CA Form 460 Recipient Committee Semi-Annual Campaign Statement (May - June 2017) - Ben Kelly I
COVER PAGE
Recipient Committee
Campaign Statement
RIVED . ,„ , 460
Cover Page CCITY •f RANCHO PALOS V: ` `
Statement covers period Date of election if applicable: 1
JUL'
3 1 2011 Page 1 of 14
May 7, 2017 (Month, Day,Year) For Official Use Only
from
SEE INSTRUCTIONS ON REVERSE June 30, 2017 November 7, 2017C1 CLERK'S OFFICE
through
1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
ki Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
O State Candidate Election Committee Committee 12 Semi-annual Statement 0 Special Odd-Year Report
O Recall 0 Controlled ❑ Termination Statement
(Also Complete Part 5) 0 Sponsored
(Also file a Form 410 Termination)
(Also Complete Part 6)
❑ General Purpose Committee ❑ Amendment(Explain below)
O Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee ---- -------
0 Political Party/Central Committee (Also Complete Part 7) •
3. Committee Information I.D.NUMBER Treasurer(s)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Ben Kelly for Rancho Palos Verdes City Council 2017 Benjamin Kelly
MAILING ADDRESS
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
Rancho Palos Verdes CA 90275 310-940-4152
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Rolling Hills Estates CA 90274 310-940-4152 •
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
kellyforcouncif2017@gmail.com
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 nder the laws of the State of California that the foregoing is true and c rrect.
A.-
4
Executed on By �-°'"" """"�
Da e
.,,,.....,...
'vat- Signa ontrolling Officeholder, an i a e, tate 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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
• COVER PAGE-PART 2
Recipient Committee
Campaign Statement
460
Cover Page — Part 2
Page 2 of 14
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Benjamin Kelly
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, 90274
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
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
El 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 ❑ 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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars.
Summary Page Statement covers period - 460
from May 7, 2017 tki
through June 30, 2017 Page 3 of
SEE INSTRUCTIONS ON REVERSE 14
NAME OF FILER I.D.NUMBER
Ben Kelly for Rancho Palos Verdes City Council 2017 i 3c1 7 --)....5
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions Schedule A,Line 3 $ 1211.00 $ 1211.00
0.00 0.00 1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B.Line 3
1211.00 1211.00 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ Received $ $
4. NonmonetaryContributions Schedule C.Line 3 0.00 0.00 21. Expenditures
p
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 1211.00 $ 1211.00 Made $- $
Expenditures Made Expenditure Limit Summaryfor State
p
6. Payments Made Schedule E.Line 4 $ 71.14 $ 71.14 Candidates
7. Loans Made Schedule H,Line 3 0.00 0.00
22. Cumulative Expenditures Made`
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 71.14 $ 71.14 (If Subject to Voluntary Expenditure Limit)
9. Accrued Expenses(Unpaid Bills) Schedule F.Line 3 0.00 0.00 Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C.Line 3 0.00 0.00 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9±10 $ 71.14 $ 71.14
Current Cash Statement i i $ -_
12. Beginning Cash Balance Previous Summary Page.Line 16 $ 0'00
To calculate Column B,
13. Cash Receipts Column A,Line 3 above 1211.00 add amounts in Column
0.00 A to the corresponding *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash Schedule I,Line 4 amounts from Column B reported in Column B.
15. Cash Payments Column A,Line 8 above 71.14 of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 1139.86 be negative figures that
should be subtracted from
If this is a termination statement, Line 16 must be zero, previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED Schedule B,Pail 2 $ 0.00 filed for this calendar year,
only carry over the amounts
Cash Equivalents and outstanding Debts from Lines 2,7,and 9(if
18. Cash Equivalents See instructions on reverse $
0.00 any).
19. OutstandingDebts Add Line 2+Line 9 in Column B above $ 0.00
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received to whole dollars. statement covers period
460
from May 7, 2017 ,,,
through June 30, 2017 Page 4 of 14
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER- I.D.NUMBER
Ben Kelly for Rancho Palos Verdes City Council 2017
FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS)
Benjamin Kelly IND Student
6/1/2017 ❑cam - 500.00 500.00
Rancho Palos Verdes, CA 90275 ❑0TH
❑PTY
❑SCC
Robert Magee IND President
6/1/2017 ❑coM 500.00 500.00
CA 90275 ❑
OTH Strategoi Inc.
Verdes,Rancho Palos ❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$ 1000.00
Schedule A Summary *Contributor Codes
1. Amount received this period -itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.) $ 1000.00 COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period -unitemized monetary contributions of less than $100 $ 211.00 0TH_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 $ 1211.00
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
ti
r
Amounts may be rounded SCHEDULE B-PART 1
Schedule B - Part 1 to whole dollars. Statement covers period
460
Loans Received from May 7, 2017 ,,
SEE INSTRUCTIONS ON REVERSE through June 30, 2017 Page 5 of 14
NAME OF FILER I.D.NUMBER
•
Ben Kellyfor Rancho Palos Verdes CityCouncil 2017 137
IF AN INDIVIDUAL,ENTER (a) (b) (c) (d) (e) (f) (g)
FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNTAMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THISBALANCE PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYEDENTER BEGINNING THIS OR FORGIVEN* CLOSE OF THISAT
NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE
❑PAID CALENDAR YEAR
S S % S S
RATE
❑ FORGIVEN PER ELECTION**
$ S 5 S S
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
S S __ _--_ % S_ S
RATE
❑ FORGIVEN PER ELECTION**
$ S S S - S
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
❑ PAID CALENDAR YEAR
S S °r� S $
RATE
❑ FORGIVEN PER ELECTION**
$ S 5 _ S S _.
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ $ $ $
on
Schedule B Summary (Enter
Schedule E,,Line 3)
1. Loans received this period $ 0.00
(Total Column (b) plus unitemized loans of less than $100.) tContributor Codes
2. Loans paid or forgiven this period $ 0.00 IND—Individual
(Total Column (c) plus loans under$100 paid or forgiven.) COM—Recipient Committee
(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
3. Net change this period. (Subtract Line 2 from Line 1.) NET $ 0.00 SCC-Small Contributor Committee
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. FPPC Form 460(Jan/2016)
**If required. FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
•
SCHEDULE B-PART 2
Schedule B - Part 2 Amounts may be rounded
to whole dollars. Statement covers period
460
Loan Guarantors May 7, 2017
from
through June 30, 2017 Page 6 of 14
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Ben Kellyfor Rancho Palos Verdes CityCouncil 2017 _
FULL NAME,STREET ADDRESS AND IF AN INDIVIDUAL,ENTER AMOUNT BALANCE
ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE (IF SELF-EMPLOYED,ENTER THIS PERIOD TO DATE TO DATE
NAME OF BUSINESS)
LENDER CALENDAR YEAR
❑IND
❑COM S
❑OTH DATE PER ELECTION
(IF REQUIRED)
❑PTY
❑SCC
CALENDAR YEAR
❑IND LENDER
❑COM
❑OTH PER ELECTION
DATE (IF REQUIRED)
❑PTY
❑SCC
CALENDAR YEAR
El IND LENDER
❑COM
❑OTH DATE PER ELECTION
(IF REQUIRED)
❑PTY
❑SCC
CALENDAR YEAR
LENDER
❑IND
❑COM S
❑OTH DATE PER ELECTION
(IF REQUIRED)
❑PTY
❑SCC
Enter on
SUBTOTAL $ 0.00 Summary Page,
Line 17 only.
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule C Amounts may be rounded
to whole dollars. SCHEDULE C
Nonmonetary Contributions Received Statement covers period
460
from May 7, 2017 �<
through June 30, 2017 pa e 7 of 14
SEE INSTRUCTIONS ON REVERSE g
NAME OF FILER
I.D.NUMBER
Ben Kellyfor Rancho Palos Verdes CityCouncil 2017 "
31-7 1
IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION
DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET DATE
RECEIVED ZIP CODE OF CONTRIBUTOR CODE (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES CALENDAR YEAR TO DATE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF REQUIRED)
NAME OF BUSINESS) VALUE (JAN 1-DEC 31)
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$
Schedule C Summary *Contributor Codes
1. Amount received this period —itemized nonmonetary contributions. IND-Individual
(Include all Schedule C subtotals.) $ 0.00 COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period —unitemized nonmonetary contributions of less than $100 $ 0.00 OTH-Other(e.g., business entity)
PTY-Political Party
3. Total nonmonetary contributions received this period. SCC-Small Contributor Committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ 0.00
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule D
Summaryof ExpenditurespAmounts may be rounded SCHEDULE D
Statement covers period
to whole dollars.SUppOrtln
Supporting/Opposing Other 460
from May 7, 2017
Candidates, Measures and Committees
through June 30, 2017 Page 8
SEE INSTRUCTIONS ON REVERSE
of 14
NAME OF FILER I.D.NUMBEil
Ben Kelly for Rancho Palos Verdes City Councilncil 2017
DESCRIPTION CUMULATIVE TO DATE PER ELECTION
DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED)
OR COMMITTEE PERIOD (JAN.1-DEC.31) (IF REQUIRED)
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
0 Support 0 Oppose Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
0 Support 0 Oppose Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support 0 Oppose Expenditure
SUBTOTAL $ 0.00
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ 0.00
2. Unitemized contributions and independent expenditures made this period of under$100 $ 0.00
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL.. $ 0.00
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Amounts maySCHEDULE E
Schedule E be rounded Statement covers period
to whole dollars. 460
,a
Payments Made May 7, 2017 % v
from
through June 30, 2017 Page 9 of 14
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Ben Kelly for Rancho Palos Verdes City Council 2017 % f 1C)
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 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 WEB information technology costs(internet.e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE.ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0.00
Schedule E Summary
0.00
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ --
0.00
2. Unitemized payments made this period of under$100 $
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $
0.00
4. Total payments made thisperiod. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Column A, Line 6.) TOTAL $ 0.00
p Y
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule ESCHEDULE E(CONT.)
