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Home My Public Portal AboutForm 460 (October 20, 2019 - December 31, 2019)Recipient Committee Campaign Statement Cover Page Statement covers period from ' 10/20/2019 SEE INSTRUCTIONS ON REVERSEthrough 12/31/2019 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information IF NO ® Primarily Formed Ballot Measure Committee ® Controlled 0 Sponsored (Al- Complete Pad 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pad 1) I.D. NUMBER 1419897 Yes! For Claremont -- The Committee to Support Measure CR STREETADDRESS (NO P.O. BOX) 310 W. Radcliffe Drive CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 626-720-7798 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 2058 N Mills Ave #425 CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 626-720-7798 OPTIONAL: FAX / E-MAILADDRESS YesForClaremont@gmaii.com Date of election if applicable (Month, Day, Year) 11/05/2019 JAN 2 12020 R ' Cr C AS&iIr 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ISI Termination statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE Page 1 of 9 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER Simon Brown MAILING ADDRESS 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 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my nowled a the inform do 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 orrect. Executed on ' J / '1 / 0 By Date Signature of Treasurer 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 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listany 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. NAME I.D. NUMBER NAME OF TREASURERCONTROLLED COMMITTEE? I❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 9 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 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 Amounts may be rounded Summary Page to whole dollars. Statement covers period from 10/20/2019 SUMMARY PAGE Expenditures Made through 12/31/2019 Page 3 of 9 SEE INSTRUCTIONS ON REVERSE 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ NAME OF FILER 10289 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 I.D. NUMBER Yes! For Claremont -- The Committee to Support Measure CR 1029 2312 11. TOTAL EXPENDITURES MADE ........................................ 1419897 Contributions Received 12601 Column A TOTAL THIS PERIOD Column B CALENDAR YEAR Calendar Year Summary for Candidates be negative figures that (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and If this is a termination statement, Line 16 must be zero. previous period amounts. If General Elections 1220 10289 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ only carry over the amounts from Lines 2, 7, and 9 (if 0 0 t/t through 6/30 7/t to Date 2. Loans Received ................... ............................................. Schedule 8, Line 3 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above 1220 10289 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines I+2 $ $ Received $ $ 1029 2312 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3 + 4 $ 2249 $ 12601 Made $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 3011 $ 10289 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 3011 $ 10289 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 1029 2312 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 9 + 9 + 10 $ 4040 $ 12601 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Paye, Line 16 $ 1791 To calculate Column B, 13. Cash Receipts........................................................... Column A, Line 3 above 1220 add amounts in Column 0 A to the corresponding 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 amounts from Column B 15. Cash Payments......................................................... Column A, Line 8 above 3011 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 be negative figures that should be subtracted from If this is a termination statement, Line 16 must be zero. 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 Cash Equivalents and Outstanding Debts 0 any)' 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (If Subject to Voluntary Expendture Limit) Date of Election Total to Date (mm/dd/yy) -J� $ $ 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 zo wnoee sonars. Statement covers period 10/20/2019 from I • • through 12/31/2019 Page 4 of 9 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) IZI IND 10/23/2019 Margaret Mathies ❑ COM retired $100 $200 612 W. 10th Street ❑ OTH Claremont, CA 91711 ❑ PTY ❑ SCC ®IND 10/25/2019 Core Cala y yca y ❑ COM Manager of Ticket Sales $200 $450 1555 W Baseline Rd ❑ OTH Fairplex Claremont, CA 91711 ❑ PTY ❑ SCC ® IND 10/23!2019 Jennifer Stark ❑ COM Yoga Instructor $200 $582 242 Eagle Grove Ave El OTH Claremont Yoga Claremont, CA 91711 ❑ PTY ❑ SCC IZI IND 10/23/2019 Larry Schroeder 619 N Indian Hill Blvd El Com ❑ OTH retired $200 $450 Claremont, CA 91711 ❑ PTY ❑ SCC Wilfred Leano 91 IND ❑COM Attorney 11/1/2019 1570 N Towne Ave [3 OTH Law Offices of Jed $200 $450 Claremont, CA 91711 ❑ PTY Leano ❑ SCC SUBTOTAL$ 900 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 $ 1000 220 1220 *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 10/20/2019 ' through 12/31/2019 page 5of 9 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 COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND James Van Cleve ❑COM Professor 458 Stanford Dr El OTH Univ. of Southern $100 $100 Claremont, CA 91711 ❑ PTY California ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 100 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 SCHFnI II F C Nonmonetary Contributions Received &W w11V1C UWalz.. Statement covers period e _ ' .1 from 10/20/2019 FORM through 12/31/2019 page 6 Of 9 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 CONTRIBUTOR [FAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTERVALUE GOODS OR SERVICES FAIR MARKET CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 1 -DEC 31) (IF REQUIRED) JZ IND Robert Fass El COM educator food for 10/22/19 1894 Lassen Ave f-1 OTH The Webb Schools campaign event $100 $100 Claremont, CA 91711 ❑ PT. Cl SCC W IND 10/24/19 Edgar Reece ❑ COM CEO booth fees and $458 $458 678 S Indian Hill Blvd, Ste 300 [1 OTH ISN Global supplies for Claremont, CA 91711 ❑ PT. Enterprises community ❑ SCC festival IND 10/31/19 Richard Chute PCOM fundraiser Facebook $268 $362 467 Georgia Court ❑ OTH The Planetary Society advertising Claremont, CA 91711 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 826 o, 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.).....................TOTAL $ 826 203 1029 '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 Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE Yes! For Claremont -- The Committee to Support Measure CR Statement covers period from 10/20/2019 through 12/31/2019 I Page 7 of 9 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1419897 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 surrey 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) 14 NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Claremont Courier 114 Olive Street PRT $2,336 Claremont, CA 91711 Jennifer Stark See Schedule G for subvendors 242 Eagle Grove Ave CMP $223 Claremont, CA 91711 Diann Ring See Schedule G for subvendors 816 Peninsula Ave LIT $220 Claremont, CA 91711 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,779 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ........................................... ....... $ 2'779 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.) ........................... TOTAL $ 232 0 3,011 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. from n[ covers per 10/20/2019 SCHEDULE G NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 12/31/2019 8 9 $223 through Pae of g SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Yes! For Claremont — The Committee to Support Measure CR 1419897 NAME OF AGENT OR INDEPENDENT CONTRACTOR Jennifer Stark 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) * 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 It's a Gas, Inc. 4721 Arrow Hwy, Ste C Montclair, CA 91763 CMP $223 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ $223 * 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 G SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period 05,11M Contractor (on Behalf of This Committee) to whole dollars. from 10/20/2019 through 12/01/2019 Pae 9 of 9 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D. NUMBER Yes! For Claremont -- The Committee to Support Measure CR 1419897 NAME OF AGENT OR INDEPENDENT CONTRACTOR Diann Ring CODES: If one of the following codes accurately describes the payment, CMP campaign paraphernalia/misc. MBR CNS campaign consultants MTG CTB contribution (explain nonmonetary)* OFC CVC civic donations PET FIL candidate filing/ballot fees PHO FND fundraising events POL IND independent expenditure supporting/opposing others (explain)* POS LEG legal defense PRO LIT campaign literature and mailings PRT you may enter the code. Otherwise, member communications RAD meetings and appearances RFD office expenses SAL petition circulating TEL phone banks TRC polling and survey research TRS postage, delivery and messenger services TSF professional services (legal, accounting) VOT print ads WEB * Payments that are contributions or independent expenditures must also be summarized on Schedule D. describe the payment. radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Printing Works, Inc. 679 E Foothill Blvd Pomona, CA 91767 LIT $220 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ $220 * 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