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Home My Public Portal AboutForm 460 (June 1- September 21, 2019)Recipient Committee Date Stamp COVER PAGE Campaign Statement ii`,� ' ` �' • 1 Cover Page E 1 V from Statement covers periodI Date of election if applicable 07/01/2019 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE I through 09/21/2019 1. Type of Recipient Committee: All Committees — Complete Parts 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 s) 0 Sponsored ❑ General Purpose Committee (Also Complete Pmt 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee InformationI I.D. NUMBER 1419897 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO Yes! For Claremont -- The Committee to Support Measure CR STREETADDRESS (NO P.O. BOX) 2058 N Mills Ave #425 CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 626-720-7798 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS YesForClaremont@gmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my certify under penalty of perjury under the laws of the State of California that the foregoing is true and By SEP 2 3 2019 Page 1 of 13 For Official Use Only CITY CLERK 11/05/2019 r_i Y OF CLAREMON 2. Type of Statement: W 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 Simon Brown MAILINGADDRESS 2058 N Mills Ave, #333 CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 909-625-5350 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS or herein and in the attached schedules is true and complete. 1 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 09/23/2019 Executed on Date Executed on Date Executed on Date Executed on Date By SEP 2 3 2019 Page 1 of 13 For Official Use Only CITY CLERK 11/05/2019 r_i Y OF CLAREMON 2. Type of Statement: W 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 Simon Brown MAILINGADDRESS 2058 N Mills Ave, #333 CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 909-625-5350 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS or herein and in the attached schedules is true and complete. 1 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 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS 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 TREASURERCONTROLLED COMMITTEE? I❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO UUMMI I IEE 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 Measure CR BALLOT NO. OR LETTER JURISDICTION SUPPORT CR 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 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 4659 $ to whole dollars. 7. Loans Made....................................................................... Statement covers period , 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 4659 $ 4659 07/01/2019 • - � • ' 0 0 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 from 1237 11. TOTAL EXPENDITURES MADE .................. --.................. Add Lines 8 + s + 10 $ 5896 $ 5896 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0 through 09/21/2019 Page 3 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Yes! For Claremont -- The Committee to Support Measure CR 1419897 Contributions Received Column A TOTAL THIS Column B Calendar Year Summary for Candidates PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions.... ............................................... schedule A, Line 3 $ 5975 $ 5975 0 0 111 through 6/30 711 to Date 2. Loans Received................................................................ schedule e, Line 3 5975 5975 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ $ Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 1237 1237 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ 7212 $ 7212 Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 4659 $ 4659 7. Loans Made....................................................................... schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 4659 $ 4659 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 0 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 1237 1237 11. TOTAL EXPENDITURES MADE .................. --.................. Add Lines 8 + s + 10 $ 5896 $ 5896 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 13. Cash Receipts........................................................... Column A, Line 3 above $ 0 5975 To calculate Column B, add amounts in Column 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 A to the corresponding amounts from Column B 15. Cash Payments......................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 4659 1316 of your last report. Some amounts in Column A may be negative figures that If this is a termination statement, Line 16 must be zero. should be subtracted from previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ 0 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 Amounts may be rounded SCHEDULE A Monetary Contributions Received to wnoie sonars. Statement covers period s' 07/01/2019 from , - • t through 09/21/2019 Page 4 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Yes! For Claremont -- The Committee to Support Measure CR 1419897 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) it IND 7/19/19 Bridget Healy El COM retired $100 $100 640 Marshall Ct ❑ OTH Claremont, CA 91711 ❑ PTY ❑ SCC m IND 7/22/19 Diann Rin g ❑ COM retired $200 $200 816 Peninsula Ave ❑ OTH Claremont, CA 91711 ❑ PTY ❑ SCC ® IND 7/22/19 Lissa Petersen ❑ COM Professor $100 $100 487 W 6th Street El OTH Pitzer College Claremont, CA 91711 ❑ PTY ❑ SCC Mauryce Feingold IND El COM retired 7/23/19 2479 San Fernando Ct ❑ OTH $100 $100 Claremont, CA 91711 ❑ PTY ❑ SCC Wilfred Leano ® IND ❑ COM Attorney 7/26/19 1570 N Towne Ave El OTH Law Offices of Jed $250 $250 Claremont, CA 91711 ❑ PTY Leano ❑ SCC SUBTOTAL $ 750 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 $ 4550 1425 5975 *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 07/01/2019 • Page 5 of 13 through 09/21/2019 NAME OF FILER I.D. NUMBER Yes! For Claremont -- The Committee to Support Measure CR 1419897 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ENTER 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 I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Chris Naticchia El COM Professor 8/22/19 143 Chestnut Hill Place El OTH Cal State San Bernardino $100 $100 Claremont, CA 91711 ❑ PTY ❑ ScC Jennifer Stark ® IND El COM Yoga Instructor 8/25/19 242 Eagle Grove Ave ❑ OTH Claremont Yoga $250 $382 Claremont, CA 91711 ❑ PTY ❑ SCC Larry Schroeder ® IND ❑ COM retired 8/26/19 619 N Indian Hill Blvd ❑ OTH $250 $250 Claremont, CA 91711 ❑ PTY ❑ SCC Lee KaneIND ❑ coM Consultant 9/5/19 1133 Briarcroft Rd El OTH Lee Kane(self)$100 $100 Claremont, CA 91711 ❑ PTY ❑ SCC Elizabeth Coffman LZ IND El COM retired 9/7/19 760 W 9th St ❑ OTH $100 $100 Claremont, CA 91711 ❑ PTY ❑ SCC SUBTOTAL $ 800 `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 07/01/2019 • ' through 09/21/2019 Page 6 of NAME OF FILER I.D. NUMBER Yes! For Claremont -- The Committee to Support Measure CR 11419897 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Robert Bowcock El COM Consultant 9/8/19 1021 Belleville Ct El OTH Integrated Resource $250 $1061 Claremont, CA 91711 ❑ PTY Management ❑ SCC Tamara Zipser ® IND El COM retired 9/8/19 1207 Berkeley Ave ❑ OTH $250 $250 Claremont, CA 91711 ❑ PTY ❑ SCC Richard Haskell ® IND El COM retired 9/8/19 421 Baughman Ave ❑ OTH $100 $100 Claremont, CA 91711 ❑ PTY ❑ SCC John Faranda IND ❑coM Administrator 9/9/19 410 W 11th St El OTH Claremont McKenna $150 $150 Claremont, CA 91711 ❑ PTY College ❑ SCC Brian Desatnik m IND El Com Development Director 9/10/19 443 W 10th Street 171 OTH City Ci of Redlands $100 $100 Claremont, CA 91711 ❑PTY ❑ SCC SUBTOTAL $ 850 `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 07/01/2019 A .i •' through 09/21/2019 Page 7 of 13 NAME OF FILER I.D. NUMBER Yes! For Claremont -- The Committee to Support Measure CR 1419897 DATE RECEIVED 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 (IF COMMITTEE, ALSO ENTER 1. D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND Paul Held®❑ COM Attorney 9110/19 429 Willamette Ln ❑ OTH Paul Held (self) $250 $250 Claremont, CA 91711 ❑ PTY ❑ SCC Robin Gottuso ® IND El COM Realtor 9/11/19 1400 Niagara Ave El OTH Century 21 ry $150 $150 Claremont, CA 91711 F-1 PTY ❑ SCC Frank Hungerford ® IND El COM retired 9/12/19 890 E Harrison Ave, T-14 ❑ OTH $100 $100 Pomona, CA 91767 ❑ PTY ❑ SCC 12 IND Michele Moehring El COM retired 9/12/19 868 New Orleans Ct ❑ OTH $200 $200 Claremont, CA 91711 ❑ PTY ❑ SCC Susan Kullmann ® IND ❑COM Web Developer 9/13/19 621 Mayflower Rd, #206 El OTH Susan Kullmann self ( ) $100 $100 Claremont, CA 91711 ❑ PTY ❑ SCc SUBTOTAL$ 800 `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 CALIFORNIA from 07/01/2019 A • FORM through 09/21/2019 Page 8 of 13 NAME OF FILER I.D. NUMBER Yes! For Claremont -- The Committee to Support Measure CR 1419897 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I. D. NUMBER)CODE CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ® IND Barbara Rugeley El COM retired 9/13/19 1436 Mural Dr ❑ OTH $200 $200 Claremont, CA 91711 ❑ PTY ❑ SCC Larry Hoffman ® IND El COM Financial Advisor 9/14/19 2605 N Mountain Ave ❑ OTH Morgan Stanle g Y $100 $100 Claremont, CA 91711 ❑PTY ❑ SCC Susan Schenk ® IND El COM retired 9/15/19 845 N Indian Hill Blvd ❑ OTH $250 $250 Claremont, CA 91711 ❑ PTY ❑ SCC Lynne Marsenich Q IND ❑coM retired 9/18/19 900 E Harrison Ave, C-33 ❑ OTH $100 $100 Pomona, CA 91767 ❑ PTY ❑ ScC Drew Ready ® IND El COM Program Manager 9/20/19 310 W Radcliffe Dr ❑ OTH Council for Watershed $250 $250 Claremont, CA 91711 E] PTY Health ❑ SCC SUBTOTAL$ 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 A (CONT.) Monetary Contributions Received to whole dollars. Statement covers__ per'od_ r' A from 07/01/2019 FORM • through 09/21/2019 page 9 of 13 NAME OF FILER I.D. NUMBER Yes! For Claremont -- The Committee to Support Measure CR 1419897 DATE RECEIVED 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND ®❑ Devon Hartman COM Energy Consultant 9/21/19 4225 Piedmont Mesa Road$200 ❑ OTH CHERP, Inc. $200 Claremont, CA 91711 ❑ PTY ❑ SCC John Neiuber ® IND COME] CEO 9/21/19641 N Indian Hill Blvd OTH Trinity Youth Services Y 250 250 Claremont, CA 91711 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 450 *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 C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received Statement covers period $ 144 TOTAL $ from 07/01/2019 • ' SEE INSTRUCTIONS ON REVERSE through 09/21/2019 page 10 of 13 NAME OF FILER I.D. NUMBER Yes! For Claremont -- The Committee to Support Measure CR 1419897 DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 -DEC 31) JZ IND 7/3/19 Jennifer Stark El COM Yoga Instructor promotional $132 $382 242 Eagle Grove Ave El OTH Claremont Yoga flyers Claremont, CA 91711 ❑ PTY ❑ SCC JX IND 9/8/19 Laura Roach ❑ COM Consultant food and drink for 310 W. Radcliffe Drive El OTH Laura Roach (self) kick off event $150 $222 Claremont, CA 91711 ❑ PTY ❑ SCC [Z IND 9/11/19 Robert Bowcock El COM Consultant food and drink for 1021 BellevilleCt Integrated Resource campaign $811 $1061 Claremont, CA 91711 0 PT, Ma agement fund ai er event ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 1093 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.) ..................... $ 1093 $ 144 TOTAL $ 1237 "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 E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Yes! For Claremont -- The Committee to Support Measure CR SCHEDULE E Statement covers period from 07/01/2019 through 09/21/2019 I Page 11 of 13 1419897 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Printing Works 679 E Foothill Blvd LIT $772 Pomona, CA 91767 Printing Works 679 E Foothill Blvd LIT $595 Pomona, CA 91767 PsPrint.com 2861 Mandela Parkway LIT $179 Oakland, CA 94608 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1546 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 4349 2. Unitemized payments made this period of under $100 ................................................... 310 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 $ 4659 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SCHEDULE E (CONT) (Continuation Sheet) Amounts may be rounded to whole dollars.CALIFORNIA Statement covers period , ! Payments Made $879 from 07/01/2019 • - SEE INSTRUCTIONS ON REVERSE 09/21 /2019 through Page 12 Of 13 NAME OF FILER 1937 N Campus Ave I.D. NUMBER Yes! For Claremont -- The Committee to Support Measure CR $154 Upland, CA 91784 1419897 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Signs.com 1550 South Gladiola Street CMP $879 Salt Lake City, UT 84104 Office Depot 1937 N Campus Ave OFC $154 Upland, CA 91784 Political Data Inc. P.O. BOX 59570 POL $743 Norwalk, CA 90652 Printing Works 679 E Foothill Blvd LIT $348 Pomona, CA 91767 Laura Roach See Schedule G for subvendors 310 W. Radcliffe Drive CMP $679 Claremont, CA 91711 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2803 FPPC Form 460 (Jan/2016) FPPC Advice: adviceCMfppc.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 07/01/2019 1 NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT through 09/21/2019 Pae 13 of 13 g SEE INSTRUCTIONS ON REVERSE $679 NAME OF FILER LD. NUMBER Yes! For Claremont -- The Committee to Support Measure CR 1419897 NAME OF AGENT OR INDEPENDENT CONTRACTOR Laura Roach 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 tv. 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 Image Concepts 133 W. 12th Street Claremont, CA 91711 CMP $679 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ $679 * 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