Loading...
CA Form 460 Recipient Committee Preelection Campaign Statement No. 2 - Susan Brooks Recipient Committee ` EIVED COVER PAGE Type or print in ink. CIT1/OF RqI8e1431PALOS V; ::);?;FORNIA 460 Campaign Statement Cover Page FoRMOCT 2 1 2015 (Government - Code Sections 84200 84216.5) / Statement covers period Date of election if applicable: Page of. September 20, 2015 (Month, Day,Year) For Official Use Only from CM( CLERK'S OFF CE SEE INSTRUCTIONS ON REVERSE October 17, 2015 November 3, 2015 through 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: 0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee 0 Semi-annual Statement 0 Special Odd-Year Report Q Recall 0 Controlled 0 Termination Statement 0 Supplemental Preelection (Also Complete Pert 5) 0 Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 0 General Purpose Committee (Also Complete Pett s) 0 Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Arco came Part7) 3. Committee Information I.1378646 Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Ann Marinovich Susan Brooks for Rancho Palos Verdes City Council 2015 MAILING ADDRESS STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rancho Palos Verdes CA 90275 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Rancho Palos Verdes CA 90275 MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE k_ OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the be of my knowledge the information contained herei 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 Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page—Part 2 Page of /II 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Susan Brooks OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION 0 SUPPORT Rancho Palos Verdes City Council 0 OPPOSE RESIDENTIALBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Rancho Palos Verdes CA 90275 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT O OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD El SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES 0 NO ID ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Type or print in ink. SCHEDULE B-PART 1 Schedule B—Part 1 Amounts may be rounded Statement covers period CALIFORNIA Loans ALIFORNIALoans Received to whole dollars. September 20, 2015 460 from FORM October 17, 2015 3 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 (a) (b) (c) (d) (a) (f) (g) FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYERBALANCEAMOUNT PAID BALANCE AT OF LENDER (IFSELF-EMPLOYED ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Susan Brooks 0 PAID CALENDAR YEAR 5,000 $ $ % $ $ ElFORGIVEN RATE PER ELECTION" 5,000 7/14/15 $ $ $ $ $ to IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ ElFORGIVEN RATE PER ELECTION** $ $ $ $ $ t IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ _% $ $ ElFORGIVEN RATE PER ELECTION** 1.0 IND 0 COM 0 OTH 0 PTY 0 SCC $ $ $ DATE DUE $ DATE INCURRED $ SUBTOTALS $ $ $ $ (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period � 0 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes 0 IND—Individual 2. Loans paid or foriven this period $ COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity) PTY—Political Party 0 SCC—Small Contributor Committee 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May be negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. 460 September 20, 2015 FORM from October 17, 2015 1 I( SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary a n d 11,159 31,882 General Elections 1. Monetary Contributions Schedule A,Line 3 $ $ 0 5,000 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 ' 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 11,159 $ 36,882 20. Contributions 0 0 Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 11,159 $ 36,882 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 8,274 $ 11,370 Candidates 7. Loans Made Schedule H,Line 3 0 0 8,274 11,370 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 0 09. Accrued Expenses (Unpaid Bills) Schedule F Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 8,274 $ 11,370 Current Cash Statement — J $ 22,627 12. Beginning Cash Balance Previous Summary Page,Line 16 $ To calculate Column B,add 11,159 amounts in Column A to the 13.Cash Receipts Column A,Line 3 above 0 corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule I,Line 4 from Column B of your last reported in Column B. 8,274 report. Some amounts in 15.Cash Payments Column A,Line 8 above 25,512 Column A may be negative that should be 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ figures subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 0 for this calendar year, only 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7, and 9(if 0 any). 18. Cash Equivalents See instructions on reverse $ 19. OutstandingDebts Add Line 2+Line 9 in Column B above $ 0 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. SCHEDULE A MonetaryContributions Received Amounts may be roundedStatement covers period to whole dollars. CALIFORNIA 460 September 20, 2015 FORM ORM October 17, 2015 I itli°)'`' through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) Josif Borovic, MD, Inc ❑IND 9/22/15 RPV CA 90275 ❑coM 100 100 100 ®OTH ❑PTY 0 SCC Tony Todora 2IND Retired 9/27/15 RPV, 90275 0 CoM 100 100 100 ❑OTH ❑PTY ❑SCC Anthony Misetich IND Owner 9/26/15 RPV CA 90275 0 COM Sujak Consulting200 200 200 ❑OTH 0 PTY ❑SCC Branka Borovic ®IND Registered Nurse 9/22/15 RPV CA 90275 000M St.John's Hospital 100 100 100 ❑OTH p 0 PTY ❑SCC Maude Landon ®IND Retired 9/30/15 RPV CA 90275 ❑coM 250 250 250 ❑OTH 0 PTY 0 SCC SUBTOTAL$ 750 Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND—Individual 10,200 COM—Recipient Committee (Include all Schedule A subtotals.) $ 959 (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 $ OTH—Other(e.g., business entity) PTY—Political Party 3. Total monetary contributions received this period. SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the SummaryPage, Column A, Line 1.) TOTAL 11,159 � FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. September 20, 2015 from FORM October 17, 2015 / (10,—_, through Page of NAME OF FILER I.D.NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) Beverly Sacher El IND Retired 9/28/15 RPV CA 90275 ❑coM 100 100 100 ❑0TH ❑PTY ❑SCC Dave Emenhiser 1121 IND Executive 9/30/15 , RPV CA 90275 ❑COM Community Partners 100 100 100 ❑OTH 0 PTY ❑SCC Jon Spain OIND Program Manager 9/25/15 RPV CA 90275 El COM Northrop Grumman 250 250 250 ❑OTH ❑PTY ❑SCC Edward Piken, MD, Inc Ea IND Doctor 10/9/15 Torrance CA 90505 0 COM Self 100 100 100 ❑OTH ❑PTY 0 SCC Patrick Wilson 2IND Corp Executive 10/9/15 Rolling Hills CA 90274 0 CoM Fast Lane Transportation 250 250 250 ❑OTH ❑PTY ❑SCC SUBTOTAL$ 800 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. September ber 20, 2015 CALIFORNIA pFORM from through October 17, 2015 9 Page of NAME OF FILER I.D.NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) ®IND 10/9/15 Gerald Marcil ❑coM President 200 200 200 PVE, CA 90274 ❑OTH Palos Verdes ❑PTY Investments, Inc. :Ism Ea IND 10/9/15 Janine Colich ❑COM Homemaker 500 500 500 RPV, CA 90275 ❑OTH ❑PTY ❑SCC IND 10/9/15 Donald Douthwright ❑COM Retired 100 100 100 RPV CA 90275 ❑OTH ❑PTY 0 SCC 01ND 100 10/9/15 Yi Hwa Kim ❑coM Transportation 100 100 RPV CA 90275 ❑OTH LAUSD 0 PTY 0 SCC Richard Hardie Ea IND Retired 10/9/15 RHE CA 90274 ❑coM 200 200 200 ❑OTH ❑PTY ❑SCC SUBTOTAL$ 1,100 • *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 September 20, 2015 from FORM through October 17, 2015 Page ‘13of i-Li NAME OF FILER I.D.NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) + IND O 10/9/15 Gregory O'Brien ❑COM Mediator 150 150 150 RPV CA 90275 00TH ADR Services ❑PTY ❑SCC RIND 10/9/15 Joan Ortolano ❑coM Retired 100 100 100 RPV CA 90275 ❑0TH ❑PTY ❑SCC RIND 1 500 10/9/15 Charlotte Ginsburg ❑coM Homemaker 1,500 1,500 RPV, CA 90275 00TH 0 PTY ❑SCC RIND 10/10/15 Carmen Estrada Schaye ['COM Business Owner 200 200 200 Rolling Hills CA ❑OTH 90274 ❑PTY 0 SCC RIND 10/10/15 Darlene Markovic 0 COM Homemaker 200 200 200 Torrance, CA 90503 ❑OTH ❑PTY ❑SCC SUBTOTAL$ 2,150 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(January/05) SCC-Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 September 20, 2015 from FORM throw h October 17, 2015 Pae of I Y 9 g NAME OF FILER I.D.NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) IND 10/11/15 Doug Stewart 0 COM Producer 100 100 100 RPV CA 90275 00TH Self ❑PTY ❑SCC RIND 10/11/15 Donald Swanson ❑COM Owner 100 100 100 RPV CA 90275 ❑OTH Five Star Legal & ❑PTY Compliance ❑scc RIND 10/11/15 Gerlinde Ryan ❑coM Retired 100 100 100 RPV CA 90275 ❑OTH ❑PTY ❑SCC 0 IND 250 10/11/15 Shelby McGirr 0 COM Marketing 250 250 PVP, CA 90274 00TH MBCI ❑PTY ❑SCC Patrick Ford RIND 10/11/15 RPV CA 90275 0 COM Retired 200 200 200 ❑0TH ❑PTY ❑SCC SUBTOTAL$ 750 *Contributor Codes IND-Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 September 20, 2015 from FORM October 17, 2015 1v / Y through Page of NAME OF FILER I.D.NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) RIND 10/12/15 John Polen ❑COM Banker 200 200 200 RPV CA 90275 00TH Premier Bank ❑PTY 0 SCC R IND 10/14/15 Maloos Ferasat 0 COM Designer 100 100 PVE, CA 90274 ❑OTH Self 100 ❑PTY ❑SCC RIND 10/15/15 Wahideh Khaleeli ❑COM Housewife 250 250 250 PVE, CA 90274 ❑OTH ❑PTY ❑SCC RIND 10/11/15 Joan Davidson 0 COM Retired 150 350 350 PVE, CA 90274 ❑OTH 0 PTY ❑SCC RIND 10/14/15 Noel Park ❑COM Retired 100 600 600 RPV, CA 90275 ❑OTH 0 PTY ❑SCC SUBTOTAL$ 800 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 September 20, 2015 from FORM October 17, 2015 through Pagej of I I/ NAME OF FILER I.D.NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED,ENTERNAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) 2IND 10/11/15 Tom Zusi ❑coM Retired 250 350 350 , RPV, CA 90275 ❑OTH 0 PTY ❑SCC IRI IND 10/11/15 Thomas Long ❑COM Attorney 500 600 600 RPV CA 90275 ❑OTH Nossaman ID PTY ❑SCC DIND 10/11/15 PV Grill ❑coM 250 250 250 PVE, CA 90275 0 OTH ❑PTY ❑SCC IND 10/16/15 Audrey Lowman ❑COM President 500 500 500 CA 90274 00TH Micronova Mfg El PTY ❑SCC IND 10/16/15 Tony Strickland ❑coM Consultant 500 500 500 Moorpark CA 93021 ❑0TH Self ❑PTY ❑SCC SUBTOTAL$ 2,000 *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other(e.g.,business entity) PTY-Political Party FPPC Form 460(January/05) SCC-Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 September 20, 2015 from FORM October 17, 2015 r 1 / through Page of NAME OF FILER I.D.NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) W IND 10/16/15 Elizabeth Worden 0 COM Banker 100 100 100 Redondo Beach, CA ❑OTH First Republic Bank 90278 0 PTY 0 SCC W IND 10/14/15 C.R. Holmes ❑COM Independent Investor 250 250 250 Manhattan Beach CA 90266 ❑OTH Self ❑PTY ❑SCC WIND 10/12/15 Miriam Landau 0 COM Psychologist 250 250 250 PVE, CA 90274 ❑OTH Self ❑PTY ❑SCC ❑IND 10/14/15 Biz Fed PAC 0 coM 750 750 750 Sacto, CA 95814 ❑0TH ❑PTY ❑SCC Unicorn Distributors' Inc. El IND 10/15/15 , L.A., CA 90058 ❑COM 500 500 500 0 OTH ❑PTY ❑SCC SUBTOTAL$ 1,850 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE E Schedule E Type or print in ink. Statement covers period Amounts may be rounded CALIFORNIA 460 Payments Made to whole dollars. September 20, 2015 FORM from October 17, 20153 1 SEE INSTRUCTIONS ON REVERSE through Page of L( NAME OF FILER l.D. NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 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 VVEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CampaignLA, Gardena, CA 90248 LIT Campaign Literature and Mailings 7,470 Diamond Environmental Svcs, San Marcos, CA 92069 CMP Facilities 226 LA Newspaper, Woodland Hills, CA 91367 PRT Newspaper Inserts 262 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 7,958 Schedule E Summary 1. Itemized payments made thisperiod. (Include all Schedule E subtotals. 8,220 pY ) � 54 2. Unitemized payments made this period of under$100 3. Total interest paid thisperiod on loans. (Enter amount from Schedule B, Part 1, Column e . 0 � ) ) $ 4. Total payments made thisperiod. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Column A, Line 6. TOTAL 8,274 P Y ) $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule ESCHEDULE E(CONT.) Type or print in ink. (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. September 20, 2015 FORM Made from October 17, 2015 I - f i 4 through Pae of SEE INSTRUCTIONS ON REVERSE 9 NAME OF FILER I.D.NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 FL 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) LA Newspaper, Woodland Hills, CA 91367 PRT Newspaper Inserts 262 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 262 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)