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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)