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Home My Public Portal AboutForm 460 (Aug 3 - Sept 19, 2020)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from AUGUST 3, 2020 through SEPTEMBER 19, 2020 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 0 Controlled (Also complete Part s) 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 Part 7) 3. Committee Information I.D. NUMBER 1429606 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 STREET ADDRESS (NO P.O. BOX) 1142 N CAMBRIDGE AV CITY STATE ZIP CODE AREA CODE/PHONE CLAREMONT CA 91711 617-901-8787 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 4. vern'lcaLlon Date of election if applicable: (Month, Day, Year) NOVEMBER 3, 2020 2. Type of Statement: COVER PAGE SEP 2 3 2020 Page 1of 17 ITY A t I For Official Use Only CITY OF CLAREM 3NT W1 Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER LINDA A MOORE MAILING ADDRESS ❑ Quarterly Statement ❑ Special Odd -Year Report CITY STATE ZIP CODE AREACODE/PHONE CLAREMONT CA 91711 909-210-3704 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. certify under penalty of perjury under the laws of the State of California 3,that the foregoing i ue and correct. Zo Z� A m Executed on � � gy ate % S' ur of Treasurer or Assistant Treasurer Executed on clr ! v — Date By Si a of nnnrmmn,, irchn� �..a�a.,r.. c...... Executed on Date Executed on Date By 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 ZACH COURSER OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CLAREMONT CITY COUNCIL RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1142 N CAMBRIDGE AV 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 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 COVER PAGE - PART 2 Page 2 of 17 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTERI JURISDICTION [:1 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 ZACH COURSER CLAREMONT CITY CO ❑ 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 Statement covers period from AUGUST 3, 2020 SUMMARY PAGE Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 13. Cash Receipts........................................................... Column A, Line 3 above 10504 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... Colum nA, Line 8 above 5480 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 5024 If this is a termination statement, Line 16 must be zero. 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 $ To calculate Column B, add amounts in Column Ato 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). 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 SEPTEMBER 19, 2020 Page 3 of 17 . SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 1429606 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 10504 $ 10504 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule B, Line 3 10504 10504 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 10504 10504 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ Schedule E, Line 4 $ 5480 $ 5480 Candidates 7. Loans Made....................................................................... Schedule H, Line 3 5480 5480 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6 + 7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 Date of Election Total to Date (mm/dd/yy) 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ..........................'........ Add Lines 8 + 9 + 10 $ 5480 $ 5480 J $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 13. Cash Receipts........................................................... Column A, Line 3 above 10504 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... Colum nA, Line 8 above 5480 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 5024 If this is a termination statement, Line 16 must be zero. 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 $ To calculate Column B, add amounts in Column Ato 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). 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 L. 1 d II Monetary Contributions Received tow o e o ars. Statement Covers period from AUGUST 3, 2020 CALIFORNIA FORM ' SEE INSTRUCTIONS ON REVERSE through SEPTEMBER 19, 2020 Page 4 of 17 NAME OF FILER I.D. NUMBER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 1429606 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 8/6/2020 ZACH COURSER Z IND PROFESSOR 250 250 250 1142 N CAMBRIDGE AV ❑ COM ❑ OTH CLAREMONT MCKENNA CLAREMONT CA 91711 ❑ PTY COLLEGE ❑ SCC 8/6/2020 JEROME MANIN ® IND TEACHER 250 250 250 1142 N CAMBRIDGE AV ❑ COM [:] OTH GLENDALE USD CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/6/2020 PAUL HELD ®IND ATTORNEY 250 250 250 El COM 429 WILLAMETTE LN ❑ OTH STAFFORD SHEA & HELD CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/6/2020 KAY HELD ® IND RETIRED 250 250 250 429 WILLAMETTE LN ❑ COM ❑ OTH CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/6/2020 RICHARD C HASKELL ®IND RETIRED 250 250 250 421 BAUGHMAN AV ❑ COM ❑ OTH CLAREMONT CA 91711 ❑ PTY ❑ scC SUBTOTAL $ 1250 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.) ............. 8800 $ 1704 `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 TOTAL $ 10504 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 period from AUGUST 3, 2020 • - page 5 of 17 through SEPTEMBER 19, 2020 NAME OF FILER I.D. NUMBER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 1429606 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR [FAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 8/6/2020 NANCY HAMLETT IND RETIRED 250 250 250 421 BAUGHMAN AV ❑ COM ❑ OTH CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/6/2020 JOHN P FARANDA ® IND AMBASSADOR AT 250 250 250 410 W 11TH ST ❑ COM El OTH LARGE - CLAREMONT CLAREMONT CA 91711 ❑ PTY MCKENNA COLLEGE ❑ SCC 8/6/2020 KAREN M ROSENTHAL ® IND RETIRED 250 250 250 1100 OXFORD AV ❑ CoM ❑ OTH CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/6/2020 MICHAEL J ROSENTHAL m IND RETIRED 250 250 250 1100 OXFORD AV ❑ COM El OTH CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/6/2020 JOHN WATKINS D IND CEO 250 250 250 645 W 9TH ST ❑ CoM ❑ OTH fsc LIGHTING CLAREMONT CA 91711 ❑ PTY SCC SUBTOTAL $ 1250 *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 Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER IF AN INDIVIDUAL, ENTER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF RECEIVED CONTRIBUTOR RECEIVED THIS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 8/6/2020 MARA WATKINS (IF SELF-EMPLOYED, ENTER NAME) 645 W 9TH ST (JAN. 1 - DEC. 31) CLAREMONT CA 91711 8/7/2020 GRACE LEE 250 566 W 11TH ST 250 CLAREMONT CA 91711 8/7/2020 JOHN Q LEE ❑ PTY 566 W 11TH ST CLAREMONT CA 91711 ❑ SCC 8/8/2020 LINDA A MOORE 413 WILLAMETTE LN ® IND ❑ COM CLAREMONT CA 91711 8/8/2020 JOHN A MOORE JR 250 413 WILLAMETTE LN CENTURY 21 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 Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period CALIFORNIA from AUGUST 3, 2020 FORM • through SEPTEMBER 19, 2020 page 6 of 17 I.D. NUMBER 1429606 CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ® IND ❑ COM HOMEMAKER 250 250 250 ❑ OTH ❑ PTY ❑ SCC ® IND ❑ COM REAL ESTATE AGENT 250 250 250 ❑ OTH CENTURY 21 ❑ PTY ❑ SCC ® IND ElCOM PRESIDENT 250 250 250 ❑ OTH Q JOHN PUBLIC LLC ❑ PTY ❑ SCC IND ❑ COM RETIRED 250 250 250 ❑ OTH ❑ PTY ❑ SCC LXJ IND RETIRED 250 250 ❑ COM ❑ OTH ❑ PTY SUBTOTAL $ 1250 250 Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period 'dALIFORNIA 460 from AUGUST 3, 2020 FORM through SEPTEMBER 19, 2020 Page 7 of 17 NAME OF FILER I.D. NUMBER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 1429606 . 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) 8/8/2020 LAWRENCE D HOFFMANN Z IND FINANCIAL ADVISOR 250 250 250 ❑ CoM- 2605 N MOUNTAIN AV ❑ OTH MORGAN STANLEY CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/8/2020 JANICE E HOFFMANN ® IND RETIRED 250 250 250 ❑ COM 2605 N MOUNTAIN AV ❑ OTH CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/17/2020 J BRADLEY STEIN Z IND CONSULTANT 150 150 150 1316 CARLOS AV ❑ COM ❑ OTH J BRADLEY STEIN BURLINGAME CA 94010 [:1 PTY ❑ SCC 8/17/2020 ANDREW DOMINGUEZ D IND CONSULTANT 100 100 100 1158 N CAMBRIDGE AV ❑ COM ❑ OTH ANDREW DONINGUEZ CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/18/2020 EVAN RUTTER W] IND ALUMNI RELATIONS 100. 100 100 ❑ COM 670 BLANCHARD PL ❑ OTH CLAREMONT MCKENNA CLAREMONT CA 91711 ❑ PTY COLLEGE El 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 A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIF• . from AUGUST 3, 2020 FORM Page 8 of 17 through SEPTEMBER 19, 2020 NAME OF FILER I.D. NUMBER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 1429606 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE . CONTRIBUTOR RECEIVED CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 8/10/2020 D JEFFREY COURSER Z IND ATTORNEY 250 250 250 ❑ COM 1413 NE 92ND AV. ❑ OTH STOEL RIVES LLP VANCOUVER WA 98664 ❑ PTY ❑ SCC 8/10/2020 AUDREYJ COURSER Z IND HOMEMAKER 250 250 250 1413 NE 92ND ST ❑ Com ❑ OTH VANCOUVER WA 98664 ❑ PTY ❑ ScC 8/10/2020 KIMBERLY J MILLER Z IND THERAPIST 250 250 250 ❑com 508 W I1TH ST ❑ OTH KIMBERLY J MILLER CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/10/2020 KENNETH P MILLER Z IND PROFESSOR 250 250 250 508 W I ITH ST ❑ com ❑ PTH CLAREMONT MCKENNA CLAREMONT CA 91711 ❑ PTY COLLEGE ❑ SCC 8/20/2020 RICHARD HASKINS Z IND RETIRED 100 100 100 ❑ COM 865 PENNI LN ❑ OTH - OREM UT 84097 ❑ PTY SCC SUBTOTAL $ 1100 '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 Schedule A (Continuation Sheet) Amounts may be rounded, SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from AUGUST 3, 2020 FORM Page 9 of 17 through SEPTEMBER 19, 2020 NAME OF FILER I.D. NUMBER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 1429606 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) 8/20/2020 AARON OGILVIE ® IND DIRECTOR 200 200 200 ❑ COM 3612 BAYVIEW PL ❑ OTH IMPEDIMED CARLSBAD CA 92010 ❑ PTY ❑ SCC 8/20/2020 LUCAS AGNEW ® IND GOVERNMENT 100 100 100 565 PENNSYLVANIA AV NW ❑ COM ❑ OTH EMPLOYEE WASHINGTON DC 20001 ❑ PTY US SENATE ❑ SCC 8/20/2020 STEVEN HASKINS ®IND ATTORNEY 250 250 250 1861 BRIDGEPORT AV ❑ Com ❑ OTH MCCUNE WRIGHT CLAREMONT CA 91711 ❑ PTY AREVALO LLP ❑ SCC 8%20/2020 ROBIN MAHAPATRA m IND ATTORNEY 100 100 100 1025 NORIA ST El COM El OTH ROBIN MAHAPATRA LAGUNA BEACH CA 92651 ❑ PTY ❑ SCC 8/20/2020 KATHRYN RIGGLE IND RETIRED 100 100 100 ❑ COM 409 WILLAMETTE LN ❑ OTH CLAREMONT CA 91711 ❑ PTY SCC SUBTOTAL $ 750 771 '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 Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER RETIRED ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF RECEIVED CONTRIBUTOR 250 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 8/20/2020 STEVEN MCGANN 1407 N OHIO AT ARLINGTON VA 22205 Z IND ❑ CoM PUBLIC RELATIONS 8/23/2020 DENISE ZONDERVAN ❑ OTH 706 W 10TH ST CLAREMONT CA 91711 COMMUNICATIONS 8/23/2020 JOHN MCDOWELL 896 BAUER ST REAL ESTATE BROKER SAN CARLOS CA 94070 100 ❑ coM 8/25/2020 GEOFF HAMIL ❑ OTH 2287 N LA PAZ DR CLAREMONT CA 91711 NATIONAL REALTY 8/25/2020 TONY GONZALEZ 1200 43RD ST ADVOCATE SACRAMENTO CA 95819 '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 Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period CALIFORNIA from AUGUST 3, 2020 FORM through SEPTEMBER 19, 2020 Page 10 of 17 I.D. NUMBER 1429606 CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE * CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR (IF SELF-EMPLOYED, ENTER NAME) PERIOD (JAN. 1 - DEC. 31) m IND RETIRED 100 100 100 El Com ❑ OTH ❑ PTY ❑ SCC PER ELECTION TO DATE ((F REQUIRED) ® IND RETIRED 100 ❑ COM 100 100 [I OTH 250 ❑ PTY ❑ SCC Z IND ❑ CoM PUBLIC RELATIONS 100 ❑ OTH SAN CARLOS ❑ PTY COMMUNICATIONS ❑ SCC IND REAL ESTATE BROKER 100 ❑ coM ❑ OTH SOTHEBY'S INTER- ❑ PTY NATIONAL REALTY ❑ SCC W] IND ❑ COM ADVOCATE 250 El OTH LONDON & ❑ PTY GONZALEZ SUBTOTAL $ 650 100 100 100 100 100 100 250 250 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 •,. A_„___ SCHEDULE (CONT.) •••�+••..�...� vv.•�.vaaaw�w ��GVGIYCId •�••""'��"�'� Statement covers period from AUGUST 3, 2020 • - through SEPTEMBER 19, 2020 page 11 of 17 NAME OF FILER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 I.D. NUMBER 1429606 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 8/25/2020 ERIN BLUMENTHAL Z IND MARKETING DIRECTOR 100 100 100 1220 LINDEN PL NE ❑ CoM ❑ OTH FOUNDATION FOR WASHINGTON DC 20002 ❑ PTY DEFENSE OF ❑ SCC T1Pt%4c) 1? 0 ('T17Q 8/25/2020 SANDY HESTER Z IND RETIRED 100 100 100 1665 N MILLS AV ❑ COM ❑ OTH CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/26/2020 RICHARD CHUTE Z IND FUNDRAISER 100 100 100 467 GEORGIA CT ❑ CoM PLANETARY ❑ OTH CLAREMONT CA 91711 ❑ PTY SOCIETY ❑ SCC 8/26/2020 SONJA DOMINGUEZ Z IND CONSULTANT 100 100 100 1158 CAMBRIDGE AV ❑ CoM ❑ OTH SONJA DOMINGUEZ CLAREMONT CA 91711 ❑ PTY ❑ SCC 8/29/2020 STEPHEN DUNCAN Z IND RETIRED 250 250 250 744 SANTA CLARA AV ❑ CoM ❑ OTH CLAREMONT CA 91711 ❑ PTY SCC SUBTOTAL $ 650 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) 0TH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: adviceCMfppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period CALIF• . NIA from AUGUST 3, 2020 FORM I through SEPTEMBER 19, 2020 page 12 of 17 ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 1429606 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 CODE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 8/29/2020 ROB TEITELBAUM IND BUSINESS PROCESS 100 100 100 ❑ COM 3235 MAGNOLIA AV ❑ OTH ARCHITECH FALLS CHURCH VA 22041 ❑ PTY CHEMONICS INTERNATL ❑ SCC 8/29/2020 ELLEN RENTZ ® IND PROFESSOR 100 100 100 ❑ COM 672 W IST ST ❑ OTH CLAREMONT MCKENNA CLAREMONT CA 91711 ❑ PTY COLLEGE ❑ SCC 9/8/2020 GLENN MIYA IND PHYSICIAN 200 200 200 2627 SAN ANDRES WY ❑ CoM ❑ OTH KAISER PERMANENTE CLAREMONT CA 91711 ❑ PTY ❑ SCC 9/12/2020 ANN MARIE SULLIVAN IND RETIRED 250 250 250 522 BRADFORD CT ❑ COM, ❑ OTH CLAREMONT CA 91711 ❑ PTY ❑ SCC 9/14/2020 GEORGIA ANNE BELLEMIN m IND RETIRED 150 150 150 ❑ CoM 806 BERKELEY AV ❑ OTH CLAREMONT CA 91711 ❑ PTY 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) Monetary Contributions Received AME OF FILER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 FULL NAME, STREET ADDRESS AND ZIP CODE OF DATE CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 9/14/2020 CHERI HOLLAND 7409 NE 66TH ST VANCOUVER WA 98661 *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 Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER CODE (IF SELF-EMPLOYED, ENTER NAME) m IND HOMEMAKER ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY SCHEDULE A (CONT.) Statement covers pe from AUGUST 3, 2020 through SEPTEMBER 19, 2020 Page 13 I.D. NUME 1429606 AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC. 31) 250 250 . 12 SUBTOTAL $ 250 of 17 PER ELECTION TO DATE (IF REQUIRED) 50 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule — a to whole dollars. Statement covers period - Loans Received from AUGUST 3, 2020 - Page 14 of 17 through SEPT 19, 2020 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 1429606 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST -PAID ORIGINAL CUMULATIVE OF LENDER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD+ CLOPERIOD EOFTHIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD m PAID CALENDAR YEAR ZACH COURSER PROFESSOR $ 550 $0, 0 % $ 550 $ 250 1142 N CAMBRIDGE AV CLAREMONT RATE CLAREMONT CA 91711 MCKENNA COLLEGE ❑ FORGIVEN PER ELECTION++ $ 0 $ 550 $ $ 8/6/2020 $ 250 t Z IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION++ RATE ❑ IND COM ❑ OTH ❑PTY ❑SCC tEl $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ ❑ FORGIVEN RATE PER ELECTION** $ $ $ $ $ DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 550 $ 550 $ 0 $ 0 Schedule B Summary 1. Loans received this period........................................................................................................ (Total Column (b) plus unitemized loans of less than $100.) 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.) 3. Net change this period. (Subtract Line 2 from Line 1.)........................................................... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ++ If required. $ 550 $ 550 NET $ 0 (May be a negative number) (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 E Payments Made SEE INSTRUCTIONS ON REVERSE ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 Amounts may be rounded to whole dollars. Statement covers period from AUGUST 3, 2020 through SEPTEMBER 19, CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E IALIFORNIA • FORM Page 15 of 17 .D. NUMBER 1429606 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) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) POLITICAL DATA INC POL VOTER DATA INFORMATION 700 PO BOX 59570 NORWALK CA 90652 . CITY OF CLAREMONT CA FIL BALLOT STATEMENT AND TRANSLATION 800 207 HARVARD AV CLAREMONT CA 91711 SIGNS ON THE CHEAP CMP YARD CAMPAIGN SIGNS 1120 11525A STONEHOLLOW DR SUITE 100 AUSTIN TX 78758 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2620 Schedule E Summary 5139 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................... $ 341 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 Summa Page, Column A, Line 6. .......... TOTAL $ 5480 p Y P ( Summary 9 ) ................. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period CALIFORNIA I AUGUST 3, 2020 - from through SEPTEMBER 19-2010 Page 16 of 17 I.D. NUMBER 1429606 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CALL HUB PHO 250 340 S LEMON AV #7468 WALNUT CA 91789 MCDONNELL TECHNOLOGY SERVICES WEB WEB DESIGN AND MAINTENANCE 523 608 W 23RD ST UPLAND CA 91784 UPRINTING LIT 333 8000 HASKELL AV VAN NUYS 91406 FACEBOOK WEB SOCIAL MEDIA 110 1 HACKER WY MENLO PARK CA 94025 GODADDY WEB WEB HOSTING 113 14455 N HAYDEN RD STE 100 SCOTTSDALE AZ 85260 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1329 FPPC Form 460 (Jan 2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CLAREMONT HERITAGE PRT E (CONT.) ESCHEDULE (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period AUGUST 3. 2020 from • - . - CLAREMONT CA 91711 SEE INSTRUCTIONS ON REVERSE through SEPTEMBER 19.2070 Page 17 of 17 NAME OF FILER 140 2211 N 1ST ST I.D. NUMBER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 TACHIANA MITCHELL 1429606 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CLAREMONT HERITAGE PRT 250 840 N INDIAN HILL BLVD CLAREMONT CA 91711 PAYPAL TRANSACTION FEES 140 2211 N 1ST ST SAN JOSE CA 95131 TACHIANA MITCHELL CAMPAIGN VIDEO PRODUCTION 800 1151 BARSTOW RD APT B BARSTOW CA 92322 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1190 FPPC Form 460 Jan 2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov