HomeMy Public PortalAboutForm 460 Amendment (Jan 1 - Sept. 19, 2020Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
COVER PAGE
Date Stamp
Statement covers period
01/01/2020
Page —L.-_ of /
Date of election if applicable:
from
(Month, Day, Year)
/fin
09/19/2020
SEE INSTRUCTIONS ON REVERSE
through
1. Type of Recipient Committee: All committees -Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
O State Candidate Election Committee
Committee
Q Recall
Q Controlled
(Also Complete Part 5)
O Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
2 Preelection Statement
Q Sponsored
❑ Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
Q Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information
50 Amendment (Explain below)
I.D. NUMBER
1431841
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Ethan Reznik For Claremont City Council
2020
STREET ADDRESS (NO P.O. BOX)
1410 Tulane Rd.
CITY STATE
ZIP CODE AREA CODE/PHONE
Claremont CA
91711 909.621.7849
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
COVER PAGE
Date Stamp
4. Verification
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. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and c ct.
Executed on 10/22/2020 By
Date Signature of Treasurer or Assistant Treasurer
Executed on 10/22/2020 By
Date . Signature of OeMrolling Officeho didate, State Measure Proponent or Responsible Officerof Sponsor
Executed on By
_ Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on - By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Page —L.-_ of /
Date of election if applicable:
For Official Use Only
(Month, Day, Year)
/fin
�+ �+ F
11/03/2020
2. Type of Statement:
2 Preelection Statement
❑ Quarterly Statement
❑ Semi-annual Statement
❑ Special Odd -Year Report
❑ Termination Statement
❑ Supplemental Preelection
(Also file a Form 410 Termination)
Statement -Attach Form 495
50 Amendment (Explain below)
To amend Schedules A, Eland Summary Page
Treasurer(s)
NAME OF TREASURER
Oran Reznik
MAILING ADDRESS
1410 Tulane Rd
CITY
STATE ZIP CODE AREA CODE/PHONE
Claremont
CA 91711 909.241.9771
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
oranrez@gmail.com
4. Verification
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. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and c ct.
Executed on 10/22/2020 By
Date Signature of Treasurer or Assistant Treasurer
Executed on 10/22/2020 By
Date . Signature of OeMrolling Officeho didate, State Measure Proponent or Responsible Officerof Sponsor
Executed on By
_ Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on - By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Ethan M. Reznik
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Claremont City Council, District 1
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
1410 Tulane Rd. 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 STREETADDRESS (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 STREETADDRESS (NO P.O. BOX)
COVERPAGE-PART2
Page of 7
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD I 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
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
GITiY WAIt LIN uuut ANCA GUUt/F'NUNt Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Campaign Disclosure Statement Type or print in ink.
Amounts may be rounded
Summary Page to Whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Ethan Reznik for Claremont City Council 2020
Contributions Received
1. Monetary Contributions .................................
2. Loans Received ............................................
3. SUBTOTAL CASH CONTRIBUTIONS ...........
4. Nonmonetary Contributions ..........................
5. TOTAL CONTRIBUTIONS RECEIVED ..........
Expenditures Made
6. Payments Made .............................................
7. Loans Made ...................................................
8. SUBTOTALCASH PAYMENTS ......................
9. Accrued Expenses (Unpaid Bills) .................
10. Nonmonetary Adjustment .............................
11. TOTAL EXPENDITURES MADE .....................
Statement covers period
from 01/01/2020
through
Column A Column B
TOTALTHIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTALTO DATE
.... Schedule A, Line 3 $ 0 $ 0
.... Schedule B, Line 3 2,710 2,710
........ Add Lines 1 +2 $ 2,710 $ 2,710
.... Schedule C, Line 3 0 0
.. ....AddLines3+4 $ 2,710 $ 2,710
Schedule E, Line 4 $ 2,710 $ 2,710
Schedule H, Line 3 0 0
Add Lines 6+7 $ 2,710 $ 2,710
........ Schedule F, Line 3 0 0
....... Schedule C, Line 3 0 0
..... Add Lines 8 + 9 + 10 $ 2,710 $ 2,710
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $
13. Cash Receipts ................................................... Column A, Line 3above
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
15. Cash Payments .................................................. Column A, Line 8above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
0
2,710
0
2,710
0
I
V
2,710
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
SUMMARY PAGE
09/19/2020 page 5 of 7
I.D. NUMBER
1431841
-alendar Year Summary for Candidates
Running in Both the State Primary and
3eneral Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ $ _
21. Expenditures
Made $ $ _
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 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
01/01/2020FORM
� 6
fromf
I
T 7
09/19/2020
through
Page of
NAME OF FILER
I.D. NUMBER
Ethan Reznik for Claremont City Council 2020
1431841
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
QF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
❑ IND
[]COM
0
0
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $ 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 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEDULE B - PART 1
Schedule B — Part 1 to whole dollars.
Loans Receivedfrom
Statement covers period
01101120.200
CALIFORNIA
FORM
09 / 2o2o
J
through
Page of�
SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
7r GIar ewQr_-t C�.lf +y Co v4C_G I 20'�2 0
/4V.3/ B l
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
a
OUTSTANDING
BALANCE
AMOUNT
RECEIVED THIS
°
AMOUNT PAID
OR FORGIVEN
OUTSTANDING
BALANCE AT
e
INTEREST
PAID THIS
ORIGINAL
AMOUNT OF
9
CUMULATIVE
CONTRIBUTIONS
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
BEGINNING THIS
PERIOD
PERIOD
THIS PERIOD+
CLOSE OF THIS
PERIOD
PERIOD
LOAN
TO DATE
dtG�� X17 i
/on r� ��
PAID
$ O
$ 2710
ry %
2?/a
$��
CALENDAR YEAR
7 O
$Z' /
a FORGIVEN
,
120j1V /a? e - +
'7
j-
�C J �% a
RATE
PER ELECTION
/7 G 1 r l
j tl rna%
CJ
$ 0
$ 0
-
$
tS IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
�
�►• �H +Q� �ai9�d Q
s2-1-710
DATE DUE
fJ►1
DATE INCURRED
Lj PAID
CALENDAR YEAR
$
$
%
$
$
PER ELECTION -
❑ FORGIVEN
RATE
t IND COM ❑ OTH PTY ❑SCC
E]
$
$
$
$
DATE DUE
DATE INCURRED
E] PAID
CALENDAR YEAR
❑ FORGIVEN
RATE
PER ELECTION"
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE INCURRED
DATE DUE
SUBTOTALS
$
rp
(Enter (e) on Schedule E, Line 3)
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)
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
NAME OF FILER
Ethan Reznik for Claremont City Council 2020
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2020
through 09/19/2020
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
Page _/10 � of _L_
I.D. NUMBER
1431841
CMP
campaign paraphemalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID
City of Claremont
207 Harvard Ave. FIL 400
Claremont CA 91711
WIX
Namal Tel Aviv St. 40 WEB 384
Tel Aviv, Israel 6350671
USPS
140 Harvard Ave. POS 262
Claremont, CA 91711
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,046
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. 2,610
p Y p C).............................................................................................................. $
2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 100
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 $ 2,710
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E Type or print in ink.
(Continuation Sheet) Amounts may be rounded
Payments Made to whole dollars.
ON REVERSE
NAME OF FILER
Ethan Reznik for Claremont City Council 2020
Statement covers period
from 01/01/2020
through 09/19/2020
SCHEDULE E (CONT.)
Page —7— — )f 7
I.D. NUMBER
1431841
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CIVIP
campaign paraphemalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
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
Vista Print
275 Wyman St.
CMP
451
Waltham, MA 02451
California Voter Guide
22410 Hawthorne Blvd., Suite 5
LIT
690
Torrance, CA 90505
Gotprint
7651 San Fernando Rd.
LIT
288
Burbank CA 91505
Political Data, Inc.
Walk List File
12501 Imperial Hwy., Suite 200
135
Norwalk, CA 90650
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,564
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)