HomeMy WebLinkAboutForm 460 - Kate Colin for City Council 2013 (2015-12-31)Recipient Committee
D
COVER PAGE
Campaign Statement
Type or print in ink.
Cover Page
JAN 2 2 2016
(Government Code Sections 84200-84216.5)
1 4
of
Statement covers period
Date of election if ap pl able
For Official Use Only
7/1/2015
(Month, Day, Year
from
CI
CLERK'S OFFIC
12/31/2015
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
Q State Candidate Election Committee
Committee
[21 Semi-annual Statement ❑ Special Odd-Year Report
Q Recall
Q Controlled
❑ Termination Statement ❑ Supplemental Preelection
(Also Complete Part 5)
O Sponsored
(Also file a Form 410 Termination) Statement -Attach Form 495
General Purpose Committee
F-1General
Complete Part 6)
❑ Amendment (Explain below)
Q Sponsored
❑ Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
Q Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information
I.D. NUMBER
Treasurer(s)
1357514
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME OF TREASURER
FRIENDS OF KATE COLIN FOR SAN RAFAEL CITY COUNCIL 2013
Richard Kalish
MAILING ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP 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
CITY STATE
ZIP CODE AREA CODE/PHONE
CITY STATE ZIP 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 best of my knowledgeinformation contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Zz,2016�
rl ��
Jan
Executed on
By
Date
ignalure TrgasurerorAssistantTreasurer
Jan Zy2016
d 4k,—,
Executed on
By
Date
Signature of ControllingfOfficehokier,Candidate. State Measure Proponent or Responsible Officer ofSponsor
Executed on
By
Date
Signature of Controlling Officeholder Candidate Stale Measure Proponent
Executed on
By
Date
Signature of Controlling Officeholder Candidate State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page — Part 2
S. 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
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
San Rafael, CA 94901
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMM ITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMM ITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVERPAGE-PART2
Page 2 of 4
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
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER
OR CANDIDATE
OFFICE SOUGHT OR
HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER
OR CANDIDATE
OFFICE SOUGHT OR
HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER
OR CANDIDATE
OFFICE SOUGHT OR
HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
SUMMARY PAGE
Statement covers period
frnm 7/1/2015
through 12/31/2015 Page 3 of 4
NAME OF FILER
I.D. NUMBER
Friends of Kate Colin for San Rafael City Council 2013
1357514
Contributions Received
Column
Column B
Calendar Year Summary for Candidates
TOTALTHISPERIOD
(FROMATTACHED SCHEDULES)
CALENDAR YEAR
TOTALTO DATE
Running in Both the State Prima and
9 Primary
General Elections
1. Monetary Contributions ........................................... Schedule A, Line 3
$
0
$ 0
0
0
1/1 through 6130 7/1 to Date
2. Loans Received...................................................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2
$
0
$ 0
20. Contributions
.........................
Received $ $
4. Nonmonetary Contributions .................................... Schedule C, Line 3
0
0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4
$
0
$ 0
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made ....................................................... schedule E, Line 4
$
323
$ 851
Candidates
7. Loans Made............................................................. Schedule H, Line 3
0
0
323
851
22. Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7
$
$
(If Subjectto Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3
0
0
Date of Election Total to Date
10. Nonmonetary Adjustment .......................................... Schedule C. Linea
0
0
(mm/dd/yy)
11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10
$
323
$ 851
$
Current Cash Statement
$
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16
$
9178
To calculate Column B, add
13. Cash Receipts ................................................... Column A,Line 3above
0
amounts in Column A to the
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
0
corresponding amounts
from Column B of your last
*Amounts in this section may be different from amounts
reported in Column B.
15. Cash Payments .................................................. Column A, Line a above
323
report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$
8855
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 B, Part 2
$
0
for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts
Lines 2, 7, and 9 (if
any)'
18. Cash Equivalents ........................................ See instructions on reverse
$
0
19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above
$
0
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E Type or print in ink. Statement covers period
Amounts may be rounded
Payments Made to whole dollars. from 7/1/2015
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Friends of Kate Colin for San Rafael City Council 2013
through
12/31/2015
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Page 4 of 4
I.D. NUMBER
1357514
CNP
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
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT
US Postal Service
910 D St OFC
San Rafael, CA 94901
AMOUNT PAID
130
Marin Women's Political Action Committee (FPPC 1332045
P.O. Box 113 CTB 100
Kentfield, CA 94914
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $
2. Unitemized payments made this period of under $100.......................................................................................................................................... $
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................... $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $
230
230
93
0
323
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)