, CA 91773 ^ OTH David Brown ®IND Retired 1/17/01 1821 Hanover Road ^ COM 100.00 Claremont, CA 91711 ^ OTH ,~ Louis Zellers ®IND President 1/17/01 1439 Sierra Sky Drive ^ COM Citrus College 99.00 Glendora, CA 91740 ^ OTH Mike Layne ~71ND Retired 1/17/01 192 E. Radcliffe ^ COM 100.00 Claremont, CA 91711 ^ OTH SUBTOTALS 599,00 'Contributor Codes IND -Individual COM - Redpient Committee 0TH -Other FPPC Forrn 460 (8/99) For Technical Assistance: 916/322660 Schedule A (Continuation Sheet) Type or print in Ink SCHEDULE A (CONT.) ~amourna may oe rounaea one ary on r u ons ece ve statemerTteoverspeTtod ~ • torvholedollers. ~ ' from 12/14/00 • • ' through 1/20/01 p~ 9 ~ 11 NAME OF FILER I.D. NUMBER Bernard D. Bollinger, Jr./Bo Bollinger for City Council of Yet Received DATE FULL NAME, MAR1NCi ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECENEDTHIS CUMULATIVE TO DATE CALENDAR YEAR CUMULATVE TO DATE OTIiEA RECENED (IF COMMrtTEE. ALSO ENTER IA. NUMBER) + CODE QFSFLF-EMPLOYED, ENTER NAME OF BUSm1ES3) PERIOD JAN 7 -DEC 31 ~ ) (IF APPLJCABLE) Helen Haugh ®IND Retired ~/16/O1 180 Stedman Place ^ COM loo.oo Monrovia, CA 91016 Q oTH James Gulli QIND Administrator 1/16/01 1729 Paseo Mundo Q COM Citrus College 100.00 San Dimas, CA 91773 O 0TH 1/18/01 Kym Hilinski ®IND Attorney 471 University Circle O COM Kymberly Haun 100.00 Claremont, CA 91711 Q OTH Hilinski, Attorne 1/19/01 Janet Glaze ®IND president 2302 Valcourt Lane O COM Arrow Truck Bodie 100.00 Glendora, CA 91741 ^ oTH ' ^IND Q COM p oTH ^ IND ^ COM ^ oTH SUBTOTALS 400.00 'CoTTMbutor Codes IND - Individual COM - Redpient Committee 0TH -Other FPPC Form 460 (81'99) For Technical Aeelstance: 916/322-5680 Schedule E Payments Made Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 12/14/00 SEE INSTRUCTIONS ON REVERSE through 1/20/01 p~ 10 pt 11 NAME OF FlLER LD. NUMBER Bernard D. Bollinger, Jr./Bo Bollinger for City Council Not Yet Recei~d CODES: If one of the following codes accurately describes the payment, you may enter the code. Cnherwise,.describe the payment. CMP canlpalgrt paraplTemaNa/misa CNS campalgnoatsultants ~TB oontrfbutbn (expleht rTOnntonetary)' C dvic donations D fundraising everds IND Independent expendRure supportlng/opposing others (explain)' LIT campaign Itterature and mailings MTG meetings and appeararTCes OFC office expenses PET petition dreulating PHO phone banks POL polling and surrey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radb airihne and production costs RFD resumed conMbutlorts SAL campaign workers salaries TEL tv, orcable airtime and production oasts TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between cornmfttees of the same cxrtdidateJsponsor VOT voterreglstration WEB infonnationtechnologyoasts(intemet,e-rnail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMnTEE. Also ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Vilma Caldwell Sales 11557 Embree Drive CMP 1,682.68 E1 Monte, CA 91732 City of Claremont, Human Services Department FT~D 429.00 840 N. Indian Hill Boulevard Claremont, CA 91711 •13.S. Post Office POS 570.80 140 Harvard Avenue Claremont, CA 91711 Payments that aro contrtbutlons o'Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2 , 682.48 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ 4, 880.21 2. Unitemized payments made this period of under $100 ....................................... ,,,,,,,,,,,,,,,, $ 148.63 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ...................:..... TOTAL.$ 5,028.84 FPPC Form 460 (6P99) For Technical Assistance: 916f'322~660 Schedule E SCHEDULE E (CONT.) (Continuation. Sheet) ~YPe or print in ink Amourrts may ~ rounded statement covers period s . , ' Payments Made to whore dollars. e • ~ TM,m 12/14/00 SEE INSTRUCTIONS ON REVERSE 1/20/01 through p~ 11 pt 11 NAME OF FILER I.D. NUMBER Bernard D. Bollinger, Jr./Bo Bollinger for City Council Not Yet Received CODES: If one of the following codes accurately describes the payment, you may enter the code . Othervvise, describe the payment. CMP campaign paraphemallahNsc: OFC officeexpenaes RFD retumedcontn'butions CNS campaign consultants PET petftlon dra lilating SAL cart~palgn workers salaries CTB cortUibtltlon (explain nonnlonetary)• PHO phone banks TEL tv. or cable airtme and produttion coats CVC dvlc donatkxls POL polling and survey research TRC t~ndidate travel, kxighg and meals (explain) D fundraising events POS postage, deMery and messenger services TRS stafUspouse travel; lodging and meals (explain) ~ D independent experldilure supporting/opposing others (explain)' PRO professional seMces (legal, accounting) TSF transfer between committees of the same candidateJsponsor T campaign literature and mailings PRT print ads VOT voter registration MTG meetings and appearances RAD radio airtime and production costs WEB infomlation technology costs (hlternet, e-maiq NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE. A130 EPlTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Trader Joe's 333 S. Mountain Avenue FAD 120.19 Upland, CA 91786 Mindy Teuber Vendor receiving $100 or more: 11368 Windhaven Ct. Sir Speedy Printing Center $2,070 25 Alta Loma, CA 91701 8628 Utica Ave., Suite 700 LIT 2,077.54 Rancho Cucamonga, CA 91730 'Payments that aro conMbuUons or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2 , 197.73 FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660