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Home My Public Portal AboutForm 460 (Oct 21 - Dec 31, 2018)Recipient Committee COVER PAGE Campaign Statement, U/ Cover Page JAN . Statement covers period Date of election if applicable: JAN 2 2 2019 fJ Page 1 of 8 (Month, Day, Year) COTY CLERK For Official Use Only from 10/.21./2010. SEE INSTRUCTIONS ON REVERSE through 12/31/2018 11/06/2018 1. Type of Recipient Committee: All committees - complete Para 1, 2, 3, and 4. 2. Type of S.. .. _ tatement: W Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ® Semi-annual Statement ❑ Special Odd -Year Report Q Recall O Controlled ❑ Termination Statement (Also Camp/ate Pad 5) 0 Sponsored (Also Camp'etePert 6) (Also file a Form 410 Termination) El General Purpose Committee ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee POIIuCal Party/Central Committee (Aso Complete Ped 7) 3 Committee Information I.D.NU .. • MBER 11400963 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jennifer Stark for Claremont City Council 2018 STREETADDRESS (NO P.O. BOX) 242 Eagle Grove Avenue CITY STATE ZIP CODE Claremont CA 91711 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 2058 N Mills Avenue, #425 CITY STATE ZIP CODE 909-541-0713 CITY STATE ZIP CODE Claremont CA 91711 OPTIONAL: FAX/ E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Joe Hough MAItING,A_ QiRE-5 580 W. 8th Street CITY STATE Claremont CA ZIP CODE 91711 AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY 909-913-2580 Simon Brown MAILING ADDRESS 1420 N Claremont Blvd, Ste 204C AREA CODE/PHONE CITY STATE ZIP CODE 909-541-0713 Claremont CA 91711 OPTIONAL: FAX/ E-MAIL ADDRESS simon@claremontcraftales.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best certify under penalty of perjury under the laws of the State of California that the foregoing is f`rl Executed on In/fir//ppaa�/ q, By Executed on % By Date Si nature Executed on Date Executed on Date By By e and correct. of Contrdllina Offic AREA CODEIPHONE 909-625-3236 AREA CODE/PHONE 909-541-0713 contained herein and in the attached schedules is true and complete. I Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent 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 Jennifer Stark OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) Claremont City Council RESIDENTIALIBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP 242 Eagle Grove Avenue 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE I.D. NUMBER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 8 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO, OR LETTER I 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 Farmed Candidate/Officeholder Gornmittee Listnames 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 Summary Page SEE INSTRUCTIONS ON REVERSE A . ER Jennifer Stark for Claremont City Council 2018 Contributions Received 1. Monetary Contributions................................................... Schedule A, Line 3 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS. ............................. Add Lines 1 +2 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 Amounts may be rounded to whole dollars. TOTAL AOTAL TH IS PERIOD (FROM ATTACHED SCHEDULES) $ 1749.00 0 $ 1749.00 0 1749 00 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 7. Loans Made.. ..................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 6 + 9 + 10 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 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 10/21/2018 from LN through 12/31/2018 Page 3 of 8 Column B CALENDAR YEAR TOTAL TO DATE $ 23149.69 0 $ 23149.69 0 $ 23149.69 10780.72 $ 23313.40 0 0 10780.72 $ 23313.40 0 0 0 0 10780.72 $ 23313.40 I. P. NUMBER 1400963 Calendar Year Summary for Candid . ates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 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) $ FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov $ 11183.12 To calculate Column B, 1,749.00 add amounts in Column 0 A to the corresponding *Amounts in this section may be different from amounts amounts from Column B reported in Column B. 10780.72 of your last report. Some amounts in Column A may $ 2151.40 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 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 -e Monetary Contributions Received to whole dollars. Statement covers period ®. 10/21/2018 • from • '" SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jennifer Stark for Claremont City Council 2018 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ® IND 10/20/18 Edmund Richardson El COM Director 1907 Radford Ave ❑ OTH LA County Transport. Claremont, CA 91711 ❑ PTY Authority ❑ ScC ®IND 10/21/18 Kate Stark Kat Kat S r El COM behavioral therapist th Street ❑ OTH Behavioral Support Claremont, CA 91711 ❑ PTY Partnership ❑ SCC IND 10/24/18 Christopher Townsend ❑ COM president 26022 Horseshoe Circle ❑ OTH Townsend.Public.Affairs Laguna Beach, CA 92653 ❑ PTY ❑ ScC Jim Taylor W1 IND El Com professor 10/28/18 788 S Grand Ave ❑ OTH Claremont McKenna Pasadena, CA 91105 ❑ PTY ❑ ScC Marlyn Day ® IND ❑ COM attorney 10/29!18 729 Bel Air Road ❑ Marlyn Day Los Angeles, CA 90077 ❑ 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.)......................TOTAL $ through 12/31 /2018 Page 4 of 8 LD. NUMBER 1400963 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 100.00 100.00 200.00 200.00 250.00 250.00 250.00 250.00 250.00 250.00 1050.00 'Contributor Codes IND — Individual 1450.00 COM — Recipient Committee (other than PTY or SCC) 299.00 OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 1749.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER Jennifer Stark for Claremont City Council 2018 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION ON AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Robert Day 11/2/18 865 S Figueroa St, Ste 1700 Los Angeles, CA 90017 Margaret Aichele 11/5/18 118 E Annapolis Dr Claremont, CA 91711 Dennis Nicholson 10/24/18 ' 2772 Via Sinaloa Claremont, CA 91711 *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 ® 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 CEO Oakmont Corporation Director dA Gallery physician Dennis Nicholson SCHEDULE A (CONT) Statement covers period ® . ® a from 10/21/2018 • •. through 12/31/2018 Page 5 of 8 I.D. NUMBER 1400963 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 250.00 100.00 50.00 250.00 100.00 SUBTOTAL $ 400.00 I ` 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 10/21/2018 SCHEDULE E Image Concepts 133 W. 12th Street Claremont, CA 91711 Claremont Courier 114 Olive St Claremont, CA 91711 Claremont Courier 114 Olive St Claremont, CA 91711 CMP PRT LIT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL $ 218.29 2320.00 961.41 3499.70 1. Itemized payments made this period. Include all Schedule E subtotals. 10389.86 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 390.86 0 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.) ........................... TOTAL $ 10780.72 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov through 12/31/2018 Page 6 of 8 SEE INSTRUCTIONS ON REVERSE NAME.CF.F.ILER LD..NUMBER Jennifer Stark for Claremont City Council 2018 1400963 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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 Image Concepts 133 W. 12th Street Claremont, CA 91711 Claremont Courier 114 Olive St Claremont, CA 91711 Claremont Courier 114 Olive St Claremont, CA 91711 CMP PRT LIT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL $ 218.29 2320.00 961.41 3499.70 1. Itemized payments made this period. Include all Schedule E subtotals. 10389.86 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 390.86 0 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.) ........................... TOTAL $ 10780.72 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 SEE INSTRUCTIONS ON REVERSE -NAMEAF FILER Jennifer Stark for Claremont City Council 2018 CODES: If one of the following codes accurately describes thepayment, you may enter the code CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)* OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads ...,. ... . ......, . ..., NAME AND .. .,.... . ADDRESS OF PAYEE CODE OR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Statement covers period from 10/21/2018 through 12/31/2018 SCHEDULE E (CONT.) Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID Printing Works 681 E. Foothill Blvd LIT 399.68 Pomona, CA 91767 Whalen Bindery 515 W Allen Ave, #3 LIT 4339.89 San Dimas, CA 91773 Parry City 338 S Mountain Ave CMP 203.44 Upland, CA 91786 Sorrel Stielstra 135 W 12th Street LIT 237.20 Claremont, CA 91711 Swapan Nag 1043 Alamosa Dr CNS 200.00 Claremont, CA 91711 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5380.21 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 10/21/2018 SCHEDULE E (CONT.) Aroma Restaurant 965 W Foothill Blvd, Suite B Upland, CA 91786 Stephani Sutherland 4077 Olive Hill Dr Claremont, CA 91711 FND * Payments that are contributions or independent expenditures must also be summarized on Schedule D. food for campaign victory party 1207.84 302.11 SUBTOTAL $ 1509.95 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 12/31/2018 8 8 SEE INSTRUCTIONS ON REVERSE through Pae of g NAME OF FILER '1:D. NUMBER Jennifer Stark for Claremont City Council 2018 1400963 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. 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) ..,... .,..... ... .... ... ., ,..... ME AND ADDRESS OF PAYEE .. . ,. .. CODE OR ... .... ... .. .,... DESCRIPTIONO _,,..... . .. .., ...... _ .. , . .. .. _.. ..., _,.. , ... OF PAYMENTNT AMOUNT PAID (INA COMMITTEE, ALSO ENTER I D. NUMBER) Aroma Restaurant 965 W Foothill Blvd, Suite B Upland, CA 91786 Stephani Sutherland 4077 Olive Hill Dr Claremont, CA 91711 FND * Payments that are contributions or independent expenditures must also be summarized on Schedule D. food for campaign victory party 1207.84 302.11 SUBTOTAL $ 1509.95 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov