CA Form 460 Recipient Committee Preelection Campaign Statement No. 1 - Stephen Perestam Committee covER PAGE
Recipient Date Stamp
Campaign Statement CALIF R IA460
Cover Page RECEIVED FORM
C - OF RANCHO PALOS VERO/S 1 of 10
Statement covers period Date of election if applicable:.
from
7/1/2019 (Month,Day,Year) SEP 2 6 2019 For Official Use Only
SEE INSTRUCTIONS ON REVERSE through 9/21/2019 11/5/2019
fi CI FR K'S QFFICF
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement:
O Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 12 Preelection Statement E Quarterly Statement
O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report
0 Recall 0 Controlled ❑ Termination Statement
(Also Complete Pert 5) 0 Sponsored
(Also file a Form 410 Termination)
(Also Complete Pert 6)
E General Purpose Committee ❑ Amendment(Explain below)
O Sponsored ❑ Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D.NUMBER Treasurer(s)
1420123
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Perestam for RPV City Council 2019 William Pratley
MAILING ADDRESS
2701 San Ramon Drive
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
30565 Palos Verdes Drive East Rancho Palos Verdes CA 90275 310-488-7666
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Rancho Palos Verdes CA 90275 310-600-7906
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. I
certify under penalty of perjury under the laws of the State of California that the foregoing is true an correct
Executed on 91''' eg'—/7 By G/Zei,I., ..
Date i S' - :of Trees -r or Assistant Treasurer
Executed on q/zei/99 By
Date Signature ntrolling• iceholder,Candidate,State 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 /0
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Stephen Perestam
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT
Rancho Palos Verdes City Council ❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
Identify the controlling officeholder,candidate,or state measure proponent,if any.
30565 Palos Verdes Drive East 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
officeholders)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
1=1 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
7/1/2019 FORM
throu h 9/21/2019 Page 3 of /0
SEE INSTRUCTIONS ON REVERSE 9
NAME OF FILER I.D.NUMBER
Stephen Perestam for RPV City Council 1420123
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
3597 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 5000
8597 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 300 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 8897 $ Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 3994 $ Candidates
7. Loans Made Schedule H,Line 3 0
3994 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 Date of Election Total to Date
10.Nonmonetary Adjustment Schedule C,Line 3
0 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 3994 $ $
Current Cash Statement $
12.Beginning Cash Balance Previous Summary Page,Line 16 $ Q
To calculate Column B,
13.Cash Receipts Column A,Line 3 above 8597 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 3994 of your last report. Some
4603 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 $ 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 7/1/2019 FORM
through 9/21/2019 page 4 of j0
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Stephen Perestam for RPV City Council 1420123
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)
l IND
7/29/2019 Edward Ruttenberg C]ConnAttorney 999 999
30547 Palos Verdes Drive East ❑OTH Edward Ruttenberg Esq.
Rancho Palos Verdes CA 90275 ❑PTY
❑scC
❑IND
7/8/2019 Susan Brooks for RPV City Council 2015 0 CoM City Council Member 250 250
FPCC ID:1378646 ❑OTH
3419 Corinna Drive ❑PTY
Rancho Palos Verdes, CA 90275 ❑scC
62 IND
9/3/2019 Lois Karp CI Com Retired 250 250
31115 Ganado Drive ❑OTH
Rancho Palos Verdes CA 90275 ❑PTY
❑scC
El IND
William Pratley
y ❑CoM VP, 250 250
7/16/2019
2701 SanRamon ❑OTH Jankovich Co.
Rancho Palos Verdes CA 90275 ❑PTY
❑scC
Joseph Lay OIND
❑COM
9/5/2019 102 Spindrift Lane _ Engineering300 300
❑OTH -
Rancho Palos Verdes CA 90275
❑PTY
❑SCC
SUBTOTAL$ 2049
Schedule A Summary *Contributor Codes
1. Amount received this period—itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.) $ 3249 COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period—unitemized monetary contributions of less than $100 $ 348 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 $ 3597
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460
from 7/1/2019 FORM
through
9/21/2019 Page 5 of 10
NAME OF FILER I.D.NUMBER
Stephen Perestam for RPV City Council 1420123
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)
ja IND
Stephen Dorst DCO Filmmaker
120
9/5/2019 p Spindrift Lane n 0❑OTH COM Mediaworks 150 150
Rancho Palos Verdes, CA 90275 ❑PTY
❑SCC
Vito Gioello 0 IND Longshoreman
9/4/2019 2752 Vista Mesa Drive ❑COM PMA 150 150
Rancho Palos Verdes, CA 90275 ID OTH
❑PTY
❑SCC
Richard and Grace Wallace 0 IND Retired
9/15/2019 30629 Lucania ❑COM 100 100
El OTH
Rancho Palos Verdes, CA 90275
❑PTY
❑SCC
Ann Shaw E IND❑COM Retired
9/13/2019 30036 Via Borica 100 100
Rancho Palos Verdes, CA 90275 ❑OTH
❑PTY
❑SCC
Claire Ealy 0 IND Retired
9/13/2019 36 Via Capri ❑COM 100 100
Rancho Palos Vereds, CA 90275 ❑OTH
❑PTY
❑SCC
SUBTOTAL$ 600
*Contributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC)
OTH-Other(e.g.,business entity)
PTY-Political Party
SCC-Small Contributor Committee FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460
from FORM
through Page 6 of /
NAME OF FILER I.D.NUMBER
Stephen Perestam for RPV City Council
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)
Dwight Hanger ®IND Retired
9/21/2019 g g ❑coM 250 250
2938 Vista Del Mar ❑OTH
Rancho Palos Verdes, CA 90275 ❑PTY
❑scc
Romolo Santarosa 0 IND CFO
9/20/2019 6538 Verde Ridge Road ❑OTH Com Hanmi Bank 250 250
Rancho Palos Verdes, CA 90275 El
❑PTY
❑SCC
Thomas Stolpman O IND Attorney
9/18/2019 4120 Lorraine Road ❑coM Thomas Stolpman ESQ 100 100
Rancho Palos Verdes, CA 90275 El OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$ 600
*Contributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC)
OTH-Other(e.g.,business entity)
PTY_Political Party FPPC Form 460(Jan/2016)
SCC Small Contributor Committee
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 7/1/2019 FORM
SEE INSTRUCTIONS ON REVERSE through 9/21/2019 Page 7 of /0
NAME OF FILER I.D.NUMBER
Stephen Perestam for RPV City Council 1420123
IF AN INDIVIDUAL,ENTER (a) (b) (c) (d) (e) (�) (9)
FULL NAME,STREET ADDRESS AND ZIP CODEOUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCE AT
OF LENDER (IF SELF-EMPLOYED,ENTER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS
BEGINNING THIS PERIOD THIS PERIOD* CLOSE OF THIS PERIOD LOAN TO DATE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD
Stephen Perestam Consultant ❑ PAID CALENDAR YEAR
30565 Palos Verdes Drive East Self-employed $ $ 5000 % $ 5000 $ 5000
Rancho Palos Verdes, CA 90275
❑FORGIVEN RATEPER ELECTION**
5000
$ $ $ $ $
t ici IND El COM ❑ OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED
❑ PAID CALENDAR YEAR
$ $ % $ $
RATE
❑ FORGIVEN PER ELECTION"
$ $ $ $ $
tEl❑ IND ❑ COM ❑ OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $ % $ $
RATE
❑FORGIVEN PER ELECTION**
tEl IND COM OTH PTY SCC $ $ $ DATE DUE $ DATE INCURRED $
SUBTOTALS $ 5000$ $ 5000 $
(Enter(e)on
Schedule B Summary Schedule E,Line 3)
1. Loans received this period $ 5000
(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 $ 5000 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
3
Schedule C Amounts may be rounded SCHEDULE C
to whole dollars.Nonmonetary Contributions Received Statement covers period CALIFORNIA 460
from 7/1/2019 FORM
through 9/21/2019 Page
SEE INSTRUCTIONS ON REVERSE 8 of /0
NAME OF FILER
I.D.NUMBER
Stephen Perestam for RPV City Council 1420123
IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION
DATE FULL NAME,STREET ADDRESS AND CONTRIBUTORDESCRIPTION OF DATE
RECEIVED ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET TO DATE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER VALUE CALENDAR YEAR (IF REQUIRED)
NAME OF BUSINESS) (JAN 1-DEC 31)
WI IND
9/5/2019 Mark and Lucianna Koch El Com Builder FND: 300 300 9/5/2019
49 Seawall Road ❑OTH Self-employed Fundraiser
Rancho Palos Verdes, CA 90275 PTY Food and
❑SCC Beverages
❑IND
❑COM
❑OTH
❑Ply
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 300
Schedule C Summary *Contributor Codes
1. Amount received this period—itemized nonmonetary contributions. IND—Individual
(Include all Schedule C subtotals.) $ 300 COM—Recipient Committee
(other than PTY or SCC)
2. Amount received this period—unitemized nonmonetary contributions of less than $100 $ OTH—Other(e.g.,business entity)
PTY—Political Party
3. Total nonmonetary contributions received this period. SCC—Small Contributor Committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ 300
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Amounts may be rounded SCHEDULE E
Schedule E Statement covers period CALIFORNIA
460
Payments Made to whole dollars. FORM
y from 7/1/2019
SEE INSTRUCTIONS ON REVERSE
through 9/21/2019 Page 9 of �O
NAME OF FILER I.D.NUMBER
Stephen Perestam for RPV City Council 1420123
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
Secretary of State
Political Reform Division FIL 50
1500 11th Street, Rm 495
Sacremento, CA. 95814
City of Rancho Palos Verdes
30940 Hawthorne Blvd. FIL 750
Rancho Palos Verdes, CA 90275
CampaignLA
15518 S. Broadway St. CMP 140
Gardena, CA 90248
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 940
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals. $ 3900
Y )
2. Unitemized payments made this period of under$100 $ 94
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $
4. Total payments made this period. (AddSummary Lines 1, 2, and 3. Enter here and on the Page, Column A, Line 6.) TOTAL $ 3994
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded SCHEDULE E(CONT.)
Y Statement covers period
(Continuation Sheet) to whole dollars. CALIFORNIA 460
Payments Made from 7/1/2019 FORM
through
9/21/2019 Pae 10 of /0
SEE INSTRUCTIONS ON REVERSE g
NAME OF FILER
I.D.NUMBER
Stephen Perestam for RPV City Council 1420123
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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
CampaignLA
15518 S. Broadway St. CMP 2220
Gardena, CA 90248
CampaignLA
15518 S. Broadway St. LIT 720
Gardena, CA 90248
US Bank Bank Fees
29000 S. Western Ave. 20
Rancho Palos Verdes, CA 90275
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2960
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov