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HomeMy Public PortalAboutForm 460 ( Oct. 18 - Dec. 31, 2020)Recipient Committee Campaign Statement Cover Page Statement covers period from 10/18/2020 SEE INSTRUCTIONS ON REVERSEthrough 12/31/2020 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Pad 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Pad 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pad 7) 3. Committee Information I.D. NUMBER 1.431841 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Ethan Reznik for Claremont City Council 2020 STREET ADDRESS (NO P.O. BOX) 1410 Tulane Road CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 909.621.7849 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 1410 Tulane Road CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS COVER PAGE Date Stamp I� F�� �, %//EI�, \' I, � -Page 1 of 9 Date of election if applicable: (Month, Day, Year) For Official Use Only JAN � � 2021 y 11/03/2020 C 07Y C E R K . onsFay Rfi" 8JE r,1 v'�rr".'nnrf�ls 85r 2. Type of Statement: ❑reelection Statement Quarterly Statement Le Semi-annual Statement Special Odd -Year Report m Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Oran Reznik MAILING ADDRESS 1410 Tulane Road CITY STATE ZIP CODE AREACODE/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 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 d co 01/26/2021 Executed on By Date Siggatwo-W Treasurer or Assistant Treasurer Executed on 01/26/2021 Date Executed on Date Executed on Date By By Signature of Controlling Officeholder, Candidate, State Measure Proponent 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 Ethan M. Reznik OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Claremont City Council, District 1 RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1410 Tulane 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 COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 9 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 ofhceho/der(s) or candidate(s) for which this committee is primarily fonned. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPCSE 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.fppcca.gov Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Mage to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Ethan Reznik For Claremont City Council 2020 Contributions Received Schedule E, Line 4 ColumnA TOTALTIiIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... 2. Loans Received...................................................... 3. SUBTOTAL CASH CONTRIBUTIONS ......................... 4. Nonmonetary Contributions .................................... 5. TOTAL CONTRIBUTIONS RECEIVED .• •.....................••• Schedule A, Line 3 Schedule B, Line 3 Add Lines 1 + 2 Schedule c, Line 3 Add Lines 3+ 4 $ ^����' Qq �'J 7 7 00 $'-I��/ 9 10 3 O $ j/ / / 1?i 0--:?; Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11, TOTAL EXPENDITURES MADE ................................ Add Lines 8 + s + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 if this is a termination statement, Line 16 must be zero. SUMMARY PAGE Statement covers period from fdlB 2D90 e- through a-3% 7—�2 Page of I.D. NUMBER 1431841 Column B CALENDAR YEAR TOTALTO DATE $ 0 $1pyo9b 9� $ 1.3 1 '77 $ �f,93d.17 $ 3.51,97 $ of9_--`A0,17 $ LY -70 —�, /l 19 , 03 0 3O/, 97 $ 0 17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, Part 2 $ O Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ l�lnt rearm i 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). Calendar Year Summary for Candidates Running in Both the State Primary and General 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` (Ir Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date 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 Amounts may be rounded SCHEDULE A dollars. to whole Statement covers period Monetary Contributions Received 10/18/2020 ' from 0 through 12/31/2020 Page 4 of 9 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF.FILER 1431841 Ethan Reznik for Claremont City Council 2020 FULL NAME, STREET ADDRESS AND ZIP CODE OF [FAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR RECEIVED THIS CALENDAR YEAR TO DATE DATE OCCUPATION AND EMPLOYER ', CONTRIBUTOR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) ` ' (IF COMMITTEE, ALSO ENTER I.D. NUMBER) - 10/18/2020 Bruce Maxwell m IND ❑ COM Insurance Broker 218 218 6345 Balboa Blvd. Ste 230 ❑ OTH 91316 ❑ PTY ❑ SCC ® IND ❑ COM Attorney 250 250 Honey Amado 10/18/2020 261 South Wetherly Drive ❑ OTH 90211 ❑ PTY ❑ SCC FIND El COM Program Director 250 250 Carolyn Cam as 10/19/2020 24526 Stonegate Drive [1;0TH Milken community schools 91304 CIPTY 0 SCC OD IND ❑ COM Not employed 250 250 10/19/2020 Janice Reznik 4659 Balboa Ave ❑ OTH 91316 ❑ PTY ❑ SCC m IND ❑ COM No employed 100 100 10/19/2020 Jessie Acosta 1292 N Shelley Ave ❑ OTH 91786 ❑ PTY SUBTOTAL $ 1,068 Schedule A Summary 1. Amount received this period — itemized monetary contributions. 7` q.7 (Include all Schedule A subtotals.) $` 2. Amount received this period — unitemized monetary contributions of less than $100 .............................. $'-242 '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 3. Total monetary contributions received this period. , 1 7 FPPC Form 460 (Jan/2016)) (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)..:.::..:::.:.:.,.::..TOTAL $` FppCAdvice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov cr-hariiila A /Cnntinuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. S4atement covers period 0Rd from - 10/18/2020 FORM16 through 12/31/2020 Page 5 of 9 I.D. NUMBER NAME OF FILER 1431841 Ethan Reznik for Claremont City Council 2020 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Isolda Luber � _ - 10/19/2020 QJ IND ❑ COM Not employed 100 100 5343 Corbin Ave ❑ OTH 91356 ❑ PTY Benjamin Reznik ❑ SCC . 10/19/2020 Q IND ❑ COM Attorney 250 250 4659 Balboa Ave ❑ OTH JMBM LLP 91316 ❑ PTY Barbara Siegel ❑ SCC 10/19/2020 [�l IND ❑ COM Not employed 250 250 16829 Edgar Street ❑ OTH 90272 ❑ PTY Hans Geisse ❑ SCC 10/19/2020 IND ❑ COM Physician ,1250 250 158 Union Tpke, #304C E] OTH Columbia Memorial Health 12534 ❑ PTY ❑ SCC 10/19/2020 Sandra Kamenir Q JND ❑ COM Not employed 250 250 4902 Rhodes Avenue p OTH 91607 CIPTY SCC - SUBTOTAL $ 1,100 *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 C—Ift.r• amixi A /r_nntiniiatien Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers peno from 10/18/2020 0 ' through 12/31/2020 Page 6 of - LD. NUMBER NAME OF FILER 1431841 Ethan Reznik for Claremont City Council 2020 FULL NAME, STREET ADDRESS AND ZIP CODE OF [FAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR, OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE DATE CONTRIBUTOR CODE (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) RECEIVED(IF COMMITTEE,ALSO ENTER LD. NUMBER) 10/20/2020 Charlotte Kamenir ® IND ❑ COM Not employed 250 250 1224 Casiano Rd ❑ OTH 90049 E] PTY ❑ SCC 10/20/2020 Stephen Sass IND ❑ COM Executive VP & Chief 250 250 2500 Broadway Suite 400 ❑ OTH Counsel 90404 ❑ PTY WarnerMedia 0 SCC RTi'Pt'Y01TmPT* 10/20/2020 Harry Gisis m IND ❑ COM Owner 250 250 19553 Ballinger St ❑ OTH Details Embroidery 91324 ❑ PTY ❑ SCC y [j IND ❑COM - p. 960, q /�- ❑ OTH ❑ PTY r r ❑ SCC , (] IND ❑ COM ` ❑ OTH ❑ PTY :SCC _ SUBTOTAL$j�.�D..,� % *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) Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Ethan Reznik for Claremont City Council 2020 FULL NAME, STREETADDRESS AND ZIP CODE OFLENDER (IF COMMITTEE, ALSO ENTER LD, NUMBER) Ethan Reznik 1410 Tulane Road 91711 T m IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑.SCC t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SCHEDULE B -PART 1 Amounts may be rounded to whole dollars. Statement covers period ®' from 10/18/2020 through 12/31/2020 _ Page 7 of 9 I.D. NUMBER Schedule B Summary 0 1. Loans received this period .............................. (Total Column (b) plus unitemized loans of less than $100.)5,079 p g en this period - $ _ 2 loans aitl or for Iv (Total Go{umn ,(c) phis loans; under'$100 p.aitl or forgiven } (include loans:;paid by a third partythat are a{so itemized on Schedule A) -5,079 3. Net change this period (Subtract'.Line 2'from Line 1 )::. ::, ... ;•:NET $ Enter the nei,iere.and. on the Summary Page, GoiumniA, Line'2. (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 *Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan/2016)) ** If required. _ FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 1431841 s [FAN INDIVIDUAL, ENTER G OUTSTANDING AMOUNT 'OROFORG BALANCEAT ! IPAIDTHIIS GINAL AMOI OF CUMULATIVE CONSFtIBi1TlON5 OCCUPATION AND EMPLOYER RECEIVED THIS:AMOUNT FORGIVEN '' CLOSE OF THIS: PERIOD LOAN TO DATE (IF SELF-EMPLOYED, ENTER BEGINNING THIS-. .—PERIOD- < THIS PERIOD*.. PERIOD C NAME OF BUSINESS) _ PERIOD CALEN. ARYEAR .. Coordinator &3 - �$ 0 0 $ 5,079 $ PER ELECTIONI� Fallen Journalists \ Z RATE Memorial Foundation ( I®!FORGIVEN t 5,079 0- rs g�©� IT $ $ $ $l DATE DUE DATE INCURRED, CALENDAR YEAR FA10 RATE ❑ FORGIVEN PER ELECTION* $ $ $ DATE DUE DATE INCURRED $ $ n: PAID CALENDAR YEAR Schedule B Summary 0 1. Loans received this period .............................. (Total Column (b) plus unitemized loans of less than $100.)5,079 p g en this period - $ _ 2 loans aitl or for Iv (Total Go{umn ,(c) phis loans; under'$100 p.aitl or forgiven } (include loans:;paid by a third partythat are a{so itemized on Schedule A) -5,079 3. Net change this period (Subtract'.Line 2'from Line 1 )::. ::, ... ;•:NET $ Enter the nei,iere.and. on the Summary Page, GoiumniA, Line'2. (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 *Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan/2016)) ** If required. _ FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made EE UCTIONS ON REVERSE Ethan Reznik for Claremont City Council 2020 Amounts may be rounded to whole dollars, Statement covers period from 10/18/2020 through•12/31/2020 page 8 I.D. NUMB 1431841 of 9 DULE E 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 RFD radio airtime and production costs returned contributions CNS campaign consultants MTG OFC meetings and appearances office expenses SAL campaign workers salaries CTB contribution (explain nonmonetary)* PET petition circulating TEL t.v. or cable alrhme and production costs CVC civic donations PHO phone banks TRC candidate travel, lodging, and meals FIC candidate filing/ballot fees POL polling and survey research TRS staff/sponse travel;'lodging, and meals FND fundraising events independent expenditure supporting/opposing others (explain)* POS postage delivery and messenger services TSF transfer. etween,cdmmittees of the same candidate/sponsor IND PRO professional•servlces,.,(legai„accounting) VOT voter registration, LEG legal defense PRT print ads WEB information technology costs (internet, e-mail) LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMM ITTEE, ALSO ENTER I.D.: NUMBER) Staples 2330 Foothill Blvd La Verne, CA 91750 USPS 140 N. Harvard Ave Claremont, CA 91711 ActBlue CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID OFC 1 1113.65 OFC 1 133.00 Fundraising fees 1183.32 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 329.97 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............•••••••.•••••.........................••••• 0 2. Unitemized payments made this period of under $100 ............................. $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).....................................:,.:.: $- g ) 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6 ..:::::......,,..,.....,:.. TOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc,ca.gov (866/275-3772) www.fppc.ca.gov Schedule EType orprint in ink. Statement covers period SCHEDULE E (CONT) (Continuation Sheet) Amounts may be roundedCALIFORNIA • ' Payments Made to whole dollars. from/,O f'; /8 2,020 • SEE INSTRUCTIONS ON REVERSE through `�1 10 Page ` 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 3537 NA lr✓h�-�� vim, QFC �A t/ V * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ �2 2 , o<D FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) f Print Form, r