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HomeMy Public PortalAbout03. Form 460 (July 20 - Dec 31, 2023)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE of 11 Statement covers period fr om 07/20/2023 through 12/31/2023 Date of election if applicable: (Month, Day, Year) 11/05/2024 C JAN 2 5 2024 CITY CLERK TY OF CL AREMON Page COVER PAGE T For Official Use Only 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 Pmt 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Als o Complete P art 7) 2. Type of Statement: ❑ Preelection Statement Zi Semi-annual Statement O Termination Statement (Also file a Form 410 Termination) O Amendment (Explain below) ❑ Quarterly Statement O Special Odd -Year Report 3. Committee Information I.D. NUMBER 1462054 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COM MITTEE) Rachel Fo rester for Claremon t City Cou ncil 2024 STREET ADDRESS (NO P. O. BOX) 660 W. Bonita Av e. , #19F CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Same CITY STATE ZIP CODE 951-533-2806 AREA CODE/PHONE OPTIONAL: FA X / E-MAIL ADDRESS rachelleighfo rester@ gmail.co m Treasurer(s) NAME OF TREASURER B on nie 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 bflinn@hotmail.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. Execute d on Executed on Executed on Executed on Date °Y19/2.241 01/2.5P-° 01 / 2 ie t02 '. By By nature of Controllin 0 ficeholder, Can date State Measure Propone nt B g Responsible O ffic er of Sponsor Signatur of• Cbrnro ing Officeholder, Candi ate, State Measure Proponent By Signature of Treasurer or Assistant Treasurer or 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.g ov COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate C ontrolled Committe e 6. Primarily Formed Ball ot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Rachel Forester OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Claremont City Coun cil, District 1 RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 660 W. Bonita Ave. , #19F Claremont CA 91711 Related Committees Not Included in this Statement: List a ny c ommittees not included in this statement that are controlled by you or are primarily form ed to recei ve co ntributions or make expenditures on behalf of yo ur candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? E 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 Ide ntify the co ntr olling offic eholder, 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/Offic eholder C ommittee List names of officeholder(s) or candidate(s) for which this committee is primarily formed . N AME 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 c onti nuation 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 doll ars. Statement covers period from 07/20/2023 through 12/31/2023 SUMMARY PAGE Page 3 of 11 NAME OF FILER Rachel Forester for Claremo nt City Council 2024 I .D . NUMBER 1462054. Co ntributio ns Received 1. Monetary Contributions Schedul e A, Li ne 3 $ 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lin es 1 +2 $ 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3 +4 $ C olumn A TOTAL THIS PERIOD (FR OM ATTACHED SCHEDULES) 6,315 .00 0 6,31500 0 6,315 .00 Column B CALENDAR YEAR - TOTAL TO DATE $ 6,315.00 0 $ 6,315.00 0 $ 6,315 .00 Calendar Year Summary for Candidates Running in B oth th e 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 Schedule E, Li ne 4 $ 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS AddLines6+7 $ 9. Accrued Expenses (Unpaid Bills) Schedu le F, Line 3 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 303 .22 0 303 .22 400.00 0 - 703.22 $ 303.22 0 $ 303 .22 400 .00 0 $ 703 .22 Current Cas h Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule 1, Line 4 15. Cash Payments Column A, Line 8 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Lin e 15 If this is a termination statement, Line 16 must be zero. $ 0 6,315. 00 0 303.22 6,011.78 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ 0 Cash Equivalents and O utstanding Debts 18. Cash Equivalents See instructions on reverse 19. Outstanding Debts Add Lin e 2 + Line 9 in Column B above $ 0 $ 400.00 To calculate Column B, add amounts in C olumn A to the corresponding amounts from Column B of your last report . Some amounts in Column A may be negative figur es that sho uld 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). E xpenditure 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 Ad vice: advice@fppc.ca.g ov (866/275-3772) www.fppc.ca .gov Schedule A Amounts may be rounded SCHEDULE A W WHIM aouars . Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Statement covers period from 7/20/2023 CALIFORNIA FORM Page 460 4 of 11 through 12/31/2023 NAME OF FILER Rachel Fo rester for Claremont City Co uncil 2024 I .D. NUMBER 1462054 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-E MPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 - DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 8/2/2023 Rachel Forester for Claremo nt City Council 2020 660 W. Bon ita Ave., #19F Claremo nt, CA 91711 it. d l'%2-3 z3 2— • IND 1,240 .00 1,240 .00 Z C OM ■ OTH IN PTY ■ scc 10/29/2023 Beth Ann Gerstein 1727 Sumn er Av e. Claremont, CA 91711 © r1 IND Executive Direct or American Muse um of Ceramic Art 100 .00 100 .00 • COM • OTH • PTY ■SCC 10/29/2023 Susan Kullman 621 Mayflower Rd., Apt. 206 Claremont, CA 91711 rI IND Part-time web devel oper Self-employed 101.00 101 .00 • COM • OTH ■ PTY ■ SCC 10/30/2023 Lydia Hernandez 550 Bucknell Ave., #J Claremont, CA 91711 Teacher CUSD 100 .00 100 .00 r2 IND ■ COM • OTH • PTY ■ SCC 11/1/2023 Camero n Cunningham 1529 Winford A ve. Ventura, CA 93004 rI IND Museum professio nal Exhibit Envoy 100.00 100 .00 ■ CO M • OTH ■ PTY • SCC SUBTOTAL $ 1,641 .00 Schedule A Summary 1. Amount received this period - itemized monetary contributions. 5,666.00 (Include all Schedule subtotals. ) $ 2. Amount rece ived this period - unitemized monetary contributions of less than $100 $ 649. 00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. ) TOTAL $ 6,315. 00 *Contributor Codes IND — Individual COM — Recipi ent Committee (oth er than PTY or SCC) OTH — Other ( e.g., business e ntity) PTY — Political Party SCC — Small Contribut or Committee FPPC F orm 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.g ov (866/275-3772) www .fppc .ca .gov Schedule A (Continuation Sheet) Monetary Contributi ons Received to whole dollars. Statement covers peri od from 07/20/2023 CALIFORNIA 460 FOR M Page 5 of 11 through 12/31/2023 NAME OF FILER Rachel Forester for Claremont City C ouncil 2024 I.D. NUMBER 1462054 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I .D. NUMBER) CONTRIBUTOR * CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPL OYED, ENTER NAME) OF BUSINESS) A MOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1- DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 11/04/2023 Anne Turner 790 Santa Barbara Dr. Claremon t, CA 91711 d IND • CO M ■ OTH ■ PTY ■ SCC Se nior Project Officer Claremont Linc oln University 250.00 250 .00 11/04/2023 Carolyn Males 790 San ta Barbara Dr. Claremon t, CA 91711 GI IND II COM ■ OTH ■ PTY • SCC Not employed 250.00 250 .00 11/05/2023 Lee Kane 1133 Briarcroft Rd. Claremont, CA 91711 IND • CO M • OTH • PTY • SCC �' Pro am Manager SGV C onsortium on Homelessness 250 .00 250.00 11/05/2023 Bo nnie Emadi 4205 Oa k Hollow Rd. Claremont, CA 91711 IND • • COM • OTH • PTY • SCC Lawyer er Tayl or, Sim onson & Winter LLP 250.00 250 .00 11/05/2023 Crista Rosten 1376 Via Zu rita Claremont, CA 91711 o IJ IND ■ COM • OTH • PTY n scc Self -employer Crista Rosen 100 .00 100 .00 SUBTOTAL $ 1,100 .00 Am ounts may be round ed SCHEDULE A (CONT .) * 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 Advic e: advice @fppc .ca .gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT .) Monetary C ontributi ons Received to whole d ollars. Statem ent covers period from 07/20/2023 CALIFORNIA 460 FORM Page 6 of 11 through 12/31/2023 NAME OF FILER Rachel Forester for Clarem ont City Council 2024 I.D. NUMBER 1462054 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D . NUMBER) C ONTRIBUT OR * CODE IF AN INDIVIDUAL, ENTER OCCUP ATI ON AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1- DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 11/05/2023 David Serri 7000 Aldea Ave. Van Nuys, CA 91406 r1 IND • COM • OTH ■ PTY ■ SCC Staffer Campaign 100 .00 100.00 11/05/2023 Corin a Christiansen 140 W. Foothill Blv d. , Ste. E Claremont, CA 91711 U IND • COM • OTH • PTY ■SCC CP A Self-employed 100 .00 100 .00 11/05/2023 N icki Heskin 1689 Barnard Rd. Claremont, CA 91711 n IND • COM ■ OTH • PTY • SCC Theater producer Bost on Court Pasadena 100 .00 100 .00 11/05/2023 Matthew Bowman 225 Bloomfield Ct. Claremo nt, CA 91711 r1 IND ■ COM • OTH • PTY • SCC Professor Claremont Grad uate University 100.00 100 .00 11/05/2023 Anthea K raut 1275 N. Indian Hill Blvd. Claremon t, CA 91711 CA IND • COM • OTH • PTY n sCC Professor UC Riv erside 250 .00 250 .00 SUBTOTAL $ 650 .00 `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e. g. , busine ss 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.g ov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT .) Monetary Contributions Recei ved to whole d ollars. Statement covers period from 07/20/2023 CALIFORNIA 460 FORM Page 7 of 11 through 12/31/2023 NAME OF FILER Rachel Forester for Claremont City Council 2024 I.D. NUMBER 1462054 DATE RECEIVED FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I .D. NUMBER) CONTRIBUTOR * CODE IF AN INDIVIDUAL, ENTER OCCUP ATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) AM OUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 11/05/2023 Sorrel Stielstra 135 W. 12th Street Claremont, CA 91711 Director of Research Growing Inland Achievement 150.00 150 .00 Fri IND ■ COM IN OTH • PTY ■ SCC 11/05/2023 Lauren Santell 352 De Pau l Rd. Claremont, CA 91711 U IND Physician SCPMG 250 .00 250 .00 • CO M • OTH • PTY ■ SCC 11/05/2023 Aman da Hollis-Brusky 706 W. 12th Street Claremo nt, CA 91711 Professor P omona C ollege 250.00 250 .00 I1 IND • COM • OTH ■ PTY • SCC 11/05/2023 D ebi Evan s 1082 Butte Street Claremo nt, CA 91711 Sr . Fi nancial A nalyst City of Hope 250 .00 250.00 I1IND • COM ■ OTH ■ PTY • SCC 11/09/2023 Jonathan Lethem 555 W. 9th Street Claremon t, CA 91711 A IND Professor Pomon a College 250 .00 250 .00 • CO M ■ O TH • PTY Fl 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 Ad vice: advice @fppc .ca.gov (866/275-3772) www .fppc .ca.g ov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Recei ved to whole d ollars. Statement c overs period from 07/20/2023 CALIFORNIA 460 F ORM Page 8 of 11 through 12/31/2023 NAME OF FILER Rachel Forester for Claremont City Cou ncil 2024 I.D. NUMBER 1462054 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I .D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER O( F SE CCUFAEMON OY DDEN ER N OME)R OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (J AN. 1 - DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 11/15/2023 Sam Sou sa 440 W. 7th Street Claremont, CA 91711 Co nstructio n Coordinator CVUS D 125.00 125.00 n IND ■ COM • OTH ■ PTY • SCC 11/28/2023 K aren May 537 E. Nocta Street O ntario, CA 91764 U IND U nion orga nizer SEIU L ocal 1000 100 .00 100 .00 • COM • OTH ■ PTY ■ SCC 12/11/2023 Johan na Hardin 424 Baughman Av e. Claremont, CA 91711 Profess or P omon a C ollege 100.00 100 .00 n IND ■ COM ■ OTH • PTY ■ SCC 12/27/2023 Stephen Moore 546 Bau ghman Av e. Claremont, CA 91711 Literary Agent Paul Kohner, Inc. 200.00 200 .00 t'A I N D • COM • OTH ■ PTY • SCC 12/29/2023 Mel Bo ynton 1145 Baughman Dr. Claremont, CA 91711 Retired 100 .00 100 .00 4 IND • COM • O TH ■ PTY n scc SUBTOT AL $ 625 .00 * Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Othe r (e. g., business entity) PTY — Political Party SCC — Sma ll Contributor Co mmittee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.go v (866/275-3772) www .fppc .ca.gov Schedule A (Continuati on Sheet) Am ounts may be rounded SCHEDULE A (CONT .) Monetary Contributions Received to whole dollars. • Statement c overs period fr om 07/20/2023 CALIFORNIA 460 FORM Page 9 of 11 through 12/31/2023 NAME OF FILER Rachel Forester for Claremont City Council 2024 I .D. NUMBER 1462054 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR * CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IFSELF-E MPLOYED, ENTER NAME) OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (J AN . 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12/29/2023 John Forester 311 E. Miramar Ave. Claremont, CA 91711 rJ IND • COM ■ OTH • PTY • SCC Dri ver EP Payr oll 250.00 250 .00 12/29/2023 Janis Forester 311 E. Miramar Ave. Claremont, CA 91711 •IND C OM ■ OTH • PTY ■ SCC Retired 250 .00 250 .00 • IND • COM ■ OTH ■ PTY ■ SCC • IND • COM • OTH • PTY • SCC IN IND • COM ■ OTH • PTY 1-1 SCC SUBTOTAL $ 500 .00 * Contributor Code s 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.g ov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NA ME OF FILER Amounts may be r ounded to whole dollars . SCHEDULE E St atement cov er s peri od from 07/20/2023 thr ough 12/31/2023 Rachel Forester for Clarem ont City Council 2024 Page 10 11 of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civ ic donatio ns 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 member communications meetings and appearances office expe nses petition circulating phone banks polling and survey research postage, delivery and messenger services pr ofessional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF V OT 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 (intemet, e-mail) NA ME A ND ADDRESS OF PAYEE CODE (IF COMMITTEE, ALSO ENTER I. D. NUMBER) OR DESCRIPTION OF PAYMENT A MOUNT PAID * Payments that are contributions or independent expenditures must a lso be summarize d on Sc hedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals. ) $ 0 2. Unitemized payments made this pe riod of under $100 $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 0 303 .22 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 303 .22 FPPC F orm 460 (Jan/2016)) FPPC Advice: advice @fppc .ca.gov (866/275-3772) www.fppc.ca.go v SCHEDULE F Schedule F Accrued E xpenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole d ollars. Statement covers period from 07/20/2023 through 12/31/2023 Page 11 of 11 NAME OF FILER Rachel Forester for Claremo nt City Co uncil 2024 I.D . NUMBER 1462054 CODES: If one of the following codes accurately describes the payment, you may enter the code . Otherwise, describe the payment . 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 member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and surv ey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFD returned c ontributions SAL campaign workers' salaries TEL t .v . or cable airtime and production costs TRC candidate tra vel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidat e/sp onsor VOT voter registration WEB information technology costs (internet, e-mail) NAM E A ND ADDRESS OF CREDITOR (IF COM MITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REP ORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Winning Margin s, 426 North Conlon, West Cov ina, CA 91790 El CNS 0 400.00 0 400.00 Payme nts that are contributions or independent ex penditures must also be summarized on Schedule D. SUBTO TALS $ 0 $ 400.00 $ 0 $ 400 .00 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100. ) 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9. ) INCURRED TOTALS $ 400 .00 PAID TOTALS $ 0 NET $ 400.00 May be a negativ e number FPPC Form 460 (Jan/2016)) FPPC Advice: advice @fppc .ca.gov (866/275-3772) www.fppc.ca .gov