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HomeMy Public PortalAboutForm 460 (July 1 - Sept. 19, 2020)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 7/1/2020 through 9/19/2020 1. Type of Recipient Committee: All Committees - Complete Parts 1, z, 3, and 4. W1 QtTiceholder, Candidate Controlled Committee ED Primarily Formed Ballot Measure {) State Candidate Election Committeeammittee 0 Recall Controlled (Alm ConpktePart $) (((��9 Sponsored (AM COMaW Part BJ ❑ gneral Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee (Also CanpideP&Ir) 3. Committee Information I.D. NUMBER 1425517 COMMITTEE NAME (OR CANDIOATE'S NAME IF NO COMMITTEE) Corey Calayacay for Claremont City Council 2020 STREET ADDRESS IND P.O. BOX} 1555 W Baseline Road CITY STATE ZIP CODE AREA CODEIPHONE Claremont CA 91.711 909-593-5913 MAILING ADDRESS (IF DIFFERENT} NO AND STREET OR P 0 BOX 2058 N Mills Ave #722 CITY STATE ZIP CODE AREACODEIPHONE Claremont CA 91711 OPTIONAL. FAX IE -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the be of certify under penalty of pedury under the laws of the State of California that the foregoing i , jue, Executed on 9/23/2020 Pate Executed on 9/23/2020 Date Executed on Date Executed on Date By By By e.'7- &ER PAGE ECEIVE Date of election If applicable:Page 1 of 14 (Month, Day, Year) SEP 2 4 2020 For Official Use Only 11/03/2020 CITY CLERK 2. Type of Statement: m 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 CODEJPHONE Claremont CA 91711 909-921-4357 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL. FAX I E-MAIL ADDRESS the information contained herein and in the attached schedules is true and complete. I or By Signature at Conhatlag p%ceFrotder Canq"e, State Measwe Pnopenenl 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 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Corey Calaycay OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council RESIDENTIALIBUSINESSADDRESS (NO ANDSTREET) CITY STATE ZIP 1555 W Baseline Road Claremont CA 91711 Related Committees Not Included in this Statement: ust any committees not Included In this statement that are controlled by you orare 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 CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I D NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO BOR) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 14 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 List names of officeholder(s) or candidates) for which this committee is primarily fanned. 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 ❑ SUPP0RF ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (!an/20161 FPPC Advice: advice@fppc.ca,gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page NAME OF FILER Corey Calaycay for Claremont City Council 2020 Amounts may be rounded to whole dollars. Statement covers period from July 1, 2020 through September 19, 2020 Expenditures Made Column A Column B Contributions Received $ TOTAL THIS PERIOD CALENDAR YEAR 7. Loans Made .......................... .... Schedule H, Line 3 (FROM ATTACHEDSCHEDUL£S) TOTALTO DATE 1. Monetary Contributions................................................... schedule A, Line 3 $ 4794 $ 5694 2. Loans Received ................. ..... Schedule B. Line 3 0 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 4794 5694 4. Nonmonelary Contributions ....................................... ..... schedule C. Line 3 0 0 5. TOTAL CONTRIBUTIONS RECEIVED_..............................Add Lines 3+4 $ 4794 $ 5694 Expenditures Made 6. Payments Made ..................... .. Schedule E. Line 4 $ 2025.34 $ 2025.34 7. Loans Made .......................... .... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 2025.34 $ 2025.34 9. Accrued Expenses (Unpaid Bills) ................ .................. Schedule F Line 3 0 0 10. Nonmonetary Adjustment .......................... . schedule c, Une 3 0 0 11. TOTAL EXPENDITURES MADE Add Lines 8+ s + 10 $ 2025.34 $ 2025.34 Current Cash Statement 12. Beginning Cash Balance ........................... Previous summary Page. Line 16 $ 2298.00 To calculate Column B, 13. Cash Receipts ................... ..... Column A Line 3 above 4794.00 add amounts In Column A to the corresponding ne 4 14. Miscellaneous Increases to Cash .................................. Schedule +, Line amounts from Column B 15. Cash Payments ......................................................... columna, Line 9 above 2025.34 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE.................. Add Lines 12 + 13 + 14, then subtract Line 15 $ 5066.66 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.......... I ................."" schedule 0, 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 + tine 9 in columns above $ 0 SUMMARY PAGE CALIFORNIA FORM •1 Page 3 of 14 10 NUMBER 1425517 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections III through 6130 711 to Date 20, Contributions Received S $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (if Subiml to Voluntary E wndlture !Emil) Date of Election Total to Date (mmlddlyy) 1 1 $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/201611 FPPC Advice: advice&fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A _.L_I_ J_II__ Monetary Contributions Received `" """¢ """"Fa. Statement covers period . ` from July 1, 2020 _ • SEE INSTRUCTIONS through September 19, 2020 page 4 of 14 ON REVERSE NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1425517 DATE FULL NAME, STREETADDRESS 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 IIF COMMITTEE. ALSO ENTER I.D. NUMBER) IIF SELF-EMPLOYED ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) ❑ IND See Attached Page 5 ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ CDM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ 5CC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 3200 Schedule A Summary Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) .............................................................................................. 3200 2. Amount received this period — unitemized monetary contributions of less than $100 ....................... $ 1594 3. Total monetary contributions received this period. Add tines 1 and 2. Enter here and On the Summa , Column A, Line 1. 4744 ( Summary Page, 9 ) ......................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 Weis Mary PO Box 249 Claremont CA 91711 S25000 VIM= Retired Goodmor Larry 745 Davenport Circle Claremont CA 91711 S250,00 711r2029 Retired mayclin Bruce 659 Sage Street Clazernonli CA 91711 S250.00 712512020 Retired Wheeler P a ul 2258 N Indian Hill Blvd Claremonl CA 91711 5100,00 712WZ020 McHflecl Aguilar Connie 4460 N Towne Ave Claremont CA 91711 S100.00 7127r2020 Commun1y Outreach Speciol3l Jacks David 744 via Santa Catarina Claremont CA 91711 $25000 712MG20 Engineering Executive F I Feed Thom, as i 960 E Bonlo Ave Unil 117 Pomona CA 91767 S250-00 WIM2620 Allomey Freed Tornora 545 Baughman Ave Claremont CA 91711 $250,00 8IM2020 Kerns, George 1731 N Towne Ave Clore m-nt CA 91711 5250,00 ail SI2020 Retired H01gFQVe Hallett 720 Indigo Court Pomona CA 91767 S25000 7130IM20 Owner Grill Terry A64 W 71h Street Claremont CA 91711 3200,00 a11412020 Sustaln2tillity Director, Ameficas Connolly Robert 816 W Highpoini Drive Claremont CA 91711 08123 12020 Psychologist 0000 Tony 16M N Mills Ave Claremont CA 71711 $10000 8125R020 +S e t Casagron Beatrice 1058 Cascade Place Claremont CA 91711 S200.00 SIM020 Unemployed Powers Anh 8213 Ser-honnet Drive Fair Oaks CA 95628 $150 00 9182020 Prindpal Wire Hbgh 757 Alden Road Claremont CA 91711 52013,00 9110=20 Unemployed S3,20080 Sell Employed Opliom for Leaming Jac& Technologies & Industries. Inc, Self Employ d =r-- RAArir�ik Apex Imaging Services Seated Ali Corporation Self Employed Self Employed M A ...-.....1..... . 1... --. —J—i SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period Loans Received July 1, 2020 _ • - from through September 19, 2020 Page 6 of14 5£E 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 ° AMOUNT o AMOUNT PAID OUTSTANDING °OUTSTANDING INTEREST ORIGINAL CUMULATIVE OFLENDER BALANCE RECEIVEDTHIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE. ALSO ENTER I D. NUMBER) (IF SELF-EMPLOYED ENTER BEGINNING THISNAME PERIOD THIS PERIOD • CLOPEE OF HIS PERIOD LOAN TO DATE OF BUSINESS) PERIOD RIOD © PAID CALENDAR YEAR None $ s x s s ❑ FORGIVEN RATE PER ELECTIOf1* t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S S DATE DUE S DATE INCURRED S PAID CALENDAR YEAR $ S ti S S ❑ FORGIVEN RATE PER ELECTION" T ❑ IND ❑COM ❑ OTH PTY SCC S S S DATE DUE S DATE INCURRED S ❑ PAID CALENDAR YEAR $ s % $ S ❑ FORGIVEN RATE PER ELECTION" S S S S 1S ❑ IND ❑COM ❑ OTH ❑PTY ❑scc DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 0 $ 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. - It required. ...................................... $ 0 ............................. $ 0 ............................. NET $ I Way boa negative rw wL (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 C Amounts may he rounded Srwr-n 11 C r Nonmonetary Contributions Received Statement covers period from July 1, 2020 . through Scptemher 19, 2020 Page of 14 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Corey Calaycay for CIaremont City Council 2020 1425517 DATE FULL NAME, STREETADDRESS 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.O. 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) ❑ IND ❑ COM None ❑ 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 $ 0 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (include all Schedule C subtotals.).................................................... .................................................................$ 0 2. Amount received this period — uniternized nonmonetary contributions of less than $100 ..................................$ 0 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 $ `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 Ilan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D summary OT txpenaitures Amounts may no rounaeo statement covers period to whole dollars. Other July 1, 2020 CASupporting/OpposingLIFORNIA A60 Measures and Committees from FORMCandidates, September 19, 2020 8 14 SEE INSTRUCTIONS ON REVERSE through Page. of NAME OF FILER I D NUMBER Corey Calaycay for Claremont City Council 2020 1425517 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION AMPERIOD IS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTERAND JURISDICTION, TYPE OF PAYMENT (IF REO (IFREaIrIREO} PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAN. 1 -DEC. 31 (IF REGU1RED) ❑ Monetary None Contribution ❑ Nonmonetary Contribution ❑ Independent rl Su ort 171 Onpoide Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Su ori 13 O ose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTALS 0 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ o 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... o FPPC Form 460 (Jan/20161) FPPC Advice: advice@fppc.ca.gov ($86/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Corey CaIaycay for Claremont City Council 2020 Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period from July 1, 2020 through September 19, 20201 Page 9 of 14 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1425517 CMP campaign paraphemalialmise. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetery)` 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 Secretary of State FIL Filing Fee 50.00 City of Claremont FIL Filing Fee 800 Credit Card Service Charge Credit Card Service Fees 93.08 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 943.08 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2025.34 2. Un itemized payments made this period of under $100 ............................ 0 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 $ 2025.34 FPPC Form 460 (Jan/20161) FPPC Advice: advice@fppc.ca.gov {866/275-3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded to whole dollars. Statement covers period , ,WPjffi Payments Made July 1, 2020 from SEE INSTRUCTIONS ON REVERSE through Seutember 19, 2020 Page 10 of 14 NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1425517 CODES: If one of the fallowing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. 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' salanes 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 stafflspouse 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 IIF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Direct Connection CMP Campaign Mailer Printing & Postage 1082.26 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1082.26 FPPC Form 460 Jan 2016 FPPC Advice: advice@fppc-ca.gov (866/275-8772) www.fppc.mgov SCHEDULE F Schedule F Amounts may be rounded to whale dollars. Statement covers period Accrued Expenses (Unpaid Bills) from July 1, 2020 through September 19, 2020 14 SEE INSTRUCTIONS ON REVERSE 1!! of NAME OF FILER to 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. CMP campaign paraphemalialmisc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)' OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supportinglopposing others (explain)` POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t,v, or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 $ 0 $ 0 $ 0 summarized on Schedule D. Schedule F Summary Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 0 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) subtatals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)........................................................................................................................ ............................ NET $ May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov 1866/275-3772) www.fppr.ca.gov (a) lb) (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 None Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 $ 0 $ 0 $ 0 summarized on Schedule D. Schedule F Summary Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 0 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) subtatals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)........................................................................................................................ ............................ NET $ May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov 1866/275-3772) www.fppr.ca.gov Schedule IS Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. from Itement covers July 1, 2020 SCHEDULE G NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID through September 19, 2020 12 19 Page SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1925517 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 Lv. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL palling and survey research TRS staiflspouse travel, lodging, and meals IND Independent expenditure supportinglopposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads UVEB 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 None Attach additional information on appropriately l'abel'ed continuation sheets. TOTAL' $ 0 Do not transfer to any other schedule or to the Summary Page This total may not equal the arnoun(paid to the agent or FppC Form 460 Jan 2016 independent contractor as reported on Schedule !_ ( / )) FPPC Advice: advice@fppc.ca.gov (1166/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Statement covers period to whole dollars. Loans Made to Others* from July 1, 2020 . • FPage13 September 19, 2021 through of 14 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.R. NUMBER Corey Calaycay For Claremont City Council 2020 1425517 FULL NAME, STREET ADDRESS AND ZIP CODE WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING ( AMOUNT c REPAYMENT OR OUTSTANDING e ORIGINAL fill CUMULATIVE OF RECIPIENT (If COMMITTEE.ALSO ENTER I D. NUMBER) (IF SELF-EMPLOYED ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCEAT CLOSE OF THIS INTEREST RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PFRInn PERIOD THIS PERIOD' pFRinn LOAN TO DATE ❑ PAID CALENDAR YEAR NIA s s x $ s ❑ FORGIVEN HATE PER ELECTION'* S S S f S DATE INCURRED DATE DUE ❑ PAID CALENDAR YEAR s s x $ s ❑ FORGIVEN RATE PER ELECTIOW s s s s s DATE INCURRED DATE DUE *Loans that are contributions to another candidate or committee must also be summarized on Schedule d. Loans forgiven must also be reported on Schedule E. SUBTOTALS $0 $ 0 $ 0 $ 0 (Enter (a) an Schedule I. Lure 3) Schedule H Summary Loansmade 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 neWt" number) FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Re-I1pri111A (I --A-A SCHEDULE I to whole dollars. Miscellaneous Increases to Cash SI- F INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2020 through September 19, 2020 • -X . , � �` page 14 of 14 NAME OF FILER Corey Calaycay for Claremont City Council 2020 I.D. NUMBER 1925517 DAF E RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.O. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH None Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 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 Summary Page, Line 14.)............................................................................................................................. TOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov