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Home My Public Portal AboutForm 460 (July 1, 2018 - September 22, 2018)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 7/1/2018 9/22/2018 through 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee O State Candidate Election Committee Q Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Pad 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1393706 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Zach Courser for Claremont City Council 2018 STREET ADDRESS (NO P.O. BOX) 122 Brooks Ave CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 (909) 374-3958 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAILADDRESS COVER PAGE Date Stam - Date of election if applicable: SEP 6 2� I$ Page 1 of (Month, Day, Year) For Official Use Only COTY CLERK 11/6/2018 0y OF CLAREMOT 2. Type of Statement: V Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Steven Haskins MAILING ADDRESS 1861 Bridgeport Ave CITY STATE ZIP CODE AREACODE/PHONE Claremont CA 91711 (909) 621-6830 NAME OF ASSISTANT TREASURER, IF ANY Zachary Courser MAILING ADDRESS 122 Brooks Ave CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 (909) 374-3958 OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowled e the inform 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 an rrect- Executed on September 26, 2018 By Date Si n ur of Tre rer o ssistant Treasurer Executed on September 26, 2018 By Date Signature of Control lin ffi ehold ar, did te, State Measure Proponent or Responsible Officer of Sponsor Executed On Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date 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 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Zachary Courser OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City councilperson RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 122 Brooks Ave Claremont CA 91711 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. I.D. NUMBER NAME OF TREASURERI 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 TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 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 CITY STATE ZIP CODE AREA CODE/PHONE 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 to whole dollars. Statement covers period e . Summary Page from 7/1/2018 Expenditures Made 6. Payments Made ................. ......_.............................. _...... Schedule E, Line 4 $ 1,152 $ 1,643 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 1,152 $ 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 $ 1,152 $ 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 I, 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, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents._. ........ ..... .....__.................... See instructions on reverse $ 19. Outstanding Debts ........ _.. _. ....... I... Add Line 2 + Line 9 in Column B above $ 1,643 0 C 1,643 816 To calculate Column B, 7,072 through g 9/22/2018 Page 3 of SEE INSTRUCTIONS ON REVERSE of your last report. Some amounts in Column A may 6,245 be negative figures that should be subtracted from NAME OF FILER this is the first report being 0 I.D. NUMBER Zach Courser for Claremont City Council 2018 any). 1393706 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary (FROM ATTACHED SCHEDULES) TOTAL TO DATE and General Elections 7,072 7 772 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 1/1 through 6/30 7/1 to Date 0 0 2. Loans Received................................................................ Schedule B, Line 3 7,072 7,772 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ $ Received $ $ 0 0 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 7,072 7,772 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED.. ......................... Add Lines 3 + 4 $ $ Expenditures Made 6. Payments Made ................. ......_.............................. _...... Schedule E, Line 4 $ 1,152 $ 1,643 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 1,152 $ 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 $ 1,152 $ 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 I, 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, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents._. ........ ..... .....__.................... See instructions on reverse $ 19. Outstanding Debts ........ _.. _. ....... I... Add Line 2 + Line 9 in Column B above $ 1,643 0 C 1,643 816 To calculate Column B, 7,072 add amounts in Column A to the corresponding amounts from Column B 0 1,643 of your last report. Some amounts in Column A may 6,245 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). 110 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/ddfyy) `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 Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions ReceivedW wnoia uouara. Statement covers period 7/1/2018 from • f • through 9/22/2018 1 e 4 page of t ` SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Zach Courser for Claremont City Council 2018 1393706 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , (IF COMMITTEE. ALSO ENTER LD. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS( El IND 7/19/2018 Christiana Dominguez 9 El COM Attorney 100.00 100.00 1613 Christopher Way ❑ OTH Blanning & Baker Sacramento, CA 95819 ❑ PTY ❑ SCC ® IND 7/20/2018 Tyler Grant ❑ COM Attorney 250.00 250.00 28 K St. SE, Apt. 915 ❑ OTH Clifford Chance LLP Washington, DC 20003 ❑ PTY ❑ SCC O IND Robin Mahapatra ElcoM Attorney 7/23/2018 1629 Armacost Ave, Apt. 404 ❑ OTH Mahapatra Law 100.00 100.00 ❑ PTY ❑ SCC IND 7/31/2018 2018 Andrew w Orr Orr Dr ❑ COM ❑ OTH Professor Kansas State University 100.00 100.00 Manhattan, KS 66502 ❑ PTY ❑ SCC V1 IND L. John Nelson ❑ COM Attorney 8/1/2018 49 Sutton PI E ❑ OTH Lewis Brisbois LLP 250.00 250.00 Palm Desert, CA 92211 ❑ PTY ❑ SCC SUBTOTAL $ 800', 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 $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)....... ........$ 6,250 822 TOTAL $ 7,072 *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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Gontributfons Received to wnole sonars. Statement covers period • from 7/1/2018 • through 9/22/2018 page 5 of '' NAME OF FILER I.D. NUMBER Zach Courser for Claremont City Council 2018 1393706 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIODJAN. 1 - DEC. 31 ( ) (IF REQUIRED) OF BUSINESS) El IND Tony Gonzalez El COM Public policy advocate p Y 8/6/2018 1200 43rd St ❑ OTH London &Gonzalez 250.00 250.00 Sacramento, CA 95819 ❑ PTY Advocacy ❑ SCC Stephen Larson ® IND ❑ COM Attorney 8/14/2018 215 W 20th St ❑ OTH Larson O'Brien LLP 250.00 250.00 Upland, CA 91784 ❑ PTY ❑ SCC Peter Hong ® IND E] COM Communications Dir. 8/14/2018 280 Malcolm Dr ❑ OTH Claremont McKenna 100.00 100.00 Pasadena, CA 91105 ❑ PTY College ❑ SCC [] IND Audrey Courser ❑COM Homemaker 8/16/2018 1413 NE 92nd Ave ❑ OTH 250.00 250.00 Vancouver, WA 98664 ❑ PTY ❑ SCC D. Jeffrey Courser ® IND El Com Attorney 8/16/2018 1413 NE 92nd Ave ❑OTH Stoel Rives LLP 250.00 250.00 Vancouver, WA 98664 ❑ PTY ❑ SCC SUBTOTAL$ 1,100 NE '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 A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 7/1/2018 through 9/22/2018 Page 6 of' NAME OF FILER I.D. NUMBER Zach Courser for Claremont City Council 2018 1393706 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED F COMMITTEE, ALSO ENTER LD NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUST OF BUSINESS) IND Hilda Bizzell ❑ COM Realtor 8/19/2018 1876 Salem Ct ❑ OTH Wheeler Steffen 100.00 100.00 Claremont, CA 91711 ❑ PTY Sotheby's ❑ SCC Steven Haskins ® IND ❑ COM Attorney 8/20/2018 1861 Bridgeport Ave ❑ OTH Larson O'Brien LLP 250.00 250.00 Claremont, CA 91711 ❑ PTY ❑ SCC ® IND Carroll Stevens El Com Educator 8/21/2018 250 Perry St E] OTH Claremont McKenna 250.00 250.00 Mill Valley, CA 94941 ❑ PTY College ❑ SCC LZ IND Kenneth Miller El COM Professor 8/22/2018 508 W 11th St ❑ OTH Claremont McKenna 250.00 250.00 Claremont, CA 91711 ❑ PTY College ❑ SCC ® IND Aaron Ogilvie El COM Engineer 8/22/2018 3612 Bayview PI ❑OTH ImpediMed 100.00 100.00 Carlsbad, CA 92010 ❑ PTY ❑ SCC SUBTOTAL$ 950 '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 A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 7/1/2018 • ' through 9/22/2018 Page 7 of All NAME OF FILER I.D. NUMBER Zach Courser for Claremont City Council 2018 1393706 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR D CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) � IND Carl Herbold ❑ COM Retired 9/8/2018 1330 via Zurita St ❑ OTH 100.00 100.00 Claremont, CA 91711 ❑ PTY ❑ SCC Richard Haskins ® IND ❑ OOM Retired 9/11/2018 865 Penni Ln ❑ OTH 250.00 250.00 Orem, UT 84097 ❑ PTY ❑ SCC ® IND Steven Bledsoe El COM Attorney 9/17/2018 4651 Oceanknoll Dr ❑ OTH Larson O'Brien LLP 250.00 250.00 Huntington Beach, CA 92649 ❑ PTY ❑ SCC Q IND Robert Soderberg E] c Contractor 9/17/2018 603 E 1 st St ❑ OTTHH Self Employed 200.00 200.00 Claremont, CA 91711 ❑ PTY ❑ SCC ® IND Evan Rutter El COM Administrator 9/18/2018 670 Blanchard PI ❑OTH Claremont McKenna 100.00 100.00 Claremont, CA 91711 ❑ PTY College ❑ SCC SUBTOTAL$ 900 `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 A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 7/1/2018 e ' a through 9/22/2018 page 8 of NAME OF FILER I.D. NUMBER Zach Courser for Claremont City Council 2018 1393706 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (F REQUIRED) OF BUSINESS) IND E❑ Zachary Courser COM Professor 9/22/2018 122 Brooks Ave El OTH Claremont McKenna 2,500.00 2,500.00 Claremont, CA 91711 ❑ PTY College ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 21500 g 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 B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period Individual Loans Receivedfrom 7/1/2018 0 . (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - through 9/22/2018 Page of ( � SEE INSTRUCTIONS ON REVERSE 9 NAME OF FILER I.D. NUMBER Zach Courser for Claremont City Council 2018 1393706 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING b AMOUNT (e) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL 9 CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN � BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS ) PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE Zachary Courser Professor ❑ PAID CALENDAR YEAR 122 Brooks Ave Claremont McKenna $ $ 1,000 , $ 1,000 $ 2,160 ❑ FORGIVEN PER ELECTION` Claremont, CA 91711 College RATE $ 1,000 $ $ $ 12/6/16 $ 3,160 DATE DUE DATE INCURRED t IZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Zachary Courser Professor ❑ PAID CALENDAR YEAR 122 Brooks Ave Claremont McKenna $ $ 500 , $ 500 $ 2,160 ❑ FORGIVEN PER ELECTION" Claremont, CA 91711 College RATE $ 500 $ $ $ 1/21/17 $ 3,160 DATE DUE DATE INCURRED IV] IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Zachary Courser Professor ❑ PAID CALENDAR YEAR 122 Brooks Ave Claremont McKenna $ $ 1,610 , $ 1,610 $ 2,160 ❑ FORGIVEN PER ELECTION- Claremont, CA 91711 College RATE $ 1,610 $ $ $ 2/28/17 $ 3,160 t VI IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0 $ $ 3,110 $�' 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 $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............... Enter the net here and on the Summary Page, Column A, Line 2. Amounts forgiven or paid by another party also must be reported on Schedule A. " If required- .........$ $ 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 E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 7/1/2018 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 9/22/2018 Page 10 of NAME OF FILER I.D. NUMBER Zach Courser for Claremont City Council 2018 1393706 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 948 (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID LA County Registrar/Recorder 1,152 Voter registration data 12400 Imperial Highway 147.00 Norwalk, CA 90650 City of Claremont 207 Harvard Ave FIL 100.00 Claremont, CA 91711 Uprinting 8000 Haskell Ave. LIT 262.00 Van Nuys, CA 91406 Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.). 2. Unitemized payments made this period of under $100.................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)..................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) SUBTOTAL$ 509 ............ $ 948 204 ............ $ 0 TOTAL $ 1,152 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Zach Courser for Claremont City Council 2018 Amounts may be rounded to whole dollars. Statement covers period from 7/1/2018 through 9/22/2018 SCHEDULE E (CONT.) Page 11 of I.D. NUMBER 1393706 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 Uprinting 8000 Haskell Ave. Van Nuys, CA 91406 LIT 439.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 439 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov