CA Form 460 Recipient Committee Preelection Campaign Statement No. 1 - Susan BrooksRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
CIN kREttIVED
F RANCHO PALOS
Statement covers period Date of election if applicable:
from duly 1, 2015 1 (Month, Day, Year)
through September 19, 2015
1. Type of Recipient Committee: All Committees — Complete Parts 1, 29 3, and 4.
® Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee
Committee
0 Recall
0 Controlled
(Also Complete Part 5)
0 Sponsored
❑ General Purpose Committee
(Also compilef+e Part 6)
0 Sponsored
❑ Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(AW Corrwbte Part 7)
3. Committee Information I.D. NUMBER
1378646
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Susan Brooks for Rancho Palos Verdes City Council 2015
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Rancho Palos Verdes CA 90275
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
November 3, 20150
SEP 2 3 2015
COVER PAGE
Page 1 of azo
For Official Use Oftly
CLERK'S OFFICE
2. Ty of Statement:
Preelection Statement ❑ Quarterly Statement
Semi-annual Statement ❑ Special Odd -Year Report
Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Ann Marinovich
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
Rancho Palos Verdes CA 90275
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
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 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. 1
Executed on 9/22/15 By
Date Signature of Treasurer or Assistant Treasurer
Executed on 9/22/15 By
Date gianature of Controllina Officeholder. Candidate. State Measure Proponent or Resoonslia Officer of Snonsor
Executed on
Date
Executed on
Date
By
Signature of Controlling Ofraeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent FppC Form 460 (January103)
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 2 of 20
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 ❑ 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
7. Primarily Formed Candidate/Officeholder Committee List names of
NAME OF TREASURER CONTROLLED COMMITTEE? otflceholder(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
❑ 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
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(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(8681275-3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period CALIFORNIA
Summary Page to whole dollars. 460
July 1, 2015 FORM
from
September 19, 2015
through Page of
SEE INSTRUCTIONS ON REVERSE g
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 TOTALTHIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and
20,723 20,723 General Elections
1. Monetary Contributions Schedule A,Line 3 $ $
5,000 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 $ 25,723 $ 25,723 20. Contributions
0 0 Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 25,723 $ 25,723 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 3,096 $ 3,096 Candidates
7. Loans Made Schedule H,Line 3 0 0
3,096 3,096 22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (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 $ 3,096 $ 3,096
Current Cash Statement ----/ $
0
12. Beginning Cash Balance Previous Summery Page,Line 16 $ To calculate Column B,add
25,723 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.
3,096 report. Some amounts in
15.Cash Payments Column A,Line 8 above Column A may be negative
22,627 utas 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. Outstanding Debts 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/
Amounts may be rounded
Monetary Contributions Received to whole dollars. covers Statement period
CALIFORNIA
from July 1, 2015 460
FORM
September 19, 2015
SEE INSTRUCTIONS ON REVERSE 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)
Jerome Unatin Trust ®IND Doctor
7/18/15 , Torrance, CA 90505 ❑COM South Bay Orthopaedic 990 990 990
❑OTH p
❑PTY Specialists Medical
:Ism Center
Denny Schneider OIND Retired
7/24/15 LA, Ca 90045 ❑coM 200 200 200
❑OTH
❑PTY
❑SCC
Stephanie Kennedy 2IND Housewife
7/29/15 RPV, CA 90275 ❑COM 999 999 999
00TH
❑PTY
❑SCC
Richard Anchan ®IND Retired
7/31/15 RPV, CA 90275 ❑COM 150 150 150
00TH
0 PTY
❑SCC
Yoko Sugi ®IND Retired
8/3/15 RPV, CA 90275 ❑COM 100 100 100
❑0TH
0 PTY
❑SCC
SUBTOTAL$ 2,439
Schedule A Summary *Contributor Codes
1. Amount received this period—itemized monetary contributions.
18,029 IND-Individual
(Include all Schedule A subtotals.) $
COM-Recipient Committee
2,694 -(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 Summary Page, Column A, Line 1.) TOTAL $
20,723
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. J U I 1 2015
from y FORM
September 19, 2015 c".- Q---p
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)
Gerald Felando D.D.S. RIND Retired
8/3/15 , San Pedro CA 90732 Doom 100 100 100
❑0TH
❑PTY
❑SCC
Bill Bloomfield RIND Retired
8/10/15 Manhattan Beach, CA 90266 ❑C0M 1,000 1,000 1,006
❑0TH
0 PTY
❑SCC
Brad Culbertson RIND Retired
8/10/15 , RPV, CA 90275 Doom 990 990 99(0
❑OTH
0 PTY
❑SCC
Patricia Barrett RIND Retired
8/10/15 RPV, CA 90275 Doom 100 100 10C3
❑OTH
0 PTY
❑SCC
June Ann Wood RIND Housewife
8/10/15 RPV, CA 90275 ❑COM 500 500 500
❑0TH
0 PTY
❑SCC
SUBTOTAL$ 2,690
*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(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. July 1, 2015
from FORM
September 19, 2015
through Page of 0/4
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)
Leonard Wood IND Retired
8/10/15 RPV, CA 90275 ❑coM 500 500 500
❑0TH
❑PTY
❑SCC
,
Joan Davidson OIND Retired
8/10/15 PVE, CA 90274 ❑coM 200 200 200
❑0TH
❑PTY
❑SCC
Larry Marinovich RIND Retired
8/12/15 , RPV, CA 90275 ❑coM 250 250 250
❑0TH
0 PTY
❑SCC
Douglas Bovee OIND Retired 100
8/15/15 RPV, CA 90275 ❑coM 100 100
❑0TH
0 PTY
❑SCC
Grace Lee-Wallace OIND Retired
8/15/15 RPV, CA 90275 ❑coM 100 100 100
❑0TH
0 PTY
❑SCC
SUBTOTAL$ 1,150
*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(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule A (Continuation Sheet) Type orp rint in ink. SCHEDULE A (CONT.
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars. Jul1 2015 CALIFORNIA 460
from y FORM
September 19, 2015es.)
through Page of ;"4
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)
La Von Malin RIND Longshoreman
8/15/15 RPV, CA 90275 ❑coM Pacific Maritime Assoc 100 100 100
❑OTH
0 PTY
❑SCC
Fimi Zerounian RIND
8/17/15 RPV, CA 90275 ❑coM Retired 150 150 150
❑0TH
0 PTY
❑SCC
Lawrence C. Baker Jr. RIND Retired
8/18/15 RPV, CA 90275 ❑coM 500 500 500
❑0TH
0 PTY
0 SCC
Michael Barth R IND Tax Attorney
8/19/15 PVE, CA 90274 ❑coM Sic lc 250 250 250
❑0TH
0 PTY
Alip �ha eA ❑SCC
-Metra Cohn RIND Retired
8/19/15 RPV, CA 90275 ❑coM 500 500 500
❑0TH
0 PTY
0 SCC
SUBTOTAL$ 1,500
*Contributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC)
OTH-Other(e.g.,business entity)
PTY_Political Party FPPC Form 460 Janua /05
SCC Small Contributor Committee rY )
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. Jul 1 2015 CALIFORNIA
460
from y FORM
September 19, 2015 ..)-0
th rou9 h Page i 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)
Thomas Cooper R IND Civil Engineer
8/19/15 Torrance, CA 90510 ❑COM TW Cooper, Inc. 100 100 100
❑0TH
❑PTY
❑SCC
Jeremy Davies RIND Retired
8/20/15 RPV, CA 90275 ❑COM 200 200 200
❑OTH
0 PTY
❑SCC
Aivars Ozolins O IND Pastor,
8/20/15 Sylmar, CA 91342 ❑COM Rolling Hills SDA Church 250 250 250
❑0TH
0 PTY
❑SCC
Noel Park RIND Retired
8/20/15 RPV, CA 90275 ❑COM 500 500 500
❑0TH
0 PTY
❑SCC
Janet Barnhill RIND Retired
8/22/15 RPV, CA 90275 ❑COM 500 500 500
❑OTH
0 PTY
❑SCC
SUBTOTAL$ 1,550
*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. J u I 1 2015 460
from y FORM
September 19, 2015 D.,d
through Page 7 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)
Phoebe Chang R IND Retired
9/4/15 RPV, CA 90275 ❑COM 250 250 250
00TH
❑PTY
❑SCC
John Freeman R IND Retired
9/4/15 RPV, CA 90275 ❑coM 100 100 100
❑0TH
❑PTY
❑SCC
Phyllis Glantz RIND Housewife
9/4/15 RPV, 90275 ❑coM 300 300 306
❑0TH
0 PTY
0 SCC
Vicki Hanger R IND Retired
9/1/15 RPV 90275 ❑coM 150 150 156
❑OTH
0 PTY
❑SCC
R. Gene Dewey RIND Retired
8/24/15 RPV 90275 ❑coM 100 100 100
❑0TH
0 PTY
❑SCC
SUBTOTAL$ 900
*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
460 to whole dollars. July 1, 2015
from
FORM
September 19, 2015 / 0 d?,-,p
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)
Advanced Consulting Insurance Group E]IND
8/27/15 REP, CA 90275 ❑coM 100 100 10A
®OTH
❑PTY
❑SCC
Joseph Czyzyk OIND CEO
8/27/15 Rolling Hills, CA 90274 ❑coM Mercury Air 500 500 500
❑OTH
❑PTY
0 SCC
Barbara Allor V IND Retired
8/27/15 PVE, CA 90274 ❑coM 100 100 100
❑OTH
0 PTY
❑SCC
Lowell Wedemeyer IND Attorney
8/27/15 RPV, CA 90275 ❑coM Self 250 250 250
❑0TH
0 PTY
❑SCC
Elite Exclusive Realty ❑IND
8/28/15 Hermosa Beach CA ❑coM 100 100 100
90254 1210TH
0 PTY
0 SCC
SUBTOTAL$ 1,050
*Contributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC)
0TH-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
460
to whole dollars. July 1, 2015
from FORM
September 19, 2015 f
through Page of 4?-4
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
8/28/15 Anita Gerlach ❑COM Retired 100 100 100
RPV, CA 90275 El OTH
❑PTY
0 SCC
Gordana Swanson IND Retired
8/28/15 , Rolling Hills, CA 90274 ❑coM 200 200 200
❑OTH
❑PTY
❑SCC
Peter Lacombe OIND Engineer
8/28/15 , RPV, CA 90275 ❑coM Raytheon 100 100 100
❑0TH
0 PTY
❑SCC
Diane Smith IND Retired 250
8/28/15 , RPV, CA 90275 ❑coM 250 250
❑0TH
0 PTY
❑SCC
McCaughey& Spirito ❑IND
8/29/15 Redondo Beach, CA 90277 ❑COM 100 100 100
0 OTH
0 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
SCC—Small Contributor Committee 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. July 1, 2015
from FORM
through September 19, 2015 / � -2-61g Pageof
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)
John Maniatakis RIND Retired
8/30/15 , RPV CA 90275 ❑coM 100 100 10P
❑OTH
❑PTY
❑SCC
Andrea Bedford RIND Housewife 100
8/27/15 Torrance CA 90501 ❑COM 100 100
❑0TH
❑PTY
❑SCC
Thomas Long RIND Attorney
8/29/15 RPV CA 90275 ❑coM Nossaman 100 100 1 OQ
❑0TH
0 PTY
❑SCC
R. M. Argo, Jr RIND Retired
8/29/15 RPV CA 90275 ❑coM 250 250 250
❑0TH
❑PTY
❑SCC
Vanita Gilbertson RIND Physician
8/28/15 Calabasas CA 91302 ❑coM Kaiser Permanente 250 250 250
❑0TH
0 PTY
❑SCC
SUBTOTAL$ 800
*Contributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC)
0TH-Other(e.g.,business entity)
PTY-Political Party
SCC-Small Contributor Committee FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)
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. July 1, 2015
fFORM
from
September 19, 2015 /3
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)
David Buxton R IND Financial/Mortgage 1
9/1/15 Torrance, CA 90505 ❑coM Broker 100 100 00
❑0TH Self
❑PTY
❑SCC
Cynthia Percz RIND Housewife
9/1/15 PVE CA 90274 ❑COM 250 250 250
0OTH
0 PTY
❑SCC
Peninsula Medical Management Services ❑IND 1 oil
9/1/15 Redondo Beach, CA 90277 ❑coM 100 100
R OTH
0 PTY
[_]SCC
Vicki Pinkham RIND Artist
9/3/15 # RPV, CA 90275 ❑coM S1t 100 100 100
00TH
❑PTY
❑SCC
Andrea Lewis RIND Retired
9/3/15 RPV, CA 90275 ❑coM 500 500 500
00TH
0 PTY
❑SCC
SUBTOTAL$ 1,050
*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(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. July 1, 2015
from
FORM
September 19, 2015 / 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)
Robert Nelson 0IND Retired
9/4/15 RPV CA 90275 ❑COM 150 150 150
❑OTH
0 PTY
0 SCC
George Sweeney 0IND Architect
/4/1
❑
❑0TH
❑PTY
❑SCC
Kathryn Edgerton RIND Retired 200
9/2/15 , RPV, CA 90275 ❑coM 200 200
❑0TH
❑PTY
❑SCC
Ken Roberts RIND President
1,000
9/9/15 PVE, CA 90274 ❑coM American Residential 1,000 1,000 '
00TH Real Estate Financial
❑PTY
❑SCC
Diane Wingerning R IND CPA
9/11/15 Rolling Hills, CA 90274 ❑coMSt,1-(1 250 250 250
❑0TH
0 PTY
0 SCC
SUBTOTAL$ 1,800
*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(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
460
to whole dollars. J U I 1 2015 CALIFORNIA
from y FORM
September 19, 2015 /ç-
through - ?-4Page o�
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)
Tom Zusi 0lND Retired
9/11/15 , RPV, CA 90275 ❑coM 100 100 100
00TH
0 PTY
❑SCC
Deborah Keshtkar OIND Housewife
9/11/15 RPV, CA 90275 ❑conn 100 100 10�
00TH
❑PTY
❑SCC
Joan Kelly OIND
9/13/15 RPV, CA 90275 ❑coM ti o U Se wC__
250 250 250
00TH
0 PTY
❑SCC
James C. Brooks OIND Attorney
9/13/15 San Pedro, CA 90731 ❑COM Orrick Herrington 500 500 500
00TH
0 PTY
❑SCC
Ann D. Shaw OIND Retired
9/18/15 RPV, CA 90275 ❑coM 100 100 101)
00TH
0 PTY
❑SCC
SUBTOTAL$ 1,050
*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
460
to whole dollars. July 1, 2015
from FORM
through September 19, 2015 '114g 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)
Merredith Rea R IND Chef
9/18/15 PVE, CA 90274 D coM The Elegant Chef 100 100 1a
00TH
0 PTY
❑SCC
Janet Thomas RIND Housewife 25t
9/18/15 RPV, CA 90275 ❑coM 250 250
❑OTH
0 PTY
❑SCC
John Feyk RIND Retired
8/29/15 RPV CA 90275 ❑coM 100 100 100
❑0TH
0 PTY
❑SCC
Donald Ott RIND Retired 10p
8/28/15 RPV CA 90275 ❑coM 100 100
❑0TH
0 PTY
❑SCC
Eric Alegria RIND Manager
8/28/15 RPV CA 90275 ❑coM Health Care Partners 100 100 100
00TH Medical Group
0 PTY
❑SCC
SUBTOTAL$ 650
*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
460
to whole dollars. July 1, 2015
from FORM
th rou h September 19, 2015
g 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)
Frances Stam m reich RIND Retired
8/28/15 , RPV CA 90275 DcoM 500 500 500
❑0TH
❑PTY
❑SCC
Mary Lou Xenos OIND Teacher
8/31/15 RPV CA 90275 ❑coM o )n-t IiI,gfk_( 150 150 150
00TH 5J31b16
❑PTY
❑SCC
❑IND
OCOM
❑OTH
❑PTY
❑SCC
❑IND
['COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$ 650
*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)
Type or print in ink. SCHEDULE B-PART 1
Schedule B-Part 1 Amounts may be rounded Statement covers period
CALIFORNIA
Loans Received to whole dollars. July 1, 2015 460
from FORM
;eptem ber 19, 201! .13' 2-40
INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER I.D. NUMBER
Susan Brooks for Rancho Palos Verdes City Council 2015 1378646
(a) (c) (di (e) (f) (9)
FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSADING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCE AT
OF LENDER (IFSELF-EMPLOYEDENTER 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
Rancho Palos Verdes, CA 90275 $ $ % $ $
ElFORGIVEN RATE PER ELECTION**
5,000 7/14/15
$ $ $ $ $
to IND ❑ COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $ % $ $
ElFORGIVEN RATE PER ELECTION**
$ $ $ $ $
t❑ IND 0 COM ❑ 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 $
5,000
(Total Column(b)plus unitemized loans of less than$100.) tContributor Codes
0 IND—Individual
2. Loans paid or forgiven 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)
5,000 PTY_Political Party
3. Net change this period. (Subtract Line 2 from Line 1.) NET $
SCC Small Contributor Committee
Enter the net here and on the Summary Page, Column A, Line 2. (May a 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)
SCHEDULE E
Schedule E Type or print in ink. Statement coverseriod
Amounts may be rounded p CALIFORNIA 460
Payments Made to whole dollars. July 1, 2015 FORM
from M
3eptember 19, 2015y
SEE INSTRUCTIONS ON REVERSE through Page / of
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.
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 PIH 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
LR campaign literature and mailings PRT print ads WEB 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
Campaign LA, , Gardena CA 90248 POS Mailing Services 1,025`80
Clix Portrait Studios- South Bay, Torrance CMP Portraits 137� a-ri-
CA 90505
Campaign LA, , Gardena CA 90248 CMP Signs 1,208:0Q
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,370.24
Schedule E Summary
1. Itemized payments made thisperiod. (Include all Schedulesubtotals.) 2,9702+4.a-�.�
p y E $
2. Unitem ized payments made this period of under$100 126.00
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).) 0
3,096
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $
-' —
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule E SCHEDULE E(CONT.)
Type or print in ink. Statement covers period
(Continuation Sheet) Amounts may be rounded CALIFORNIA 460
Payments Made towholedollars. July 1, 2015 FORM
from
September 19, 201r
23-4
SEE INSTRUCTIONS ON REVERSE through Page of
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.
CVP 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
IIID 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
UT 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)
City of Rancho Palos Verdes, Rancho Palos Verdes, CA 90275 FIL Filing Fees 600.00
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 600.00
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)