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Home My Public Portal AboutForm 460 (Sept. 20 - Oct. 17, 2020)Gt Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 9/20/2020 through 10/17/2020 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Z Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 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 Part 7) 3. Committee Information I.D. NUMBER 1425517 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 AREA CODE/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 bes of my certify under penalty of perjury under the laws of the State of California that the foregoing is e Executed on 10/21/2020 By Date Executed on 10/21/2020 Date Executed on Date Executed on Date By By Date of election if applicable: (Month, Day, Year) Date Stamp OCT 2 2 2020 COVER PAGE Page 1 of 14 For Official Use Only 11/03/2020l CITY CLERK( ('.BTY OF CLAREMO T 2. Type of Statement: Z 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 Peason 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 AREACODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS the information contained herein and in the attached schedules is true and complete. I 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.ANDSTREET) 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.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO 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 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 JOFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE . 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 9/20/2020 SUMMARY PAGE Expenditures Made 6. Payments Made................................................................ 10/17/2020 Page 3 of 14 SEE INSTRUCTIONS ON REVERSE 7. Loans Made....................................................................... Schedule H, Line 3 0 through 8. SUBTOTAL CASH PAYMENTS... .................................... Add Lines 6+7 NAME OF FILER $ 5565.08 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 I.D. NUMBER Corey Calaycay for Claremont City Council 2020 . Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE....................................Add 1425517 Contributions Received $ 5565.08 Column A TOTAL THIS PERIOD Column B 3447.92 Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE If this is a termination statement, Line 16 must be zero. Running in Both the State Primary and previous period amounts. If General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 1921.00 $ 7615 filed for this calendar year, 0 0 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule a, Line 3 18. Cash Equivalents ................................................ See instructions on reverse $ 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 1921.00 $ 7615 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C. Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED., .............................. Add Lines 3+4 $ 1921.00 $ 7615 Made $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 3539.74 $ 5565.08 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS... .................................... Add Lines 6+7 $ 3539.74 $ 5565.08 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 8+9+10 $ 3539.74 $ 5565.08 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 5066.66 To calculate Column B, 13. Cash Receipts........................................................... Column A, Line 3 above 1921.00 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 8 above 3539.74 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 3447.92 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 e, 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 s in Column a 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) 1 1 $ *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 "' W1 RAW"`"1a"' Statement covers period CALIFORNIA , ' from 9/20/2020 . - through 10/17/2020 Page 4 of 14 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 WAN 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) ❑ IND ❑ COM See Attached Page 5 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ r , Schedule A Summary 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.) ............. 1400.00 $ 521.00 TOTAL $ 1921.00 '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 Gomez Robert Gault Harold Baldonado Sandra Brown Barbara Nag Swapan Nag Mitra Lofy John 608 Adirondack Lane 2549 N Mountain Ave 435 Yale Ave 1821 Hanover Road 1043 Alamosa Drive 1043 Alamosa Drive 2303 La Sierra Way Claremont CA 91711 $250.00 10/6/2020 Vice President WFG Title Company Ind Claremont CA 91711 $200.00 10/6/2020 Retired Ind Claremont CA 91711 $250.00 10/6/2020 Retired Ind Claremont CA 91711 $100.00 10/6/2020 Retired Ind Claremont CA 91711 $250.00 9/30/2020 CEO Nag Inc Ind Claremont CA 91711 $250.00 9/30/2020 Unemployed Ind Claremont CA 91711 $100.00 10/7/2020 Unemployed Ind Amounts mw be rnunrled SCHEDULE B - PART 1 Schedule — Part I to whole dollars. Statement covers period Loans Received 9/20/2020FORM CALIFORNIA I • ' from page 6 of 14 through 10/17/2020 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 ` AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL g 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* CLOPERIOD HIS OF PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD ❑ PAID CALENDAR YEAR None $ $ % $ $ RATE ❑ FORGIVEN PER ELECTIONR* DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR $ $ % $ g ❑ FORGIVEN PER ELECTION" RATE t ❑ IND El ❑ OTH ❑PTY ❑SCC $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE $ $ $ $ $ DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC x a 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.).............................................................. NET $ 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. 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 C Amounts may be rounded k 1 .1 11 SCHEDULE C Nonmonetary Contributions Received Mv' Statement covers period _ from 9/20/2020 .1 � page 7 of 14 SEE INSTRUCTIONS ON REVERSE through 10/17/2020 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) ❑ 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 r Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)................................................... ....................................$ o 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 $ 0 '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 SCHFDIII F r) Jummar OT CX enunures Amounts may oe rounaea Statement covers period to wholedotlars.SUpportin /Opposing Other • ' • � 9/20/2020 . - Candidates, Measures and Committees from through 10/17/2020 8 14 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Corey Calaycay for Claremont City Council 2020 1425517 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTERAND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) ❑ Monetary Contribution None ❑ Nonmonetary Contribution ❑ Independent Su ort 171 Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Support El oppose] Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 0 Y ^ � 34 A } Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) 2. Unitemized contributions and independent expenditures made this period of under $100 ................ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) . .................. $ o 0 .... 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. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Corey Calaycay for Claremont City Council 2020 Statement covers period from 9/20/2020 through 10/17/2020 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULE E ;ALIFO&AIA •' • Page 9 of 14 .D. NUMBER 1425517 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 Direct Connection I LIT I Literature, Publication, Postage & Sorting Claremont Courier I PRT I Insert into Newspaper Beatrice Casagran I LIT I Graphic Design * Payments that are contributions or independent expenditures must also be summarized on Schedule D. 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.) .................... 2204.51 295.00 1000.00 SUBTOTAL $ 3499.51 3539.74 .................... $ 0 .................... $ 0 ....... TOTAL $ 3539.74 FPPC Form 460 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Stripe SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded to whole dollars. Statement covers period• - , ' Payments Made from 9/20/2020 - • through _10[17/2020 10 14 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Stripe PRO Credit Card Service Charges 40.23 ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 40.23 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. SEE INSTRUCTIONS ON REVERSE Statement covers period from 9/20/2020 through 10/17/2020 SCHEDULEF Page 11 of 14 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 CMP campaign paraphernalia/misc. 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 supporting/opposing 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 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 $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 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 PAID OUTSTANDING (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING AMOUNT INCURRED 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 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 $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 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 Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. Statement covers from 9/20/2020 SCHEDULE G through 10/17/2020 12 14 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID None 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 CALIFORNIA 46 to whole dollars. Loans Made to Others* from 9/20/2020 FORM page 13 of 14 through 10/17/2020 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 WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a) OUTSTANDING () AMOUNT c REPAYMENT OR OUTSTANDING e (f) ORIGINAL g CUMULATIVE OF RECIPIENT (IF SELF-EMPLOYED. ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS INTEREST RECEIVED AMOUNT OF LOANS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD* LOAN TO DATE ❑ PAID CALENDAR YEAR N/A $ $ % $ $ RATE ❑ FORGIVEN PER ELECTION $ $ $ $ S DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION* $ $ g $ $ DATE DUE DATE INCURRED "Loans that are contributions to another candidate or committee must D. Loans forgiven be also be summarized on Schedule must also reported on Schedule E. SUBTOTALS $0 $.0 $ 0 $ 0 (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.) NET $ *-If Required (May be a negative number) FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov C..horl��lo 1 SCHEDULEI to whole dollars. Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE Statement covers period pCALIFORNIA from 9/20/2020 through 10/17/2020 � • , FORM rPage 14 of 14 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 Scheal u 1. Itemized increases to cash this period.............................................................................................................................$ 0 2. Unitemized increases to cash of under $100 this period. 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) . 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)............................................................................................................. 0 .............$ o 0 TOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov