CA Form 460 Recipient Committee Semi-Annual Campaign Statement (Jan - June 2017) - Susan Brooks Recipient Committee COVER PAGE
te Stamp CALIFORNIA
Campaign Statement A RECEIVED FORM 460
Cover Page GT YOF RANCHO PALOS V . ,�`
Statement covers period Date of election if applicable: ge of
January 1, 2017 (Month,Day,Year) JUL���- 1 3 2011 For Official Use Only
from
SEE INSTRUCTIONS ON REVERSE June 30, 2017 November 3, 2015�iIN C�RK' OFFICE
through SOF
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: \
E •Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 Preelection Statement 0 Quarterly Statement
O State Candidate Election Committee Committee la Semi-annual Statement 0 Special Odd-Year Report
O Recall 0 Controlled
(Also Complete Pert 5) 0 Sponsored ❑ Termination Statement
(Also file a Form 410 Termination)
(Also Complete Part 6)
0 General Purpose Committee 0 Amendment(Explain below)
O Sponsored 0 Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
O Political Party/Central Committee (Also compete Part 7)
3. Committee Information 11378646 Treasurer(s)
COMMITTEE NAME(OR CANDIDATES NAME IF NO COMMITTEE) NAME OF TREASURER
Ann Marinovich
Susan Brooks for Rancho Palos Verdes City Council 2015 MAILING ADDRESS "-
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE"-
Rancho Palos Verdes CA 90275 310-377-8867
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Rancho Palos Verdes CA 90275 310 541-2971
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-MAILADDRESS OPTIONAL: FAX/E-MAIL ADDRESS —
susan.brooks@rpvca.gov
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the b- t of my knowledge the information opntained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing
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/2C116)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
COVER PAGE-PART 2
Recipient Committee CALIFORNIA
460
Campaign Statement FORM
Cover Page — Part 2
Page 'Z- 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
0 SUPPORT
Rancho Palos Verdes City Council 0 OPPOSE
RESIDENTIAUBUSINESS 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 STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
O 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
❑ YES 0 NO ❑ SUPPORT
COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX)
O 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
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars.
Summary Page Statement covers period CALIFORNIA /� 60
January 1, 2017 FORM T
from
June 30, 20173
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER I.D.NUMBER
Susan Brooks for Rancho Palos Verdes City Council 2015 1378646
Contributions Received Column A Column B Calendar Year Summary for Candidates
TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
0 38,997 General Elections
1. Monetary Contributions Schedule A,Line 3 $ $
0 (5,000) 1/1 through 6/30 7/1 to Date
2. Loans Received Schedule 8,Line 3
3. SUBTOTAL CASH CONTRIBUTIONS 0 33,997 20. Contributions
Add Lines 1+2 $ Received $ $
4. NonmonetaryContributions 0 $ 550
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 $ 20 $ 27,378 Candidates
7. Loans Made Schedule H,Line 3 0 0
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 20 $ 27,378 22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0 0
0 Date of Election Total to Date
0
10. Nonmonetary Adjustment Schedule C,Line 3 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 20 $ 27,378
—J_J $
Current Cash Statement —_J—I $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 6,643
To calculate Column B,
13. Cash Receipts Column A,Line 3 above 0 add amounts in Column
14. Miscellaneous Increases to Cash 0 Ato the corresponding *Amounts in this section ma be different from amounts
Schedule I,Line 4 amounts from Column B y
reported in Column B.
15. Cash Payments Column A,Line 8 above 20 of your last report. Some
6,623 amounts in Column A may
16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ be negative figures that
If this is a termination statement,Line 16 must be zero. should be subtracted from
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
18. Cash Equivalents any).
q See instructions on reverse $
19. Outstanding Debts Add Line 2+Line 9 in Column 8 above $ 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
Payments Made to whole dollars. CALIFORNIA 460
y from January 1, 2017 FORM
SEE INSTRUCTIONS ON REVERSE June 30, 2017
throughPage Li of Cij
NAME OF FILER I.D.NUMBER
Susan Brooks for Rancho Palos Verdes City Council 2015 1378646
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/sponscl—
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 .NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
*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.) $
0
2. Unitemized payments made this period of under$100 $
20
0
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $
20
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov