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Home My Public Portal AboutForm 460 (Oct 18 - Dec 22, 2020)Recipient Committee Campaign Statement Cover Page Statement covers period from OCTOBER 18, 2020 SEE INSTRUCTIONS ON REVERSE I through DECEMBER 22, 2020 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also complete Part s) 0 Sponsored (Also Complete Part 6) ElGeneral Purpose Committee 0 Sponsored ® Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also complete Part i) 3. Committee Information I.D. NUMBER 1429606 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 STREETADDRESS (NO P.O. BOX) 1142 N CAMBRIDGE AV CITY STATE ZIP CODE AREA CODE/PHONE CLAREMONT CA 91711 617-901-8787 NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 4. VerlTlcation Date of election if applicable: (Month, Day, Year) NOVEMBER 3, 2020 2. Type of Statement: Date Stamp COVER PAGE Page 1 of 6 JAN Q !) 2021 I For Official Use Only MTY CLERK ❑ Preelection Statement ❑ Semi-annual Statement Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER LINDA A MOORE MAILING ADDRESS 413 WILLAMETTE LN CITY STATE ZIP CODE AREA CODE/PHONE CLAREMONT CA 91711 909-210-3704 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 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. certify under penalty of perjury under the laws of the State of California that the foregoing i tru correct. L Executed on — '� � Z ?" � ?/ � U gy, De, � Dale '_7 Signature of Treasurer or Assistant Treasurer Executed on Z I L"' ° By ^------ -- ------- Executed ----- Executed on Date Executed on Date 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 ZACH COURSER OrrlCt SOUGH F OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CLAREMONT CITY COUNCIL RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1141 N CAMBRIDGE AV 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. C IVHIVIt I.D. NUMBER YnVIC Vr I RCHJUKCK I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME FID NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE . AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of G 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT.MEASURE BALLOT NO. OR LETTERI JURISDICTION El 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 ZACH COURSER CLAREMONT CITY CO Z 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 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 Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE SUMMARY PAGE Statement covers period from OCTOBER 18, 2020 through DECEMBER 22, 2020 Page 3 of 6 NAME OF FILER 6. Payments Made................................................................ Schedule E, Line 4 $ 5122 7. Loans Made....................................................................... Schedule H, Line 3 ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment......................................................... I.D. I.D. NU NU NUMBER 11. TOTAL EXPENDITURES MADE.......::...........................Add Lines 8+9+10 $ 5122 6 Contributions Received column A TOTAL Column B Calendar Year Summary for Candidates THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and 1. Monetary Contributions 562 12480 General Elections ................................................... Schedule A, Line 3 $ $ 2. Loans Received................................................................ Schedule e, Line 3 1/1 through 6/30 7l1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ...:.......................... Add Lines 1 +2 $ 562 12480 $ 20. Contributions 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 Received $ $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ................................ Add Lines 3+4 $ 562 $ 12480 Made $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 5122 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ........................................ Add Lines 6+7 $ 5122 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE.......::...........................Add Lines 8+9+10 $ 5122 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary r=age, Line 16 $ 4560 13. Cash Receipts........................................................... Column A, Line 3 above 562 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 5122 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 1.8. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .....................:.........• Add Line 2 + Line 9 in Column B above $ $ 12480 $ .12480 $ 12480 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). IExpenditure 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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A IVIVIICLdry %,onyribuvonS Kecelveci Statement covers period from OCTOBER 18, 2020 CALIFORNIA FORM SEE INSTRUCTIONS ON REVERSE through DECEMBER 22, 2020 Page of 6 NAME OF FILER ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 I.D. NUMBER 1429606 DATE FULL NAME, STREET ADDRESS 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) .11/12/2020 SONJA DOMINGUEZ IND CONSULTANT 50 150 150 1158 N CAMBRIDGE AV ❑ COM El OTH SONJA DOMINGUEZ CLAREMONT CA 91711 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 50 u7GIICUUIC h JUmmary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.).................................................................. 2. Amount received this period — unitemized monetary contributions of less than $100 ...... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)............ 50 ................$ — $ 512 ..TOTAL $ 562 '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 E Payments Made SEE INSTRUCTIONS ON REVERSE ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period from OCTOBER 18, 2020 through DECEMBER 22, 202 Page 5 of 6 .D. NUMBER 1429606 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS campaign paraphernalia/misc. campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)* MTG OFC meetings and appearances office expenses RFD returned contributions CVC FIL civic donations candidate filing/ballot fees PET petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs FND fundraising events PHO POL phone banks polling and survey research TRC candidate travel, lodging, and meals IND LEG independent expenditure supporting/opposing others (explain)* legal defense POS postage, delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor LIT campaign literature and mailings PRO PRT professional services (legal, accounting) VOT voter registration 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 CLAREMONT COURIER PRT 1396 114 OLIVE ST CLAREMONT CA 91711 FACEBOOK WEB 118 1 HACKER WY MENLO PARK, CA 94025 GOOGLE I WEB I F331 1600 AMPHITHEATRE PKWY MOUNTAINVIEW CA 94043 " Payments that are contributions or independent expenditures must also be summarized on Schedule D.SUBTOTAL $ 1845 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.) ........................... 5040 $ 82 ............ $ TOTAL $ 5122 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schrledlul� E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period OCTOBER 18, 2020 from SCHEDULE E (CONT.) SEE INSTRUCTIONS ON REVERSE through DECEMBER 22, 20 0,6 6 6 NAME OF FILER of ZACH COURSER FOR CLAREMONT CITY COUNCIL 2020 I.D. NUMBER 1429606 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/rriisc. CNS campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)* MTG OFC meetings and appearances office expenses RFD returned contributions CVC civic donations PET petition circulating SAL campaign workers' salaries FID candidate filing/ballot fees PHO phone banks TEL t.v. or cable airtime and production costs FND fundraising events polling and surveyresearch candidate travel, lodging, and mealsPOL 'TRC independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TRS staff/spouse travel, lodging, and mea lsIND TSF LEG legal defense PRO professional services (legal, accounting) transfer between committees of the same candidate/sponsor VOT LIT campaign literature and mailings PRT print ads voter registration 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 A -TO -Z PRINTING CO LIT 4330 VAN BUREN BLVD 3195 RIVERSIDE CA 92503 I Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALL $ 3195 FPPC Form 460 (Jan 2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov