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Home My Public Portal AboutForm 460 TerminationRecipient Committee Campaign Statement Cover Page Partners for a Safe Claremont STREETADDRESS (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 CITY COVER PAGE Date Stamp Mfflnr Date of election if applicable: JAN 2 2 2019 Page 1 of 13 (Month, Day, Year) For Official Use Only CITY June 5, 2018 CITY ®M CLAS O nnrr' 2. Type of Statement: ❑ 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 William Buehler MAILING ADDRESS 304 E Miramar ave CITY STATE ZIP CODE Claremont CA 91711 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS AREA CODE/PHONE 909 262-9922 CITY STATE ZIP CODE AREA CODE/PHONE 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 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. Executed on January 21,2019 By x/_Z_e Date Signature ameasurer or Assistant Treasurer Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date 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 Statement covers period from September 23, 2018 SEE INSTRUCTIONS ON REVERSE through December 31, 2018 1. Type of Recipient Committee: All committees -Complete yp pParts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ® Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall ® Controlled (Also Complete Part 5) 0 Sponsored ❑ General Purpose Committee (Also Complete Part 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1403060 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Partners for a Safe Claremont STREETADDRESS (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 CITY COVER PAGE Date Stamp Mfflnr Date of election if applicable: JAN 2 2 2019 Page 1 of 13 (Month, Day, Year) For Official Use Only CITY June 5, 2018 CITY ®M CLAS O nnrr' 2. Type of Statement: ❑ 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 William Buehler MAILING ADDRESS 304 E Miramar ave CITY STATE ZIP CODE Claremont CA 91711 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS AREA CODE/PHONE 909 262-9922 CITY STATE ZIP CODE AREA CODE/PHONE 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 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. Executed on January 21,2019 By x/_Z_e Date Signature ameasurer or Assistant Treasurer Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date 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 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 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 13 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Safe Claremont BALLOT NO. OR LETTER JURISDICTION SUPPORT SC Claremont ❑ 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 Listnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE ❑ SUPPORT ❑ OPPOSE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE 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 to whole dollars. SEE INSTRUCTIONS ON REVERSE 5. $ Expenditures Made NAME OF FILER 1341.13 6. Payments Made................................................................ Partners for a Safe Claremont $ 7. Loans Made....................................................................... Contributions Received 1341.13 Column A Add Lines 6 + 7 $ TOTAL THIS PERIOD Schedule F Line 3 0 (FROM ATTACHED SCHEDULES) 1 . Monetary COntrlbUtlOr1S................................................... Schedule A, Line 3 $ 0 2. Loans Received................................................................ schedule B, Line 3 0 0 amounts in Column A may 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ Column A, Line 3 above previous period amounts. If 0 4. Nonmonetary Contributions ............................................ Schedule c, Line 3 15. Cash Payments......................................................... T only carry over the amounts 0 OTALCONTRIBUTIONSRECEIVED.................................. ..AddLines 3+4 $ Expenditures Made 0 1341.13 6. Payments Made................................................................ Schedule E, Line 4 $ 7. Loans Made....................................................................... Schedule H, Line 3 1341.13 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 A to the corresponding 11. TOTAL EXPENDITURES MADE, ....................................... Add Lines 8 + 9 + 10 $ Current Cash Statement 0 amounts in Column A may 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts........................................................... Column A, Line 3 above previous period amounts. If 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments......................................................... Column A, Line 8 above only carry over the amounts 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 .............................. Add Line 2 + Line 9 in Column B above $ SUMMARY PAGE Statement covers period _ from September 23, 2018 • "� a o through December 31, 2018 Page 3 of 13 I.D. NUMBER 1403060 Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and 39740.61 General Elections $ 0 1/1 through 6/30 7/1 to Date $ 39740.61 0 $ 39740.61 1341.13 $ 39748.78 0 0 1341.13 $ 39748.78 0 0 0 0 1341.13 $ 39748.78 1340.96 To calculate Column B, 0 add amounts in Column 17 A to the corresponding amounts from Column B 1341.13 of your last report. Some 0 amounts in Column A may 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 0 any). 0 20. Contributions Received $ $ 21. Expenditures Made $ $ 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 Schedule A Monetary Contributions Received Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Partners for a Safe Claremont DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL, ENTER RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) None ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 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.)....... SCHEDULE A Statement covers period / a from September 23, 2018 , through December 31, 2018 Page 4 of 13 I.D. NUMBER 1403060 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) SUBTOTAL $ 0 *Contributor Codes IND — Individual $ 0 COM — Recipient Committee (other than PTY or SCC) $ 0 OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee TOTAL $ 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Partners for a Safe Claremont FULL NAME, STREETADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) None t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Amounts may be rounded SCHEDULE B - PART 1 to whole dollars. Statement covers period _ September 23, 2018 from through December 31, 2018 Page 5 of 13 I.D. NUMBER 1403060 IF AN INDIVIDUAL, ENTER (a) (b) OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT (o) AMOUNT PAID (d) (e) OUTSTANDING INTEREST (t) .. ORIGINAL (g) CUMULATIVE (IF SELF-EMPLOYED, ENTER BALANCE RECEIVED THIS BEGINNING THIS OR FORGIVEN BALANCE AT PAID THIS CLOSE OF THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD * PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION** DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR F-1FORGIVENFORGIVEN PER ELECTION** DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR FORGIVEN F] FORGIVEN PER ELECTION** $ $ $ $ $ SUBTOTALS $ 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 $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................. Enter the net here and on the Summary Page, Column A, Line 2. Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. DATE DUE DATE INCURRED 0$ 0 $ 0 $ 0 (Enter (e) on Schedule E, Line 3) ........................$ n tContributor Codes ........................$ In IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party ............... NET $ n SCC — Small Contributor Committee (May be a negative number) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule B — Part 2 Statement covers period Ills . Amounts may be rounded Loan Guarantors to whole dollars. SEE INSTRUCTIONS ON REVERSE September 23, 2018 0 NAME OF FILER from Partners for a Safe Claremont through December 31, 201 E Page 6 13 FULL NAME, STREETADDRESSAND IFAN INDIVIDUAL, ENTER ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ❑ IND BALANCE None ❑ COM OUTSTANDING ❑ OTH TO DATE LENDER ❑ PTY ❑ SCC DATE ❑ IND ❑ COM ❑ OTH ❑ PTY LENDER ❑ SCC ❑ IND ❑ COM DATE ❑ OTH ❑ PTY ❑ SCC LENDER ❑ IND ❑ COM ❑ OTH DATE ❑ PTY ❑ SCC SCHEDULE B - PART 2 Ill Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement covers period Ills . • September 23, 2018 0 from through December 31, 201 E Page 6 13 of I.D. NUMBER 1403060 AMOUNT BALANCE LOAN GUARANTEED CUMULATIVE OUTSTANDING THIS PERIOD TO DATE TO DATE LENDER CALENDAR YEAR s DATE PER ELECTION (IF REQUIRED) CALENDAR YEAR LENDER PER ELECTION DATE (IF REQUIRED) S CALENDAR YEAR LENDER PER ELECTION DATE (IF REQUIRED) s CALENDAR YEAR LENDER PER ELECTION DATE (IF REQUIRED) S Enteron SUBTOTAL $ 0 Summary Page, Line 17 only. Ill Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded Nonmonetary Contributions Received to whole dollars. SCHEDULE C Statement covers period from September 23, 2018 e 201E 13 through December 31, page 7 SEE INSTRUCTIONS ON REVERSE of NAME OF FILER - — I.D. NUMBER Partners for a Safe Claremont 1403060 DATE FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER CONTRIBUTOR AMOUNT/ CUMULATIVE TO PER ELECTION DESCRIPTION OF DATE RECEIVED ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET TO DATE VALUE CALENDAR YEAR (IF ENTER I.D. NUMBER) NAME OF BUSINESS) IF REQUIRED (JAN 1 - DEC 31) ( ) ❑ IND None ❑ COM ❑ 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 $ 0 J Schedule C Summary 'Contributor Codes 1. Amount received this period - itemized nonmonetary contributions. IND - Individual (Include all Schedule C subtotals.)......................................................................................................................$ 0 COM — Recipient Committee (other than PTY or SCC) 2. Amount received this period - unitemized nonmonetary contributions of less than $100 ..................................$ 0 OTH — Other (e.g., business entity) PTY — Political Party 3. Total nonmonetary contributions received this period. SCC - Small Contributor Committee Add Lines 1 and 2. Enter here and on the Summa ( Summary , Column A, Lines 4 and 10. Page, 9 ) .....................TOTAL $ 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D Summa Expenditures of Ex dit p Amounts may be rounded SCHEDULE D Statement covers period Supporting/Opposing Other to whole dollars. • Candidates, Measures and Committees from September 23, 2018 • ' through December 31, 201 E page 8 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Partners for a Safe Claremont 1403060 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DATE TYPE OF PAYMENT DESCRIPTION CUMULATIVE TO DATE AMOUNTTHIS CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OR COMMITTEE ❑ Monetary None 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.)....................................................... $ 0 2. Unitemized contributions and independent expenditures made this period of under $100.................................................................................... $ 0 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 September 23, 2018 SCHEDULE E Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 1337.13 2. Unitemized payments made this period of under $100............................................................................................ 4.00 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 Summa Page, Column A, Line 6. 1341.13 p Y p ( Summary 9 )........................... TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov December 31, 201 9 13 SEE INSTRUCTIONS ON REVERSE through Page of 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 m (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Claremont Postal OFC PO Box Rental 102.00 Staples OFC Toner for Printer 105.57 Claremont Community Foundation CVC Donation 1129.56 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1337.13 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 1337.13 2. Unitemized payments made this period of under $100............................................................................................ 4.00 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 Summa Page, Column A, Line 6. 1341.13 p Y p ( Summary 9 )........................... TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Partners for a Safe Claremont Amounts may be rounded to whole dollars. Statement covers period e from September 23, 2018 • " through December 31, 201 E 10 Page I.D. NUMBER 1403060 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULEF of 13 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) ( ( (c) ( NAME AND ADDRESS OF CREDITOR CODE OR OUTSTAA NDING AMOUNT INNCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD None Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0 $ 0 $ 0 $ 0 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 SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period • _ , Contractor (on Behalf of This Committee) to whole dollars. from September 23, 2018 • 1 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Partners for a Safe Claremont NAME OF AGENT OR INDEPENDENT CONTRACTOR December 31, 201E through Page 11 of 13 I.D. NUMBER 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID None 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 Schedule H Loans Made to Others* SEE INSTRUCTIONS ON REVERSE NAME OF FILER Partners for a Safe Claremont FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE. ALSO ENTER I.D. NUMBER) None ❑ PAID CALENDAR YEAR $ $ q S $ ❑ RATE FORGIVEN PER ELECTION'" $ 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 (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period....................................................................................................................................................$ 0 (Total Column (b) plus unitemized loans of less than $100.) If Required 2. Payments received on loans............................................................................................................................................$ 0 (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................................................NET $ 0 (Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE H Amounts may be rounded Statement covers periode to whole dollars.from September 23, 2018 December 31, 201E 12 13 through Page of I.D. NUMBER 1403060 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (a) (b) OUTSTANDING AMOUNT (c) (d) (e) REPAYMENT OR OUTSTANDING INTEREST (0 ORIGINAL (g) CUMULATIVE (IF SELF-EMPLOYED, ENTER BALANCE LOANED THIS BEGINNING THIS FORGIVENESS BALANCE AT RECEIVED CLOSE OF THIS AMOUNT OF LOANS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD" PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR $ $ v s $ 1:1 FORGIVEN FORGIVEN PER ELECTION"" $ S $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ q S $ ❑ RATE FORGIVEN PER ELECTION'" $ 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 (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period....................................................................................................................................................$ 0 (Total Column (b) plus unitemized loans of less than $100.) If Required 2. Payments received on loans............................................................................................................................................$ 0 (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................................................NET $ 0 (Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Partners for a Safe Claremont DATE FULL NAME AND ADDRESS OF SOURCE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) US Bank Attach additional information on appropriately labeled continuation sheets Amounts may be rounded to whole dollars. SCHEDULEI Statement covers period • . � e t September 23, 2018 • " from p through December 31, 201E Page 13 of 13 I.D. NUMBER 1403060 AMOUNT OF DESCRIPTION OF RECEIPT INCREASE TO CASH Bank Account Interest Schedule I Summary 1. Itemized increases to cash this period.......................................................................................... 2. Unitemized increases to cash of under $100 this period............................................................... 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ..... 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)............................................................................................................. SUBTOTAL$ 17 17 $ 0.17 ...............$ 0 ............... $ 0 TOTAL $ 0.17 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov