Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Form 460 - Kate Colin for City Council 2013 (2013-10-19) Amendment
COVER PAGE ient Recient Committee Recipl Type car print in ink. _rd Date Stamp Campaign Statement Cover Page (Government Code Sections 84200-84216.5) OCT 2 page 1 of 12 Statement covers period o election If Date f elect o applicable: 9/22/2013 (Month, Day, Year) For Official Use Only from � ,r x. 10/19/2013 11/5/2013 E SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Preelection Statement ❑ Quarterly Statement • State Candidate Election Committee Committee Q Semi-annual Statement Q Special Odd -Year Report • Recall 0 Controlled [� Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) Sponsored P (Also file a Form 410 Termination) Statement - Attach Form 495 Q General Purpose Committee (Also Complete Part 6) Amendment (Explain below) 0 Sponsored Q Primarily Formed Candidate/ Amendment corrects start date for period covered for page 1 and 0 Small Contributor Committee - Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) for Schedules B (Part 1), C and E 3. Committee Information I.D. NUMBER 1357514 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER FRIENDS OF RATE COLIN FOR SAN RAFAEL CITY COUNCIL 2013 Richard Kalish - MAILING ADDRESS 999 Fifth Avenue, Suite 320 STREET ADDRESS (NO P.O. BOX) CITY STATEZIP CODE AREA CODE/PHONE San Rafael CA 94901 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY San Rafael CA 94901 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS P.O. Box 150817 CITY � STATE ZIP CODE AREA CODE/PHONE CITY � TE W� P CODE AREA CODE/PHONE San Rafael CA 94915-0817 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 besty 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 a <.- col ct. 10- -2013 Executed on By Date g lure of Treasurer or Assistant Treasurer Executed on 10- -20113 By ?ate 'Signaturedf Controlling Officeholder, Candidate, Slate Measure Proponent or Responsible Officer of Sponsor Executed on Date By Signature of Controlling Cf ceho#der, Candidate, State Measure Proponent Executed on Date By Signature of Controlling Off ceholder. Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC 1866/275-37721 State of California r LIFORNIA • ' . • - • . FORM 460 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Kate B. Colin OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Councilmember RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP San Rafael, CA 94941 Related Committees Not Included in this Statement: Listany 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? [-I YES ❑ No COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE' COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 12 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 Q SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Q SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT []OPPOSE Attach continuation sheets if necessary FPPC Farm 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460! from I 9/22/2013 FORM SEE INSTRUCTIONS ON REVERSE through 10/19/2013 page 3 of 12 NAME OF FILER I.D. NUMBER Friends of Kate Colin for San Rafael City Council 2013 1357514 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROMATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A Line 3 $ 13674 $ 48032 2. Loans Received ...................................................... Schedule B, Line 3 0 1000 111 through 6130 711 to Date I SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 13674 $ 49032 20. Contributions Received $ $ 4. Nonmonetary Contributions ....................... .............. Schedule C, Line 3 142 6462 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 + 4 $ 13816 $ 55352 Made $ $ Expenditures Made Expenditure, Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line 4 $ 16069 $ 28158 Candidates 7. Loans Made ............................................................. Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 16069 $ 28158 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 0 0 Date of Election Total to Date 1©. Nonmonetary Adjustment .......................................... Schedule C, Line 3 142 6323 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE ...Add Lines 8 +9 + 10 $ 16211 $ 34478 $ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 23269 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 13674 amounts in Column A to the 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0 corresponding amounts from Column 13,of your last *Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments .................................................. Column A, Line 8 above 16069 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 20874 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED........................... Schedule 8, Part 2 $ 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0 any). 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 1000 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A Type or print in Ink. SCHEDULE A famoums may oe rounded Monetary Contributions Received Statement covers period to Whale dollars. CALIFORNIA 9/22/13 from • � SEE INSTRUCTIONS ON REVERSE through 10/19/13 4 12 Page of NAME OF FILER I.D. NUMBER Friends of Kate Colin for San Rafael City Council 2013 1357514 DATE ADDRESS FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, I,D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE {IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) []IND 9/22/13 unci) PAC (1246290) W]COM 750 750 ❑ OTH San Rafael, CA 94901 ❑ PTY ❑ SCC ®IND 9/22/13 Per Litchfield ❑COM Businessman 1,000 1,000 ❑OTH Resolution Remedies San Rafael, CA 94901 ❑ PTY ❑ SCC ❑IND Teamsters Local Union No. 665 PAC (1280975) ®COM 9/22/13 ❑ OTH 500 500 Daly City, CA 94015 ❑ PTY ❑ SCC Jeff Pinkney WJIND ❑COM Writer 9/22/13 Jeff Pinkner, Writer 100 100 Los Angeles, CA 90049 0 PTY ❑ SCC Lance Swan n ®IND ❑COM Antiques 9/22/13 El OTH Sentimental Journey 100 100 San Rafael, CA 94903 ❑ PTY ❑ SCC SUBTOTAL$ 2,450 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 $ 13,150 524 13,674 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) monetary contributions Keceivea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA• , from 9/22113 • ' Page 5 of 12 through 10/19/13 NAME OF FILER I. D. NUMBER Friends of Kate Colin for San Rafael City Council 2013 1357514 DATE ADDRESS FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZI DEO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, I.D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Carol Thompson ®IND ❑COM Director 9122/13 DOTH San Rafael Business 100 100 San Rafael, CA 94901 E] PTY Improvement District ❑SCC Judith Bloomber OCOM Attorney 9/22/13 DOTH Judith A Bloomberg, Esq 150 150 San Rafael, CA 94901 ❑ PTY ❑ SCC San Rafael Police Assoc PAC (FPPC 831553) ❑IND ®COM 10!4/13 3,000 3,000 D OTH San Rafael, CA 94901 DPTY ❑SCC Wayne Clark ®IND ❑ COM CEO 10/4/13 DOTH Cricket Company 1,000 1,000 Novato, CA 94949 ❑ PTY ❑ SCC Marin Buil PAC (FPPC 1357514) ❑IND 000M 10/4/13 DOTH 1,000 1,000 San Rafael, CA 94903 ❑ PTY DscC SUBTOTAL$ 5,250 '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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULER (CONT.) nIm"OL01y vvnl11UUL1U11b MV%;t:1VUU mmouncsmay berounaea Statement covers period to whole dollars. CALIFORNIA 46 from 9/22/13 FORM through 10/19/13 Page 6 of 12 NAME OFFILER I.D. NUMBER Friends of Kate Colin for San Rafael City Council 2013 1357514 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIB UTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D.NUMBERJ CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) is IND 1014113 ❑COM Retired ❑ orH 250 250 San Rafael, CA 94901 ❑ PTY ❑ SCC Friends of Marc Levine for 2014 (1353695) E] IND 10/4/13 p COM 250 250 OTH San Rafael, CA 94915 ❑ PTv ❑ SCC 10/4/13 Moira Brennan VI o CM Fundraiser ❑OTH Moira Brennan 250 250 San Rafael, CA 94901 ❑ PTY ❑ SCC 10/4/13 William Kier ❑6INDCOM Consultant ❑OTH William Kier Consulting 200 200 San Rafael, CA 94901 ❑PTY ❑ SCC Arthur Latno ® IND Retired 10/4/13 0 CO 200 200 San Rafael, CA 94901 ❑ PTY ❑ SCC SUBTOTAL$ 1150 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA to whole dollars. 9/22/13FORM , from through 10/19/13 Page 7 of 12 NAME OF FILER I.D. NUMBER Friends of Kate Colin for San Rafael City Council 2013 1357514 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 COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND Kramer Herzo ❑ COM Filmmaker 1014113 oTH []OTH Kramer Herzog 500 4901 ❑ PTY ❑ SCC CA Real Estate PAC (890106) ❑IND W]coM 10/7/13 1,000 []OTH .1,000 Los Angeles, CA 90020 ❑ PTY ❑ SCC Frank Noonan OIND ❑COM CFO 10/9/13 2 ❑OTH Za Saul utz Co. 9 100 100 San Rafael, CA 94901 ❑ PTY ❑ SCC Robert Goldrich IND OCOM Advisor 10/9/13 DOTH City of New York 500 500 ew or <, ❑ PTY ❑ SCC Ghilotti Bros Contractors E] IND ❑coM 10/9/13 250 250 V OTH San Rafael, CA 94901 ❑ PTY ❑ SCC SUBTOTALS 2,350 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. RA &_ SCHEDULER (CONT.) S. .n�_ta__ ems_ mv� �caal p vv11L11LJUL1W11S IZCGGIVVU mmuuma may be rounaea Statement covers period to whole dollars. CALIFORNIA (31 from 9/22/13 FORM • through 10/19/13 Page 8 of 12 NAME OF FILER I.D. NUMBER Friends of Kate Colin for San Rafael City Council 2013 1357514 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) n W AC (1332045) ❑IND jzCOM 10/9/13 04903 ❑ OTH 200 200 ❑ PTY []SCC 10/15/13 Judy Schriebman ®IND E] COM Homeo athol 1st p g ❑0TH Jud y S chriebman 150 150 San Rafael, CA 94903 ❑ PTY ❑ SCC 10/19/13 VIIND ❑COM Director ❑OTH Nave Enterprises 100 100 San Rafael, CA 94901 ❑ PTY ❑ SCC Gary Giacomini ®IND Attorney y 10/19/13 ❑COM ❑OTH Hanson, Bridgett 500 500 ❑ PTY ❑ SCC Lynn Ta for ®IND Attorney y 9/22/13 ❑COM ❑OTH Lynn Taylor Esq 100 100 San Rafael, CA 94901 ❑ PTY ❑ SCC SUBTOTAL $ 1,050 "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 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2753772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 9/22/13 4601 from FO RM 10/19/13 9 12 through Page of NAME OF FILER I.D. NUMBER Friends of Kate Colin for San Rafael City Council 2013 1357514 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) ®IND Don Tarantino ❑COM Broker 9124/13 ❑ OTH Arthur J Gallagher Risk 250 250 San Rafael, CA 94901 ❑ PTY Mgmt ❑ SCC ®IND Consultant 9/24/13 ❑COM ❑OTH Emily Brew 150 150 Portland, OR 97209 ❑ PTY ❑ SCC Geoffrey Parker ®IND CFO 10/15/13 0 o�H Anacor Pharmaceuticals 500 500 Menlo Park, CA 94025 ❑ PTY ❑ SCC []IND ❑COM ❑OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY [:]SCC SUBTOTALS 900 `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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Twn.a nr nrin+ in in!6- SCHEDULE B - PART 1 schedule 13 - Pan 1 ..rw-- I—— ... Amounts may be rounded Statement covers period I Loans Received to whole dollars. 9/22/2013460'; CALIFORNIA from FORM 10/19/2013 10 12 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D.NUMBER Friends of Kate Colin for San Rafael City Council 2013 1357514 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER. (a) OUTSTANDING BALANCE (b) AMOUNT W AMOUNT PAID OUTSTANDING BALANCEAT (e) INTEREST M ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I. D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Kate B. Colin Councilmember E] PAID CALENDAR YEAR 18 Culloden Park Road City of San Rafael $ 0 $ 1000 0 % $ 1000 $ San Rafael, CA 94901 n FORGIVEN RATE PER ELECTICN** $ 1000 0 0 0 4/29/13 t[j IND n COM EZ OTH ❑ PTY n SCC $ $ DATE INCURRED $ DATE DUE Fj PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION DATE DUE t[:] IND El COM [I OTH 0 PTY FI SCC DATE INCURRED ❑ PAID CALENDAR YEAR FORGIVEN RATE PER ELECTION' fEj IND ❑ COM Fl OTH n PTY n SCC t DATE INCURRED DATE DUE SUBTOTALS $ 0 $ 0 $ 1000 $ 0 77777777' 777 Schedule B Summary 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. (Enter (e) on Schedule E, Line 3) 01 tContributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY —Political Party SCC —small Contributor Committee (May be a negative number) FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule C Type or print in ink. Amounts may be rounded Nonmonetary Contributions Received to whole dollars. Statement covers period from 912212013 SEE INSTRUCTIONS ON REVERSE through 10/1912013 Page 11 of 12 NAME OF FILER I.D. NUMBER Friends of Kate Colin for San Rafael City Council 2013 1357514 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVEDZIP CODE OF CONTRIBUTOR ()F COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31 (!F REQUIRED} � IND Kate Colin �COM Councilmember Stationery 10-17-13 18 Culloden Park Road FIOTH City of San Rafael 142 421 San Rafael, CA 94901 ElPTY ❑ SCC ❑IND ❑COM ❑0TH El PTY ❑ SCC ©IND ❑ COM ❑ 0TH ❑ PTY ❑ SCC []IND ❑COM ❑0TH ❑ PTY []SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 142 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)..................................................................................................................... $ 2. Amount received this period -- unitemized nonmonetary contributions of less than $100 .................................... $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ *Contributor Codes 142 IND — Individual COM — Recipient Committee 0 (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party 142 SCC -- Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8651275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Friends of Kate Colin for San Rafael City Council 2013 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 9/22/2013 through 10/19/2013 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 12 of 12 I.D. NUMBER 1357514 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 ISD 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 AMOUNTPAID AD -VANTAGE MARKETING LIT, POS 14859 Santa Rosa, CA 95401 SC Desi n LIT 1140 an a osa, PayPal Inc. I Fundraising fees 35 San Jose, CA 95131 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 16209 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 16209 2. Unitemized payments made this period of under $100..................................................................................... .... $ 35 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................... $ 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. ..... TOTAL $ 16234 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)