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Home My Public Portal About02. Form 460 (July 1 - Aug. 3, 2023) TerminationCOVER PAGE Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE RECEIVE Statement covers period from 07/01/2023 through 08/03/2023 Date of election if applicable: (Month, Day, Year) 11/03/2020 SEP 1 1 2023 CITY CLERK CITY OF CLAREMO t A _IFORNIA 460 FORM Page 1 of 5 NT For Official Use Only 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. • Officeholder, Candidate Controlled Committee ❑ State Candidate Election Committee ❑ Recall (Also Complete Part 5) ❑ General Purpose Committee ❑ Sponsored ❑ Small Contributor Committee ❑ Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee ❑ Controlled ❑ 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 Claremont MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX STATE ZIP CODE AREA CODE/PHONE CA 91711 (951)533-2806 660 W. Bonita Ave., Apt. 19F CITY Claremont OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 91711 (951)533-2806 Treasurer(s) NAME OF TREASURER Bonnie F. Emadi MAILING ADDRESS 4205 Oak Hollow Rd. CITY STATE ZIP CODE Claremont 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 Executed on Executed on Executed on Executed on Date Sjl9lz 2,3 Date gtt V 20 23 Date Date By By By By Signature of C nd correct. stant Treasurer rolling • ceholder, 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 5 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee 111 NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE 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 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 07/01/2023 through 08/03/2023 SUMMARY PAGE CALIFORNIA 460 FORM Page 3 of 5 NAME OF FILER Rachel Forester for Claremont City Council District One 2020 I.D. NUMBER 1423232 Contributions Received 1. Monetary Contributions Schedule A, Line 3 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 0 0 0 0 0 Column B CALENDAR YEAR TOTAL TO DATE 0 $ 0 0 0 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 1422 0 1422 0 0 1422 $ 1518 0 $ 1518 0 0 $ 1518 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 1422 0 0 1422 0 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 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 D SCHEDULE D Summary of Expenditures Amounts may be rounded to whole dollars. Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE Statement covers period 07/01/2023 from CALIFORNIA 460 FORM through 08/03/2023 Page 4 5 of NAME OF FILER Rachel Forester for Claremont City Council District One 2020 I.D. NUMBER 1423232 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE ) (IF REQUIRED 08/03/2023 Rachel Forester for Claremont City Council 2024 r4 Monetary Contribution • Nonmonetary Contribution • Independent Expenditure 1,240.00 1,240.00 1,240.00 rA Support • Oppose • Monetary Contribution • Nonmonetary Contribution • Independent Expenditure • Support • Oppose • Monetary Contribution • Nonmonetary Contribution • Independent Expenditure • Support • Oppose SUBTOTAL $ Schedule D Summary 1,240.00 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ 2. Unitemized contributions and independent expenditures made this period of under $100 $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 1,240.00 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from 07/01/2023 through 08/03/2023 CALIFORNIA 460 FORM Rachel Forester for Claremont City Council District One 2020 Page 5 of 5 I.D. NUMBER 1423232 CODES: If one of the following codes accurately describes the CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT payment, you may enter the code 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 . Otherwise, describe the payment. RAD RFD SAL TEL TRC TRS TSF VOT WEB 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Rachel Forester for Claremont City Council 2024 660 W. Bonita Ave., Apt. 19F nA (11-In1 1 CTB Contribution to candidate's new committee 1,240.00 Secretary of State - Political Reform Division 1500 11th Street, Room 495 a FIL Annual filing fee due to California Secretary of State for 2021, 2022, and 2023 150.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,390.00 Schedule E Summary 1,390.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 2. Unitemized payments made this period of under $100 $ 32.00 $o 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.) TOTAL $ 1,422.00 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov