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Home My WebLink AboutForm 460 - Eli Hill for San Rafael City Council D2; 06-30-23 AmendmentRecipient Committee COVER PAGE Campaign Statement qp E nW M CoverPage SEE INSTRUCTIONS ON REVERSE Statement covers period from 1/1/23 through 6/30/23 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee LV State Candidate Election Committee Recall (Also Complete Part 5) ❑ General Purpose Committee Sponsored Small Contributor Committee l Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee ^I Controlled Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1439056 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Eli Hill for San Rafael City Council D2 2022 STREET ADDRESS (NO P.O. BOX) 9 ZIP CODE AREA CODE/PHONE SanRafael CA 94901 415- ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applii (Month, Day, Year) S E P -1 2023 ITY CLERK'S OFFIOE 1 of 7 For Official Use Only 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) Z Amendment (Explain below) i fisting a refund from voter texting program and ad-justment of campaign_ contribution. Treasurer(s) NAME OF TREASURER Eli Hill MAILING ADDRESS 9 STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 415- 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 correct .//'' / ,,` Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Eli Hill OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) San Rafael City Council D2 2022 RESIDENTIAL/BUSINESS 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER. CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 7 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 Listnamesof 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 Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Eli Hill Amounts may be rounded to whole dollars. Statemorlt covers period from 1/1/23 through 6/30/23 Column A Column B Contributions Received TOTAL THIS PERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 1. Monetary Contributions................................................... Schedule A, Line 3 $ 0 $ 0 2. Loans Received................................................................ Schedule e, Line 3 0 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 0 $ 0 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 0 0 0 5. TOTAL CONTRIBUTIONS RECEIVED ................................ Add Lines 3 + 4 $ $ Expenditures Made 6. Payments Made............................................................... Schedule E, Line 4 $ 9936.07 $ 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 9936.07 $ 9. Accrued Expenses (Unpaid Bills Schedule F. Line 3 0 0 10. NonmonetaryAdjustment ....................... . .. Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ................................ .Add Lines 8+9+10 $ 9936.07 $ Current Cash Statement 12. Beginning Cash Balance .... ..... ................ Previous Summary Page, Line 16 $ 8701.96 To calculate Column B, . 13. Cash Receipts ............ ....................... .................... Column A, Line 3 above 1234,11 add amounts in Column 0 A to the corresponding 14. Miscellaneous Increases to Cash ................................. Schedule 1, Line 4 amounts from Column B 15. Cash Payments........................................................ Column A, Line 8 above 9936.07 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ................Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 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 s, Part 2 $ 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents ................................................ See instructions on reverse $ -0 19. Outstanding Debts . ...................... Add Line 2 + Line 9 in Column B above $ 0 SUMMARY PAGE Page 3 of 7 I.D. NUMBER 1439056 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to 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) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) . - , www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Eli Hill Amounts may be rounded to whole dollars. Statement covers period from 1/1/23 6/30/23 4 through — Page I.D. NUMBER 1429056 SCHEDULE A of 7 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 5/24/23 Peerly Inc. ❑ IND Refund for overcharging 1234.11 ❑ COM Cheyenne, WY 82009 m OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY F SCC SUBTOTAL $ 1234.11 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.)....... 1234.11 $0 .....TOTAL $ 1234.11 '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) SCHEDULE E Schedule E Payments Made Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE _ NAME OF FILER Eli Hill Statement covers period from 1/1/23 through 6/30/23 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ;ALIF#Hr%IA • 1 �- Page 5 of 7 I.D. NUMBER 1429056 CMP 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 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) Peerly Inc. Cheyenne, WY 82009 Dyana Delfin Polk Berkeley, CA 94709 Paden McNiff Mill Valley, CA 94941 CODE OR DESCRIPTION OF PAYMENT WEB I Direct Voter texting program CNS I General Consultant Fees CNS I Website Designer * Payments that are contributions or independent expenditures must also be summarized on Schedule D Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................... 2. Unitemized payments made this period of under$100.................................................................................................. 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.) AMOUNT PAID 1645.48 3722.59 2750 SUBTOTAL $ 7868.07 9936.07 ............ $ 0 ............ $ 0 TOTAL $ 9936.07 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Eli Hill Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period CALIF• . I from 1/1/23 FORM through 6/30/23 6 page of 7 I.D. NUMBER 1439056 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 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 filling/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 Wix.com WEB Website hosting fees 268 San Francisco Damon Connolly for Assembly 2024. FPPC 1D# 1458544 CTB Campaign contribution 250 Oakland, CA 94602 Marin Community Clinic CTB 501c3 contribution 100 San Rafael, CA Colbert for Supervisor 2024, FPPC# 1461276 CTB Campaign contribution 500 CA 94960 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1118 FPPC Form 460 (Jan 2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) SCHEDULE E Schedule E Amounts may be rounded statement covers period Payments Made to whole dollars. 1/1/23 from SEE INSTRUCTIONS ON REVERSE through 6/30/23 page 7 of 7 NAME OF FILER I.D. NUMBER Eli Hill 1439056 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 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 FIND 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 LD NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Kate Colin for San Rafael Mayor 2024, FPPC# 1457593 CTB Campaign contribution 500 San Rafael, CA 94915 Alexander McCoy CNS Campaign phonebank/texting support 200 Berkeley, CA 94703 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL $ 700 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 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 $ 9936.07 0 0 9936.07 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov