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Home My WebLink AboutForm 460 - Natu Tuatagaloa for Board of Education 2018 1st Preelection StatementRecipient Committee to COVER PAGE Campaign Statement ' • Cover Page SEP 2 7 1 of 11 Statement covers period Date of election if applica 208 from 1-01-2018 (Month, Day, Year) or Official Use Only 3. Committee Information I.D. NUMBER 1410736 Natu Tuatagaloa for Board of Education 2018 STREET ADDRESS (NO P.O. BOX) 09-22-2018 CITY STATE ZIP CODE AREACODE/PHONE San Rafael CA 94901 ( OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification Treasurer(s) NAME OFTREASURER Judy W. Tuatagaloa MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE San Rafael CA 94901 ( NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 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 foregoingis true and correct. 11 Executed on 9-26-2018 Date Executed on 9-26-2018 Date Executed on Date Executed on Date By By By Signature of Controlling Officeholder, Candidata, State Measure Proponent By 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 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Natu Tuatagaloa OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Board of Education: City of San Rafael RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP San Rafael CA 94901 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 contributions or make expenditures on behalf of your candidacy. CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 11.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 11 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE 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 Statement covers period , 9. , ' to whole dollars. Summary Page 1-01-2018 • - • from through 09-22-2018 Page 3 of 11 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Natu Tuatagaloa for Board of Education 2018 1410736 Contributions Received Column A TOTAL THIS PERIOD Column B CALENDAR YEAR Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 5119.00 5119.00 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 1/1 through 6/30 711 to Date 0.00 0.00 2. Loans Received................................................................ schedule e, Line 3 5119.00 5119.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 0.00 0.00 4. Nonmonetary Contributions ............................................ schedule c, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ 5119.00 $ 5119.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ Schedule E, Line 4 $ 685.00 $ 685.00 Candidates 7. Loans Made....................................................................... Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 685.00 $ 685.00 22. Cumulative Expenditures Made• (M Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F, Line 3 7367.00 7367.00 Date of Election Total to Date 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 +9 + 10 $ 8052.00 $ 8052.00 $ $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 0.00 To calculate Column B, 13. Cash Receipts........................................................... Column A, Line 3 above 5119.00 add amounts in Column 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0.00 Ato the corresponding amounts from Column B "Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments......................................................... column A, Line B above 685.00 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12+ 13 + 14, then subtract Line 15 $ 4434.00 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 A Part 2 $ 0.00 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0.00 any). 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column 8 above $ 7367.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period from 1-01-2018 SCHEDULE A SEE INSTRUCTIONS ON REVERSE through 09-22-2018 Page 4 of 11 NAME OF FILER I.D. NUMBER Natu Tuatagaloa for Board of Education 2018 1410736 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) John Chung ElINDFirefighter 8-29-2018 ❑ PTY ❑ Scc Ria Tuatagaloa la IND ❑ COM Retired 9-6-2018 ❑ PTY ❑ SCC James Walsh 0IND ❑ COM Self Employed 9-9-2018 ❑ PTY Estate ❑ Scc David Donnery ®IND Town Manager 9-11-2018 ❑ PTY ❑ SCC Britt Johnson BIND President 9-12-2018 ❑ PTY ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)...............................................................................•.........................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 1800.00 369.00 2169.00 `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 Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 1-01-2018 • - . 1 through 09-22-2018 Page 5 of 11 NAME OF FILER I.D. NUMBER Natu Tuatagaloa for Board of Education 2018 1410736 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMUTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Linda Woods ® IND Retired 9-12-2018 ❑ PTY ❑ SCC Jennifer Paap ® IND Self Employed 9-12-2018 ❑ OTH ❑ PTY ❑ SCC Betsy Kulemin ® IND Retired 9-13-2018 ❑ OTH ❑ PTY ❑ scc Richard Foley IND Chairman 9-13-2018 ❑ OTH ❑ PTY ❑ SCC Ron Cauchi ® IND Sales 9-14-2018 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1000.00 *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 Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period , • . , from 1-01-2018 • - . 1 through 09-22-2018 Page 6 of 11 NAME OF FILER I.D. NUMBER Natu Tuatagaloa for Board of Education 2018 1410736 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) Paul Thompson ® IND President 9-20-2018 ❑ PTY ❑ SCC Stephanie O'toole ®IND Instructional Aid 9-20-2018 ❑ OTH ❑ PTY ❑ SCC Donald Zarraonandia ®IND Retired 9-21-2018 ❑ OTH ❑ PTY ❑ SCC Jeffery Dorsey 10 IND Self Employed 9-22-2018 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 2,950.00 *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 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Natu Tuatagaloa for Board of Education 2018 Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA 460 from 1-01-2018 FORM through 09-22-2018 Page 7 of 11 I.D. NUMBER 1410736 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 tv. 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 Bridget Radachy UPS Mailbox Set up PM Cohen Public Affairs Campaign Consultant Bank of America Check Printing " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 685.00 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 685.00 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 0.00 3. Total Interest paid this period on loans. Enter amount from Schedule B Part 1 Column a 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 685.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 1-01-2018 through 09-22-2018 � • ' � � , • - • page 8 of 11 NAME OF FILER NAME AND ADDRESS OF CREDITOR CODE OR OUTSTAA NDING AMOUNTINCURRED I.D. NUMBER Natu Tuatagaloa for Board of Education 2018 (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD 1410736 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) ` Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00 $ 4867.89 $ 0.00 $ 4867.00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ..............................................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................... PAID TOTALS $ 7867.00 500.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and ......................................... NET $ 7367.00 on the Summary Page, Column A, Line 9.) ........................................................ .................................................................................. May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fopc.ca.gov ( ( (c) ( NAME AND ADDRESS OF CREDITOR CODE OR OUTSTAA NDING AMOUNTINCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Four Waters Media, Inc. Four Waters Media, Inc. Four Waters Media, Inc. ` Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00 $ 4867.89 $ 0.00 $ 4867.00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ..............................................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................... PAID TOTALS $ 7867.00 500.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and ......................................... NET $ 7367.00 on the Summary Page, Column A, Line 9.) ........................................................ .................................................................................. May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fopc.ca.gov Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Natu Tuatagaloa for Board of Education 2018 Amounts may be rounded to whole dollars. Statement covers period from 1-01-2018 through 09-22-2018 SCHEDULE F (CONT.) GAI_II`-#KRIA FORIVI • UI Page 9 of 11 I.D. NUMBER 1410736 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00 $ 2000.00 $ 500.00 $ 1500.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov (a) ( (c) ( NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED IN AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCEATCLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD PMCohen Public Affairs PMCohen Public Affairs 0.00 500.00 0.00 500.00 PMCohen Public Affairs 0.00 1000.00 0.00 1000.00 SUBTOTALS $ 0.00 $ 2000.00 $ 500.00 $ 1500.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. SCHEDULE G Statement covers period CALIFORNIA ' from 1-01-2018FORM • through 09-22-2018 Page 10 Of 11 Natu Tuatagaloa for Board of Education 2018 11410736 NAME OF AGENT OR INDEPENDENT CONTRACTOR Four Waters Media Inc. CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Cornerstone Displays CMP Walk Cards 1591.41 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 1591.41 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan/2016) independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE G Statement covers periodCALIFORNIA ' from 1-01-2018 FORM • through 09-22-2018 Page 11 of 11 Natu Tuatagaloa for Board of Education 2018 11410736 NAME OF AGENT OR INDEPENDENT CONTRACTOR PMCohen Public Affairs CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Political Data Inc. WEB 1000.00 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 1000.00 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan/2016) independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov