CA Form 460 Recipient Committee Semi-Annual Campaign Statement (Jan - June 2019) - Susan Brooks Recipient CommitteeCOVER PAGE
Campaign Statement Date Stamp
CALIFORNIA 460
Cover Page
RECEIVED FORM
StatementF RANCHO PALOS VER - -
covers period Date of elect if applicable: page of
from January 1, 2019 (Month,Day,Year) JUL 31 2019 FawnOfficial Use Only —'
I
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SEE INSTRUCTIONS ON REVERSE June 30, 2019November 3, 201
61
through
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CLERK'S OFFICE
, ....„. _.,...,,.
1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. '+ ► „ ,,,!
2. Type fit'�5tatement:
Ej Officeholder,Candidate Controlped Committee CI PrimarilyFormed
a State��rldldate Election Cts mlttee Ballot Measure 0 Preelection Statement
l� Committee ® S 0 Quarterly Statement
0 Recall 0 Controlled e1�Ctl�ennual Statement 0 Special Odd-Yelr Report
(Also Comply Ptn9)
0 Sponsored 0 Teritinafion Statement
(Also Complete Pad ) (Ales file a Form 410 Terlination)
0 General Repose Committee
0 Amendment(Explain below)Q Sponsored Primarily Formed
Candidate/
a Small Contributor Committee Officeholder Committee
Political Party/Central Corr�iillittee -
Also Complete Part
ommittre� information II* VAIMM
I,D.NUMBER ,,
_ NO COMM) 1378646 Treasurer(s)
COMMITTEE NAM �C CANDIDA
w"'
NAME SURER ''�''` „ ,._
Susan Brooks for Rancho Pelos Verdes Citi C�ouncll 2015 Ann M t�lnovich
MAILIN . E S '.rt
PASS
s 7315 Berry Hill Drive
.Box)
1140
gr-
419 Corinna Drive CI STAT5ZIP CODE AREA CODE/P
Rancho Palos Verdes "O
CITY CA 90275 310-377-8867
STATE E CODE/PHONE NAME&2 ' STANT TREASURE ANY
Rancho Palos Verdes CA 90275 90275 31 541-2971
MAILING•e:. � � - �`•_� _� .,.
S EREN * : REETOR -, , = '_
MAILIN e 'i w ESS
STATE apromE `�,�ODE/PHONE CITY VINNI'O'"'�
STATE ZIP CODE AREA CODE/PH041"—
......wwwww.
•'TION .1
OPTION
susan.brooks@rpvca.gov
xi E-MAIL ADDRerr 4w•�
4. Verification
t 'f
have used all reasonable diligence in preparing and reviewing this st
I i underdpenalty sof perjury I g atemert and to the be= •3 rry knowledge the If formatipn contained herein and in the attached
R P ry under e laws of the State of California that the foregoingi core Eo schedules is tree and complete. I
told act. A
2 Executed on7 / By �/'
Y
AWIMAt
et•
Signs to. Treasurer or• -istan rep urer
Executed on QBy /
Signature• 'o''roll ngOfficeholder, ''•le,State Measure-r portent or Responsible OM of Sponsor
Executed on. By
a
gnature of ntro nj ce Ider,Candidate,ati Measure Proponent w"'"--
Executed
Executed on By
ae
ignature of •ntro ng+ ce •'der,Candidate,= Measure Proponent
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc,ca.gov(866/275-3772
Recipient Committee COVER PAGE-PART 2
Campaign {Statement CA LIFO R► 460
RNIA
Cover Page — Part 2 FORM
Pa2
ge of
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICE'HOLDER OR CANDIDATE
NAME OF BALLOT MEASURE
Susan Brooks
OFFICE SOUGHT DR HELD(INCLUDE LOCATION AND DISTR CT NUMBER IF AppOCABLE)
BALLOT NO,OR LETTER I JURISDICTION ""—'
Rancho Palos Verdes City Council lo SUPPORT
❑ OPPOSE
RESIDENTIAL/BUINESS ADDRESS (Iib.AND STREET) CITY STATE ZIP
3419 Corinna Drive Rancho Palos Verdes CA 90275Identify the controlling officeholder,candidate, •
Or state measure proponent, any.
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Co mittees Not Included in this Statement: Lista comm
not included in this statement that a controlled by you or are primarily forrr��committees
P y to receive OFFICE SOUGHT OR HELD
contributions or Make expenditures on behalf of your candidacy. DISTRICT N 0.IF ANY
COMMITTEE NAF np
I.D.NUMBER y r,
7. Primarily Formed Candidate/Officeholder Committee
NAME OF TREASIRER CONTROLLED C MMITTEE?
officeholder(s)or candidate(s) List names of
for which this committee is primarily formed.
❑ YES 0N
COMMITTEE ADDESS
.,r NAME
STREEADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
CITY ,. ❑ SUPPORT
STATE ZIP CODE AREA CODE/PHONE 0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
0 SUPPORT
COMMITTEE NAME '
I.D.NUMBER ❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
0 SUPPORT
NAME OF TREASURER CONTROLLED COMMITTEE? M ❑ OPPOSE
NAME OF O!`FICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
0 YES 0 NO 0 SUPPORT
COMMITTEE ADD-ESS STREET ADDRESS (NO P.O.BOX) OPP
11 OSE
t ,
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 rind
Summary Page CALIFORNIA 460
January 1, 2019 FORM
from
June 30, 2019Pa 3 of____1_
SEE INSTRUCTIONS ON REVERSE through 9e
NAME OF FILER I.D.NUMBER
Susan Brooks for Rancho Palos Verdes City Council 2015 1378646
AMINEI
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
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 B,Line 3
0 33, 7 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ Received $ $
0 550
4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures
0 34,547 Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ $ '
Expenditures Made Expenditure Limit Summaryfor State
p
6. Payments Made Schedule E,Line 4 $ 760 $ 33,735 Candidates
7. Loans Made Schedule H,Line 3 0 0
760 $ 3`.117_ 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 0
Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C,Line 3 0 550 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ _ 760 $ 34,285 J $
Current Cash Statement $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 1,022
0 To calculate Column B,
13.Cash Receipts Column A,Line 3 above add 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.
15. Cash Payments Column A,Line 8 above 760 of your last report. Some
262 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
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 $ FPPC Form 460(Jan/2016j
FPPC Advice:advice.fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded :SCHEDULE E
to whole doll
Statement covers period
ars. CALIFORNIA
Payments Made January1, 2019 FORM
from
through June 30, 2019 Page of
SEE INSTRUCTIONS ON REVERSE g
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/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
Stephen Perestam for RPV City Council 2019 CTB Campaign Contribution 250
Rancho Palos Verdes
David Bradley for RPV City Council 2019 CTB Campaign Contribution 250
Rancho Palos Verdes
Dalmatian American Club
1639 S. Palos Verdes St Membership-Charitable Organization 140
San Pedro, CA 90731
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 640
Schedule E Summary
1. Itemized payments made this period. (Include Include all Schedule E subtotals.) 640
$
2. Unitemized payments made this period of under$100 120
0
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 . 760
Line 6 ) TOTAL $
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov