CA Form 460 Recipient Committee Preelection Statement No. 1 - Matthew Vitalich Recipient Committee Date Stamp COVER PAGE
Campaign Statement CALIFORNIA 460
Cover Page RECEIVED FORM
GIVC F RANCHO PALOS VE I
'age_I - of
Statement covers period Date of election if applicable:
from 7/1/2017 (Month,Day,Year) SEP 2 5 2017 For Official Use Only
SEE INSTRUCTIONS ON REVERSE through 9/23/207 November 7,2Q17___
MTV GI FRK'S OFFICE
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type�,/ of Statement:
IZ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure lel Preelection Statement ❑ Quarterly Statement
O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report
O Recall 0 Controlled ❑ Termination Statement
(Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination)
(Also Complete Part 6)
❑ General Purpose Committee ❑ Amendment(Explain below)
O Sponsored ❑ Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
O Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D.NUMBER Treasurer(s)
Lee J. Vitalich
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Matthew Vitalich For RPV City Council 2017
MAILING ADDRESS
Rancho Palos Verdes CA 90275 (310) 809-5936
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREACODE/PHONE
Rancho Palos Verdes CA 90275 (310) 824-3890
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS
Rancho Palos Verdes CA 90275 (310)824-3890
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
vitalichforrpv@gmail.com
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 best of my
Executed on 9/25/2017
Responsible 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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
COVER PAGE-PART 2
Recipient Committee CALIFORNIA
Campaign Statement FORM 460
Cover Page — Part 2
Page Z of 5-
5.
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Matthew Lee Vitalich
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
❑ SUPPORT
Rancho Palos Verdes City Council Member ❑ OPPOSE
RESIDENTIALBUSINESSADDRESS (NO.AND STREET) CITY STATE ZIP
Identify the controlling officeholder,candidate,or state measure proponent,if any.
Rancho Palos Verdes CA 90275
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
NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s)or candidate(s)for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D.NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES 111 NO
❑ SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE 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 Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. Statement covers period CALIFORNIA 46/� C O
from 7/1/2017 FORM
SEE INSTRUCTIONS ON REVERSE through 9/23/207 Page J Of
NAME OF FILER I,D.NUMBER
Matthew Vitalich For RPV City Council 2017
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
1,509.00 1,509.00 General Elections
1. Monetary Contributions Schedule A,Linea $ $ 1/1 through 6/30 7/1 to Date
2. Loans Received Schedule 8,Line 3 0 0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 1,509 $ 1,509 Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 69.00 69.00 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 1,578 $ 1,578 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 912.04 $ 912.04 Candidates
7. Loans Made Schedule H,Line 3 0 0
912.04 912.04 22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (It Subject to Voluntary Expenditure Limit)
9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0 0 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 $ 912.04 $ 912.04 _1 / $
Current Cash Statement I___/ $
o
12.Beginning Cash Balance Previous Summary Page,Line 16 $
To calculate Column B,
13.Cash Receipts Column A,Line 3 above 1,509 add amounts in Column
0 A to the corresponding *Amounts in this section may be different from amounts
14.Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B.
15.Cash Payments Column A,Line 8 above 912.04 of your last report. Some
amounts in Column A may
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 596.96 be negative figures that
should be subtracted from
If this is a termination statement,Line 16 must be zero. previous period amounts. If
this is the first report being
17.LOAN GUARANTEES RECEIVED Schedule 8,Part2 $ 0 filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if
any).
18. Cash Equivalents See instructions on reverse $
0
19. Outstanding Debts Add Line 2+Line 9 in Column 8 above $ 0 FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
MonetaryContributions Received to whole dollars. Statement covers period
CALIFORNIA 460
from 7/1/2017 FORM
SEE INSTRUCTIONS ON REVERSE
through 9/23/207 Page of
NAME OF FILER I.D.NUMBER
Matthew Vitalich For RPV City Council 2017
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)
Matthew Lee Vitalich IBJ IND
7/28/2017 Rancho Palos Verdes, ❑❑OTH OTHConWriter,Freelance 240.00 240.00
CA 90275 $100 7/28, $40 8/8, $100 8/23 ❑PTY
❑scc
IND
Gloria Vitalich Li
8/4/2017 ❑cm Retired 500.00 500.00
, Rancho Palos Verdes, ❑OTH
CA 90275 $400 8/4 , $100 8/25 ❑PTY
❑scc
®IND
Stephanie Vitalich ❑CoM Management Assistant
9/11/2017 San Pedro, CA 90732 ❑OTH
City of Los Angeles
❑ 200.00 200.00
❑scc
❑IND
❑COM
❑OTH
❑PTY
❑scc
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$ 940.00
Schedule A Summary *Contributor Codes
1. Amount received this period-itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.) $ 940.00 COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period -unitemized monetary contributions of less than $100 $ 569.00 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 Summary Page, Column A, Line 1.) TOTAL $ 1,509.00
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule C Amounts may be rounded SCHEDULE C
Nonmonetary Contributions Received to whole dollars.
Statement covers period CALIFORNIA 460
from 7/1/2017 FORM
through 9/23/2017 Page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Matthew Vitalich for RPV City Council 2017
IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO
PER ELECTION
DATE FULL NAME,STREETADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE
RECEIVED ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET TO DATE CALENDAR YEAR
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER VALUE (IF REQUIRED)
NAME OF BUSINESS) (JAN 1-DEC 31)
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
Attach additional information on appropriately labeled continuation sheets- SUBTOTAL$
Schedule C Summary *Contributor Codes
1. Amount received this period—itemized nonmonetary contributions. IND—Individual
(Include all Schedule C subtotals.) $ COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period—unitemized nonmonetary contributions of less than $100 $ 69.00 OTH—Other(e.g.,business entity)
PTY—Political Party
3. Total nonmonetary contributions received this period. SCC—Small Contributor Committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ 69.00
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded Statement covers period SCHEDULE E
Payments Made to whole dollars. CALIFORNIA 460
y from 7/1/2017 FORM
SEE INSTRUCTIONS ON REVERSE through 9/23/207 Page of
NAME OF FILER I.D.NUMBER
Matthew Vitalich For RPV City Council 2017
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 WEB 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
Yardsignwholesale.com Campaign Yard Signs
CMP 270.00
Oralando, Florida 32803
FedEX Office Campaign Flyers
28901 S Western Ave LIT 102.42
Rancho Palos Verdes, CA 90275
Office Depot Campaign Flyers
810 N Western Ave LIT 112.80
San Pedro, CA 90732
*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.) $ 485.22
2. Unitemized payments made this period of under$100 $ 426.82
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 0
4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 912.04
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov