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CA Form 460 Recipient Committee Preelection Campaign Statement No. 2 - George Lewis COVER PAGE Recipient Committee Date Stamp Statement CALIFORNIA 460 Campaign FORM Cover Page RECEIVED Statement coversperiod Date of election if a RAN O PALOS vEWM'S01 of 08 Pptic1 OF 9/22/24 (Month,Day,Year) For Official Use Only from OCT 24 2024 SEE INSTRUCTIONS ON REVERSE through 10/19/24 11/05/24 CITY CLERK'S O19CE ,,... 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 ❑ Quarterly Statement State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Recall Controlled ❑ Termination Statement (Also Complete Part 5) Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ Amendment(Explain below) ❑ General Purpose Committee Sponsored ❑ Primarily Formed Candidate/ _ Small Contributor Committee Officeholder Committee Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER Treasurer(s) _ 1474465 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Lewis for RPV City Council 2024 George Lewis MAILING ADDRESS 6465 Via de Anzar STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6465 Via de Anzar Rancho Palos Verdes CA 90275 707-975-7024 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Rancho Palos Verdes CA 90275 707-975-7024 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS 28625 S.Western Avenue#90 CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Rancho Palos Verdes CA 90275 n/a 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 and correct. f--<-7 11,...-.0"''''''.'"------- Executed on 1•/24/24 By Da Signature�Tasur or Assistant Treasur Executed on r By Date Signature of Controlling Officeholder,Candi te,State easure 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 O2 of 08 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE George Lewis OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ S• UPPORT City Council Member ❑ O• PPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. 6465 Via de Anzar Rancho Paid 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 ❑ NO 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. Statement covers period Summary Page CALIFORNIA 460 9/22/24 from FORM SEE INSTRUCTIONS ON REVERSE through 10/19/24 Page 03 of 08 NAME OF FILER I.D.NUMBER Lewis for RPV City Council 2024 1474465 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 $ 2250.00 $ 2150.00 2. Loans Received Schedule B,Line 3 3946.79 3946.79 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 6096.79 $ 20. ContributionsReceived $ $ 4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 6096.79 $ 6096.79 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 5346.79 $ 5346.79 Candidates 7. Loans Made Schedule H,Line 3 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 5346.79 $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 5346.79 $ 5346.79 / Current Cash Statement / $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 0 To calculate Column B, 13. Cash Receipts Column A,Line 3 above 6096.79 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 5346.79 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 750.00 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 $ 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/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Statement covers period Monetary Contributions Received CALIFORNIA 460 from 09/22/24 FORM SEE INSTRUCTIONS ON REVERSE through 10/19/24 Page 04 of OS NAME OF FILER I.D.NUMBER Lewis for RPV City Council 2024 1474465 FULL NAME,STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER CONTRIBUTOR RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED,ENTER NAME (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OF BUSINESS) PERIOD (JAN.1-DEC.31) (IF REQUIRED) 9/21/24 IZ IND self employed("The Voice 1,000.00 1,000.00 Constantino Magnatta ❑COM 6417 Via Canada RPV,CA 90275 ❑OTH of Gaming") ❑PTY ❑SCC ❑IND 9/15/24 PV Democrats ❑COM 100.00 100.00 Boc 2234 Rolling Hills Estates,CA 90274 ❑OTH PTY ❑SCC WI IND 9/28/24 Constance Sullivan ❑COM volunteer 250.00 250.00 932 Via Nogales ❑OTH Palos Verdes Estates,CA 90274 ❑PTY © ❑sCC VI IND 10/8/24 Greg O'Brien ❑COM volunteer,retired ex-judge 250.00 250.00 550 S.Hope Street-Suite 1000 ❑OTH Los Angeles,CA 90071 ❑PTY El SCC IND 10/8/24 Sara Deen ❑COM PVPUSD School Board 150.00 150.00 4000 Palos Verdes Drive North-Suite 210 ❑OTH member Rolling Hills Estates,CA 90274 ❑PTY ❑SCC SUBTOTAL$ 1750.00 Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND-Individual 2250.00 COM-Recipient Committee (Include all Schedule A subtotals.) $ (other than PTY or SCC) 0 OTH—Other(e.g.,business entity) 2. Amount received this period—unitemized monetary contributions of less than $100 $ PTY-Political Party SCC-Small Contributor Committee 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 2250.00 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 09/22/24 FORM h 10/19/2405 08 through Page of NAME OF FILER I.D.NUMBER Lewis for RPV City Council 2024 1474465 FULL NAME,STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER CONTRIBUTOR * RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED,ENTER NAME) (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OF BUSINESS) PERIOD (JAN.1-DEC.31) (IF REQUIRED) IND 10/18/24 Paul Seo ❑COM Deputy Attorney General 500.00 5419 Whitefox Drive RPV,CA 90275 ❑OTH CA Dept.Justice ❑PTY SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM U OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 500.00 *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 Amounts may be rounded SCHEDULE B- PART 1 Schedule B — Part 1 to whole dollars. Statement covers period CALIFORNIA 460 Loans Received from 9/22/24 FORM SEE INSTRUCTIONS ON REVERSE through 10/19/24 Page 06 of 08 NAME OF FILER I.D.NUMBER Lewis for RPV City Council 2024 1474465 IF AN INDIVIDUAL ENTER (a) (b) (c) (d) (e) (f) (g) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF SELF-EMPLOYED,ENTER BEGINNING THIS PERIOD THIS PERIOD* CLOSE OF THIS PERIOD LOAN TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD ❑ PAID - CALENDAR YEAR George Lewis AMCI $ s %� $ s 6465 Via de Anzar CFO RATE ❑ FORGIVEN PER ELECTION* RPV,CA 90275 0.00 3946.79 s $ $ $ s t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % S $ RATE [1] FORGIVEN PER ELECTION` S S S t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ DATE DUE DATE INCURRED El PAID CALENDAR YEAR S S S $ S RATE ❑ FORGIVEN PER ELECTION** S - S S S $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 3946.79 $ $ $ (Enter(e)on Schedule E,Line 3) Schedule B Summary 1. Loans received this period $ 3946.79 (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period $ 0 tContributor Codes IND Individual (Total Column (c) plus loans under$100 paid or forgiven.) COM-Recipient Committee (Include loans paid by a third party that are also itemized on Schedule A.) (other than PTY or SCC) 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ 3946.79 OTH—Other(e.g.,business entity) Enter the net here and on the Summary Page, Column A, Line 2. PTY—Political Party SCC—Small Contributor Committee (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. 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 to whole dollars. CALIFORNIA 460 Payments Made from 09/22/24 FORM through 10/19/24 Page 07 of 08 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Lewis for RPV City Council 2024 1474465 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) Buildasign CMP Yard signs 619.77 11525A Stonehollow Dr Suite 100 Austin,TX 78758 Signs on the Cheap CMP Door hangers 280.87 11525B Stonehollow Dr Suite 220 Austin,TX 78758 CA Slates LIT Mailers 3783.50 249 E.Ocean Blvd. #670 Long Beach,CA 90802 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4684.14 Schedule E Summary 5346.79 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 2. Unitemized payments made this period of under$100 $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 5346.79 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E(CONT.) Amounts may be rounded Statement covers period (Continuation Sheet) to whole dollars. CALIFORNIA 460 Payments Made from 9/21/24 FORM SEE INSTRUCTIONS ON REVERSE through 10/24/24 Page 08 of 08 NAME OF FILER I.D.NUMBER Lewis for RPV City Council 2024 1474465 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 Voice Broadcasting LIT robo-call 70.85 PO Box 11990 Glendale,AZ 85318 Text to Survey LIT text blast 591.80 1527 S.Cooper Street Arlington,TX 76010 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 662.65 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov