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Home My Public Portal AboutForm 460 (July 1 - December 31, 2019)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2019 through 12/31/2019 1. Type of Recipient Committee: Ail Committees —Complete Parts 1, 2, 3, and 4. W1 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part 5) O Sponsored STATE (Also Complete Part 6) ❑ General Purpose Committee Claremont O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also CompletePwt7) 3. Committee Information I.D. NUMBER CITY STATE 1400963 (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 AREA CODE/PHONE Claremont CA 91711 909-913-2580 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 2058 N Mills Avenue, #425 CITY STATE ZIP CODE AREACODE/PHONE Claremont CA 91711 909-541-0713 OPTIONAL: FAX/ E-MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best certify under penalty of perjury u(nder tte he flaws of the State of California that the foregoing is to Executed on h ��JD w_o _ By Executed on I .-02—o.By Da)6 !Signature Executed on By Date ,, _COVER ° ,:1CALIFORNIA A an Date of election if applicable: JAN 2 12020 Page 1 of 4 (Month, Day, Year) CITY CLE RK ERK For Official Use Only CIT' OF CLAREMO IT - 11 /06/2018 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 Joe Hough MAILING ADDRESS 580 W. 8th Street CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 909-625-3236 NAME OF ASSISTANT TREASURER, IF ANY Simon Brown MAILING ADDRESS 1420 N Claremont Blvd, Ste 204C CITY STATE ZIP CODE AREA CODEIPHONE Claremont CA 91711 909-541-0713 OPTIONAL: FAX/ E-MAILADDRESS simon@claremontcraftales.com crWwledge the i�formatl n contained herein and in the attached schedules is true and complete. I corret - or or 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 Jennifer Stark OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Claremont City Council RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) 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. I.D. NUMBER NAME OF TREASURER ❑ 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 ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 4 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION [--]SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnamesof 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 to whole dollars. Summary Page from Statement covers period 07/01/2019 SUMMARY PAGE Expenditures Made 6. Payments Made................................................................ through 12/31/2019 page 3 of 4 SEE INSTRUCTIONS ON REVERSE schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 1966 NAME OF FILER schedule F Line 3 0 ' 10. Nonmonetary Adjustment......................................................... I.D. NUMBER Jennifer Stark for Claremont City Council 2018 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ 1966 1400963 Contributions Received Column i oo TOTAL ColuDmn B Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 0 250 1. Monetary Contributions................................................... schedule A, Line 3 $ $ 0 0 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ schedule B, Line 3 0 250 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 0 0 4. Nonmonetary Contributions ............................................ schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED...................................Add Lines 3+4 $ 0 $ 250 Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 1966 7. Loans Made....................................................................... schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 1966 9.' Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 0 ' 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ 1966 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Paye, Line 16 $ 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line 8above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement Line 16 must be zero. ME, 0 0 1966 0 17. LOAN GUARANTEES RECEIVED ................................ schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ see instructions on reverse $ 0 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 $ 2401 0 $ 2401 0 0 $ 2401 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 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 E Payments Made SEE INSTRUCTIONS ON REVERSE Jennifer Stark for Claremont City Council 2018 Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 4 • 0 from 07/01/2019 " through 12/31/2019 Page 4 of 4 I.D. NUMBER 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Jennifer Stark for Claremont City Council 2022 (not yet qualified) 242 Eagle Grove Ave Claremont, CA 91711 TSF $1928 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1928 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 1928 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 38 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 $ 1966 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov