HomeMy Public PortalAboutForm 460 (Sept. 20 - Oct. 17, 2020)Recipient Committee COVER PAGE
Type or print in ink. c= Date'Starnp' i
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)1 G�4 Page of�
Statement covers period Date of election if applicable:
09/20/2020 (Month, Day, Year) �Lal;`ry VL
b� For Official Use Only
from
SEE INSTRUCTIONS ON REVERSE through 10/17/2020 11/03/2020
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
2. Type of Statement:
Executed on
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
® Preelection Statement
❑ Quarterly Statement
Q State Candidate Election Committee Committee
❑ Semi-annual Statement
❑ Special Odd -Year Report
Q Recall Q Controlled
E]Termination Statement
❑ Supplemental Preelection
(Also Complete Part 5) Q Sponsored
Also file a Form 410 Termination
( )
Statement - Attach Form 495
(AlsoComp/etePartS)
F-1GeneralPurpose Committee
❑ Amendment (Explain below)
0 Sponsored ❑ Primarily Formed Candidate/
Date
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER
Treasurer(s)
1431841
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME OF TREASURER
Ethan Reznik For Claremont City Council 2020
Oran Reznik
MAILING ADDRESS
1410 Tulane Rd
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
1410 Tulane Rd.
Claremont
CA 91711 909.241.9771
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Claremont CA 91711 909.621.7849
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
CITY
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
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 correct.�
By
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By ,
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
10/22/2020
Executed on
Date
10/22/2020
Executed on
Date
Executed on
Date
Executed on
Date
By
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By ,
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. COVER PAGE - PART 2
Recipient Committee CALIFORNIA
Campaign Statement FORM 460
Cover Page — Part 2
Page � of
5. Officeholder or Candidate Controlled Committee
6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF BALLOT MEASURE
Ethan M. Reznik
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
BALLOT NO. OR LETTER JURISDICTION SUPPORT
FED OPPOSE
Claremont City Council, District 1
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
❑ OPPOSE
1410 Tulane Rd. Claremont CA 91711
Identify the controlling officeholder, candidate, or state measure proponent, if any.
❑ SUPPORT
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Related Committees Not Included in this Statement: List any committees
❑ OPPOSE
not included in this statement that are controlled by you or are primarily formed to receive
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
❑ OPPOSE
7• Primarily Formed Candidate/Officeholder Committee List names of
NAME OF TREASURER CONTROLLED COMMITTEE?
officeholder(s) or candidate(s) for which this committee is primarily formed.
❑ 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)
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
CITY STATE ZIP CODE AREA CODE/PHONE 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.
SUMMARY PAGE
Statement covers period-
NIA
CALIFOI '
Amounts may be rounded
Summary Page to whole dollars.
from
09/20/2020
• -
through
10/17/2020
Page 3 of `7
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Ethan Reznik For Claremont City Council 2020
1431841
Contributions Received
TColumnoD
Column B
Calendar Year Summary for Candidates
(FROMATTACHED SCHEDULES)
TOTALTO DATE
g ' 7��
Running In Both the State Primary and
General Elections
1. Monetary Contributions ........................................... schedule A, Line 3
$
970
$ 970
2. Loans Received...................................................... Schedule B, Line 3
2,369
5,079
1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2
$
3,339
$ 6,049
20. Contributions
Received
4. Nonmonetary Contributions .................................... schedule C, Line 3
0
0
$ $
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4
$
2
3
$
O
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made ....................................................... schedule E, Line 4
$
1,869
$ 4,579
Candidates
7. Loans Made............................................................. schedule H, Line 3
0
0
1,869
4,579
22. Cumulative Expenditures Made*
8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7
$
$
(if Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3
0
0
Date of Election Total to Date
10. Nonmonetary Adjustment .......................................... schedule C, Line
0
0
(mm/dd/yy)
11. TOTAL EXPENDITURES MADE ................................ Add Lines a + 9 + 10
$
1,869
$ 4,579
$
$
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16
$
To calculate Column B, add
13. Cash Receipts............................................. ...... Column A, Line 3 above
3,339
amounts in Column A to the
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
0
corresponding amounts
from Column B of your last
*Amounts in this section may be different from amounts
reported in Column B.
15. Cash Payments .................................................. Column A, Line 8 above
1,869
report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$
1,470
figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero.
period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... schedule B, Part 2
$
0
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
y)
18. Cash Equivalents ........................................ See instructions on reverse
$
0
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above
$
5,079
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A Type or print in ink. SCHEDULE A
Amounts may be rounded
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA,
from 09/20/2020
. • ,
Lt 7
10/17/2020
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
Ethan Reznik For Claremont City Council 2020
1431841
DATE
FULL NAMESTREET 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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Wendy Hafner
W IND
E] COMDOTH
Retired
10/15/2020
1453 Tulane Rd
100
100
91711
❑ PTY
❑ SCC
Sarah Eoff
WIND
El COM
Executive Assistant
1016/2020
40 Conch Reef
❑OTH
Hateley & Hampton LLP
250
250
92656
❑ PTY
❑ SCC
Janis Eoff
WIND
❑COM
HR
10/16/2020
546 via de la Valle #C
❑OTH
PEI
250
250
92075
[:]PTY
❑ SCC
Debra Gisis
BIND
10/17/2020
41595 Elm St 101
[-]COM
❑OTH
Logo Joes
250250
250
92562
❑ PTY
[]SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$ 850
a
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.) ......
$
TOTAL $
850
120
970
"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)
SCHEDULEB-PART1
Schedule B — Part 1 ,r� _' r'...� ... "u..`
Amounts may be rounded
Statement covers period
p
.
to dollars.
�
' •
Loans Received whole
09/20/2020
. _
from
10/17/2020
SEE INSTRUCTIONS ON REVERSE
through
page of
NAME OF FILER
I.D. NUMBER
Ethan Reznik For Claremont City Council 2020
1431841
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
AMOUNT
(�)
AMOUNT PAID
OUTSTANDING
BALANCEAT
INTEREST
ORIGINAL
CUMULATIVE
OF LENDER
(IFSELF-EMPLOYED, ENTER
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN
OSE O
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
NAME OF BUSINESS)
PERIOD
PERIOD
THIS PERIOD*
PERIOD
PERIOD
LOAN
TO DATE
Ethan Reznik
Nonprofit Foundaion
a PAID
CALENDARYEAR
1410 Tulane Rd.
Executive
$ 0
$ 5,079
0
5,079
$ 5,079
91711
Fallen Journalists
,p
RATE
$
Memorial Foundationlig
FORGIVEN
PER ELECTION**
$ 2,710
$ 2,369
$ 0
unknown
$ 0
$
DATE DUE
DATE INCURRED
tQ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION **
RATE
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PERELECTION-
RATE
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $ 2,369$ 0 $ 5,079 $ 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.
2,369
0
2,369
(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 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
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 09/20/2020
through
10/17/2020
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
Page of
I.D. NUMBER
1431841
E
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
Whalen Bindery & Mailing Services
515 W. Allen Ave. #3 LIT
San Dimas, CA 91773
Staples
2330 Foothill Blvd. OFC
La Verne CA 91750
USPS
140 N. Harvard Ave. POS
Claremont CA 91711
* 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 $100..........................................................................................................
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ...............................................
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ..........
AMOUNT PAID
1,292.47
49.59
SUBTOTAL$
$ 1,869.30
$ 0
$ 0
TOTAL $ 1,869
22
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E SCHEDULE E (CONT)
Type or print in ink.
(Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA I • 1
Payments Made to whole dollars. from 09/20/2020 •'
SEE INSTRUCTIONS ON REVERSE through 10/17/2020 Page 7 of
NAME OF FILER I.D. NUMBER
Ethan Reznik For Claremont City Council 2020 1431841
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
Kohl Meek
Design of campaign mailer
225
Political Data, Inc.
12501 Imperial Hwy. #200
Norwalk, CA 90650
Mail List File
280.24
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 505.24
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)