CA Form 460 Recipient Committee Semi-Annual Campaign Statement (Jan - June 2016) Amendment - Susan Brooks COVER PAGE
Recipient Committee Type or print in ink. Date CALIFORNIA
L,E
Campaign Statement REV D FORM460
Cover Page CITY OF
(Government Code Sections 84200-84216.5) q Page___1_____ of
RANCHO PALOS
Statement covers period Date of election if applicable: JAN 2 5 207
January 1, 2016 (Month, Day, Year) For Official Use Only
from
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:
® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee ® Semi-annual Statement 0 Special Odd-Year Report
Q Recall 0 Controlled
(Also CompleteParfS) 0 Sponsored 0 Termination Statement 0 Supplemental Preelection
(Also file a Form 410 Termination) Statement-Attach Form 495
(Also Complete Pert 6)
0 General Purpose Committee ® Amendment(Explain below)
Q Sponsored 0 Primarily Formed Candidate/ Correct Schedule E and Summary Page
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Pert 7)
3. Committee Information I ° er
13 8 b G i Treasurer(s)
COMMITTEE NAME(OR CANDIDATES NAME IF NO COMMITTEE) `� NAME OF TREASURER
Susan Brooks for Rancho Palos Verdes City Council 2015 Ann Marinovich
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 m knowledge the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under 1 e la -of the State of California that the foregoing is true and
,�,�,'�--�
•Dale y Signature of Controllingho0 Iden,Ca te,State Measure Proponent or R
gnatu po esponsitileOfficer ofSponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
y 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 V
Cover Page—Part 2
Page of 4"/
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
RESID NTIALBUSINESS 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
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 0 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
2 SUPPORT
2 OPPOSE
COMMITTEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ® SUPPORT
is OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES 0 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(January/05)
FPPC Toil-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 eriodNIA 460
Summary Page to whole dollars. January 1, 2016 CA FORM
from
SEE INSTRUCTIONS ON REVERSE through June 30, 2016 Page 3 of q
NAME OF FILER I.D. NUMBER
Susan Brooks for Rancho Palos Verdes City Council 2015 j 3 r-236 y4
/
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPER ICO CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and
1. Monetary Contributions Schedule A,Line 3 $ 0 $ 38,997
General Elections
(5,000) (5,000) 1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B,Line 3
(5,000) 33,997 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 0 550
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 $ 207 $ 27,264 Candidates
7. Loans Made Schedule H,Line 3 0 0
8. SUBTOTAL CASH PAYMENTS Add lines s+7 $ 207 $ 27,264 22. Cumulative Expenditures Made*
(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 $ 255 $ 27,264 —J__I $
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.
15.Cash Payments Column A,Line 8 above 207 report. Some amounts in
6,733 Column A may be negative
16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ figures that should be
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 8,Part 2 $ for this calendar year, only
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)
SCHEDULEE
Schedule E Type or print in ink. Statement covers period CALIFORNIA /� C O
Payments Made Amounts may be rounded �}v
Y to whole dollars. January 1, 2016 FORM
from [�,
SEE INSTRUCTIONS ON REVERSE through June 30, 2016 Page V of 7
NAME OF FILER I.D. NUMBER
Susan Brooks for Rancho Palos Verdes City Council 2015 / 3 0 Y / L/
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. o !P
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 1AEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I .NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Mail Chimp,The Rocket Science Group, LLC, Newsletter
LIT 100
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 100
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 100
2. Unitemized payments made this period of under$100 $ 107
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 $ 207
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)