CA Form 460 Recipient Committee Semi-Annual Campaign Statement (July - Dec 2016) - Susan Brooks Recipient Committee Type or print in ink. Date Stamp COVER PAGE
Campaign Statement CALIFORNIA 460
Cover Page RECEIVED FORM
(Government Code Sections 84200-84216.5) CIT"OF RANCHO PALOS V - a .
Page of /
Statement covers period Date of election if applicable:
July 1, 2016 (Month, Day,Year) JAN 2 5 2017 For Official Use Only
from
SEE INSTRUCTIONS ON REVERSE December 31, 2016 November 3, 2015
through
—CITY CLERK'S OFF CE
1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
® Officeholder,Candidate Controlled Committee 0 Primarily Formed Ballot Measure 0 Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee ® Semi-annual Statement ❑ Special Odd-Year Report
Q Recall 0 Controlled
❑ Termination Statement 0 Supplemental Preelection
(Also CompletePwt 5)
0 Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495
(Also Complete Part 6)
0 General Purpose Committee 0 Amendment(Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D/N.M45Rg G '7 I, Treasurer(s)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) ''1! 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 my knowledge the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury un r the laws of the State of California that the foregoing is true
......-
Date Signature of Controlling Ider,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,Candidata,State Measure Proponent
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
State of California
Recipient Committee Type or print in ink. COVER PAGE-PART 2
CALIFORNIA 4
Campaign Statement FORM 6 0
Cover Page— Part 2
Page 2 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 ® OPPOSE
RESID TE 1 IA`I 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
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
12 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 ® 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 period CALIFORNIA
Summary Page to whole dollars. 460
July 1, 2016 FORM
from
December 31,2016
SEE INSTRUCTIONS ON REVERSE through Page _ of
NAME OF FILER I.D. NUMBER
Susan Brooks for Rancho Palos Verdes City Council 2015 / 3 - 6 y (c,
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Runningin Both the State Primaryand
(FROM ATTACHED SCHEDULES) TOTALTODATE
0 38,997 General Elections
1. Monetary Contributions . Schedule A,Line 3 $ $
2. Loans Received Schedule B,Line 3
0 (5,000) 1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0 $ 33,997 20. Contributions
0 550 Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0 $ 34,547 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 90 $ 27'354 Candidates
7. Loans Made Schedule H,Line 3 0 0
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 90 $ 27,354 (If Subject to voluntary Expenditure Limit)
0 09. 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 $ 90 $ 27,354 ____I_1
J1 $
Current Cash Statement __...i____i $
6,733
12. Beginning Cash Balance Previous Summary Page,Line 16 $ - To calculate Column B,add
13.Cash Receipts Column A,Line 3 above 0 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.
90 report. Some amounts in
15.Cash Payments Column A,Line 8 above 6,643
figures Column A may be negativeures that should be
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 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 $ for this calendar year, only
carry over the amounts
from Lines 2,7, and 9(if
Cash Equivalents and Outstanding Debts 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 E Type or print in ink. SCHEDULE
Amounts may be rounded Statement covers period CALIFORNIA /� C 0
Payments Made to whole dollars. July 1, 2016 FORM �}v
from
12/31/2016 (/SEE INSTRUCTIONS ON REVERSE through Page / of (-1
NAME OF FILER I.D. NUMBER
Susan Brooks for Rancho Palos Verdes City Council 2015 / 3 9 y
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Y�
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 FET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees P1-0 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 (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I .NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 0
2. Unitemized payments made this period of under$100 $
90
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 $ 90
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)