CA Form 460 Recipient Committee Termination Campaign Statement - Krista Johnson i ,
L ,
. RECEIVED
COVER PAGE Committee CITY OF RAN 1elALOS V_ CALIFORNIA Campaign Statement
Cover Page 1 2 2018
FORM
APR � _
Statement covers period Date of election if applicable: Page of
01/01/2018 (Month,Day,Year) OFFICEOr Official Use Only
from CITY CLERK'S
SEE INSTRUCTIONS ON REVERSE through 03/27/2018 11/07/2017
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement:
EZ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement El Quarterly Statement
0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report
0 Recall 0 Controlled p p
(Also Complete Pert 5) 0 � Termination Statement
Sponsored (Also file a Form 410 Termination)
(Also Complete Pert 6)
❑ General Purpose Committee ❑ Amendment(Explain below)
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Pert 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 Road 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
kjohnson@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 per'u nder the .ws of the State of California that the foregoing is a . correct.
• ,
Executed on By
1 D- = •
Executed on
O� •
pat By Signature.f Controlling Officeholder, ,State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
r
Executed on By
r 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 42 of
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 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 STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
0 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
0 YES 0 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
.
Campaign Disclosure Statement . Amounts may be rounded SUMMARY PAGE
to whole dollars.
Summary Page Statement covers period CALIFORNIA 460
from 01/01/2018 FORM
through 03/27/2018 Page__ L of 6
SEE INSTRUCTIONS ON REVERSE g
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
50.00 50.00 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 0.00 0.00
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 50.00 $ 50.00 Received
4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 50.00 $ 50.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made8 357.13 8,357.13 y is Schedule E,Line 4 $ � $ � Candidates
7. Loans Made Schedule H,Line 3 0.00 0.00
8,357.13 8 357.13 22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (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 $ 8,357.13 $ 8,357.13 $
Current Cash Statement $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 8,307.13
To calculate Column B,
13. Cash Receipts Column A,Line 3 above 50.00 add amounts in Column
14. Miscellaneous Increases to Cash Schedule I,Line 4 0.00 Amo the corresponding *Amounts in this section may be different from amounts
a ounts from Column B reported in Column B.
15. Cash Payments Column A,Line 8 above 8,357.13 of your last report. Some
amounts in Column A may
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 0.00 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 $ 0.00 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 $ 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
MonetaryContributions Received to whole dollars. Statement covers period CALIFORNIA 460
from 01/01/2018 FORM
through 03/27/2018 Page of
SEE INSTRUCTIONS ON REVERSE Li
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
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$
r t
Schedule A Summary *Contributor Codes
1. Amount received this period—itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.) $ 0.00 COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period—unitemized monetary contributions of less than $100 $ 50.00 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 $ 50.00
FPPC Form 460(Jan/2016)
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 01/01/2018 FORM
03/27/2018 6C
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER I.D.NUMBER
Krista Johnson for RPV City Council 2017 1398133
IF AN INDIVIDUAL,ENTER
tat (b) (c) (d) (e) (f) (g)
FULL NAME,STREET ADDRESS AND ZIP CODEOUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER AMOUNT PAID
OF LENDER BALANCE RECEIVED THISBALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IFSELF-EMPLOYED,ENTER BEGINNING THIS OR FORGIVEN* CLOSE OF THIS
NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE
PAID CALENDAR YEAR
Krista Johnson Self Employed
$ 657.63 $ 0.00 as $ 500.00 $ 0.00
Rancho Palos Verdes, CA 90275 Starrock Business VORGIVEN RATE PER ELECTION**
Financial Services $ 21,000.0 0.00 20,342.3
$ $ $ $
1.11IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $ % $ $
RATE
❑FORGIVEN PER ELECTION**
tip ❑ COM 0 OTH ❑ PTY ❑ SCC $ $ $ DATE DUE $ DATE INCURRED $
❑PAID CALENDAR YEAR
$ $ % $ $
RATE
❑FORGIVEN PER ELECTION'k'"
$ $ $ $ $
t❑ IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED
SUBTOTALS $ 0.00 $ at j 0 D b,4O$ 0.00 $ 0.00
(e)on
Schedule B Summary 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 $ 21,000.00 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. (Jan/
q FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded SCHEDULE E
to whole dollars.
Statement covers period CALIFORNIA
Payments Made
from 01/01/2018 FORM
03/27/2018 C
-�
SEE INSTRUCTIONS ON REVERSE through Page of
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
Freemans Public Affairs and Mailings
1405 Marcelina Ste 111 CNS 7,669.50
Torrance, CA 90501
Krista Johnson Loan Repayment
657.63
Rancho Palos Verdes, CA 90275
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 8,327.13
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 8,327.13
2. Unitemized payments made this period of under$100 $ 30.00
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 8,357.13
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov