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HomeMy WebLinkAboutForm 460 - Firefighters' Association PAC (2014-06-30)M COVER PAGE Type or print in ink. Date Stamp 2001/02 FORM Statement covers period Date of election if applicable - Page of -7 (Month, Day, Year) 1/1/2014 IL from - For Official Use Only SEE INSTRUCTIONS ON REVERSE I through 7/1/2014 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. EJ Officeholder, Candidate Controlled Committee Ballot Measure Committee 0 State Candidate Election Committee 0 Primarily Formed 0 Recall 0 Controlled (Also Cornplete Part 5) 0 Sponsored NJ General Purpose Committee (Also Complete Part 6) (g) Sponsored EJ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee ("Also Complete Pati 7) I.D. NUMBER 3. Committee Information 891308 COMMITTEE NAME (OR CANDIDATE�S NAME IF NO COMMITTEE) Rafaal aren el Firefighters PoliticAwess Committee San STREET ADDRESS (NO P.C. BOX) CITY STATE ZIP CODE AREA CCI EIPHONE San Rafael CA 94901 MAILING ADDRESS IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 2519 CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS 2. Type of Stateme Preelection Statement Semi-annual Statement Ej Termination Statement E] Amendment (Explain below) W� El Quarterly Statement [I ] Special Odd -Year Report El Supplemental Preelection Statement - Attach Form 495 NAME OF TREASURER Jason Hatfield MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94912 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 and,,eorrect. Executed on Az� By Sionature of T reasurer orAssistant Tr as- r Executed on Date B ,.onent or Responsible Officer of Sponsor Executed on Date By Signatjre off Officehjder, Candidate, '_Sfate Measure Proponent Executed on Date By &9nature of Controlling Officeholder, Candidate, State Measure Pees ne-nn FPPC Form 460 (June/04) FPPC Toll -Free Helpfine: 8661ASK-FPPC State of California x Type or print in ink. Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Firefighter Political Awareness Committee Statement covers period CALIFORNIA 1/112014 4 from FORM Page 7/1/2014 thrs h Expenditures Made Column A Column B Contributions Received 1771 $ TO -AL THIS PERiOD CALENDAR YEAR 0 0 "FROt,41 ATTACHED SCHEDULES) TO TA L T 0 D X TE 1771 9. Accrued Expenses (Unpaid Bills) 1216 1216 l. Monetary Contributions ........................................... Schedule A, Line 3 $ $ 0 2. Loans Received ............. .................. I ...................... Schedule B, Line 3 0 0 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 $ 1216 $ 1216 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 0 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 1216 $ 1216 Expenditures Made il To calculate Column B, add 6. Payments Made....................................................... Schedule E. Line 4 $ 1771 $ 1771 7. Loans Made ............................................................. Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 1771 $ 1771 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line'3 0 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 1771 $ 1771 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ ff this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents .................... .................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ In 8 8672 il To calculate Column B, add 1216 amounts in Column A to the 0 corresponding amounts from Column B of your last 1771 report. Some amounts in Column A may be negative 88117 figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if i any). in ------ I.D. NUMBER 891308 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 7/1 tc) Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ $ $ $ $ $ *Since January 1, 2001 Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC 0 0 0 ScheduleA Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 1/1/2014460 FRM from O 2014 ;7 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER San Rafael Firefighter Political Awareness Committee 891308 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC, 31) IF REQUIRED) OF BUSINESS) Professional Firefighters PAC giCO1/28/2014Marin 1200 1200 555 Capitol Mall M Sacramento CA 95814 PTH PTY SCC IND ocom (STH PTY SCC OIND ocom FIOTH 0 PTY SGC DIND OCOM 00TH PTY SCC DIND ocom E] CATH EjPTY SCC SUBTOTAL $ Schedule A Summarxj 1. Amount received this period - contributions of $100 or more. 1200 (Include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period — uniternized contributions of less than $100 ..................... ....................... $ 0 3. Total monetary contributions received this period. 1200 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-PPC Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Commifteel SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Firefighter Political Awareness Committee Type or print in ink. Amounts may be rounded to whole dollars. DATE I NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT MEASURE NUMBER OR LETTER AND DO JURISICTIN, OR COMMITTEE I Damon Connolly for Supervisor 2014 Monetary 3/28/2014 Contribution Nonmonetary Contribution Independent Support Oppose Expenditure Monetary Contribution Nonmonetary Contribution Independent Support Oppose I Expenditure 0 Monetary Contribution Nonmonetary Contribution Independent Support oppose Expenditure SCHEDULE# Statement covers period CALIFORNIA 4 bAmuAft 1/1/2014 from FORM 7/1/2014 through pane Of I.D. NUMBER 891308 CUMULATIVE TO DATE PER ELECTION AMOUNT THIS CALENDAR YEAR TO DATE PERIOD "JAN. 1 - DECC31) (IF REQUIRED) 91-T11111111111 0001ro M Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Firefighter Political Awareness Committee (9 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 1/1/201 4 from through 7/1/2014 Page 5` of -7 I.D. NUMBER 891308 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications RAID 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 err campaign literature and mailings PRT print ads VVFB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Barbara Heller's Retirement Party San Rafael, CA 94901 California Secretary of State 1500 11 th Street Sacramento Ca 95814 Olson Hagel and Fishbourn 555 Capitol Mail Sacramento CA 95814 -ODE OR DES(`-RIPTION OF PAYMENT We contributed this rno ney for the retirement party of former San Rafael CityCouncilwoman Barbara Heller FIL * Payments that are contributions or independent expenditures must also be summarized on Schedule D. WFAI1191111111111M Q0111 ill)IIII W Schedule E Summary 1736 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................................................... $ 35 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).) ............................................................... ............... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .............................. TOTAL $ 1771 FPPC Form 460 (June/01) FPPC Toll -Free Helpfine: 866/ASK-FPPC LIFORNIA FORM 460 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW 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 r IRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals W 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) VCT voter registration UT campaign literature and mailings PRT print ads VVEB information technology costs (internet, e-mail) r-ayrne"151nal are GUn1U_UJU11OH5 UU 1"UUPenUU"X UXPe"U11UUU5 MU51 d15U rye 5U1Y1n1dU1ZUU On 0GF1eUU1e U. OUO I %J I JwkL FPPC F© 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC tft- . t. -, A a a 10% 1 SCHEDULE[ Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 0 1. Increases to cash of $100 or more this period . ..................................................... .................................... .............. $ 2. Uniternized increases to cash under $100 this period . ......................................................................... ................... $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 0- 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 16 Summary Page, Line 14.) ......................... .......................................... ....................... TOTAL $ FPPC Form 460 (June/01) FP PC Toll -Free Helpfine: 866/ASK-FPPC