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Home My Public Portal About02. Form 460 (July 1 - Dec. 31, 2023)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers peri od from 07/01/2023 thro ugh 12/31/2023 Date of el ection if applicabl e: (Month, Day, Year) 11/08/2022 Date Stamp JAN 3 1 2024 CITY CLERK 1TY OF CLARE M( COVER PAGE Pag e NT F or Offici al Us e Only 1. Type of Recipient Committe e: All Committees —Complete Parts 1, 2, 3, a nd 4. Officeholder, Candidate Controlled Committ ee O State Can didate Ele ction Committee • Recall Pa Parole Part 5) ❑ General Purpose Committee 0Sponsored • Sm all Contributor Committee o Political Party/Central Committee 0 Primarily Formed Ballot"Measur e Committee • Controlled • Sponsored (ALso ConPfefe Part 6) Primarily Formed Candidate/ Offi ceholder Committee (Also Complete Par. T) 2. Type of Statement: ❑ Preelection Statement O Semi-annual Statement O Termination Statement (Also file a Form 410 Terminatio n) O Amendment (Explain below) 0 Quartet/ State ment ❑ Sp ecial Odd-YearReport 3. Co mmittee Informa tion t.D . NUMBER 1424487 COMM nTEE NAME (OR CANDIDA TES NAM E IF NO COMM ITTEE) • Jennifer Sta rk for Cla re mont City Council 2022 STREETADDRES S (NO P.O . BOX) 242 Eagle Grove Avenue cITY Claremo nt STATE ` ZIP CODE CA 91711 AREA CODE/PHONE 909-9. 13=2580 MAILING ADDRESS (IF DIFFEREN T) NO. AND STREET OR P .O.. BOX CITY STATE ZIP CO DE AREA CODE/PHONE OPTIONAL: FAX E-MAIL A DDR ESS Trea surer( s) NA ME OF TREASURER Simon Brown: MAILIN G ADDRESS 1420 N Clar emont Blvd, Ste 204C CITY - Clar emont ST ATE ZIP CODE CA 9.1711' AREACODE/PHONE 909-541-0713 NAME OFASSISTANTTREASURER. IF A NY MAILING ADDRESS CITY STATE ZIP CODE - AREA CODE/PHONE OPTIONAL: FAX J E-MAIL ADDRESS simon@cl aremontcraftales.c om 4. Verification - Ihave used all reasonable diligence in preparing and reviewing this statement and to the certify under penalt,&. of pe • ury unde the Taw s:of the State of'Califo rnia 'that the foregoing Exec ute d on - Exec uted on Executed on Executed on 6. zc Date to Da te By By By my know! tnie and corre •nformation contained herein and in the att ached schedules is true a nd complete. I Tree urerorAssista T as urer zie dal State Me a P.ro Went or uo ng O fficeho :er C�andi po Responsible Officer of Sponsor Signature of Controlling Officeholder, Ca ndidate, State Measure Propone nt Signa ture of Controlling Offrceholde r,• Cartdidate, Sta te Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc .ca.gov (866/275-3772) wrwiwfppc.ca.go v COVER PA GE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeho lder or Candidate C ontrolled Committee 6. Primarily F ormed, Ballot Measure C ommittee NAME OF OFFICEHOLDER. OR CANDIDATE NAME OF B ALLOT MEASURE Jennifer Stark OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NU MBER IF APPLICABLE) Claremont City Council, RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 242 Eagle Grove Avenue Claremont CA 91711 Related Co mmittees Not Included in this -Statement: Li st any committees no t included in this s tatement that a re co ntrolled by you or are primarily f ormed to receive contributions or make expe nditures on behalf of your candidacy. COM MITTEE NAME I. D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 -YES -0' NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE .AREA CODE/PHONE COMM ITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑" YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE BALLOT NO, OR LETTER JURISDICTION SUPPORT OPPOSE Identify th e controlling officeholder, candidate, or st ate measure proponent, if any. NA ME OF OFFICEHOLDER, CANDIDATE, OR PR OPONENT OFFICE SOUGHT OR HELD DISTRICT N O. IF ANY 7. Primarily Formed Candidate/ Officeholder Committee List names of offi cehold er s) or c andidate(s) for which this committee is primarily formed NAME OF OFFICEHOLDER: OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE. N AME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPP ORT • OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT ■ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT bR HELD ❑ SUPPORT • OPPOSE Att ach conti nu ati on sheets if necessary FPPC F orm 460 (Jan/2016) FPPC Advice: advic e@fppc.ca,go v (866/275-3772) www.fppc .ca.gov Campaign Disclosure Statement SummaryPage SEE INSTRUCTIONS ON. REVERSE NAME OF FILER" Am ounts may be rounded to whole dollars. Stateme nt cover s period 07/01/2023 SU MMARY PAGE LI1FO N FORT [ throw h 12/31/2023 Page 3 of 4 9 Jennifer Stark for Claremont City Council 2022 I.D. NUMBER 1424487 Contribution s Received 1. Monetary Contributions Schedule A, Line 3 $ 2. Loans. Received Schedule s, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ 4. Nonmonetary°Contributio ns Sch ed ul e. C. Li ne 3 5. TO TAL CO NTRIBUTIONS RECEIVED .Add Lines3+4 $ u Colum n A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 0 0 $ 0 $ 0 Column B - CALENDAR YEAR T OTAL TO DATE 0 0 0 0 0 Cal endar Ye ar Summary for Ca ndidates R unning in Both the State Primary and General Elections 20 . Contributions Received $ 21. Expenditure s Made $ 1/1 through 6/30 7/1 to Date $ Expenditures Made 6. Payments Made Schedule E, Lin e 4 $ 7. Loans Made Schedule H Line 3 8. SUBTOTAL CASH PAYM ENTS Add Line s 6+7 $ 9. Accrued Expenses. (Unpaid Bills) Schedule F, Lin e 3 10_ Nonmonetary Adjustment Schedu le C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 250.00 $ 0 250.00 $ 0 -0 250.00 0 250.00 0 -0 - 250.00. $ 250.00 Current Cash Statemen t 12. Beginning Cash Bala nce Previo us' Summa ry Page, Line 16 $ 13. Cash Receipts Column A, Lin e 3 a bo ve 14: Miscellaneou s Increases to Cash schedule. !,- Line 4' 15. Cash Payments Column A, Line 8 above 16_. ENDING CAShH BALANCE Add Lin es 12 + 13+ 14, then su btra ct Line 15 $ if this is a terminatio n s tatement, tine 16 must be ' zero. 5,253.42 0 _0 250.00 5,003.42 17. LO AN GUARANTEES RECEIVED Sc hedu les, Pa rt $ Cash Equiv alen ts and O utstanding Debts 18. Cash Equivalents See in struction s on reve rse $ 0 19. Outstanding Debts Add Line 2 +Line gin Column B above $ 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 pre viou s period. am ounts. If this is the first report bei ng filed for this calendar year, only carry over the amounts from Lin es 2, 7, and 9 (if any). Expenditure Limit Summary f or State Candidate s 22. Cumulativ e E xpendit ur es Made* (If Subject to Volu ntary Expe nditure Limit) D ate of Election (mm/ddlyy) 5 Total to Date "Amounts in this section maybe different from amounts reported. in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppccag ov (866/275-3772) www.fppc .c a.gov SCHEDULE E Sch edul e E Payments Made SEE INSTRUCTIONS ON REVERSE NAM E OF FILER Amounts may be rounded to whole dollar s. Stat ement c overs period From 07/01/2023 through 12/31/2023 Page . 4 of 4 Jennifer Stark for Claremont City C oun cil 2022 1.0. NUMBER 1424487 CODES: CMP CNS CTB CVC FIL FND IND LEG LIT If one of the following codes accurately describ es the paym ent, you may enter the code. Otherwise, describe the payment. campaign peraphemalia/misc. campaign consultants contribution (explain nonmonetary)' civic donations ca ndidate filing/ballot fees fundraising events' inde pendent expenditure supporting/opposing others (explain)* legal defense cam paign lite rature a nd mailings MBR MT G OFC PET PHO POL POS PRO PRT member communications meetings and appearances offic e expe nses petition circulating phone banks polling and survey research postage, delivery and mess enger s ervices professional 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 cabl e airtime and production costs candidate tr avel, 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) NAM EANDADDRESS OF PAYEE (IF CO MMITTEE; ALSO ENTE R ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ' California Secre tary of State 1500 11th Street Sacramento, CA 95814 FIL 200.00 * Payments that are contributions or independent expenditures must also be summarized an Schedule D. SUBTOTAL $ 200.00 Schedule E Summary 1. Itemized payments made this pe riod. (Include a ll Schedule E subtotals.) $ 200.00 2. Unitemized payments made this period of under $100 $ 50.00 3. Total interest paid this period on loans. (Ente r amo unt fro m Schedule B, Part 1, Co lumn (e ).) 4. Total payments made this period. (Add Lines 1, 2, and 3. Ente r here and on the Summary Page, Column A, Line 6.) 0.00. 250 .00 TOT AL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.go v (866/275-3772) www.fppc.ca.gov