CA Form 460 Recipient Committee Semi-Annual Campaign Statement (Jan - June 2018) - Eric Alegria 4 t
COVER PAGE
Recipient Committee
RCE1VED CALIFORNIA
Campaign Statement
460
Cover Page Criif OF RANCHO PALOS F',.RM
�; Page 1 of 6
Statement covers period Date of election if applicable: JUL 1 �l 2018
Jan. 1, 2018
(Month,Day,Year) For Official Use Only
from
June 30, 2018 Nov. 7, 2017 CITY OFFICE
SEE INSTRUCTIONS ON REVERSE through
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement:
Z Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement El Quarterly Statement
O State Candidate Election Committee Committee 12 Semi-annual Statement El 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 El Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
O 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
Eric Ale ria for RPV CityCouncil 2017i3421A-N)KA ret
- .
9
MAILING ADDRESS
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
N OLNi 1-N CA cczQ z1 - q- A2S
-'
CITY STATE ZIP CODE AREA CODE/PHONE ME OF ASSISTANT TREASURER,IF ANY
Culver City CA 90232 213-503-7984
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
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.
certify under penalty of perjury under the laws of the State of California that the foregoing is true an. orrec.
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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 CALIFORNIA 460
Campaign Statement FORM
Cover Page — Part 2
Page 2 of 6
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Eric Alegria
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
❑ SUPPORT
City Councilmember-City of Rancho Palos Verdes (Office Sought) ❑ 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
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
❑ 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
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. Statement covers period
Summary Page CALIFORNIA 460
from Jan. 1, 2018 FORM
throu h June 30, 2018 Page 3 of 6
SEE INSTRUCTIONS ON REVERSE g
NAME OF FILER I.D.NUMBER
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 $ $
900 900 1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B,Line 3
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 900 $ 900 Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ $ Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 918 $ 918 Candidates
7. Loans Made Schedule H,Line 3
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 918 $ 918 (If Subject to Voluntary Expenditure Limit)
9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0 0 Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C,Line 3 0 0 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 918 $ 918 / / $
Current Cash Statement $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 59
To calculate Column B,
13. Cash Receipts Column A,Line 3 above 900 add amounts in Column
244 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 918 of your last report. Some
285 amounts in Column A may
16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 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
filed for this calendar year,
17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $
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 $ 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 Jan. 1, 2018 FORM
SEE INSTRUCTIONS ON REVERSE through June 30, 2018 Page 4 of 6
NAME OF FILER I.D.NUMBER
IF AN INDIVIDUAL ENTER (a) (b) (c) (d) (e) (f) (g)
FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING
OF LENDER OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCE AT INTEREST ORIGINAL CUMULATIVE
(IF SELF-EMPLOYED,ENTER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS PERIOD * CLOSE OF THIS
PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE
Eric Alegria Vice President Monarch El PAID CALENDAR YEAR
HealthCare-OptumCare $ $ 750 % $ 750 $
Rancho Palos Verdes, CA 90275 ❑FORGIVEN RATE PER ELECTION"
$ $ 750 $ $ 5/7/18
1-0 IND ❑ COM El OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED $
❑PAID CALENDAR YEAR
$ $ % $ $
RATE
❑FORGIVEN PER ELECTION**
ID $ $ $ DATE DUE $ $
❑ IND 0COM ❑ OTH El ❑ SCC DATE INCURRED
❑PAID CALENDAR YEAR
$ $ % $ $
RATE
❑FORGIVEN PER ELECTION**
$ $
t❑ IND El COM ❑ OTH ❑ PTY El SCC $ DATE DUE $ DATE INCURRED $
SUBTOTALS $ $ $ $
Schedule B Summary Schedule E,Line 3)
1. Loans received this period $ Q00
(Total Column (b) plus unitemized loans of less than $100.)
tContributor Codes
2. Loans paid or forgiven this period $ 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 $ 900 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 E Amounts may be rounded SCHEDULE E
Statement covers period
to whole dollars. CALIFORNIA460
Payments Made
Jan. 1, 2018 FORM
from
S
through June 30, 2018 page 5 of
EE INSTRUCTIONS ON REVERSE 6
NAME OF FILER I.D.NUMBER
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 Error- Payment was made on this account in error
2211 North First Street 404
San Jose, CA 95131
*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.) $ 404
2. Unitemized payments made this period of under$100 $ 514
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 $ 918
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 period CALIFORNIA 460
from Jan. 1, 2018 FORM
through June 30, 2018 Page 6 of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF
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. $
2. Unitemized increases to cash of under$100 this period. $ 244
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) $
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) TOTAL $ 244
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov