Loading...
HomeMy WebLinkAboutForm 460 - Randy Warren for City Council 2013 (2013-12-26) AmendmentRekipient Committee Campaign i Pi ' (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period f rom 10/20/2013 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Randy Warren for City Council 2013 STREET ADDRESS (NO P.O. BOXY 12/26/2013 SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee F-1 Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee Q Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) [�] General Purpose Committee STATE 0 Sponsored E] Primarily Formed Candidate! 0Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also complete Part �� 3. Committee Information I.D. NUMBER 1359636 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Randy Warren for City Council 2013 STREET ADDRESS (NO P.O. BOXY CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94903 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 6285 CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94903 Date of election if applicable: (Month, Day, Year) 1115/2013 2. Type of Statement: COVER PAGE Date Stamp 0 Preelection Statement Z Quarterly Statement Semi-annual Statement F-] Special Odd -Year Report ® Termination Statement 0 Supplemental Preelection (Also file a Form 410 Termination) Statement -Attach Form 495 Q Amendment (Explain below) Correction of page numbering on last two pages Treasurer{s} NAME OF TREASURER Sue Ellen O'Brien MAILING ADDRESS PO Box 6285 CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94903 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/RHONE 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 ' formation 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. Executed on By , u :. Ea Date of Treaur AsAistant Treasurer r � Executed on 1)/ -7 S Date Signature of Cor�troiiing Offi hold Candidate, Mate Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, Mate Measure Proponent IIs Date FPPC Form 460 January05 FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Type or print in ink. Recipient apa Comm i • r• Statement a P a � r art 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE RANDY WARREN OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY COUNCIL, CITY OF SAN RAFAEL RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP SAN RAFAEL CA 94903 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? R YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? R YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) Page 2 of 6 5. Primarily Formed Ballot Measure Committee NAME 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 U i Y 0 int t✓ Z_tr- ti, vc nt-tcn Attach continuation Sheets if necessary FPPC Form 46 January 05 FPLC Toll -Free Helpline: 866 ASI -FPPC (8£6/275-3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. -r,'I=F= IN-qTPI lr.Tl0N.(; ON REVERSE bils. - NAME OF FILER RANDY WARREN Statement covers period frim 10/20/2013 through 12/26/2013 Page 3 of 6 Expenditures Made To calculate Column B, as Column A Column B Contributions Received TOTALTHIS PERIOD CALENDAR YEAR 17,641 7. Loans Made ............................................................. (FROM ATTACHED SCHEDULES) TOTALTO DATE 0 A, Line 3 $ 21809 $ 17,177 1. Monetary Contributions ........................................... Schedule ............................... Schedule F, Line 3 0 0 10. Nonmonetary Adjustment .......................................... 0 1,000 2. Loans Received ...................................................... Schedule B, Line 3 8,736 $ 17,641 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 $ 21809 $ 18,177 0 999 4. Nonmonetary Contributions ................................... Schedule C, Line 3 3 + 4 $ 2,809 $ 19,176 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines Expenditures Made To calculate Column B, as 2,809 6. Payments Made ....................................................... Schedule E, Line 4 $ 81 736 $ 17,641 7. Loans Made ............................................................. Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 8,730 $ 17,641 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 $ 8,736 $ 17,641 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 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED .............. .............. Schedule B, Part 2 $ Cash tquivalents and Outstanding Debts 18. Cash Equivalents ....................... ......... see instructions on reverse $ 19. Outstanding Debts ........ ............. Add Line 2 + Line 9 in Column B above $ 5,898 To calculate Column B, as 2,809 amounts in Column A to tI corresponding amounts 0 from Column B of your la: report. Some amounts in Column A may be negati-v 87707 0 figures that should be subtracted from previouc. period amounts. If this is the first report being filed for this calendar year, or carry over the amounts from Lines 2, 7, and 9 if 0 any). I I.D.NUMBER 1359636 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 $ $ penditure Limit Summary for State ndidates 22. Cumulative Expenditures Made* of Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ nounts in this section may •- o - olumn B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-1=PPC (866/275-3772) Schedule A Monetary Contributions Receiveo_�, ,1#1 W I *all] j :WAI E P.M *I lie C IF C.3-R.K.' I, A 10/20/2013 1=00Nq 460 SUBTOTAL4 21700 SohedWeA 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 I and 2. Enter here and on the Summary Page, Column A, Line 1.) . ...... ............... TOTAL $ im 2"116 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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 12/26/2013 44 6 Pae ©f g SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER RANDY WARREN 1359636 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS} WIND Art Faibisch ncom Opinion researcher, 200 500 10/30/13 F] OTH ADF Research San Rafael CA 94901 n PTY n SCC F] IND San Rafael Yacht Harbor ❑ncom 27500 21500 10/24113 Z OTH n PTY F] SCC F] IND FICOM n OTH n PTY n SCC ❑ IND [-]COM F] OTH ❑ PTY SCC nIND 000M n OTH T PTY El SCC SUBTOTAL4 21700 SohedWeA 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 I and 2. Enter here and on the Summary Page, Column A, Line 1.) . ...... ............... TOTAL $ im 2"116 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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Payments Made W--- —_ -- NAME OF FILER RANDY WARREN Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/20/2013 M= 12/26/2013 Page 5 of 6 I.D. NUMBER 1359636 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 PET office expenses petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs CVC FIL civic donations candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND IND fundraising events independent expenditure supporting/opposing others (explain)* POL POS polling and survey research TRS postage, delivery and messenger services TSF staff/spouse travel, lodging, and meals 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 Avery Media TEL 11000 Marin Independent Journal PRT 3,673 4000 Civic Center Drive San Rafael CA 94903 Comcast TEL 21526 Petaluma CA Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 71199 Schedule E Summary $ 81636 1. Itemized payments made this period. (Include all Schedule E subtotals.) ....................................................................................................... 71 2. Uniternized 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).) .................. ........... __ .......... .......... $ 81707 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ..... ...................... TOTAL $ FPPC Form 460 (January/05) FPPC W -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded to whole dollars. Payments Made ql=f= 1M.qTRI1r.T1ONS ON REVERSE NAME OF FILER RANDY WARREN Statement covers period from 10/20/2013 through 12/26/2013 �M �M iciff Page 6 Of 6 I.D. NUMBER 1359636 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 FET 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 I IT r-nmnAinn 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 Target Marketing USA 22981 Calle Azorin Mission Viejo CA pho 1079 Warren Law Group PC PO Box 6285 San Rafael CA 94903 Cmp 358 Payments that are contributions or independent expenditures roust also be summarized on Schedule D. SUBTOTAL $ 11437 FPPC Form 460 (January/05) FPLC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)