Amounts may be rounded
(Continuation Sheet) to whole dollars. Statement covers period
460
Payments Made from May 7, 2017 .
throe h June 30, 2017 10 14
SEE INSTRUCTIONS ON REVERSE g Page of
NAME OF FILER
I.D.NUMBER
Ben Kellyfor Rancho Palos Verdes CityCouncil 2017 non
t2,5
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 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 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)
GoDaddy Operating Company, LLC. Web Hosting
14455 N. Hayden Road, Ste. 219 WEB 49.93
Scottsdale, AZ 85260
The UPS Store Flyers
46 Peninsula Ctr Ste E, LIT 21.21
Rolling Hills Estates, CA 90274
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
SCHEDULE F
Schedule F Amounts may be rounded
to whole dollars. Statement covers period460
Accrued Expenses (Unpaid Bills) from May 7, 2017 r iv,
through June 30, 2017 11 14
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D.NUMBER
Ben Kelly for Rancho Palos Verdes City Council 2017 %I'S
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 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 WEB information technology costs(internet,e-mail)
(a) (b) (c) (d)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
*Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.) INCURRED TOTALS $ 0.00
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) PAID TOTALS $ 0.00
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) NET$ 0.00
May be a negative number
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule G SCHEDULE G
Payments Made byan Agent or Independent Amounts may be rounded Statement covers period
y g p to whole dollars. May7 2017
460
Contractor (on Behalf of This Committee) from , ,,.
through June 30, 2017 Page 12 of 14
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Ben Kelly for Rancho Palos Verdes City Council 2017 \ 7C61)ZJ
NAME OF AGENT OR INDEPENDENT CONTRACTOR
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 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 WEB information technology costs(internet,e-mail)
*Payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND-ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 0.00
Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460(Jan/2016)
independent contractor as reported on Schedule E. FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
•
•
SCHEDULE H
Schedule H Amounts may be rounded Statement covers period
to whole dollars. May 7, 2017
Loans Made to Others* from
through 460
June 30, 2017 13 of 14
rou
SEE INSTRUCTIONS ON REVERSE gPage
NAME OF FILER I.D.NUMBER
Ben Kelly for Rancho Palos Verdes City Council 2017 'gr ,
5
IF AN INDIVIDUAL,ENTER (a) (b) (c) (d) (e) (f) (g)
FULL NAME,STREET ADDRESS AND ZIP CODEOUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OF RECIPIENT OCCUPATION AND EMPLOYER BALANCE LOANED THIS BALANCE AT RECEIVED AMOUNT OF LOANS
(IF SELF-EMPLOYED,ENTER FORGIVENESS
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS PERIOD * CLOSE OF THIS LOAN TO DATE
PERIOD THIS PERIOD PERIOD
❑ PAID CALENDAR YEAR
S S C S S
RATE
❑ FORGIVEN PER ELECTION**
S S S S iS
DATE DUE DATE INCURRED
❑ PAID CALENDAR YEAR
S 5 % S S_
RATE
❑ FORGIVEN PER ELECTION**
S S S S _ S
DATE DUE DATE INCURRED
*Loans that are contributions to another candidate or committee must
also be summarized on Schedule D. Loans forgiven must also be
reported on Schedule E. SUBTOTALS $ $ $ $
(Enter(e)on
Schedule I.Line 3)
Schedule H Summary
1. Loans made this period $ 0.00
(Total Column (b) plus unitemized loans of less than $100.) **If Required
2. Payments received on loans $ 0.00
(Total Column (c) plus unitemized payments of less than $100.)
3. Net change this period. (Subtract Line 2 from Line 1.) NET $ 0.00
(Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number)
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule I Amounts may be rounded SCHEDULE
Miscellaneous Increases to Cash to whole dollars. Statement covers period460.
from
May 7, 2017
through June 30, 2017 Page 14 of 14
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D.NUMBER
e */)CTD
Ben Kelly for Rancho Palos Verdes City Council 2017 1-2--)
DATE FULL NAME AND ADDRESS OF SOURCE
AMOUNT OF
DESCRIPTION OF RECEIPT
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$
Schedule I Summary
1. Itemized increases to cash this period. $ 0.00
2. Unitemized increases to cash of under$100 this period. $ 0.00
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) $ 0.00
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) TOTAL $ 0.00
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov