CA Form 460 Recipient Committee Preelection Campaign Statement No. 2 - Ben Kelly Recipient Committee , COVER PAGE
Campaign Statement CALIFORNIA 460CITY OF
RANCHO PALOS VE' FORM
Cover Page
Statement covers Psrlod Date of election if applicable: OCT 2 6 2017 Page 1 of 3
r�i f�J^i�, r ''1 (Month,Day,Year) For Official Use Only
from— n I. /� /! 7 CITY CLERK'S OFFICE
SEE INSTRUCTIONS ON REVERSE through (`V/2—1 / 1 Nov. 7, 2017
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 0 Preelection Statement ❑ Quarterly Statement
O State Candidate Election Committee Committee ❑ Semi-annual Statement 0 Special Odd-Year Report
0 Recall 0 Controlled 0 Termination Statement
(Also Comp Part 5) 0 Sponsored (Also file a Form 410 Termination)
(Also Complete Pert 8)
0 General Purpose Committee 0 Amendment(Explain below)
O Sponsored 0 Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Pert 7)
3. Committee Information I.D.NUMBER Treasurer(s)
1397825
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Ben Kelly for Rancho Palos Verdes City Council 2017 Benjamin Kelly
MAILING ADDRESS
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
Rancho Palos Verdes CA 90275 3109404152
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Rolling Hills Estates CA 90274 3109404152
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
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 knowledge the info ation 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. / ,,
Executed on 10/25/17 By /�
Date /�
Officer of Sponsor
Executed on Date By Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
COVER PAGE-PART 2
Recipient Committee CALIFORNIA /� 60
Campaign Statement FORM 't
Cover Page — Part 2
Page 2 of 3
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Benjamin Kelly
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
0 SUPPORT
Rancho Palos Verdes City Council ❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (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
O 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
❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
0 YES 0 NO 0 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:adviceeffppc.ca.aov(866/275-3772)
r
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. Statement covers period
y CALIFORNIA d(�
Z `L I FORM "T V 0
from— J _
/ /l
through � l 7 Page of 3 3
SEE INSTRUCTIONS ON REVERSE
1
NAME OF FILER I.D.NUMBER
Benjamin Kelly 1397825
Contributions Received TOTAL
Colu�mn AoD Column B Calendar Year Summary for Candidates
CALEDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions Schedule A,Line 3 $ 0 $ 4702.11 1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B,Line 3 0 0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0 $ 4702.11 Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 0 560.61 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0 $ 5262.72 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 0 $ 4609.99 Candidates
7. Loans Made Schedule H,Line 3 0 0
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 0 $ 0 (If 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 $ 0 $ 4609.99 _/_I $
Current Cash Statement _l____I $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 92.12
0 To calculate Column B,
13.Cash Receipts Column A,Line 3 above add amounts in Column
0 A to the corresponding *Amounts in this section may be different from amounts
14.Miscellaneous increases to Cash Schedule I,Line 4 amounts from Column B reported in Column B.
15.Cash Payments Column A,Line 8 above 0 of your last report. Some
amounts In Column A may
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 92.12 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 B,Part 2 $ 0 filed for this calendar year,
only carry over the amounts
Cash Equivalents and OutstandingDebts from Lines 2,7,and 9(if
q 0 any).
18. Cash Equivalents See instructions on reverse $
19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0 FPPC Form 460(Jan/2016)
FPPC Advice:advice@fooc.ca.aov(866/275-3772)