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CA Form 460 Recipient Committee Preelection Campaign Statement No. 1- Krista Johnson COVER PAGE T Recipient Committee Date Stam Cam ai n Statement p CALIFORNIA 460 p gRECEIVED FORM Cover Page CITY O RANCHO PALOS VER ^ Statement coversperiod Date of election if applicable: Page 1 of 8 pp from 07/01/2017 (Month,Day,Year) SEP 2 7 2017 For Official Use Only ........ r SEE INSTRUCTIONS ON REVERSE through 09/23/17 11/07/2011� CLERK'S�Y 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: 0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee El Semi-annual Statement El Special Odd-Year Report 0 Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) 0 General Purpose Committee 0 Amendment(Explain below) 0 Sponsored 0 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) 1398133 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Krista Johnson for RPV City Council 2017 Pat Mckinsey MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rolling Hills Estates CA 90274 310 406-9390 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Rancho Palos Verdes CA 90275 310 508-3201 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 kjohnsonrpv@gmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to 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 CALIFORNIA 460 Campaign Statement FORM Cover Page — Part 2 Page 2 of 8 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Krista Johnson OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council for Rancho Palos Verdes 2017 El 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 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. El YES 0 N 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 ❑ 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 El YES El NO El SUPPORT COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) ❑ OPPOSE 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 i Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period Summary Page CALIFORNIA 460 from 07/01/2017 FORM SEE INSTRUCTIONS ON REVERSE 09/23/2017 Page 3 of 8 through NAME OF FILER I.D.NUMBER Krista Johnson for RPV City Council 2017 1398133 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 1,682.97 1,682.97 General Elections 1. Monetary Contributions Schedule A,Line 3 $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 500.00 500.00 2,182.97 2,182.97 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 4,186.53 4,186.53 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 6,369.50 $ 6,369.50 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 37.90 $ 37.90 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 37.90 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ 37.90 (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 4,186.53 4,186.53 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 4,224.43 $ 4,224.43 $ Current Cash Statement $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 0.00 To calculate Column B, 13. Cash Receipts Column A,Line 3 above 2,182.97 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 37.90 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 2,145.07 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,Part 2 $ filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if any). 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 500.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov s Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Statement covers period Monetary Contributions Received CALIFORNIA 460 from 07/01/2017 FORM SEE INSTRUCTIONS ON REVERSE through 09/23/17 Page 4 of 8 NAME OF FILER I.D.NUMBER Krista Johnson for RPV City Council 2017 1398133 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE,ALSO ENTER I.D.NUMBER) 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) IND JeffreyRichards 09/12/17 ❑CoM Chemical Engineer 200.00 ❑OTH Praxair Rancho Palo Verdes, CA 90275-6579 ❑PTY ❑scc IND Nancy Camaford ❑coM Retired 09/14/2017 ❑OTH 100 Palos Verdes Peninsula, CA 90274 ❑PTY SCC 21 Ken Del ®IND Delong° g ElcoM Retired 125.00 ❑OTH Rancho Palos Verdes, CA 90274 0 PTY ❑ SCC Yi Hwa Kim IND 09/14/17 ❑OTH LAUSD Rancho Palos Verdes, CA 90275 ❑PTY ❑ SCC Shari Bakotich �IND 09/21/17 ❑COM Real Estate Agent 100.00 I V ❑oTH REMAX Rancho Palos os erdes, CA 90275 ❑PTY ❑ SCC SUBTOTAL$ 625.00 Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ 1,075.00 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than $100 $ 607.97 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 $ 1,682.97 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA A60 from 07/01/2017 FORM through 09/23/17 Page 5 of 8 NAME OF FILER I.D.NUMBER Krista Johnson for RPV City Council 2017 1398133 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) Sean Bennett IND Self Employed 09/22/17 ❑coM200.00 ❑OTH Bennett Landscaping Rolling Hills Estates, CA 90274 0 PTY ❑scc Lisa &Nick Hurley Jaksic Trust ®IND Home Maker 09/22/17 El COM Dentist 250.00 Rancho Palos Verdes, CA 2 ❑OTH 90 75 ❑PTY Nicholas Jaksic DDS ❑scc ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 450.00 x a�a Y+p5� �a&4`P k�{&' �' �\ ��Fq . 3 �4��1.�� �� ��.�._ � �v'�5.ft:�E,t.�a���..�., *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY=Political Party FPPC Form 460 1an/2016 SCC Small Contributor Committee ( ) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amounts may be rounded SCHEDULE B-PART 1 Schedule B — Part 1 to whole dollars. Statement covers period CALIFORNIA 460 Loans Received from 07/01/2017 FORM SEE INSTRUCTIONS ON REVERSE through 09/23/17 Page 6 of 8 NAME OF FILER I.D.NUMBER Krista Johnson for RPV City Council 2017 1398133 IF AN INDIVIDUAL,ENTER (a) (b) (c) (d) (e) (t) (g) FULL NAME,STREET ADDRESS AND ZIP CODEOUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER AMOUNT PAID OF LENDER (IFSELF-EMP=1STR BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BEGINNING THIS PERIOD * CLOSE OF THIS PERIOD LOAN TO DATE PERIOD THIS PERIOD PERIOD Krista Johnson Self Employed ❑PAID CALENDAR YEAR $ $ 500.00 0.00 % $ $ 500.00 Rancho Palos Verdes, CA 90275 Starrock Business o FORGIVEN RATE PER ELECTION** Financial Services 500.00 $ $ $ $ $ 1.10 IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ RATE ❑FORGIVEN PER ELECTION'S t❑ IND 0 COM 0 OTH 0 PTY 0 SCC $ $ $ DATE DUE $ DATE INCURRED $ ID PAID CALENDAR YEAR $ $ % $ $ RATE ❑ FORGIVEN PER ELECTION** t❑ IND ❑ COM 0 OTH ❑ PTY ❑ SCC $ $ $ DATE DUE $ DATE INCURRED $ ;', r ; W" `�L Fg m wSUBTOTALS 500.00 $ 0.00 $ 500.00 $ 000 , g, ,;. 7 4 , , 3 . � Sch Schedule B Summary dnuler E,Line 3) 1. Loans received this period $ 500.00 (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 $ 500 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 C Amounts may be rounded SCHEDULE C to whole dollars. Statement covers period Nonmonetary Contributions Received CALIFORNIA 460 from 07/01/2017 FORM through 09/23/2017 Page 7 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Krista Johnson for RPV City Council 2017 1398133 IF AN INDIVIDUAL ENTER AMOUNT/ CUMULATIVE TO PER ELECTION DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET DATE TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES CALENDAR YEAR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) VALUE (JAN 1-DEC 31) (IF REQUIRED) WIND Krista Johnson ❑COM Self Employed Copies of flyers 09/08/17 OTH Starrock Business for Campaign 177.53 Rancho Palos Verdes, CA 90275 ❑Fry Financial Services ❑SCC Krista Johnson 0 IND Self Employed Political 09/11/17 ❑COM1,000.00 1,177.53 ❑OTH Starrock Business Consultant Rancho Palos Verdes, CA 90275 ❑ply Financial Services ❑SCC Krista Johnson ▪IND Self Employed Signs and Letter 09/14/17 El COM 2,509.00 3,686.53 ❑OTH Starrock Business Head Package Rancho Palos Verdes, CA 90275 ❑pN Financial Services for Campaign ❑SCC PC Cooper PhotographyC]IND PC Cooper Photographs for p El coM p500.00 09/19/17 2114 Grant Ave#4 WOTH Photograpaher Campaign Redondo Beach, CA 90277 , El ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 4,186.53 tlf$::%4:4-:.$,It " s ,, Schedule C Summary *Contributor Codes 1. Amount received this period-itemized nonmonetary contributions. IND-Individual (Include all Schedule C subtotals.) $ 4,186.53 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 $ 4,186.53 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 Payments Made 07/01/2017 FOR M from SEE INSTRUCTIONS ON REVERSE through 09/23/17 Page 8 of 8 NAME OF FILER I.D.NUMBER Krista Johnson for RPV City Council 2017 1398133 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 Paypal Service Fees 2211 North First Street 8.20 San Jose, CA 95131 Delux Checks Headquarters New Checks 3680 Victoria Street North OFC 29.70 Shoreview, MN 55126 *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.) $ 37.90 2. Unitemized payments made this period of under$100 $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e). 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 37.90 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov