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CA Form 460 Recipient Committee Termination Statement - Matthew L. Vitalich Recipient Committee Date Stamp CALIFORNIA 460 Campaign Statement FORM Cover Page DECEIVED (� Page _ of Statement covers period Date of election if aicTe NCHO PALOS 10/22/2017 (Month,Day,Year) VERDES COVER PAGE For Official Use Only from EEC 18 2017 SEE INSTRUCTIONS ON REVERSE through 12/31/2017 11/7/20-1.Z ° LERks OF — 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statemen . P'CE © Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 Preelection Statement 0 Quarterly Statement 0 State Candidate Election Committee Committee 0 Seml-annual Statement 0 Special Odd-Year Report 0 Recall 0 Controlled m Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part S) 0 General Purpose Committee ❑ primarily Formed Candidate/ 0 Amendment(Explain below) 0 Sponsored 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee ( Complete Part?) 3. Committee Information I.D.NUMBER Treasurer(s) 1399697 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Matthew Vitalich for RPV City Council Lee J. Vitalich MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rancho Palos Verdes CA 90275 310 809-5935 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER IF ANY Rancho Palos Verdes CA 90275 310 824-3890 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE Rancho Palos Verdes CA 90275 310 824-3890 OPTIONAL: FAX!E-MAILADDRESS OPTIONAL: FAX/E-MAIL ADDRESS vitalichforrpv@gmail.com _ 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of Executed on 12/18/2017 By Date Date y Signature of Controlling• • •der,Candidate,State h,easurS raponent or Responsible Officer of Sponsor Executed on Date By Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on Date By 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 Campaign Statement FORM 460 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 Matthew Vitalich OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION 0 SUPPORT Rancho Palos Verdes Councilman ❑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 0 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 ❑ SUPPORT 0 OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE' NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑YES El 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 Summary Page to whole dollars. Statement covers period CALIFORNIA A 60 10/22/2017 FORM y�V from through 12/31/2017 Page 3 SEE INSTRUCTIONS ON REVERSE of '�- NAME OF FILER I.D.NUMBER Matthew Vitalich for RPV City Council 2017 1399697 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 176.20 2,420.21 General Elections 1. Monetary Contributions Schedule A,Line 3 $ $ 0 0 111 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 176.20 2,420.21 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0 69.00 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 176.20 $ 2,489.21 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 930.28 $ 2,420.21 Candidates 7. Loans Made Schedule H,Line 3 0 0 22. Cumulative Expenditures Made* 930.28 2 420.21 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (itSubject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F Line 3 0 0 Date of Election Total to Date 10.NonmonetaryAdjustment Schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 930.28 $ 2,420.21 ______1_1 $ Current Cash Statement II $ 12.Beginning Cash Balance Previous Summary Page,Line 16 $ 754.08 176.20 To calculate Column B, 13.Cash Receipts Column A,Line 3 aboveadd amounts in Column 0 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. 930.28 of your last report. Some 15.Cash Payments Column A,Line 8 above amounts in Column A may 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 0 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 $ 0 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 $ 0 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0 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 CALIFORNIA 460 from 10/22/2017 FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2017 Page of NAME OF FILER I.D.NUMBER Matthew Vitalich for RPV City Counci62017 1399697 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) 0 IND 0 COM 0 OTH 0 PTY 0 SCC ❑IND ❑COM 0 0TH 0 PTY 0 SCC 0 IND 0 COM 0 0TH O PTY ❑SCC 0IND 0 COM 0 OTH O PTY 0 SCC 0IND 0 COM 0 0TH 0 PTY 0 SCC SUBTOTAL$ Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.) $ 0 COM—Redplent Committee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 $ 176.20 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 $ 176.20 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded Statement covers period SCHEDULE E Payments Made to whole dollars. CALIFORNIA 460 y from 10/22/2017 FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2017 Page of S NAME OF FILER I.D.NUMBER Matthew Vitalich for RPV City Council 2017 1399697 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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 Office Depot Campaign Flyers for door-to-door canvassing 810 N Western Ave LIT 203.51 San Pedro,CA 90732 SoCal News Paper Group Print Ad in Palos Verdes Peninsula News Paper 21250 Hawthorne Blvd,Suite 170 PRT 457.25 Torrance,CA 90503 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 660.76 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 660.76 2. Unitemized payments made this period of under$100 $ 269.52 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$ 930.28 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov