HomeMy Public PortalAbout02. Form 460 (July 1 - Dec. 31, 2021)Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 07/01/2021
through 12/31/2021
Date of election if applicable:
(Month, Day, Year)
11/03/2020
COVER PAGE
Date Stamp
RECEIV
SEP 1 1 2023
CITY CLERK
CITY OF CLAREM
CALIFORNIA 460
Page 1
of 4
ONT
For Official Use Only
1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
RI Officeholder, Candidate Controlled Committee
L State Candidate Election Committee
Recall
(Also Complete Pert 5)
❑ General Purpose Committee
❑ Sponsored
❑ Small Contributor Committee
❑ Political Party/Central Committee
❑ Primarily Formed Ballot Measure
Committee
❑ Controlled
L Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
2. Type of Statement:
❑ Preelection Statement
▪ Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
❑ Quarterly Statement
❑ Special Odd -Year Report
3. Committee Information
I.D. NUMBER
1423232
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Rachel Forester for Claremont City Council District One 2020
STREET ADDRESS (NO P.O. BOX)
660 W. Bonita Ave., Apt. 19F
CITY STATE ZIP CODE
Claremont CA 91711
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
660 W. Bonita Ave., Apt. 19F
CITY STATE ZIP CODE
Claremont CA 91711
OPTIONAL: FAX / E-MAIL ADDRESS
AREA CODE/PHONE
(951) 533-2806
AREA CODE/PHONE
(951) 533-2806
Treasurer(s)
NAME OF TREASURER
Bonnie F. Emadi
MAILING ADDRESS
4205 Oak Hollow Rd.
CITY
Claremont
STATE ZIP CODE
CA 91711
AREA CODE/PHONE
(909) 451-1904
NAME OF ASSISTANT TREASURER, IF ANY
N/A
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 a correct.
Executed on
Executed on
Executed on
Executed on
Date
D
flit/ 2b13
Date
By
ate
Date
By
By
By
re of Treasurer or Assistant Treasurer
Polling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
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
COVER PAGE - PART 2
Recipient Committee
Campaign Statement
Cover Page — Part 2
CALIFORNIA 460
FORM
Page 2 of
4
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Rachel Leigh Forester
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
660 W. Bonita Ave., Apt. 19F 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
N/A
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (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 STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
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
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
• SUPPORT
• OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
• SUPPORT
• OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD •
SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD •
SUPPORT
• OPPOSE
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
Summary Page
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2021
through 12/31/2021
SUMMARY PAGE
CALIFORNIA 460
FORM
Page 3 of 4
NAME OF FILER
Rachel Forester for Claremont City Council District One 2020
I.D. NUMBER
1423232
Contributions Received
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
$
$
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
0
0
0
0
0
Column B
CALENDAR YEAR
TOTAL TO DATE
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
20. Contributions
Received $
21. Expenditures
Made $
1/1 through 6/30
7/1 to Date
Expenditures Made
6. Payments Made
7. Loans Made
8. SUBTOTAL CASH PAYMENTS
9. Accrued Expenses (Unpaid Bills)
10. Nonmonetary Adjustment
Schedule E, Line 4
Schedule H, Line 3
Add Lines 6 + 7
Schedule F. Line 3
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10
$
96
0
96
0
0
96
$ 192
0
$ 192
0
0
$ 192
Current Cash Statement
12. Beginning Cash Balance
13. Cash Receipts
14. Miscellaneous Increases to Cash
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.
Previous Summary Page, Line 16
Column A, Line 3 above
Schedule 1, Line 4
1806
0
0
96
$ 1710
17. LOAN GUARANTEES RECEIVED
Schedule B, Part 2 $
0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse
19. Outstanding Debts Add Line 2 + Line 9 in Column B above
0
0
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
(mm/dd/yy)
/ /
$
Total to Date
'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 E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2021
through 12/31/2021
SCHEDULE E
CALIFORNIA 460
FORM
Page 4 of 4
Rachel Forester for Claremont City Council District One 2020
I.D. NUMBER
1423232
CODES:
If one of the following codes accurately describes the payment, you may enter the code. Otherwise,
CMP campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
FIL candidate filing/ballot fees
FND fundraising events
IND independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
describe the payment.
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
CODE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 0
2. Unitemized payments made this period of under $100 $ 96
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)
$o
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 96
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov