CA Form 460 Recipient Committee Preelection Campaign Statement No. 1 - Susan Brooks COVER PAGE
Recipient Committee Type or print in ink. REtE1VED CALIFORNIA 460
Campaign Statement
Cover Page
CITY SF RANCHO PALOS V: FORM
(Government Code Sections 84200-84216.5) 1
Page of
Statement covers period Date of election if applicable: SEP 2 3 2015
from
July 1, 2015 (Month, Day, Year) For Official Use Only
SEE INSTRUCTIONS ON REVERSE September 19, 2015 November 3, 2015CIT1( CLERK'S
through OFFICE
1. Type of Recipient Committee: All committees-Complete Parts 1,2,3,and 4. 2. Typ of Statement:
® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Preelection Statement 0 Quarterly Statement
0 State Candidate Election Committee Committee ';; Semi-annual S cial Odd-Year Report
0 Recall 0 Controlled
(A Pert 5) 0 Sponsored • Termination Statement ❑ Supplemental Preelection
(Also file a Form 4 tatement-Attach Form 495
(Also Complete Part 6)
❑ General Purpose Committee 0 Amendment(Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER Treasurer(s)
1378646
COMMITTEE NAME(OR CANDIDAT EE) NAME OF TREASURER
Ann Marinovich
for Rancho Palos Verdes City Council 2015 MAILING ADDRESS
7315 Berry Hill Drive
STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
3419 Corinna Drive Rancho Palos Verdes CA 90275 310-377-8867
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Rancho Palos Verdes CA 90275 310-541-2971
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
susan.brooks@rpvca.gov
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
or 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(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
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 ❑ 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 ❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ 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(868/275-3772)
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 figures that should be
16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ fi 9
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
3EE INSTRUCTIONS ON REVERSE through Page of
VAME 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 23560 Cre e, CA 90505 ❑COM South Bay Orthopaedic 990 990 990
❑OTH p
❑PTY Specialists Medical
:Ism Center
Denny Schneider OIND Retired
7/24/15 7929 Bree 0045 ❑coM 200 200 200
❑OTH
❑PTY
❑SCC
Stephanie Kennedy 2IND Ho
usewife
7/ rsini Place, RPV, CA 90275 ❑COM 999 999 999
❑OTH
❑PTY
❑SCC
Richard Anchan RIND Retired
7/ rinna Drive, RPV, CA 90275 ❑COM 150 150 150
❑OTH
0 PTY
❑SCC
Yoko Sugi RIND Retire
rinna Drive, RPV, CA 90275 ❑COM 100 100 100
❑OTH
❑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".- �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
8/3/15 142 San Pedro CA 90732 Doom 100 100 100
❑OTH
❑PTY
❑SCC
Bill Bloomfield RIND Retired
8/10/15 940 anhattan Beach, CA 90266 Doom 1,000 1,000 1,006
❑OTH
0 PTY
❑SCC
Brad Culbertson RIND Retired
8/10/15 34 RPV, CA 90275 Doom 990 990 99(0
❑OTH
0 PTY
❑SCC
Patricia Barrett RIND Retired
8/10/15 34 PV, CA 90275 Doom 100 100 10C3
❑OTH
❑PTY
❑SCC
June Ann Wood RIND Housewife
8/10/15 422 V, CA 90275 Doom 500 500 50()
❑OTH
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 RIND Retired
8/10/15 East, RPV, CA 90275 ❑coM 500 500 500
❑OTH
❑PTY
❑SCC
,
Joan Davidson RIND Retired
8/10/15 Arco, PVE, CA 90274 ❑coM 200 200 200
❑OTH
❑PTY
❑SCC
Larry Marinovich RIND Retired 8/12/15 r., RPV, CA 90275 ❑coM 250 250 250
❑OTH
❑PTY
❑SCC
Douglas Bovee RIND Retired 100
8/15/15 , RPV, CA 90275 ❑coM 100 100
❑OTH
❑PTY
❑SCC
Grace Lee-Wallace R IND Retired
8/15/15 , RPV, CA 90275 ❑coM 100 100 100
❑OTH
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 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
through Page a es. of ;"4NAME 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 9 Cayuse 90275 ❑coM Pacific Maritime Assoc 100 100 100
❑OTH
❑PTY
❑SCC
Fimi Zerounian RIND
8/17/15 3205 Cori 90275 ❑coM Retired 150 150 150
❑OTH
0 PTY
❑SCC
Lawrence C. Baker Jr. RIND Retired
8/18/15 10 Paseo 90275 ❑coM 500 500 500
❑OTH
❑PTY
❑SCC
Michael Barth O IND Tax Attorney
8/19/15 31 Malaga C 274 ❑coM Sic lc 250 250 250
❑OTH
❑PTY
Alip �ha eA ❑SCC
-Metra Cohn RIND Retired
8/19/15 3419 Corinna 75 ❑coM 500 500 500
❑OTH
❑PTY
❑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
through Page Pa e 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 53,Torrance, CA 90510 ❑COM TW Cooper, Inc. 100 100 100
❑OTH
❑PTY
❑SCC
Jeremy Davies RIND Retired
8/20/15 ne, RPV, CA 90275 ❑COM 200 200 200
❑OTH
0 PTY
❑SCC
Aivars Ozolins O IND Pastor,
8/20/15 ve, Sylmar, CA 91342 ❑COM Rolling Hills SDA Church 250 250 250
❑OTH
❑PTY
❑SCC
Noel Park RIND Retired
8/20/15 d, RPV, CA 90275 ❑COM 500 500 500
❑OTH
❑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
❑OTH
❑PTY
❑SCC
John Freeman R IND Retired
9/4/15 , RPV, CA 90275 ❑coM 100 100 100
❑OTH
❑PTY
❑SCC
Phyllis Glantz RIND Housewife
9/4/15 , RPV, 90275 ❑coM 300 300 306
❑OTH
❑PTY
❑SCC
Vicki Hanger R IND Retired
9/1/15 2 RPV 90275 ❑coM 150 150 156
❑OTH
❑PTY
❑SCC
R. Gene Dewey RIND Retired
8/24/15 37 PV 90275 ❑coM 100 100 100
❑OTH
❑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
f FORM
from
September 19, 2015 / 0 �,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
4 Oceancrest Court, REP, CA 90275 ❑coM 100 100 10A
®OTH
❑PTY
❑SCC
Joseph Czyzyk OIND
0 Buggy Whip Drive, Rolling Hills, CA 90274 ❑coM Mercury Air 500 500 500
❑OTH
❑PTY
0 SCC
Barbara Allor OIND Reti 1052 Via Palestra, PVE, CA 90274 ❑coM 100 100 100
❑OTH
0 PTY
❑SCC
Lowell Wedemeyer OIND Attorney
13 Clipper Road, RPV, CA 90275 ❑coM Self 250 250 250
❑OTH
0 PTY
❑SCC
Elite Exclusive Realty ❑IND
er Ave, Ste 315, Hermosa Beach CA ❑coM 100 100 100
90254 0 OTH
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
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
❑SCC
Gordana Swanson IND Retired
8/28/15 2 Rolling Hills, CA 90274 ❑coM 200 200 200
❑OTH
❑PTY
❑SCC
Peter Lacombe OIND Engineer
8/28/15 2 RPV, CA 90275 ❑coM Raytheon 100 100 100
❑OTH
0 PTY
❑SCC
Diane Smith IND Retired 250
8/28/15 2 RPV, CA 90275 ❑coM 250 250
❑OTH
❑PTY
❑SCC
McCaughey& Spirito ❑IND
8/29/15 11 edondo Beach, CA 90277 ❑coM 100 100 100
0 OTH
❑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 / � �
g 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 Reti
3218 Corinna Dr., R PV CA 90275 ❑coM 100 100 1 OAP
❑OTH
❑PTY
❑SCC
Andrea Bedford RIND Housewife
2390 Crenshaw Blvd, Torrance CA 90501 ❑COM 100 100
❑OTH
❑PTY
❑SCC
Thomas Long RIND A
4830 Browndeer Lane, RPV CA 90275 ❑coM Nossaman 100 100 1 OQ
❑OTH
0 PTY
❑SCC
R. M. Argo, Jr RIND R
4696 Browndeer Lane, RPV CA 90275 ❑coM 250 250 250
❑OTH
❑PTY
❑SCC
Vanita Gilbertson RIND Phy
22406 Pinewood Ct, Calabasas CA 91302 ❑coM Kaiser Permanente 250 250 250
❑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
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 /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/ ita Blvd,Torrance, CA 90505 ❑coM Broker 100 100 00
❑OTH Self
❑PTY
❑SCC
Cynthia Percz RIND Housewife
9/1/ Nogales, PVE CA 90274 ❑COM 250 250 250
❑OTH
❑PTY
❑SCC
Peninsula Medical Management Services ❑IND 1Oi�
9/1/15 I#365, Redondo Beach, CA 90277 ❑coM 100 100
R OTH
0 PTY
❑SCC
Vicki Pinkham RIND Artist
9/3/15 rive, RPV, CA 90275 ❑coM S1t 100 100 100
❑OTH
❑PTY
❑SCC
Andrea Lewis RIND Retired
9/3/15 rive, RPV, CA 90275 ❑coM 500 500 500
❑OTH
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 0lND Retired
9/4/15 RPV CA 90275 ❑coM 150 150 150
❑OTH
❑PTY
❑SCC
George Sweeney 0IND Architect
/4/1 3
❑
❑OTH
❑PTY
❑SCC
Kathryn Edgerton RIND Retired 200
9/2/15 59 RPV, CA 90275 ❑coM 200 200
❑OTH
❑PTY
❑SCC
Ken Roberts RIND President 1,000
9/9/15 4017 Via Valmonte, PVE, C American Residential 1,000 1,000 '
❑OTH Real Estate Financial
0 PTY
❑SCC
Diane Wingerning RIND CPA
9/11/15 4 Johns Canyon Road, Roll ❑coM St-1-(1 250 250 250
❑OTH
0 PTY
❑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 OIND Retired
9/11/15 29 San CA 90275 ❑coM 100 100 100
❑OTH
❑PTY
❑SCC
Deborah Keshtkar OIND Housewife
9/11/15 28006 B A 90275 ❑coM 100 100 10�
❑OTH
❑PTY
❑SCC
Joan Kelly OIND
9/13/15 6 Fruit 90275 ❑coM ti o U Se wC__
250 250 250
❑OTH
0 PTY
❑SCC
James C. Brooks OIND Attorney
9/13/15 709 W. 2 ro, CA 90731 ❑coM Orrick Herrington 500 500 500
❑OTH
0 PTY
❑SCC
Ann D. Shaw OIND Retired
9/18/15 30036 Vi 90275 ❑coM 100 100 10A
❑OTH
❑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 .�
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
(IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED)
OF BUSINESS)
Merredith Rea R IND
3336 PV Drive North, PVE, CA 90274 ❑coM The Elegant Chef 100 100 1a
❑OTH
0 PTY
❑SCC
Janet Thomas RIND Housewife
30400 Diamonte Lanae, RPV, CA 90275 ❑coM 250 250 d
❑OTH
0 PTY
❑SCC
John Feyk R
29/15 2727 San Ramon Dr, RPV CA 90275 ❑coM 100 100 100
❑OTH
❑PTY
❑SCC
Donald Ott RIND Retired
28/15 3450 Hightide Dr, RPV CA 90275 ❑coM 100 100
❑OTH
❑PTY
❑SCC
Eric Alegria R
5 4 Avenida de Camelia, RPV CA 90275 ❑coM Health Care Partners 100 100 100
❑OTH 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
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
(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 ❑coM 500 500 500
❑OTH
❑PTY
❑SCC
Mary Lou Xenos OIND Teacher
8/31/15 RPV CA 90275 ❑coM To prom n-t IiI,gfk_( 150 150 150
❑OTH 5J31bleT16t
❑PTY
❑SCC
❑IND
❑COM
❑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 r 1 .2-40
SEE INSTRUCTIONS ON REVERSE through Page 3' 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 OUTSTADING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCE AT
OF LENDER (IF SELF-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 ❑PAID CALEN
9 Corinna Drive 5,000
Rancho Palos Verdes, CA 90275 $ $ % $ $
ElFORGIVEN RATE PER ELECTION**
5,000 7/14/15
$ $ $ $ $
to IND ❑ COM 0 OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $ % $ $
❑FORGIVEN RATE PER ELECTION**
$ $ $ $ $
t❑ IND ❑ COM ❑ OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $ .-% $ $
❑FORGIVEN RATE PER ELECTION**
t❑ IND 0 COM 0 OTH ElPTY 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
2. Loanspaid or forgiven thisperiod 0 IND—Individual
9 $ 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 covers period
Amounts may be rounded p CALIFORNIA 460
Payments Made to whole dollars. July 1, 2015 FORM
from M
3eptember 19, 201S
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 PHU 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 (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Campaign LA t., Gardena CA 90248 POS Mailing Services 1 025`8Q
Clix Portrait Studios- South Bay 0, Torrance CMP Portraits 137'42.4,a-ri-
CA 90505
Campaig ay St., Gardena CA 90248 CMP Signs 1 208'OQ
* 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 Schedule subtotals.) 2,970~2+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, 201 r
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.
OAP 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
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)