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Form 460 - Yes on Measure E (2013-12-20) Termination
Recipient Committee Campaign Statement CoverPage (Government Code Sections 84200-84216.5) Type or print in ink. coversStatement period from 10/23/2013 SEE INSTRUCTIONS ON REVERSE I through 12/20/13 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee Ballot Leasure Committee 0 State Candidate Election Committee g Primarily Formed 0 Recall 0 Controlled (A/so Complete Part 5) 0 Sponsored ❑ General Purpose Committee (Also Complete Part s) 0 Sponsored Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part l) 3, Committee Information I.D. NUMBER 1359555 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee For A Safer San Rafael - Yes On Measure E STREET ADDRESS (NO P.O. BOX) 1000 4th Street Suite 500 CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 415-456-4000 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 415-456-1921 Date Stamp I` r " of election Day, Year) 11/5/2013 Page 1 of 1 For Official Use Only 2. Type of Statement: ❑ Preelection Statement [-1 Quarterly Statement Q Semi-annual Statement ❑ Special Odd -Year Report Termination Statement [❑ Supplemental Preelection Ej Amendment (Explain below) Statement - Attach Form 495 OPTIONAL: FAX / E-MAIL ADDRESS FPPC Tall -Free Helpline: 866 ASI -FPPC State of California Treasurer{s} NAME OF TREASURER Jeffrey Schoppert r MAILING ADDRESS P.Q. Box 150155 ■ CITY San Rafael STATE CA ZIP CODE 94901 AREA CODE/PHONE 415-456-4000 NAME OF ASSISTANT TREASURER, IF ANY Will LaBranche MAILING ADDRESS P.O. Box 150166 CITY San Rafael STATE CA ZIP CODE 94903 AREA CODE/PHONE 415-456-4000 OPTIONAL: FAX / E-MAIL ADDRESS FPPC Tall -Free Helpline: 866 ASI -FPPC State of California CALIFORNIA • i FORM 460, NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? F] YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 2 • Page Of NAME OF BALLOT MEASURE Measure E BALLOT NO. OR LETTER JURISDICTION SUPPORT E City of San Rafael ❑ 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 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 Q OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD F] SUPPORT E] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E]SUPPORT F-JOPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01 FPPC Toll -Free Helpline: 866/ASK-FPPC State of California loft t;ampaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 10/23/2013 from �Aw �027 � SEE INSTRUCTIONS ON REVERSE through 12/20/13 Page 3 of 19 NAME OF FILER 7. Loans Made ............................................................. Schedule H, Line 3 0 0 I.D. NUMBER Committee For A Safer San Rafael - Yes On Measure E 45,548.92 $ 76,400.00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 1359556 Contributions Received 0 Column A Column B Calendar Year Summary for Candidates 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTAL TO DATE Running lin Both the State Primary and 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 34,900.00 $ 76,400.00 General Elections 2. Loans Received ...................................................... Schedule B, Line 3 0 0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 $ 34,900.00 $ 76,400.00 20. Contributions 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 646.28 Received $ $ report. Some amounts in 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 34,900.00 $ 77,046.28 Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 45,548.92 $ 76,400.00 7. Loans Made ............................................................. Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 45,548.92 $ 76,400.00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 -10,000 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 35,548.92 $ 76,400.00 Current Cash Statement 12. Beginning Cash Balance....................... Previous Summary Page, Line 16 $ 10,648.92 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 34,900.00 amounts in Column A to the 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 0 corresponding amounts from Column B of your last 15. Cash Payments .................................................. Column A, Line 8 above 45,548.92 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 figures that should be 1f this is a termination statement, Line 16 must be zero. subtracted from previous period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0 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) $ _J $ $ *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 # Schedu e A Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period fro,n-- MMMI11=11 SEE INSTRUCTIONS ON REVERSE through 12/20/13 Page 4 of 19 NAME OF FILER I.D. NUMBER Committee For A Safer San Rafael - Yes On Measure E 1359556 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 PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 10/23/13 Barbara Heller IND r -ICOM Retired 100 200 24 Sienna Way F1 OTH San Rafael, CA 94901 n PTY F-1 SCC 10/23/13 NHA Advisors nIND nCOM 1 7000 12000 4040 Civi Ctr. Dr. # 200 MOTH San Rafael, CA 94901 F-1 PTY nscC 10/23/13 San Rafael Firefighters P.A.C. ❑F-1IND k-1 Com 5,004 15,000 P.O. Box 2519 FJOTH San Rafael, CA 94912 F-1 PTY #891308 FISCC 10/23/13 Marin Professional Firefighters P.A.C. FJIND R]COM 2,000 21000 555 Capitol Mail, Ste. 1425 nOTH Sacramento, CA 95814 F-1 PTY #930791 [:Jscc 10/23/13 Cynthia Gray ❑R]IND ncom Homemaker 200 200 32 Junipero Sierra Ave. nOTH San Rafael, CA 94901 n PTY I El SCC SUBTOTAL$ 8,300 Schedule A Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ....................................................................................................... $ 34,850 a 3. Total monetary contributions received this period. (Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1.) � ...................... TOTAL $ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Stu,211 Gojitribul*r C4-itti FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) MoAmounts may be rounded netary Contributions Received Statement covers period to whole dollars. i CALIFORNIA from 10/23/2013 FORM through 12/31/13 Page —5 of 19 NAME OF FILER I.D. NUMBER Committee For A Safer San Rafael - Yes On Measure E 1359556 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 PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/23/13 Jeff Buscher Q IND F-1 COM San Rafael Fire 200 200 820 Palau St. F-1 OTH Department Sonoma, CA 95476 r-1 PTY Battalion Chief F_1SCC 10/23/13 Jeff Rowan XJ IND FICOM San Rafael Fire 200 200 320 Cardona Circle F�OTH Department San Ramon, CA 94583 �PTY Battalion Chief ❑ SCC 10/23/13 Paul Crimming BIND F -ICOM San Rafael Fire 200 200 213 Veronda Avenue F�OTH Dep artment Cotati, CA 94931 �PTY Battalion Chief F_1SCC 10/25/13 Jones Hall Law A Professional Law Corporation F-1 IND M COM 1,500 1,500 650 California St. 18th Floor FX -1 OTH San Francisco, CA 94108 MPTY �SCC 10/29/13 Evan Barbier MIND FICOM Owner 250 250 369 3rd Street Ste. 440 F-JOTH Barbier Security Group San Rafael, CA 94901 F-1 PTY El SCC SUBTOTAL $ 2,350 *Contributor Codes IND - Individual Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party Small Contributor Committel'Ick - ---------- - ------ FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheel Type or print in in13 monetary uontrioutionS Keceiveci Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 4b'06'01' from 9/27/2013 FORM Page 6 of 19 through 10/22/2013 NAME OF FILER I.D. NUMBER Committee For A Safer San Rafael - Yes On Measure E 1359556 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 PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/13 San Rafael Police Association F-1 IND RCOM 5,000 15,000 P.O. Box 151557 F-1 OTH San Rafael, CA 94915 F� PTY #151557 F�SCC 11/1/13 KP Financial SVCS OPS ❑[_�IND F�COIVI 3,500 7,000 75 N Fair Oaks Avenue MOTH Pasadena, CA 91103 0 PTY F� SCC 11/1/13 Gary Ragghianti MIND [ICOM Attorney 1,000 1,000 1101 5th Ave. F� OTH Ragghianti/Freitas LLP San Rafael, CA 94901 ❑ PTY F-1 SCC 11/1/13 Laborer' International Union of North America [BIND RCOM 500 500 3271 18th Street F_� OTH San Francisco, CA 94110 F-1 PTY #1359556 FI SCC 11/1/13 Godbe Corporation F� IND F-1 COM 500 500 1660 S. Amphlett Blvd. Suite 205 MOTH San Mateo, CA 94402 F�PTY EISCC SUBTOTAL$ 10,500 Individual Recipient Committee (other than PTY or SCC) *TH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period A A to whole dollars. 9/27/2013 0 from Page 7 of 19 through 10/22/2013 NAME OF FILER I.D. NUMBER Committee For A Safer San Rafael - Yes On Measure E 1359556 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 (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/5/13 KP Financial SVCS OPS MIND MCOM 3,500 7,000 75 N Fair Oaks Avenue MOTH Pasadena, CA 91103 F-1 PTY MSCC 11/7/13 San Rafael Police Association [:] IND 5dCOM 5,000 15,000 P.O. Box 151557 F-1 4TH San Rafael, CA 94915 M PTY #151557 F_1SCC 11/8/13 Russ Pito k IND MCOM CEO 1,000 1,000 655 Montgomery Street, Suite 1190 MOTH Simeon San Francisco, CA 94111 M PTY MSCC 11/15/13 Huffman For Congress M IND XCOM 100 100 5940 College Ave Suite. F MOTH Oakland, CA 94618 M PTY #C00536680 MSCC 11/15/13 The Dutra Group 0 IND F-1 COM 500 500 1000 Point San Pedro MOTH San Rafael, CA 94901 M PTY [:]SCC SUBTOTAL $ 10,100 IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary uontri Dutions Keceivea Amounts may be rounded Statement covers period _1151ma ja to whole dollars. 0 A 0 from 9/27/2013 Page 8 of 19 through 10/22/2013 NAME OF FILER I.D. NUMBER Committee For A Safer San Rafael - Yes On Measure E 1359556 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 PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/18/13 Chris MitchellIND RCOM Principal 500 500 3320 Pine St., 4th Floor BOTH Fehr & Peers San Rafael, CA 94104 r-1 PTY MSCC 12/6/13 Taku, LLC F-1 IND F�COM 21Sao 21 500 100 Yacht Club Dr. ROTH San Rafael, CA 94901 ❑ PTY [--i SCC 12/6/13 Jonathan Frieman ® IND ❑COM Retired 500 1,000 80 Bay Way ❑ OTH San Rafael, CA 94901 F-1 PTY M SCC 12/6/13 Jazz Builders F� IND F�COIVI 100100 1924 Fourth Street MOTH San Rafael, CA 94901 7 PTY LSCC ®IND MCOM Fi OTH L1 PTY SCC SUBTOTAL 3,600 IND — Individual COM — Recipient Committee (other than PTY or SCC) *TH — Other PTY — Political Party SCC — Small Contributor Committel FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK-FPPC Schedule Loans Received Type or print in ink. Amounts may be rounded to whole dollars. Statementi period from 10/23/2013 1 itEl IND ❑COME] OTH El PTY E] SCC t❑ IND Q COM ❑ OTH n PTY n SCC DATE DUE DATE INCURRED Q PAID CALENDAR YEAR F] FORGIVEN RATE PER ELECTION"` DATE DUE DATE INCURRED 12/31/13 19 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Committee For A Safer San Rafael - Yes On Measure E 1359556 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL ENTER(a) OCCUPATION AND EMPLOYER OUTSTANDING (b) AMOUNT (c) AMOUNT PAID {d) OUTSTANDING (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER L.D. NUMBER) {IFSELF-EMPLOYE BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS ESS)ENTER NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD �` PERIOD PERIOD LOAN TO DATE PAID CALENDAR YEAR FORGIVEN RATE PER ELECTION to IND ❑ COM [] OTH ❑ PTY ❑ SCC DATE INCURRED DATE DUE PAID CALENDAR YEAR FORGIVEN RATE PER ELECTION ** itEl IND ❑COME] OTH El PTY E] SCC t❑ IND Q COM ❑ OTH n PTY n SCC DATE DUE DATE INCURRED Q PAID CALENDAR YEAR F] FORGIVEN RATE PER ELECTION"` DATE DUE DATE INCURRED Schedule B — Part 2 Loan Guarantors Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/23/2013 SCHEDULE B - PART 2 SEE INSTRUCTIONS ON REVERSE through 12/31/13 Page 10 of 19 NAME OF FILER I.D. NUMBER Committee For A Safer San Rafael - Yes On Measure E 1359556 FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT BALANCE ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) THIS PERIOD TO DATE TO DATE IND LENDER CALENDAR YEAR F] COM $ ❑ OTH DATE PER ELECTION ❑ PTY (IF REQUIRED) SCC CALENDAR YEAR RIND LENDER RCOM $ R OTH PER ELECTION DATE (IF REQUIRED) PTY F_1SCC $ CALENDAR YEAR RIND LENDER RCOM $ R OTH PER ELECTION DATE (IF REQUIRED) F-1 PTY F-1 SCC $ RIND LENDER CALENDAR YEAR RCOM $ R OTH DATE PER ELECTION (IF REQUIRED) PTY F_1SCC $ Enteron SUBTOTAL Summary Page, Une 17 orVy. FPPC Form 460 (June/01) FPPC Toll -Free Helpline.- 866/ASK-FPPC Schedule C Type or print in ink. A is b d d SCHEDULE C moun may a noun e Nonmonetary Contributions Received to whole dollars. Statement covers period 10/23/2013 CALIFORNIA 460! FORM from Page 11 of19 SEE INSTRUCTIONS ON REVERSE through 12/31/13 NAME OF FILER I.D. NUMBER Committee For A Safer San Rafael - Yes On Measure E 1359550 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (1F COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SEF -EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR TO DATE (IF REQUIRED} NAME OF BUSINESS (JAN_ 1 - DEC 31) RING} m COM ❑ C TH ❑ PTY SCC [KIND ❑ COM Q OTH Q PTY ❑ SCC ❑ IND COM MOTH r -j PTY ❑ SCC ❑IND ❑ COM MOTH ❑ PTY SCC Schedule C Summary 1. Amount received this period -- nonmonetary contributions of 100 or more. (include all Schedule C subtotals.) ..................................................................................................................... Codes2. 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 $ —IndividualIND Recipient • ,. • n PTY or SCC) ! Political • Party SCC — Small Contributor Committee SUBTOTAL 0 1. Contributions and independent expenditures made this period of $100 or more. Include all Schedule D subtotals. O . Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... O . Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not eater on the Summary Page.) O FPPC Fora 480 (June/01) FPPC Toll -Free Helpline: 868/AS C•FPPC Monetary Contribution © Nonmonetary Contribution Independent Expenditure coversitement period [� Monetary CALIFORNIA 46010/23/2013 Nonmonetary FORM# [] Independent Expenditure ❑ Support ❑ Oppose ------------- Monetary Contribution 12/31/13 12 19 • i i •through Contribution Page # i • ❑ Support ❑ Oppose Expenditure -------------I.D. NUMBER a 1359556 f' OF i i ! • MEASURE• OR LETTER AND JURISDICTION, •i.. AMOUNT TODATE CALENDAR YEAR PER ELECTION TO D' OR COMMITTEE (IF REQUIRED) :i PERIOD a REQUIRED) '"i SUBTOTAL 0 1. Contributions and independent expenditures made this period of $100 or more. Include all Schedule D subtotals. O . Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... O . Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not eater on the Summary Page.) O FPPC Fora 480 (June/01) FPPC Toll -Free Helpline: 868/AS C•FPPC Monetary Contribution © Nonmonetary Contribution Independent Expenditure ❑ Support ❑ Oppose [� Monetary Contribution Nonmonetary Contribution [] Independent Expenditure ❑ Support ❑ Oppose Monetary Contribution Nonmonetary Contribution Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL 0 1. Contributions and independent expenditures made this period of $100 or more. Include all Schedule D subtotals. O . Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... O . Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not eater on the Summary Page.) O FPPC Fora 480 (June/01) FPPC Toll -Free Helpline: 868/AS C•FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Committee For A Safer San Rafael - Yes On Measure E Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/23/2013 through 12/20/13 9 Page 13 — of 1 EDWIN,, CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP 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 candid ate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads \/\EB 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 TBWB Strategies See Schedule G 400 Montgomery Street, Suite 700 CNS 39,244.00 San Francisco, CA 94104 TBW13 Strategies Postage for mailing plan 400 Montgomery Street, Suite 700 CNS 11399.87 San Francisco, CA 94104 Friends of Kate Colin #1357514 Election Night Party Reimbursement P.O. Box 150817 FND 719.00 San Rafael, CA 94915 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 41,362.87 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................ ................................................................................. $ 45,541.37 2. Uniternized payments made this period of under $100 ..................................................................................................................... 7.55 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 $ 45,548.92 FPPC Form 460 (June/01) FPC Toll -Free Helpline: 866/ASK-FPPC Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee For A Safer San Rafael - Yes On Measure E Statement covers period from 10/23/2013 through 12/31/13 Page 14 of 19 I.D. NUMBER 1359556 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 V\l 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 Santa Cop P.O. Box 6221 San Rafael, CA 94903 CVC Donation to local charity 21089.25 Camp Chance - San Rafael Police Department - Youth Services Bureau 1400 Fifth Ave. San Rafael, CA 94901 CVC Donation to local charity 21089.25 MAJ FPPC Form 460 (June/01) FITC Toll -Free Helpline.- 866/ASK-FPPC I Schedule F Type or print in ink. Amounts may be rounded Accred Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE i Committee For A Safer San Rafael - Yes On Measure E Statement covers period from 10/23/2013 through 12/31/13 Page 15 of 19 R CODES: If one of the fallowing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP 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 MB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OROUTSTANDING DESCRIPTION OF PAYMENT (a) BALANCE BEGINNING (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD TBWB Strategies 400 Montgomery Street, Suite 700 San Francisco, CA 94104 CIMS 19,000.00 30,043.87 40,843.87 0 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 10,000.00 $ 30,043.87 $ 40 043.87 $ 0 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 30 843.87 accrued expenses of $100 or more, plus total uniternized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 40 043.87 accrued expenses of $100 or more, plus total uniternizedpayments on accrued expenses under $100, ............ . ....................PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and -10000 onthe Summary Page, Column A, Line 9.)................................................................................................................................................ NET $ ' May be a negative number FPPC Form 46 (,June/01) FPPC Tali -Free Helpline: 866/ASS[-FPPC • Ab a Ah ft M A CALIFORNIA M Aam, 460 FORM I.D. NUMBER 0 1359556 NAME OF AGENT OR INDEPENDENT CONTRACTOR TWBW Strategies CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants IVITG 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 candid ate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads V\EB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Cornerstone Printing $1,148.00 Printing 423 Washington Street, 6th Floor $630.00 Mailhouse 11843.00 San Francisco, CA 94111 $65.00 Shipping Zebra Graphics, Inc $460.00 Pre -Press 1182 Folsom Street 460.00 San Francisco, CA 94103 USPS - CAPS $2,227.86 Postage 2700 Campus Drive 27227.86 San Mateo, CA 94497 Cornerstone Printing $1,576.00 Printing 423 Washington Street, 6th Floor $235.00 Pre -Press 11886.00 San Francisco, CA 94111 $75.00 Shipping Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 61416.86 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Ab i CALIFORNIAM 40 .r •. i i i f #460 FORS 17 19 '.i- of y � NUMBER - •1359556 NAME . AGENT INDEPENDENT CONTRACTOR y• TWBW Strategies CODES. If one of the following codes accurately describes the payment, you may anter 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 CTEV contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEI- 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)* PGS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRC} professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads MB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (1F COMMITTEE, ALSO ENTER I.D. NUMBER) r CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Zebra Graphics, Inc $460.00 Pre -Press 1182 Folsom Street 460.00 San Francisco, CA 94103 USPS - Sacramento $1,871.65 Postage 2000 Royal Oaks Drive 11871.65 Sacramento, CA 95813 PM Cohen Public Affairs $10,000.00 Consulting Fee PO Sox 150268 10,000.00 San Rafael, CA 94915 Attach additional information or appropriately labeled continuation sleets. TOTAL* 12,331.55 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Farm 4 (June/01) FPPC Toll -Free Helpline. 866/ASK-FPPC Schedule H Type or print in ink. Statement covers period � Loans McC£ 't {hE'1'S Amounts may be rounded 10/2312013 CALIFORNIA " � � to whole dollars. from • 18 19 12/31/13 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Committee For A Safer San Rafael - Yes On Measure E 1359550 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER (a) OUTSTANDING (b) AMOUNT (c) REPAYMENT OR {d OUTSTA DING (e) INTEREST (Q ORIGINAL (g) CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) {IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNT OF LOANS NAME OF BUSINESS} PERIOD PERIOD THIS PERIOD* PERIOD LOAN TO DATE PAID CALENDAR YEAR 0 FORGIVEN RATE PER ELECTION" DATE DUE DATE INCURRED ❑ PAID FORGIVEN *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must SUBTOTALS $ 0 $ 0 $ also be reported on Schedule E. RATE 1$ DATE DUE 0 $ 0 (Enter (e) on Schedule I, Line 3) 1. Loans made this period.................................................................................................................................................. 0 (Total Column (b) plus unitemized loans less than $100.) 2. Payments received on loans........................................................................................................................................... $ 0 (Total Column (c) plus unitemized payments less than $100.) . Net change this period. (Subtract Line 2 from Line 1.)........................................................................................ NET $ 0 (Enter the net here and on the Summary Page, Colum A, Line 7.) (May be a negative number) DATE INCURRED CALENDAR YEAR Required FPPD Form 460 (June/01 FPPG Toll-FreeHelpline: 8861ASK-FPPC Schedule I Tvna or nrint in ink- SCHEDULE Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/23/2013 through 12/31/13 Page 19 of 19 NAME OF FILER Committee For A Safer San Rafael - Yes On Measure E I.D. NUMBER 1359556 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH .a• ! 1; :•1 ; 11 � I I I � 140b � 11111 � 11 II I 111iliq�� 111111ylipi 611, i i *Wl 11 Schedule I Summary 1. Increases to cash of $100 or more this period . ................................................................ ......................................... $ 0 2. Uniternized increases to cash under $100 this period . .............................................................................................. $ 0 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 0 SummaryPage, Line 14.) ............................................................................................ .............................. TOTAL $ M FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-1=PPC