Recipient Committee Campaign Statement Cover Page CA 460 FORM (Government Code Sections 84200-84216.5) NAME OF FILER I.D. NUMBER Election Date: Statement Period Nick Melvoin for School Board 2017 1382816 (Month/Day/Year) from 01/22/2017 03/07/2017 to 02/18/2017 Cover Page 1. Type of Recipient Committee Officeholder, Candidate Controlled Committee 2. Type of Statement Pre-Election Statement (Amendment #1) Amendment 001. Update Summary Page, Sch. A & Sch. E 3. Committee Information Committee Name : Nick Melvoin for School Board 2017 - 1382816 Committee Address : address redacted Los Angeles, CA 90049 (916) 285-5733 Mailing Address (if different) : address redacted Sacramento, CA 95815 Fax Number : (916) 333-1344 E-Mail Address : [email protected] Treasurer Name : Shawnda Deane Treasurer Address and Phone Number : address redacted Sacramento, CA 95815 (916) 285-5733 Assistant Treasurer Name : Nicholas Melvoin Assistant Treasurer Address and Phone Number : address redacted Los Angeles, CA 90049 (323) 379-2017 Treasurer Fax Number : None Treasurer E-Mail Address : None 4. Verification I have used all reasonable diligence and to the best of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the 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 and correct. 03-Mar-17 Shawnda Deane (e-signed) Executed On: (Date) By: (Signature of Treasurer) 03-Mar-17 Nicholas Melvoin (e-signed) Executed On: (Date) By: (Signature of Candidate / Officeholder) Recipient Committee Campaign Statement Summary Page CA 460 FORM (Government Code Sections 84200-84216.5) NAME OF FILER I.D. NUMBER Election Date: Statement Period Nick Melvoin for School Board 2017 1382816 (Month/Day/Year) from 01/22/2017 03/07/2017 to 02/18/2017 Sum m ary Page Contributions Received Column A Column B (This Period) (Calendar YTD) 1. Monetary Contributions Sched. A, Line 3 $91,205.00 $118,222.00 2. Loans Received Sched. B, Line 3 $0.00 $0.00 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $91,205.00 $118,222.00 4. Non-Monetary Contributions Sched. C, Line 3 $619.39 $619.39 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $91,824.39 $118,841.39 Expenditures Made Column A Column B 6. Cash Payments Sched. E, Line 4 $56,766.61 $76,034.95 7. Loans Made Sched. H, Line 3 $0.00 $0.00 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $56,766.61 $76,034.95 9. Accrued Expenses (Unpaid Bills) Sched. F, Line 3 ($36,239.54) $537.95 10. Non-Monetary Adjustment Sched. C, Line 3 $619.39 $619.39 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $21,146.46 $77,192.29 Current Cash Statement 12. Beginning Cash Balance Prev. Summary, Line 16 $209,767.51 13. Cash Receipts Col. A, Line 3 $91,205.00 14. Miscellaneous Increases to Cash Sched. I, Line 4 $10.00 15. Cash Payments Col. A, Line 8 $56,766.61 16. Ending Cash Balance Lines (12 + 13 + 14) - 15 $244,215.90 Loan Guarantees Received 17. Loan Guarantees Received Sched. B, Part II $0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents $0.00 19. Outstanding Debts Col. B, Lines 2 + 9 $537.95 Recipient Committee Campaign Statement Schedule A CA 460 Monetary Contributions Received FORM (Government Code Sections 84200-84216.5) NAME OF FILER I.D. NUMBER Election Date: Statement Period Nick Melvoin for School Board 2017 1382816 (Month/Day/Year) from 01/22/2017 03/07/2017 to 02/18/2017 Schedul e A Schedule A Summary 1. Amount received this period - contributions of $100 or more: (include all schedule A subtotals) $88,430.00 2. Amount received this period - unitemized contributions of less than $100: $2,775.00 3. Total monetary contributions received this period : (add lines 1 and 2. enter here and on summary page, column A, line 1) $91,205.00 Schedule A Detail (200 Records) Date Received Contributor Contributor Occupation and Employer Amount Cumulative Per Election Code Received this Calendar Year To Date Period (Jan 1 - Dec 31) 02/13/17 Albert, Matt Individual Education $100.00 (P) $100.00 $100.00 address redacted New Los Angeles Charter Los Angeles , CA 90035 Schools 02/09/17 Alpert, Kayla Individual Writer $150.00 (P) $150.00 $150.00 address redacted Kayla Alpert West Hollywood , CA 90069 02/17/17 Anderson, Leiauna Individual Real Estate Agent $250.00 (P) $250.00 $250.00 address redacted Leiauna Anderson Pacific Palisades , CA 90272 01/24/17 Artigas, Patricia Individual Investment Analyst $1,100.00 (P) $1,100.00 $1,100.00 address redacted Capital Group Pacific Palisades , CA 90272 01/22/17 Asgar, Kami Individual Film/Television $100.00 (P) $100.00 $100.00 address redacted 424 Post, Inc. Los Angeles , CA 90049 02/04/17 Asher, Lynda Individual Teacher $1,100.00 (P) $1,100.00 $1,100.00 address redacted Calabasas High School Calabasas , CA 91302 01/31/17 Attanasio, Deborah Individual Executive $350.00 (P) $350.00 $350.00 address redacted Milwaukee Brewers Baseball Encino , CA 91436 Club 02/10/17 Avondale Investment Company, LLC Other (Non- $200.00 (P) $200.00 $200.00 address redacted Individual) Santa Monica , CA 90404 Recipient Committee Campaign Statement Schedule A CA 460 Monetary Contributions Received FORM (Government Code Sections 84200-84216.5) NAME OF FILER I.D. NUMBER Election Date: Statement Period Nick Melvoin for School Board 2017 1382816 (Month/Day/Year) from 01/22/2017 03/07/2017 to 02/18/2017 Schedule A Detail (200 Records) Date Received Contributor Contributor Occupation and Employer Amount Cumulative Per Election Code Received this Calendar Year To Date Period (Jan 1 - Dec 31) 02/01/17 Beckmen, Thomas Individual Not Employed $1,100.00 (P) $1,100.00 $1,100.00 address redacted n/a Pacific Palisades , CA 90272 02/01/17 Bell, Karen Individual Hosiery $550.00 (P) $550.00 $550.00 address redacted K. Bell Socks Los Angeles , CA 90049 02/03/17 Bell, Laurice Individual Writer $250.00 (P) $250.00 $250.00 address redacted Laurice Bell Los Angeles , CA 90403 02/15/17 Bell, Selma R. Individual Retired $100.00 (P) $100.00 $100.00 address redacted n/a Gloucester , MA 01930 02/03/17 Berchtold, Lorraine Individual Not Employed $1,100.00 (P) $1,100.00 $1,100.00 address redacted n/a Los Angeles , CA 90049 02/06/17 Berglass, Tracy Individual Not Employed $100.00 (P) $100.00 $100.00 address redacted n/a Santa Monica , CA 90402 01/23/17 Berman, Erin Individual Not Employed $100.00 (P) $100.00 $100.00 address redacted n/a Pacific Palisades , CA 90272 02/02/17 Bildner, Betty Individual Speech Pathologist $100.00 (P) $100.00 $100.00 address redacted Betty Bildner Encino , CA 91436 01/29/17 Bishop, Ken Individual Not Employed $250.00 (P) $250.00 $250.00 address redacted n/a Beverly Hills , CA 90210 01/27/17 Bishop, Randy Individual Business Owner $250.00 (P) $250.00 $250.00 address redacted ContractSafe Encino , CA 90024 01/24/17 Boich, Michael Individual Not Employed $600.00 (P) $600.00 $600.00 address redacted n/a Pacific Palisades , CA 90272 Recipient Committee Campaign Statement Schedule A CA 460 Monetary Contributions Received FORM (Government Code Sections 84200-84216.5) NAME OF FILER I.D. NUMBER Election Date: Statement Period Nick Melvoin for School Board 2017 1382816 (Month/Day/Year) from 01/22/2017 03/07/2017 to 02/18/2017 Schedule A Detail (200 Records) Date Received Contributor Contributor Occupation and Employer Amount Cumulative Per Election Code Received this Calendar Year To Date Period (Jan 1 - Dec 31) 01/24/17 Brendlinger, Pam Individual Not Employed $100.00 (P) $100.00 $100.00 address redacted n/a Pacific Palisades , CA 90272 02/02/17 Bridich, Sarah Individual Post-Doctorate Fellow $500.00 (P) $500.00 $1,000.00 address redacted University of Colorado Denver Denver , CO 80238 02/02/17 Bryson, Louise Henry Individual Retired $1,100.00 (P) $1,100.00 $1,100.00 address redacted n/a San Marino , CA 91148 01/31/17 Buch, Dawn Individual Account Executive $100.00 (P) $100.00 $100.00 address redacted PolyPak America, Inc. Los Angeles , CA 90077 02/15/17 Cantor, Max Individual Attorney $500.00 (P) $500.00 $500.00 address redacted Dentons U.S., LLP Brooklyn , NY 11249 02/14/17 Cardenas, Paul Individual Not Employed $100.00 (P) $100.00 $600.00 address redacted n/a Pacific Palisades , CA 90272 02/02/17 Chung, Charles Individual Finance $50.00 (P) $150.00 $150.00 address redacted Pabst Brewing Company Los Angeles , CA 90045 02/07/17 Chung, Charles Individual Finance $100.00 (P) $150.00 $150.00 address redacted Pabst Brewing Company Los Angeles , CA 90045 02/08/17 Clark, Maxine Individual Not Employed $500.00 (P) $500.00 $500.00 address redacted n/a St. Louis , MO 63124 01/30/17 Colligan, Ed Individual Not Employed $250.00 (P) $250.00 $250.00 address redacted n/a San Jose , CA 95110 01/26/17 Conrad, William A. Individual Physician $100.00 (P) $100.00 $100.00 address redacted William A. Conrad Los Angeles , CA 90049 Recipient Committee Campaign Statement Schedule A CA 460 Monetary Contributions Received FORM (Government Code Sections 84200-84216.5) NAME OF FILER I.D. NUMBER Election Date: Statement Period Nick Melvoin for School Board 2017 1382816 (Month/Day/Year) from 01/22/2017 03/07/2017 to 02/18/2017 Schedule A Detail (200 Records) Date Received Contributor Contributor Occupation and Employer Amount Cumulative Per Election Code Received this Calendar Year To Date Period (Jan 1 - Dec 31) 01/24/17 Continental Development Corporation Other (Non- $1,100.00 (P) $1,100.00 $1,100.00 address redacted Individual) El Segundo