HomeMy Public PortalAbout04. Form 460 (July 1, 2021 - Dec. 31, 2021)Recipient Committee COVER PAGE
Campaign Statement ECEIVEso=
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from July 1, 2021
through December 31, 2021
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
❑I Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDI
Jed Leano for City Council 2022
❑ Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Pad 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1439467
EF;
STREET ADDRESS (NO P.O, BOX)
1570 North Towne Ave.
CITY STATE ZIP CODE AREA CODE/PHONE
Claremont CA 91711 714-612-5871
RAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX /E-MAILADDRESS
Date of election if applicable: JAN 0 5 2022 Page of
(Month, Day, Year) For official Use Only
CITY CLERK
November 8, 2022 C ITY OF CLAR EMO I IT
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Phillip Arce
MAILING ADDRESS
605 South Colt Street
CITY STATE ZIP CODE AREAL DE/PHONE
Anaheim CA 92806 714-349-2425
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/ E-MAIL ADDRESS
pba999@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. r
Executed on I BY -- -• --_-._ __ _ _,__.T___...__
Executed on
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
Jed Leano
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Claremont City Council, District 4
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
1570 N Towne Avenue 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 C10.70-M1TTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O --)X,
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
Page
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
COVER PAGE - PART 2
of
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 CandidatelOfficeholder Committee Listnames of
officeholder{sJ 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
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.
Summa PaStatement covers period ,
Page from July 1, 2021 ■
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jed Leano for Claremont City Council 2022
through December 31, 2021
Page 1 of 1
I.D. NUMBER
1439467
Expenditures Made
6. Payments Made................................................................ Schedule E, Line 4 $ 6,000.05
7. Loans Made .................... .................... Schedule H, Line 3 0
8. SUBTOTAL CASH PAYMENTS .................... Add Lines 6+7 $ 6,000.05
9. Accrued Expenses (Unpaid BIIIS ........ Schedule F, Line 3 0
10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0
11. TOTAL EXPENDITURES MADE....................................Add Lines s+9+10 $ 6,000.05
Current Cash Statement
12. Beginning Cash Balance .......___ .............. Previous Summary Page, Line 16 $ 0
13. Cash Receipts ......................... Column A, Line 3 above 23,450
14. Miscellaneous Increases to Cash ................................. Schedule 1, Line 4 80
15. Cash Payments ... Column A, Line 6 above 6,000.05
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 17,529.95
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED--_--_ ...................... Schedule e, Parte $ 0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $ 0
19. Outstanding Debts._.. ........ .............. Add Line 2 + Line 9 in Column 8 above $ 0
$ 6,000.05
0
$ 6,000.05
0
n
$ 0,000.UD
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).
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 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTAL THIS PERIOD
CALENDAR YEAR
Running in Both the State Primary and
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
General Elections
1. Monetary Contributions.-.-_..__.-.................. .................. .
.
Schedule A, Line
$ 23,450
$ 23,450
1!1 through 6/30 7 � to ate
2. Loans Received-. ........................................__................-.
Schedule a, Line 3
0
0
23,450
23,450
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 + 2
$
$
Received $ $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
0
0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines 3+4
$ 23,450
$ 23,450
Made $ __ $
Expenditures Made
6. Payments Made................................................................ Schedule E, Line 4 $ 6,000.05
7. Loans Made .................... .................... Schedule H, Line 3 0
8. SUBTOTAL CASH PAYMENTS .................... Add Lines 6+7 $ 6,000.05
9. Accrued Expenses (Unpaid BIIIS ........ Schedule F, Line 3 0
10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0
11. TOTAL EXPENDITURES MADE....................................Add Lines s+9+10 $ 6,000.05
Current Cash Statement
12. Beginning Cash Balance .......___ .............. Previous Summary Page, Line 16 $ 0
13. Cash Receipts ......................... Column A, Line 3 above 23,450
14. Miscellaneous Increases to Cash ................................. Schedule 1, Line 4 80
15. Cash Payments ... Column A, Line 6 above 6,000.05
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 17,529.95
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED--_--_ ...................... Schedule e, Parte $ 0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $ 0
19. Outstanding Debts._.. ........ .............. Add Line 2 + Line 9 in Column 8 above $ 0
$ 6,000.05
0
$ 6,000.05
0
n
$ 0,000.UD
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).
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 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received to whole dollars.
Statement covers period
14 1 * -
from July 1, 2021
a :4 k1l
im
page 1 of 24
through December 31, 2021
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
FULL NAME, STREETADDRESS 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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
IND
9/25/2021
Fe Leano
❑ COM
retired
$ 250.00
$ 250.00
187 Salt Creek
❑ OTH
Beaumont, CA 92223
❑ PTY
❑ SCC
Q IND
9/25/2021
Alex Gingrich
❑ COM
Real Estate Agent
$ 250.00
$ 250.00
23461 Windcrest PI
❑ OTH
Dilbeck Real Estate
Newhall, CA 91321
❑ PTY
❑ SCC
D IND
9/25/2021
Melanie Gingrich
❑ COM
Speech Pathologist
$ 250.00
$ 250.00
23461 Windcrest PI
❑ OTH
William S Heart School
Newhall, CA 91321
❑ PTY
District
❑ SCC
Z INDEl
9/25/2021
Wilfred Leano
COM
retired
$ 250.00
$ 250.00
187 Salt Creek
❑ OTH
Beaumont, CA 92223
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $ 1,000.00
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)......................................................... ................................................ $
22,850
2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 600
3. Total monetary contributions received this period.
Add Lines 1 and 2. Enter here and on the Summa Page, Column A, Line 1. ..TOTAL $ 23,450
'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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars. Statement covers periodCALIFORNIA
I
1
from July 1, 2021
-
through December 31, 2021
Page 2 of 24
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
FULL NAME, STREETADDRESS 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
(IF COMMITTEE, ALSO ENTER LD, NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Q IND
9/25/2021
Nelson Peralta
❑ COM
Tax Director
$ 250.00
$ 250.00
65 N Michigan Ave #18
❑ OTH
Jam City
Pasadena, CA 91106
❑ PTY
SCC
❑Q IND
9/25/2021
Nick Scott
❑ COM
Vice President
$ 250.00
$ 250.00
170 West Dayton Street
❑ OTH
Arroyo Insurance Services
Pasadena, CA 91105
❑ PTY
❑ SCC
Z INDEl
9/25/2021
Lynne Marsenich
COM
retired
$ 250.00
$ 250.00
900 E Harrison Ave, Apt C-33
❑ OTH
Pomona, CA 91767
❑ PTY
❑ SCC
®IND
9/25/2021
Rick Tsujimoto
❑ COM
retired
$ 250.00
$ 250.00
900 E Harrison Ave, Apt C-33
❑ OTH
Pomona, CA 91767
❑ PTY
❑ SCC
D IND
9/26/2021
Jonathan Huang
❑ COM
Administrative Law Judge
$ 250.00
$ 250.00
320 East Georgetown Place
❑ OTH
State of CA
Claremont, CA 91711
❑ PTY
FI SCC
SUBTOTAL $ 1,250.00
*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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA
from July 1, 2021
.I
FORM
through December 31, 2021
Page 3 of 24
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
FULL NAME, STREETADDRESS 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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Z IND
9/28/2021
Joseph Lyons I
❑ COM
unemployed
$ 250.00
$ 250.00
1774 Chatham Court
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
Z INDEl
9/28/2021
Sharon Webb
COM
unemployed
$ 250.00
$ 250.00
1774 Chatham Court
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
Q INDEl
9/29/2021
Tony DiGiovanni
COM
unemployed
$ 250.00
$ 250.00
131 Rivo Alto Canal
❑ OTH
Long Beach, CA 90803
❑ PTY
❑ SCC
Q INDEl
9/29/2021
Christine DiGiovanni
COM
unemployed
$ 250.00
$ 250.00
131 Rivo Alto Canal
❑ OTH
Long Beach, CA 90803
❑ PTY
❑ SCC
D IND
9/29/2021
Eric Latham
❑ COM
Chief Financial Officer
$ 250.00
$ 250.00
1133 West Briarcroft Road
❑ OTH
UC Riverside
Claremont, CA 91711
❑ PTY
SCC
SUBTOTAL $ 1,250.00
*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 (1an/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period ICALIFORNIA
from July 1, 2021
FORM
Page 4 of 24
through December 31, 2021
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
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
(IF COMMITTEE, ALSO ENTER LD. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OIND
9/29/2021
Lee Kane
❑ COM
Program Coordinator
$ 250.00
$ 250.00
1133 West Briarcroft Road
❑ OTH
self employed
Claremont, CA 91711
❑ PTY
❑ SCC
Z IND
9/29/2021
Joel Esparza
El COM
Contracts
$ 250.00
$ 250.00
115 East Del Mar Boulevard #405
❑ OTH
JPL
Pasadena, CA 91105
❑ PTY
❑ SCC
OIND
9/29/2021
Mandeep Ghuman
❑ COM
Physician
$ 250.00
$ 250.00
1200 North 6th Street
❑ OTH
Dignity Health Medical
Burbank, CA 91504
❑ PTY
Group
❑ SCC
Z IND1:1
10/1/2021
Kirk Pelser
COM
Deputy City Manager
$ 250.00
$ 250.00
344 Taylor Drive
❑ OTH
City of Pomona
Claremont, CA 91711
❑ PTY
❑ SCC
10/1/2021
Anne Turner
❑� IND
❑ COM
Director
$ 250.00
$ 250.00
790 Santa Barbara Drive West
❑ OTH
City of Corona
Claremont, CA 91711
❑ PTY
SCC
SUBTOTAL $ 1,250.00
'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 A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded SCHEDULE A (CONT.)
to whole dollars. Statement covers period
• , 4•1
from July 1, 2021 FORM
*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
through December 31, 2021
Page 5 of 24
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OIND
10/1/2021
Carolyn Males
❑ COM
unemployed
$ 250.00
$ 250.00
790 Santa Barbara Drive West
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
❑� IND
10/1/2021
Andrew Turner
❑ COM
Consultant
$ 250.00
$ 250.00
790 Santa Barbara Drive West
❑ OTH
Title Fight
Claremont, CA 91711
❑ PTY
❑ SCC
Q IND
10/1/2021
Caragan Thiel
El COM
Finance
$ 250.00
$ 250.00
1901 East Main Street
❑ OTH
One Richmond
Richmond, VA 23223
❑ PTY
❑ SCC
Q IND
10/1/2021
Ashish Marwah
ElCOM
Engineer
$ 250.00
$ 250.00
6863 Landriano PI
❑ OTH
JCSD
Rancho Cucamonga, CA 91701
❑ PTY
❑ SCC
OIND
10/3/2021
Anthony Becker
❑ COM
Sales
$ 150.00
$ 150.00
918 Ottawa Dr
❑ OTH
PPG Industries
Claremont, CA 91711
❑ PTY
SCC
SUBTOTAL $ 1,150.00
*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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period
CALIFORNIA
from July 1, 2021
• -
through December 31, 2021
Page 6 of 24
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
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
(IF COMMITTEE, ALSO ENTER 1-D, NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
RIND
10/5/2021
Lynn Priddy
❑ COM
President
$ 250.00
$ 250.00
5415 North Sheridan Road #4311
❑ OTH
Claremont Lincoln
Chicago, IL 60640
❑ PTY
University
❑ SCC
Z IND
10/5/2021
Richard McGee
❑ COM
Associate Dean
$ 250.00
$ 250.00
5415 North Sheridan Road #4311
❑ OTH
Feinberg School of
Chicago, IL 60640
❑ PTY
Medicine
❑ SCC
Z INDEl
10/5/2021
Peter Yao
COM
retired
$ 250.00
$ 250.00
3414 Yankton
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
ZIND
10/4/2021
Rose Ash
❑ COM
retired
$ 250.00
$ 250.00
744 Plymouth Rd
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
❑Q IND
10/4/2021
Glenn Goodwin ❑ COM
retired
$ 250.00
$ 250.00
744 Plymouth Rd ❑ OTH
Claremont, CA 91711 ❑ PTY
SGC
SUBTOTAL $ 1,250.00
*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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
--1111 CALIFORNIA 460;
from July 1, 2021 FORM
through December 31, 2021 Page 7 of 24
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
FULL NAME, STREETADDRESS 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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Q IND
10/5/2021
Andrew Rodriguez
❑ COM
Avant -Garde Capital LLC
$ 100.00
$ 100.00
20931 Stoddard Wells Road
❑ OTH
Principal
Walnut, CA 91789
❑ PTY
❑ SCC
IND
10/6/2021
Todd Sauber
❑ COM
retired
$ 250.00
$ 250.00
31043 Skyline Drive
❑ OTH
Temecula, CA 92591
❑ PTY
❑ SCC
Q IND
10/7/2021
Michael Sequeira
❑ COM
Public Health Officer
$ 250.00
$ 250.00
458 West Potomac Way
❑ OTH
San Bernardino County
Claremont, CA 91711
❑ PTY
SCC
Q IND
10/11/2021
Butch Henderson
❑ COM
retired
$ 250.00
$ 250.00
525 Harrison
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
Q INDEl
10/12/2021
Valerie Martinez
COM
Business Owner
$ 200.00
$ 200.00
2687 San Angelo Drive
❑ OTH
VMA Communications Inc
Claremont, CA 91711
❑ PTY
F-1 SCC
SUBTOTAL $ 1,050
'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
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA
46G -
1through
from July 1, 2021
FORM
through December 31, 2021
Page 8 of 24
NAME OF FILER
I,D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Z IND
10/17/2021
Tony Ramos
❑ COM
retired
$ 250.00
$ 250.00
873 Atlanta Ct
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
IND
10/1.9/2021
Shayok Chakraborty
ElCOM
Community Organizer
$ 200.00
$ 200.00
9 Weston Terrace
❑ OTH
Greater Boston Interfaith
Wellesley, MA 02482
❑ PTY
Organization
❑ SCC
Q IND
10/21/2021
Robin Kong
El COM
Analyst
$ 250.00
$ 250.00
4828 Embassy Circle
❑ OTH
Reva Research
La Palma, CA 90623
❑ PTY
❑ SCC
Q IND
10/22/2021
Jeffery Harris
El COM
Consultant
$ 250.00
$ 250.00
5013 Escalon Avenue
❑ OTH
Self-employed
View Park -Windsor Hills, CA 90043
❑ PTY
❑ SCC
10/22/2021
Joe Sanberg
Z IND
❑ COM
Entrepreneur
$ 250.00
$ 250.00
17318 Tramonto Drive
❑ OTH
Self Employed
Los Angeles, CA 90272
❑ PTY
El SCC
SUBTOTAL $ 1,200.00
*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 (1an/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA �
1
from July 1, 2021
• ' •
Page 9 of 24
through December 31, 2021
NAME OF FILER
LD NUMBER
Jed Leano for Claremont City Council 2022
1439467
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
CONTRIBUTOR
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Z IND
10/25/2021
David Roger
❑ COM
retired
$ 250.00
$ 250.00
1 Cambridge Ct.
❑ OTH
Rancho Mirage, CA 92270
❑ PTY
❑ SCC
❑� IND
10/26/2021
Michael Ceraso
❑ COM
ED
$ 250.00
$ 250.00
1225 Clifton Street NW, 205
❑ OTH
Winning Margins
Washington, DC 20009
❑ PTY
❑ SCC
Q IND
10/26/2021
Todd Vradenburg
El COM
Executive Director
$ 250.00
$ 250.00
2223 East Mountain Street
❑ OTH
Will Rogers Motion Picture
Pasadena, CA 91104
❑ PTY
Pioneers Foundation
❑ SCC
OIND
10/26/2021
Edward Morales
❑ COM
Attorney
$ 250.00
$ 250.00
3541 Thorndale Road
❑ OTH
Borton Petrini
Pasadena, CA 91107
❑ PTY
❑ SCC
❑1 IND
10/27/2021
Thomas Newman
❑ COM
Vice President
$ 250.00
$ 250.00
811 North La Fayette Park Place
❑ OTH
United Way of Greater LA
Los Angeles, CA 90026
❑ PTY
SCC
SUBTOTAL $ 1,250.00
*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))
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
from July 1, 2021
• '
through December 31, 2021
page 10 of 24
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
FULL NAME, STREETADDRESS AND ZIP CODE OF
IF AN INDIVIDUAL, ENTER
IF
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
CONTRIBUTOR
CONTRIBUTOR
*
AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Z IND
10/27/2021
Laurie Pittman
❑ COM
unemployed
$ 100.00
$ 100.00
4056 Olive Knoll Place
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
Z INDEl
10/27/2021
William Dodge
COM
retired
$ 250.00
$ 250.00
603 Harrison Avenue
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
Z INDEl
10/27/2021
Pamela Hillings Tegtmeyer
COM
Realtor
$ 250.00
$ 250.00
700 South Lake Avenue #323
❑ OTH
Coldwell Banker
Pasadena, CA 91106
❑ PTY
❑ SCC
Q IND
10/27/2021
John Tegtmeyer
❑ COM
Architect
$ 250.00
$ 250.00
700 South Lake Avenue #323
❑ OTH
TDM.Architects
Pasadena, CA 91106
❑ PTY
❑ SCC
IND
10/27/2021
Neil Barker
❑ COM
Attorney
$ 250.00
$ 250.00
533 1/2 Sturtevant Dr
❑ OTH
Law Offices of Neil J Barker
Sierra Madre, CA 91024
❑ PTY
SCC
SUBTOTAL $ 1,100.00
*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
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers perlod • _
.1
from July 1, 2021 • -
through December 31, 2021 page l l of 24
FJi,h9E OF FILER
D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
CONTRIBUTOR
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Z IND
10/28/2021
Ken Futrell
El COM
Branch Manager
$ 250.00
$ 250.00
3630 Durazno
❑ OTH
Ewing Irrigation
El Paso, TX 79905
❑ PTY
❑ SCC
Z IND
10/28/2021
Kenneth Hill
❑ COM
retired
$ 200.00
$ 200.00
1994 Meadowbrook Road
❑ OTH
Altadena, CA 91001
❑ PTY
❑ SCC
Z INDEl
10/29/2021
Ernest Linchangco
COM
Senior IT Engineer
$ 250.00
$ 250.00
195 West San Jose Avenue
❑ OTH
Western Asset Management
Claremont, CA 91711
❑ PTY
Company
❑ SCC
W] IND
10/29/2021
Matthew Tucker
❑ COM
Attorney
$ 250.00
$ 250.00
3507 North Charles Street
❑ OTH
MetaCoastal
Baltimore, MD 21218
❑ PTY
❑ SCC
W1 IND
11/1/2021
Kristy Littman
❑ COM
Attorney
$ 100.00
$ 100.00
340 13th Street Northeast
❑ OTH
U.S. Securities and
Washington, DC 20002
❑ PTY
Exchange Commission
SCC
SUBTOTAL $ 1,050.00
*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 A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
Statement covers
from July 1, 2021
SCHEDULE A (CONT.)
peripd CALIF• .
FORM -r60
12 24
SUBTOTAL $ 700.00
'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
through !I
Page of
NAME OF FILERI.D.
NUMBER
Jed Leano for Claremont City Council 2022
1439467
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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
IND
11/1/2021
Marshall Horton
❑ COM
Attorney
$ 250.00
$ 250.00
PO Box 3766
❑ OTH
Horton & Goodman
Bluffton, SC 29910
❑ PTY
❑ SCC
Z IND
11/2/2021
Charles G Oppermann
❑ COM
Lawyer
$ 250.00
$ 250.00
142 Crescent Hollow Drive
❑ OTH
CGO Law PC
Mantua Township, NJ 08080
❑ PTY
❑ SCC
11/3/2021
Edward Afsharian
Q IND
❑ COM
Manager
$ 100.00
$ 100.00
840 Big Briar Way
❑ OTH
Coldwell Banker
La Canada Flintridge, CA 91011
❑ PTY
❑ SCC
11/5/2021
Thomas Johnson
Z IND
retired
$ 100.00
$ 100.00
El
665 Ridgefield Drive
E] OTH
Claremont, CA 91711
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
FI SCC
SUBTOTAL $ 700.00
'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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers per—iod-111111111110
CALIFORNIA
4601
from July 1, 2021FORM
13 of 24
through December 31, 2021page
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
FULL NAME, STREETADDRESS 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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Q IND
11/5/2021
Elizabeth Leano
❑ COM
So Cal Edison
$ 250.00
$ 250.00
1570 N Towne Ave.
❑ OTH
Senior Manager
Claremont, CA 91711
❑ PTY
❑ SCC
❑Q IND
11/7/2021
Jeffrey Small
El COM
Financial Advisor
$ 250.00
$ 250.00
126 Olympic
❑ OTH
Capitol PFG
Granite Bay, CA 95746
❑ PTY
❑ SCC
Z IND
11/8/2021
Andrew Rodriguez
❑ COM
Avant Garde Capital LLC
$ 100.00
Bfr-
20931 Stoddard Wells Road
❑ OTH
Principal
00
21001
Walnut, CA 91789
❑ PTY
❑ SCC
OIND
11/9/2021
Murray Monroe
❑ COM
unemployed
$ 250.00
$ 250.00
310 North Indian Hill Boulevard
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
RIND
11/10/2021
Paul Brower
❑ COM
retired
$ 250.00
$ 250.00
4197 La Junta Dr.
❑ OTH
Claremont, CA 91711
❑ PTY
SCC
*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
I
SUBTOTAL $ 1,100.00
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Stater►►entcoversperiod
• _
from July 1, 2021
FORM
Page 14 24
of
through December 31, 2021
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Z IND
11/10/2021
Anicia Policar
El COM
MD (Psychiatrist)
$ 250.00
$ 250.00
1516 Coronado
❑ OTH
Central City Medical
Beaumont, CA 92223
❑ PTY
❑ SCC
ZIND
11/11/2021
Jason Vrbensky El COM
Lawyer
�`Y
$ 100.00
$ 100.00
919 Gallier Place ❑ OTH
RRBPA
Jacksonville, FL 32259 ❑ PTY
❑ SCC
Z INDEl
11/18/2021
John Neiuber
COM
retired
$ 250.00
$ 250.00
641 North Indian Hill Boulevard
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
Z IND
11/18/2021
Karen Neiuber
ElCOM
unemployed
$ 250.00
$ 250.00
641 North Indian Hill Boulevard
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
❑� IND
11/18/2021
Mia Dizon
❑ COM
Finance
$ 250.00
$ 250.00
605 South Colt Street
❑ OTH
Merrill
Anaheim, CA 92806
❑ PTY
SCC
SUBTOTAL $ 1,100.00
'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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
•
'
from July 1, 2021
•1
•LI
Page 15 of 24
through December 31, 2021
NAME OF FILERI.D.
NUMBER
Jed Leano for Claremont City Council 2022
1439467
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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(.IAN. 1 - DEC. 31)
(IF REQUIRED)
11/18/2021
James Jekums
IND
❑ COM
Real Estate Agent
$ 250.00
$ 250.00
5481 East Santa Ana Canyon Road
❑ OTH
Seven Gables Realty
Anaheim, CA 92807
❑ PTY
❑ SCC
❑I IND
11/18/2021
Cynthia Kurtz
❑ COM
Advisor
$ 250.00
$ 250.00
710 South Arroyo Boulevard ❑ OTH
City of Pasadena
Pasadena, CA 91105 ❑ PTY
❑ SCC
D IND
11/19/2021
Toni Atkins
❑ COM
Senator
$ 250.00
$ 250.00
2954 Date St
❑ OTH
State of California
San Diego, CA 92102
❑ PTY
Global Policy Leadership Academy
❑ SCC
11/19/2021
❑ IND
El COM
$ 250.00
$ 250.00
404 Euclid Avenue, Suite 212
W] OTH
San Diego, CA 92114
❑ PTY
❑ SCC
El IND
❑ COM
❑ OTH
❑ PTY
F SCC
SUBTOTAL $ 1,000.00
*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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
• .
A
from July 1, 2021
• ' �
Page 16 of 24
through December 31, 2021
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
FULL NAME, STREETADDRESS 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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OIND
11/19/2021
Rebecca Handley
❑ COM
RN
$ 250.00
$ 250.00
5219 East Honeywood Lane
❑ OTH
Fountain Valley Hospital
Anaheim, CA 92807
❑ PTY
❑ SCC
Z IND
11/19/2021
Rick Cole
❑ COM
Assistant Professor
$ 100.00
$ 100.00
1181 Mar Vista Avenue
❑ OTH
Occidental College
Pasadena, CA 91104
❑ PTY
❑ SCC
Q IND❑
11/19/2021
Eric Browning
COM
Dentist
$ 250.00
$ 250.00
524 Huntersknoll Place
❑ OTH
Eric S Browning DMD
Lexington, KY 40509
❑ PTY
❑ SCC
Q IND
11/19/2021
Kim Browning
❑ COM
Admin Asst
$ 250.00
$ 250.00
524 Huntersknoll Place
❑ OTH
Eric S Browning DMD
Lexington, KY 40509
❑ PTY
❑ SCC
ZIND
11/20/2021
Nancy Neiman
❑ COM
Professor
$ 100.00
$ 100.00
362 West 12th Street
❑ OTH
Scripps College
Claremont, CA 91711
❑ PTY
El SCC
SUBTOTAL $ 950.00
*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 A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
Jed Leano for Claremont City Council 2022
FULL NAME, STREETADDRESS AND ZIP CODE OF
DATE
RECEIVED CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I..D. NUMBER)
11/20/2021 James Toma
2533 East Evergreen Avenue
West Covina, CA 91791
11/20/2021 Pamela Bunce
380 Adams Ave.
Pomona, CA 91767
11/24/2021 Brian Aguilar
1555 Violet Way
Pleasant Hill, CA 94523
*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
Amounts may be rounded
to whole dollars.
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
*
OCCUPATION AND EMPLOYER
CODE
(IF SELF-EMPLOYED, ENTER NAME)
$ 100.00
OF BUSINESS)
Q IND
$ 100.00
❑ COM
Attorney
❑ OTH
State of CA
❑ PTY
❑ SCC
❑IND
El COM
unemployed
❑ OTH
❑ PTY
❑ SCC
Z IND
El COM
Director of Product
❑ OTH
Dow Jones
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
SCC
Statement covers
from July 1, 2021
through December 31, 2021
SCHEDULE A (CONT.)
Page 17 of 24
SUBTOTAL $ 300.00
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
1439467
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
$ 100.00
$ 100.00
$ 100.00
$ 100.00
$ 100.00
$ 100.00
SUBTOTAL $ 300.00
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period vffm_
-
Tuly 1, 2021
fromthrough
4
7I.D.NUMBE7R!
December 31, 2021
NAME OF FILER
Jed Leano for Claremont City Council 2022
1439467
FULL NAME, STREETADDRESS 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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
11/24/2021
Matthew Bramlett
Z IND
"Public Information Officer
$ 100.00
$ 100.00
El COM
244 Bucknell Avenue
❑ OTH
Ci of Moreno Valley"
City Y
Claremont, CA 91711
❑ PTY
❑ SCC
11/24/2021
Eric Palmstrom
❑I IND
❑ COM
Maxi International
$ 100.00
$ 100.00
2142 Mar Vista Ave
❑ OTH
Altadena, CA 91001"
❑ PTY
❑ SCC
11/24/2021
Mark Stone IND ❑ COM
General contractor
$ 100.00
$ 100.00
106 Janalee Drive ❑ OTH
Self employed
Henderson, KY 42420 ❑ PTY
❑ SCC
11/24/2021
Mike Kolbach
OIND
❑ COM
Loan Officer
$ 100.00
$ 100.00
119 North Maude Lane
❑ OTH
Avid Mortgage Solutions
Anaheim, CA 92807
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
SCC
SUBTOTAL $ 400.00
*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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to wnole oonars• Statement covers perlod
CALIF• _
from July 1, 2021
.1
FORM
Page 19 of 24
through December 31, 2021
NAME OF FILER —�
LD. NUMBER
Jed Leano for Claremont City Council 2022
1439467
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
CONTRIBUTOR
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Z IND
11/26/2021
Jorge Gonzales
❑ COM
retired
$ 100.00
$ 100.00
15953 Crosswind Avenue
❑ OTH
Chino, CA 91708
❑ PTY
❑ SCC
❑] IND
11/26/2021
Abraham Lim
❑ COM
Attorney at Law
$ 250.00
$ 250.00
509 West Avenida De La Merced
❑ OTH
Self
Montebello, CA 90640
❑ PTY
❑ SCC
Q INDEl
11/27/2021
Emily Lavine
COM
unemployed
$ 100.00
$ 100.00
215 S 45th Street, Apt 6
❑ OTH
Philadelphia, PA 19104
❑ PTY
❑ SCC
Q INDEl
11/29/2021
Angeline Chen
COM
Attorney
$ 100.00
$ 100.00
126 South Catalina Avenue #302
❑ OTH
Clark Hill
Pasadena, CA 91106
❑ PTY
❑ SCC
Z IND
12/1/2021
Andrew Rodriguez
❑ COM
Avant -Garde Capital LLC
$ 50.00
i del'
00
20931 Stoddard Wells Road
❑ OTH
Principal
L"N•
Walnut, CA 91789
❑ PTY
SCC
SUBTOTAL $ 600.00
*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
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
CALIF• _ NIA
from July 1, 2021
' • f
FORM
Page 20 of 24
through December 31, 2021
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
CONTRIBUTOR
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
� IND
12/1/2021
Phillip Arce
❑ COM
Processing Supervisor
$ 250.00
$ 250.00
605 S. Colt St.
❑ OTH
Triad Financial Services
Anaheim, CA 92806
❑ PTY
❑ SCC
❑� IND
12/1/2021
Billy Liu
❑ COM
Manager
$ 100.00
$ 100.00
7285 Brighton Drive
❑ OTH
Chevron
Dublin, CA 94568
❑ PTY
❑ SCC
Z IND
12/1/2021
Mel Cohen
El COM
Insurance Broker
$ 100.00
$ 100.00
P.O. BOX 70100
❑ OTH
Mel Cohen Insurance
Pasadena, CA 91117
❑ PTY
Services
❑ SCC
E-1 IND
12/1/2021
Mike Wehbe Real Estate
❑COM
$ 100.00
$ 100.00
405 South Los Robles Avenue #305
Z OTH
Pasadena, CA 91101
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
SCC
SUBTOTAL $ 550.00
*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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period•
_
from Tuly 1, 2021
•
page 21 of 24
through December 31, 2021
NAME OF FILERI.D,
NUMBER
Jed Leano for Claremont City Council 2022
1439467
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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(,IAN. 1 - DEC. 31)
(IF REQUIRED)
12/1/2021
Edgar Ylagan
D IND
❑ COM
Gastrointestinal Sales
$ 150.00
$ 150.00
1086 Syracuse Drive
❑ OTH
Specialist
Claremont, CA 91711
❑ PTY
VIVUS LLC
❑ SCC
Z INDEl
12/4/2021
Ding Wicker
COM
unemployed
$ 100.00
$ 100.00
1430 Sitka Court
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
Q IND
12/5/2021
Peter Gloria
El COM
Director of Engineering
$ 250.00
$ 250.00
602 E. Miramar Avenue, Apt/Suite
❑ OTH
Syng
Claremont, CA 91711
❑ PTY
❑ SCC
Q IND
12/5/2021
Marissa Gloria
El COM
Psychologist
$ 250.00
$ 250.00
602 E. Miramar Avenue
❑ OTH
Walnut Valley School
Claremont, CA 91711
❑ PTY
District
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
Fj SCC
SUBTOTAL $ 750.00
'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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA
from July 1, 2021
FORM
through December 31, 2021
Page 22 of 24
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
FULL NAME, STREETADDRESS 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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
❑ IND
12/6/2021
United Food and Commercial Workers
❑ COM
$ 250.00
$ 250.00
International Union, AFL-CIO, CLC
Vj OTH
705 W Arrow Hwy, Claremont CA 91711
❑ PTY
❑ SCC
12/8/2021
Benjamin Cover
0 IND
❑ COM
Sales, USA SHADE & Fabric
$ 250.00
$ 250.00
7422 Seastar Drive # 4
F1 OTH
Structures d/b/a Shade
Huntington Beach, CA 92648
❑ PTY
Structures, Inc.
❑ SCC
12/12/2021
Nicholas Kapiotis
D IND
❑ COM
GC
$ 100.00
$ 100.00
7205 Burtonwood Dr
❑ OTH
NAPEO
Alexandria, VA 22307
❑ PTY
❑ SCC
12/21/2021
Majid Tayyarah
Z IND
❑ COM
Physician
$ 250.00
$ 250.00
269 East Miramar Avenue
❑ OTH
Kaiser Permanente
Claremont, CA 91711
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
El SCC
SUBTOTAL $ 850.00
*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
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars. Statement covers perlod _
T''1-- 1 �A^ " •
'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
from J -Y
through December 31, 2021
Page 23 of 24
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
FULL NAME, STREETADDRESS 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
(IF COMMITTEE, ALSO ENTER LID, NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Z IND
12/22/2021
Michelle Lai
❑ COM
Strategic Finance Manager
$ 250.00
$ 250.00
7802 Hondo Street
❑ OTH
WM Technology
Downey, CA 90242
❑ PTY
❑ SCC
D IND
12/23/2021
Igor Mikheev
❑ COM
unemployed
$ 250.00
$ 250.00
458 Potomac Way
❑ OTH
Claremont, CA 91711
❑ PTY
❑ SCC
Q INDEl
12/28/2021
Tina Wang COM
Medical Doctor
$ 250.00
$ 250.00
2529 King Way ❑ OTH
Tupelo Point Healing Arts
Claremont, CA 91711 ❑ PTY
❑ SCC
Z IND
12/29/2021
Larissa Ruescher
El Com
Prosecutor
$ 250.00
$ 250.00
27431 San Bernardino Avenue, Apt 266
❑ OTH
District Attorney San
Redlands, CA 92374
❑ PTY
Bernardino
❑ SCC
ZiND
12/29/2021
Bernd Ruescher
❑ COM
Contractor
$ 250.00
$ 250.00
27431 San Bernardino Avenue, Apt 266
❑ OTH
Self Employed
Redlands, CA 92374
❑ PTY
SCC
SUBTOTAL $ 1,250.00
'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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
CALIF'
from July 1, 2021
• A • I
RM
through December 31, 2021
page 24 of 24
NAME OF FILERI.D.
NUMBER
Jed Leano for Claremont City Council 2022
1439467
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
(IF COMMITTEE, ALSO ENTER I,.D, NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
OF BUSINESS)
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
Z IND
12/30/2021
Anne Miskey
❑ COM
CEO
$ 200.00
$ 200.00
4445 Richard Drive
❑ OTH
Union Station Homeless
Los Angeles, CA 90032
❑ PTY
Services
❑ SCC
Z INDEl
12/31/2021
Laura Burgis
COM
president
$ 100.00
$ 100.00
3016 N Mountain Ave
❑ OTH
Human Values Center
Claremont, CA 91711
❑ PTY
❑ SCC
D IND
12/31/2021
Roxana Muro
❑ COM
Attorney
$ 200.00
$ 200.00
675 Ridgeview Court
❑ OTH
Self
Upland, CA 91784
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
SCC
SUBTOTAL $ 500.00
'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
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF Fk_ER
Jed Leano for Claremont City Council 2022
Amounts may be rounded
to whole dollars.
SCHEDULE
Statement covers period
from July 1, 2021
through December 31, 2021 I page 1 of 2
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
1439467
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
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I D NUMBER)
Secretary of State FIL $ 50.00
1500 11th Street, Rm 495, Sacramento, CA 95814
DonorBox Online donation fees $ 925.81
2615 Columbia Pike, #427 Arlington, VA 22204
Title Fight LLC CNS $ 5,000.00
900 Keosauqua Way, Suite 333, Des Moines, IA 50309
D
' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5,975.81
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.)..
6,000.05
.......... $ 0
............ $ 0
TOTAL $ 6,000.05
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule ESCHEDULE
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Wells Fargo
420 Montgomery Street San Francisco, CA 94104
E (CONT.)
Statement covers period
1
Amounts may be rounded
dollars.
(Continuation Sheet)
$14.24
to whole
IBM
July 1, 2021
ki
Payments Made
from
through December 31, 2021
Page 2 of 2
SEE INSTRUCTIONS ON REVERSE
I
NAME OF FILER
I.D. NUMBER
Jed Leano for Claremont City Council 2022
1439467
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
Wells Fargo
420 Montgomery Street San Francisco, CA 94104
Bank Fee
$ 10.00
Staples
$14.24
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $ 24.24
FPPC Form 460 (Jan 2016f )
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule I Omnunts may he rnunded SCHEDULE 1
Attach additional information on appropriately labeled continuation sheets SUBTOTAL $
Schedule ummary
1. Itemized increases to cash this period................................................................................................. ..... 0
2. Unitemized increases to cash of under $100 this period................................................................................. $ 80.00
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .......................................$ .0
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 80.00
Summary Page, Line 14.) TOTAL $ FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov