CA Form 460 Recipient Committee Semi-Annual Campaign Statement (Jan -June 2016) - Susan Brooks COVER PAGE
Recipient Committee Type or .
T e print in ink. 1"� "'' .�
� i CALIFORNIACampaign Statement 460
Cover PageCITY OF RANCHO PALOS FORM
(Government Code Sections 84200-84216.5) 'JUL'
5.--
Statement covers period Date of election if applicable:
7 2016 Page of
PP
January 1, 2016 (Month, Day,Year) For Official Use Only
from
r _
June 30, 2016 November 3, 2015 CITY CLERK'S OFFICE
SEE INSTRUCTIONS ON REVERSE through
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement:
121 Officeholder,Candidate Controlled Committee 0 Primarily Formed Ballot Measure 0 Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee pi Semi-annual Statement ❑ Special Odd-Year Report
Q Recall 0 Controlled 0 Termination Statement Supplemental Preelection
(Also Complete Pert 5) 0 Sponsored �
(�canp��Part s) (Also file a Form 410 Termination) Statement-Attach Form 495
❑ General Purpose Committee ❑ Amendment(Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Pert
3. Committee Information I.D. NUMBER Treasurer(s)
1378646 � j
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
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
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 information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury u ,er the I ws of the State of California that the foregoing is true an-
if
Executed on By
Date of Controlling Officeholder,Candidate,State Measure Proponent 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 of
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 El OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
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 ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
0 SUPPORT
El 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
0 YES 0 NO 0 SUPPORT
El 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
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period CALIFORNIA
Summary Page to whole dollars. 460
January 1, 2016 FORM
from
through June 30, 2016 Page3 of
SEE INSTRUCTIONS ON REVERSE 9
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) TOTALTODATE Running in Both the State Primary and
0 33,997 General Elections
1. Monetary Contributions Schedule A,Line 3 $ $
2. Loans Received Schedule B,Line 3
(5,000) 0 1/1 through 6/30 7/1 to Date
�
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+ (:r 2 $ 00) $ 33,997 20. Contributions
0 550 Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ (5,000) $ 34,547 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 255 $ 27,312 Candidates
7. Loans Made.. Schedule H,Line 3 0 0
255 27,312 22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ ' (If Subject to Voluntary Expenditure Limit)
0 0
9. 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 $ 255 $ 27,312
Current Cash Statement $
11,940
12. Beginning Cash Balance Previous Summary Page,Line 16 $ To calculate Column B,add
13.Cash Receipts Column A,Line 3 above (5,000) amounts in Column A to the
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.
255 report. Some amounts in
15.Cash Payments Column A,Line 8 above Column A may be negative
6,685 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
17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0 for this calendar year, only
carry over the amounts
and OutstandingDebts from Lines 2,7, and 9(if
Cash Equivalents
0 any).
18. Cash Equivalents See instructions on reverse $
0 FPPC Form 460 Januar /05
19. Outstanding Debts Add Line 2+Line 9 in Column B above $ ( y )
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
460
Loans Received to whole dollars.
January 1, 2016 CALIFORNIA
from FORM
June 30, 2016 S----
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER I.D. NUMBER
Susan Brooks for Rancho Palos Verdes City Council 2015 1378646
IF AN INDIVIDUAL, ENTER (a) (b) (c) (d) (e) (f) (g)
FULL NAME,STREET ADDRESS AND ZIP CODEOUTSTANDING AMOUNTAMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS
(IFSELF-EMPLOYED,ENTER BEGINNING THIS OR FORGIVEN CLOSE OF THIS
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE
Susan Brooks izi PAID CALENDAR YEAR
5,000 5,000
$ $ $ $
ElFORGIVEN RATE PER ELECTION**
5,000 7/14/15
t Er IND 0 COM 0 OTH 0 PTY 0 SCC $ $ $ DATE DUE $ DATE INCURRED $
❑PAID CALENDAR YEAR
$ $ % $ $
0 FORGIVEN RATE PER ELECTION**
$ $ $ $ $
t❑ IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $ -% $ $
❑FORGIVEN RATE PER ELECTION**
❑ IND 0 COM 0 OTH 0 PTY 0 SCC $ $ $ DATE DUE $ DATE INCURRED $
t
SUBTOTALS $ $ !J-tt t $ $
Schedule B Summa (Enter(e)on
1"V Schedule E,Line 3)
�7 0
1. Loans received this period $
(Total Column(b)plus unitemized loans of less than$100.) tContributor Codes
5,000 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)
PTY—Political Party
(5,000) 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 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)
E Type or print in ink. SCHEDULEE
Schedule Statement covers period
Amounts may be rounded CALIFORNIA 460
Payments Made to whole dollars. January 1, 2016 FORM
from
June 30, 2016 \r"
SEE INSTRUCTIONS ON REVERSE through Page S 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.
criP 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 VUEB 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
Mail Chimp
The Rocket Science Group, LLC LIT Newsletter 100
* 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.) $
100
2. Unitemized payments made this period of under$100 $
155
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).) $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $
255
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)