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HomeMy WebLinkAboutForm 460 - Yes on Measure E (2013-12-20) TerminationRecipient 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