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Home My Public Portal AboutForm 460 Semi-AnnualRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Date Stamp �0 V Statement covers period Date of election if applicable: from May 20, 2018 (Month, Day, Year) JUN 19 2.018 through June 30, 2018 1. Type of Recipient Committee: All committees -Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO Partners for a Safe Claremont ® Primarily Formed Ballot Measure Committee ® Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1403060 STREET ADDRESS (NO P.O. BOX) 2058 N Mills Ave Suite 430 CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 909 575-1456 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS June 5, 2018 I VTY CLERK 2. Type of Statement: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE 1 of 15 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER William Buehler MAILING ADDRESS 304 E Miramar Ave CITY STATE ZIP CODE AREACODE/PHONE Claremont CA 91711 909 262-9922 NAME OF ASSISTANT TREASURER, IF ANY MAILINGADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAILADDRESS 4. 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. -.12 -7 -,- Executed on June 26, 2018 Executed on Date Executed on Date Executed on Date By or By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov I Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Partners for a Safe Claremont OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 15 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Safe Claremont OFFICE SOUGHT OR HELD BALLOT NO. OR LETTER SC JURISDICTION Claremont ® SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT ❑ OPPOSE OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder 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 ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period p from May 20, 2018 a - SEE INSTRUCTIONS ON REVERSE To calculate Column B, 8405.62 6. Payments Made................................................................ through 9 of 15 June 30, 2018 Page 3 7 NAME OF FILER Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .......................................... I.D. NUMBER Partners for a Safe Claremont 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 1403060 Schedule C, Line 3 0 Column A Column B Calendar Year Summary for Candidates Contributions Received any). TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 8405.62 39540.61 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 111 through 6/30 7/1 to Date 0 0 2. Loans Received................................................................ Schedule B, Line 3 8405.62 39540.61 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 345.00 5206.2421. 4. Nonmonetary Contributions ............................................ schedule C, Line 3 Expenditures 8750. 62 44746.85 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3+4 $ $ Expenditures Made To calculate Column B, 8405.62 6. Payments Made................................................................ Schedule E, Line 4 $ 9503.02 $ 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 9503.02 $ 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ 9503.02 $ 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 1, 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 e, Part2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ 2582.02 38062.43 0 38062.43 0 0 38062.43 J 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) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov To calculate Column B, 8405.62 add amounts in Column A to the corresponding amounts from Column B .50 9503.02 of your last report. Some amounts in Column A may 1485.12 be negative figures that should be subtracted from previous period amounts. If this is the first report being 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). J 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) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov I Schedule A Amounts may be rounded SCHEDULE A to wnole sonars. Monetary Contributions Received Statement covers period 'i B May 20, 2018 , 0 e from June 30, 2018 4 15 through page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Partners for a Safe Claremont 1403060 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND See Attached ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 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.)....... $ 6425.00 1980.62 .........TOTAL $ 8405.62 `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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FPPC Copy 6-17-2018 EMPLOYER CMC Self -Employed Lizzies Gold Mine Claremont Colleges DEPOSIT DATE' 05-21-2018 05-21-2018 05-23-2018 05-23-2018 05-24-2018 05-29-2018 05-30-2018 06-01-2018 06-01-2018 06-01-2018 06-04-2018 06-07-2018 06-07-2018 06-13-2018 6/18/2018 1 LAST NAME FIRST NAME ADDRESS CITY ZIP AMOUNT OCCUPATION 1 Joseph Lyons 1774 Chatham Court Claremont 91711 $300.00 Retired Pei/Wang Minxin/Meizhou 329 E. Bennett PI Claremont 91711 $300.00 Educator Bill & Wag's Inc 1516 S Bon View Ave Ontario 91761 $250.00 f Sperry Craig & Laura 656 sage Street Claremont 91711 $100.00 Retired / Samuelson Carlos & Pat 677 Winthrop Ave Claremont 91711 $250.00 Realitor f Csikszentmihalyi Mike & Isabella 700 Alamosa Drive Claremont 91711 $175.00 Retired / Stoll George & Anne 143 W Monterrey Drive Claremont 91711 $100.00 Retired % Anthony Jim & Carole 670 W Silver Tree Street Claremont 91711 $100.00 Retired (� Democratic Club of Claremont PO Box 1201 Claremont 91711 $500.00 FPPC #841491 j Metrie Daniel & Sally 446 W Palm Drive Covina 91723 $3,000.00 Owner / Bedoya Frank 170 E 6th Street No. 1680 Claremont 91711 $200.00 Dean r Portantino Anthony 249 E Ocean Ave Ste 685 Long Beach 90802 $250.00 FPPC #1392849 (} CPOA 570 W Bonita Ave Claremont 91711 $800.00 j Henderson Homer 525 Harrison Ave Claremont 91711 $100.00 Retired Total over $100. $6,425.00 Total under $100 $1,980.62 Total Donations $8,405.62 In Kind $345.00 Other $0 EMPLOYER CMC Self -Employed Lizzies Gold Mine Claremont Colleges DEPOSIT DATE' 05-21-2018 05-21-2018 05-23-2018 05-23-2018 05-24-2018 05-29-2018 05-30-2018 06-01-2018 06-01-2018 06-01-2018 06-04-2018 06-07-2018 06-07-2018 06-13-2018 6/18/2018 1 SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period Loans Received May 20, 2018 ®off from ^ June 30, 2018 6 15 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER Partners for a Safe Claremont 1403060 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (c) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL g CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THISBALANCEAT OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH [:1 PTY ❑ SCC ❑ PAID CALENDAR YEAR FORGIVEN E] FORGIVEN PER ELECTION** DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR FORGIVEN E] FORGIVEN PER ELECTION** DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0$ 0 $ 0 $ 0 Schedule B Summary 1. Loans received this period............................................................................ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period................................................................. (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. ..............................$ .$ n NET $ (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 2 5cneauve t3 — Dart L Hmounis may ae rounaea Statement covers period I n to whole dollars. Loan Guarantors ©� � �..r � 0 ' �' May 20, 2018 • �t from June 30, 2018 7 15 through 9 Pa e of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Partners for a Safe Claremont 1403060 FULL NAME, STREETADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT BALANCE ZIP CODE GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER THIS PERIOD TO DATE TO DATE NAME OF BUSINESS) LENDER CALENDAR YEAR ❑ IND ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ CALENDAR YEAR ❑ IND LENDER ❑ COM $ ❑ OTH PER ELECTION DATE (IF REQUIRED) ❑ PTY ❑ SCC $ CALENDAR YEAR ❑ IND LENDER ❑ COM $ ❑ OTH DATE PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ CALENDAR YEAR ❑ IND LENDER ❑ COM $ DATE F1 OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ Enter on SUBTOTAL $ 0 Summary Page, s Line 17 only. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received LV WHUM UU11d1b. Statement covers period a from May 20, 2018 • ' e' F��. through June 30, 2018 page 8 of 15 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Partners for a Safe Claremont 1403060 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) (IF REQUIRED) ❑ IND 5-24-2018 Veridyne Industries ❑ COM Mailer Design 345.00 345.00 J? OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 345.00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (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.)....... $ 345.00 $ 0 TOTAL $ 345.00 `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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D summary or txpenaituresAmounts may be rounded Supporting/OpposingOther to whole dollars. Measures and CandidatesCommittees statement covers period from May 20, 2018 • - SEE INSTRUCTIONS ON REVERSE through June 30, 2018 page 9 of 15 NAME OF FILER I.D. NUMBER Partners for a Safe Claremont 1403060 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 0 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 2. Unitemized contributions and independent expenditures made this period of under $100.................................................................................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL.. $ 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from May 20, 2018 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through June 30, 2018 Page 10 of 15 NAME OF FILER I.D. NUMBER Partners for a Safe Claremont 1403060 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 PET petition circulating TEL t.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 IND 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) VOT 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 Carol Crocker OFC Reimbursement for Office Supplies 185.95 Claremont Courier PRT Newspaper Ads 4039.50 Direct Connection LIT Printing & Literature 1626.08 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL $ 5851.53 1. Itemized payments made this period. Include all Schedule E subtotals. 9355.78 2. Unitemized payments made this period of under $100...................................................................... 147.24 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ 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 $ 9503.02 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded (Continuation Sheet) to whole dollars. Payments Made Statement covers period from May 20, 2018 SCHEDULE E (CONT.) SEE INSTRUCTIONS ON REVERSE through June 30, 2018 Page 11 of 15 NAME OF FILER I.D. NUMBER Partners for a Safe Claremont 1403060 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND 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) VOT 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 Landslide communications PHO Robo Calls 600.00 Political Data CMP Mailing & Precinct Data 1132.45 Veridytne Industries LIT Literature & Mailing 1537.55 Vons FND Election Watch Party 234.25 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3504.25 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Amounts may be rounded Accrued Expenses (Unpaid BIIIS to whole dollars. Statement covers period p p % from May 20, 2018 through June 30, 2018 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Partners for a Safe Claremont SCHEDULEF Page 12 of 15 I��a►l�luGi� 1403060 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 PET petition circulating TEL t.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 IND 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) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTANDING BALANCE BEGINNING OF THIS PERIOD ( INCURRED AMOUNT NCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON Et ( OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD ' Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ p summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 0 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 0 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 0 onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. Statement covers period from May 20, 2018 SCHEDULE G through June 30, 2018 Page 13 of 15 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Partners for a Safe Claremont 1403060 NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 PET petition circulating TEL t.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 IND 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) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 0 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan/2016) independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHFDULF H Schedule H Amounts may be rounded Statement covers period * to whole dollars. Loans Made to Others May 20, 2018 o , ®- >, 0 from �1' June 30, 2018 1 4 15 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Partners for a Safe Claremont 1403060 FULL NAME, STREETADDRESSAND ZIP CODE IF AN INDIVIDUALENTER , OCCUPATION AND EMPLOYER (a) OUTSTANDING (b) AMOUNTREPAYMENT (c) OR (d) OUTSTANDING (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR $ $ % S $ FORGIVEN El FORGIVEN PER ELECTION*t $ S $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ S % S $ ❑ FORGIVEN PER ELECTION' RATE 8 S $ $ $ DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ 0 $ 0 $ 0 $ 0 Schedule H Summary 1. Loans made this period....................................................................... (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans............................................................. (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ..................... (Enter the net here and on the Summary Page, Column A, Line 7.) (curer te)on Schedule I, Line 3) ..............................................................$ If Required ............$ 0 ...................NET $ (May be a negative number) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Crhnrlrdn 1 SCHEDULEI Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period May 20, 2018 from Y through June 30, 2018 C ®.I, Page 15 of 15 NAME OF FILER Partners for a Safe Claremont I.D. NUMBER 1403060 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCEAMOUNT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT OF INCREASE TO CASH None Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 Schedule I Summary 1. Itemized increases to cash this period.......................................................................................... 2. Unitemized increases to cash of under $100 this period............................................................... 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ..... 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)............................................................................................................. ...........................$ 0 $ .50 ..........................$ 0 ......... TOTAL $ .50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov