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Home My Public Portal AboutForm 460 (Oct. - Dec. 31, 2019)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from October 1, 2019 through December 31, 2019 1. Type of Recipient Committee: All Committees - Complete Parts t, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election CommitteeCommittee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Pad 7) 3. Committee Information I I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Corey Calaycay for Claremont City Council 2020 STREET ADDRESS (NO P.O. BOX) 1555 W Baseline Road CITY STATE ZIP CODE AREACODE/PHONE Claremont CA 91711 (909) 593-5913 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 2058 N Mills Ave #722 CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the certify under penalty of perjury under the laws of the State of California that the foregoing Executed on 07/22/2020 Date By Executed on 07/22/2020 Date Executed on Date Executed on Date By By COVER PAGE Date Stamp CALIFORNIA [I[Ec FORM 46 Date of election if applicable: Page 1 of 12 �� 2U2U (Month, Day, Year) For Official Use Only November 3, 2020 �yCOTY�apC/Q�.rElrRrK � 00T U OF b. olS.I�UII�SED@01GT 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 Susan Pearson MAILING ADDRESS 2058 N Mills Ave #722 CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 (909) 921-4357 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS the information contained herein and in the attached schedules is true and complete. I or or 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 Corey Calaway OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1555 W Baseline Road 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 I.D. NUMBER NAME OF TREASURER 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 12 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 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 Summary Page 6. Payments Made................................................................ to whole dollars. $ Statement covers period CALIFORNIA 7. Loans Made....................................................................... Schedule H, Line 3 0 from October 1, 2019 .• • Add Lines 6+7 $ 0 $ 0 9. Accrued Expenses (Unpaid Bills) .......................................... December 31, 2019 Page 3 of 12 Pa SEE INSTRUCTIONS ON REVERSE 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 through 0 NAME OF FILER 11. TOTAL EXPENDITURES MADE....................................Add Lines s+9+1p $ I.D. NUMBER Corey Calaycay for Claremont City Council 2020 Current Cash Statement 1425517 Contributions Received 12. Beginning Cash Balance ............................ Column A TOTAL THIS PERIOD Column B Calendar Year Summary for Candidates To calculate Column B, 13. Cash R@C81ptS........................................................... (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and add amounts in Column General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 1,398.00 $ 1,398.00 amounts from Column B 15. Cash Payments......................................................... 0 0 111 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 139800 $ $ 1,398.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ................................ Add Lines 3 + 4 $ 1,398.00 $ 1,398.00 Made $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 0 $ 0 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 0 $ 0 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE....................................Add Lines s+9+1p $ 0 $ 0 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 0 To calculate Column B, 13. Cash R@C81ptS........................................................... Column A, Line 3 above 1,398.00 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 s above 0 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 1 39800 . 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 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 whole sonars. Statement covers period I CALIFORNIA . , ' from October 1, 2019 • ' through December 31, 2019 Page 4 of 12 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1425517 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR '` OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 12/12/2019 Ned Freed Z IND Senior Principal Engineer, 250.00 250.00 ❑ COM 545 Baughman Ave ❑ OTH Oracle Claremont, CA 91711 ❑ PTY ❑ SCC 12/19/2019 Robert Gomez Z IND Sales Manager 250.00 250.00 ❑ COM 608 Adirondack Lane ❑ OTH Claremont, CA 91711 ❑ PTY ❑ SCC 12/23/2019 Bruce Mayclin ® IND Retired 250.00 250.00 El COM 659 Sage Street ❑ OTH Claremont, CA 91711 ❑ PTY ❑ SCC 12/13/2019 John Neiuber ® IND Retired 250.00 250.00 ❑ COM 641 N Indian Hill Blvd ❑ OTH Claremont, CA 91711 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1,000.00;P. It Schedule A Summary Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 1,000.00 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 398.00 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summa Page, Column A, Line 1. TOTAL $ 1,398.00 '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 Amounts maw he rounded SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period -I-- Loans Received October 1, 2019 CALIFORNIA FORM from page 5 of 12 through December 31, 2019 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1425517 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING AMOUNT c AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THISE PERIOD THIS PERIOD. OF CLOPERIOD HIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD ❑ PAID CALENDAR YEAR N/A RATE ❑ FORGIVEN PER ELECTION" DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION" t$ ❑ IND El COM ❑ OTH El PTY El SCC $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE $ $ $ $ DATE DUE DATE INCURRED t$ ❑ IND El COM ❑ OTH [:1 PTY ❑SCC SUBTOTALS $ $ $ $ ` Schedule B Summary 0 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) 0 2. Loans paid or forgiven this period.........................................................................................................$ _ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 0 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ _ Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. (Enter (e) on Schedule E, Line 3) tContributor 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 Ci Amounts may be rounded ,,,ti i A a .n SCHEDULE C Nonmonetary Contributions Received Statement covers period • . October 1, 2019 • " from page 6 12 December 31, 2019 SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1425517 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * CODE (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 - DEC 31) None ❑ IND ❑ 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 $ 0r f Schedule C Summary 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.) ............................. $ ..............................$ 0 ...........TOTAL $ '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 D SCHEDULE D aummary OT CX enuitureb Amounts may De rounaea Statement covers period to whole dollars. Supporting/Opposing Other � • October 1, 2019 . - Candidates, Measures and Committees from December 31, 2019 7 12 SEE INSTRUCTIONS ON REVERSE through pa e of g NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1425517 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT CALENDAR YEAR TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) ❑ Monetary None Contribution ❑ Nonmonetary Contribution ❑ Independent Support Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Su ort ok2osel Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure Y x SUBTOTAL $ 0 rt n � s 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 Amounts may be rounded Payments Made to whole dollars. Statement covers period from October 1, 2019 SCHEDULEE SEE INSTRUCTIONS ON REVERSE through December 31, 2019 Page 8 of 12 NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1425517 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 FIND 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 N/A * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................ 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.). .................................. $ o 0 .................................. $ — ............ $ 0 ......... TOTAL $ 0 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. Statement covers period from October 1, 2019 SCHEDULE through December 31, 2019 9 12 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1425517 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 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) " Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ .........,..�..a ,... c,.�.,.a, i,, n Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 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 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................................. PAID TOTALS $ 0 0 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 (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED 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 N/A " Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ .........,..�..a ,... c,.�.,.a, i,, n Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 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 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................................. PAID TOTALS $ 0 0 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 yCALIFORNIA Statement covers period ' 1 Contractor (on Behalf of This Committee) to whole dollars. from October 1, 2019 • FORM 10 12 through December 31, 2019 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1425517 NAME OF AGENT OR INDEPENDENT CONTRACTOR N/A 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) N/A 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 independent contractor as reported on Schedule E. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Statement covers period - to whole dollars. Loans Made to Others* October 1, 2019 CALIFORNIA ' • - from through December 31, 2019 page 11 12 SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1425517 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING AMOUNT c REPAYMENT OR OUTSTANDING e ORIGINAL g CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT OF THIS INTEREST RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PERIOD THIS PERIOD* PERCLOSE inn LOAN TO DATE NIA ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION* 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 y reported on Schedule E. SUBTOTALS $ $ $ $ J f (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period............................................................................................... (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans....................................................................................... (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................................................ (Enter the net here and on the Summary Page, Column A, Line 7.) ...................................................$ **If Required .......................................... NET $ 0 (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 Am—nf¢ mw hn -- 4-4 SCHFn(JI F I Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from October 1, 2019 through December 31, 2019 CALIFORNIA .1 FORM Pae 12 of 12 g NAME OF FILER Corey Calaycay for Claremont City Council 2020 I.D. NUMBER 1425517 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH None Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 Schedule I Summary 1. Itemized increases to cash this period............................................................................................................................$ 0 2. Unitemized increases to cash of under $100 this period.................................................................................................$ 0_ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).)$ 0 ....................................... 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 0 SummaryPage, Line 14.)............................................................................................................................. TOTAL $ — FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov