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HomeMy WebLinkAboutForm 460 - Gary Phillips for Mayor 2015 (2015-12-31)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 7/1/2015 through 12/31/2015 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q Stale Candidate Election Committee O Recall (Also Complete Part 5) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO Gary Phillips for Mayor 2015 O Primarily Formed O Controlled Q Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1376443 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE San Rafael CA 94901 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE I Date of election if appli able: (Month, Day, Year) rT �/CI 2. Type of Statement: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Richard Kalish MAILING ADDRESS COVER PAGE F E B -1 2016 Page 1 of 20 CLERK'Sc OFFI E r Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 ( NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS rkalish@kalishnexon.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the bes my 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 Date Is t e and correct. February 1, 2016 Executed on DaBY nature reasurerorAssistantTreasurer Executed on February 1, 2016 BY Date SlgnatureofConb ling ceholder.Candldale, State Measure ProponentorResponsibleOfficerofSponsof Executed on B Date Y Signature ofConlmilingOfficeholder, Candidate, State Measure Proponent B Executed on Date Y Signature of ConboOing Officeholder, Canrfdate.SWte Measure Proponent FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC State of California Type or print in ink. COVERPAGE-PART2 Recipient Committee Campaign StatementORM CALIFORNIA . '•0 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Gary Phillips OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor, City of San Rafael RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP San Rafael, CA 94903 Related Committees Not Included in this Statement: List any committees not Included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Page 2 of 20 6. 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 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 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Stale of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2015 SUMMARYPAGE Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ through 12/31/2015 Page 3 of 20 SEE INSTRUCTIONS ON REVERSE 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Linea 10. Nonmonetary Adjustment .......................................... Schedule C, Linea 11. TOTAL EXPENDITURES MADE ................................ AddLinese+9+10 $ NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 Column oD B Calendar Year Summary for Candidates Contributions Received s) To cCLolumn ENDAR YEAR Running in Both the State Primary and (FROMATTACHED SCHEDULES) TOTALTODATE 12639 19389 General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ $ -10000 0 1/1 through 6/30 711 to Date 2. Loans Received...................................................... Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ 2639 $ 19389 20. Contributions ......................... Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 500 500 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 3139 $ 19889 Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Linea 10. Nonmonetary Adjustment .......................................... Schedule C, Linea 11. TOTAL EXPENDITURES MADE ................................ AddLinese+9+10 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A. Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................................................. Column A,Line 8above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 6347 $ 0 6347 $ 0 500 6847 $ 13183 2639 0 6347 9475 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 0 0 9915 0 9915 0 500 10415 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (IrSubject to Voluntary Expenditure Limit) Dale of Election Total to Date (mm/dd/yy) -lam $ —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 Gchprii rlP-A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA1 from 7/1!2015 - through 12/31/2015 Page 4 of 20 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (ET COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 7/2/2015 Law Office of Perry Litchfield E]IND750 750 1000 4th Street ® OTH San Rafael, CA 94901 ❑ PTY D scc 7/2/2015 Terrel Mason PCOM Attorney 500 500 DOTH Terrel Mason, Esq. San Rafael, CA 94901 D PTY ❑ scc 7/2/2015 Gary Ragghianti OcoM Attorney 500 500 DOTH Ragghianti Freitas LLP San Rafael, CA 94901 ❑ PTY ❑SCC 7/3/2015 Phillis McQuire R]caM Retired 150 150 DOTH San Rafael, CA 94903 ❑ PTY ❑ scc 7/612015 Marvin Zwerin RAND EICOM Physician 250 250 DOTH 401 San Rafael Inc San Rafael, CA 94903 D PTY [-]SCC SUBTOTAL$ 2,150 Schedule A Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) $ 12050 2. Amount received this period — unitemized 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 $ 589 12639 "Contributor Codes IND—Individual COM — Reciplent Committee (other than PTY or SCC) OTH — Other PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toil -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Tvpe or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period 0 ALIFORNIA 1 Jul 1 2015 y - from ' through December 31, 2015 Page 5 of 20 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 DATE O 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 (IFCOMMIESDENTER I.O.NUMB CODE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) 7/6/2015 Kate Colin ®❑IoM IND Council member 250 250 ❑OTH City of San Rafael San Rafael, CA 94901 ❑ PTY ❑ SCC 7/6/2015 Leo Isotalo ®IND ❑COM Retired 250 250 ❑OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 7/6/2015 SharedHR E] IND ❑COM 250 250 ®DTH San Rafael, CA 94901 F1 PTY ❑ SCC 7/6/2015 Jeanne Leoncini ®❑IOM IND Retired 250 250 ❑OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 7/8/2015 Patricia Kendall X]INDAdministrator EICOM 250 250 ❑OTH Kaiser Permanente San Rafael, CA 94903 ❑ PTY [:]SCC SUBTOTAL $ 1,250 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — 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. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. Jul 1 2015 y 0 ! from ' through December 31, 2015 Paye 6 of 20 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 DATE ZIP CODE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PERELECTION TO DATE RECEIVED IT ALSO ENTER (IF COMMITTEE, CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OFBUSINESS) 7/10/2015 Nunzio Alioto RJIND E]C110 President 500 500 ❑OTH Alioto Fish Company San Rafael, CA 94901 ❑ PTY []SCC 7/13/2015 Peter Herley ©IND ❑ COM Retired 100 100 ❑OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 7/13/2015 James Holden ©IND ❑COM Attorney 150 150 ❑ OTH Hanson Brid ett LLP g San Rafael, CA 94901 ❑ PTY U SCC 7/13/2015 J Dietrich Stroeh ®❑IoM IND Civil Engineer 250 250 ❑OTH CSW/Stuber-Stroeh Novato, CA 94947 ❑ PTY Group ❑SCC 7/13/2015 Ghilotti Bros. Inc ❑IND 500 500 MOTTH San Rafael, CA 94901 ❑ PTY ❑ SCC SUBTOTAL$ 1,500 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. 1 2015 Y Jul, ' 6• from through December 31, 2015 page 7 of 20 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 11376443 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED (EFTA SANDZIIA.NIMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC, 31) (IF REQUIRED) OF BIISINESS) 7/13/2015 Suzanne Scott KIN Retired 100 100 ❑OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 7/15/2015 Cal -Pox Inc E] IND ❑COM 100 100 MOTH San Rafael, CA 94901 ❑ PTY ❑ SCC 7/16/2015 Gary Epperly ®IND Retired 250 250 ooTH San Rafael, CA 94903 ❑ PTY ❑ SCC 7/16/2015 John Bennett ®IND EIO Attorney 250 250 Laughlin, Falbo, Levy San Rafael, CA 94903 ❑ PTY ❑ SCC 7/16/2015 Roger Smith MIND Sales 250 250 COM E] OTH Newmark Cornish & San Rafael, CA 94901 ❑ PTY Carey ❑ SCC SUBTOTAL$ 950 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — 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 (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period towholedollars. y Jul 1 2015"Page— '.0,f_F10__ from 'through December 31, 2015 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 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 (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 7/16/2015 Stuart Lum MIND ❑lcoM Mortgage Banking 150 150 ❑OTH Stuart Lum Consulting San Rafael, CA 94901 ❑ PTY ❑SCC 7/16/2015 Bruce Macphail ®IND ❑COM Owner 100 100 ❑OTH Macphail Properties Inc San Rafael, CA 94901 ❑ PTY ❑ ScC 7/17/2015 Larry Paul ®IND Architect 100 100 ooTH L.A. Paul & Assoc San Rafael, CA 94903 ❑ PTY ❑ scC 7/17/2015 Eleanor Zengler ®IND ❑COM Retired 100 100 ❑ OTH San Rafael, CA 94901 ❑ PTY ❑SCC 7/17/2015 Barbara Heller MIND ❑COM Retired 100 100 ❑ OTH San Rafael, CA 94903 ❑ PTY ❑ SCC SUBTOTALS 550 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 666/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. July 1, 2015 I ' • - from through December 31, 2015 page 9 of 20 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 DATE AN O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, TER I.O. NIDE CODE * OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) 7/17/2015 Peter Martin ®❑IoM IND Retired 100 100 ❑OTH San Rafael, CA 94903 ❑ PTY ❑SCC 7/20/2015 Donald Leisey MIND ❑COM Retired 100 100 ❑OTH San Rafael, CA 94901 E] PTY Rscc 7/20/2015 Stephen Mizroch MIND EI Retired 150 150 San Rafael, CA 94901 ❑ PTY ❑ SCC 7/20/2015 Helen Willms MIND EICOM Retired 100 100 ❑OTH San Rafael, CA 94903 ❑ PTY ❑ SCC 7/21/2015 Law Office of Perry Litchfield ❑IND ROOM 75 825 ®DTH San Rafael, CA 94901 ❑ PTY ❑ SCC SUBTOTAL$ 525 .Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH — Other PTY —Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period • to whole dollars. Jul 1 2015 y • • • ' from ' Paye 10 20 through December 31, 2015 of NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RES CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PERELECTION 70 DATE RECEIVED (ET IT ALSO ENTER I.O NUMBER) CODE * IIF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 7/21/2015 Albert Boro ®❑IoM IND Retired 200 200 70TH San Rafael, CA 94901 ❑ PTY ❑SCC 7/23/2015 Richard Nave ©IND Property M mt 250 250 ooTH Richard Nave Consulting San Rafael, CA 94901 7 PTY ❑ SCC 7/23/2015 Sushma Taylor ©IND ❑IoM70TH Psychologist 500 500 Center Point, Inc San Rafael, CA 94901 7 PTY ❑ SCC 7/23/2015 Meridian Commercial ❑❑ISM 100 100 MOTH San Rafael, CA 94903 ❑ PTY ❑ SCC 7/23/2015 Charles Stuckey ®❑IoM CPA 100 100 70TH Charles Stuckey, CPA San Rafael, CA 94901 ❑ PTY ❑ SCC SUBTOTAL$ 1,150 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period • • to whole dollars. July 1, 2015 I ' • from through December 31, 2015 Page 11, 1 20 Op NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 �� ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS S CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE To DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED SAND (IF COMMITTEE, I.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 7/23/2015 Resource Conservation PAC (1347886) IND ®COM 975 975 525 Jacoby St. ❑OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 7/23/2015 Eric Miller ®IND Attorney 100 100 opTH Miller Hauser Law Group San Rafael, CA 94901 ❑ PTY ❑ SCC 7/23/2015 Michael Cronin ®IND ❑COM Police Chief 250 250 ❑ OTH City Ci of Tiburon San Rafael, CA 94903 ❑ PTY ❑ SCC 7/23/2015 Cheyenne Levi ®❑COM IND Plumber 500 500 E] OTH Peter Levi Plumbing San Rafael, CA 94901 ❑ PTY ❑ SCC 7/25/2015 Lee Battat ®IND ❑COM Manager 100 100 E] OTH Liberty Libe Gold Fruit Co. San Rafael, CA 94901 ❑ PTY ❑ SCC SUBTOTAL$ 1,925 `Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — 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 (CONT.) Amounts may be rounded Monetary Contributions Received period Statement covers •' to whole dollars. � ' July 1, 2015 • - • from through December 31, 2015 Page 12 of 20 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 DATE FULL NAME; STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER O R AMOUNT RECEIVED THIS HIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE TO RECEIVED IFCOMMITTEE, /LLSOENTER I.O.NUMBR) CODE * C SELLF-EMAP SELF-EMPLOYED, RNAME (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 7/27/2015 Dorothy Breiner ®❑IoM IND Retired 150 150 ❑OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 7/29/2015 Lawrence Brackett ©IND ❑COM Owner 150 150 ❑OTH Breniar Investments Kentfield, CA 94904 ❑ PTY ❑SCC 8/3/2015 Golden Restoration and Construction, Inc ❑IND ZOOM 250 250 ®OTH Novato, CA 94949 ❑ PTY ❑ SCC 8/3/2015 Cynthia Landecker ®p IOM IND Retired 250 250 ❑OTH San Rafael, CA 94901 ❑ PTY ❑SCC 8/8/2015 Tom Price ®IND ❑IoMPrice Entrepreneur 500 500 ❑OTH Family Dealership amY P Larkspur, CA 94939 ❑ PTY ❑ SCC SUBTOTAL$ 1,300 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other PTY—Political Party SCC—Small Contributor Committee FPPC Form 460 (Junel01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. Jul 1 2015 y • • 460 RM from Page 13 20 through December 31, 2015 of NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 DATE S ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED SAND (IF COMMITTEE. .D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF 9USINESS) 8/10/2015 Earl Farnsworth Express []IND ❑COM 250 250 MOTH San Rafael, CA 94901 ❑PTY ❑ SCC 8/14/2015 Gold Rush E] IND 500 500 MOTH San Rafael, CA 94901 ❑ PTY ❑ SCC 8/17/2015 Michael Smith IND []COM Real Estate 500 500 El OTH M. S. Smith & Assoc Novato, CA 94945 ❑ PTY ❑ SCC 8/19/2015 Town Improvement Co., Inc ❑IND❑COM 250 250 MOTH Sonoma, CA 95476 ❑ PTY []SCC []IND ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,500 'Contributor Codes IND—individual COM— Recipient Committee (other than PTY or SCC) OTH — Other PTY—Political Party SCC —Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC T...... .. ...• 1.. 1..6 Rr:HFrIIII FR -PARTI 5cneaulie ti—vart i Amounts may be rounded Statement covers period Loans Received to whole dollars. 7/1/2015 460 from OCALIF•.NIA SEE INSTRUCTIONS ON REVERSE through 12/31/2015 14 Page of 20 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUALENTER , OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE (b) AMOUNT 1a) AMOUNT PAID d) OUTSTANDING (e) INTEREST (f) ORIGINAL Ig) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED. ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE C THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAME OF 9USINESS) ERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO DATE Gary Phillips Mayor, ® PAID CALENDARYEAR City of San Rafael 3 10000 S 0 0 10000 S 10765 San Rafael, CA 94903 s: RATE s ❑ FORGIVEN PER ELECTION- S 10000 0 S S 4/13/2015 $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S DATE DUE DATE INCURRED Gary Phillips Mayor, ® PAID CALENDARYEAR City of San Rafael S 765 S 0 765 S 10765 San Rafael, CA 94903 RATE $ ❑ FORGIVEN PER ELECTION" S 0 S 765 S S 8/30/2015 S t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR S $ % 5 S ❑ FORGIVEN PER ELECTION" RATE tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S $ S S DATE DUE DATEINCURRED SUBTOTALS $ 765 $ 10765 $ 0 $ 0 Schedule B Summary 1. Loans received this period.................................................................................................................... $ (Total Column (b) plus unitemized loans 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.) 765 10765 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ -10000 Enter the net here and on the Summary Page, Column A, Line 2. (May he a negative number) "Z "I Schedule E, Line 3) 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. t Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH — Other PTY—Political Party SCC—Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 666/ASK-FPPC Schedule C Type or print in ink. SCHEDULE C Nonmonetary Contributions Received f+motow may of ars.rouo to whole dollars.CALIFORNIA Statement covers period from 7/1/2015 • - 460 • ' 12/31/2015 15 20 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTIONOF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVEDZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE * OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) 7/23/2015 David Ha don y ©IND E] Restaurant Owner Food and room 500 500 ❑0TH II Davide Restaurant for campaign San Rafael, CA 94901 ❑pT El event ❑SCC ❑IND ❑COM ❑ 0TH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ 0TH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY []SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 500 F. Schedule C Summary 'Contributor Codes 1. Amount received this period -nonmonetary contributions of $100 or more. IND -Individual (Include all Schedule C subtotals.)........................................................... .......................... $ 500 COM—Recipient Committee """""""""""""""" (other than PTY or SCC) 2. Amount received this period - unitemized nonmonetary contributions of less than $100 ................................ $ 0 OTH—Other PTH_ political Party 3. Total nonmonetary contributions received this period. SCC -Small Contributor committee Add Lines 1 and 2. Enter here and on the Summa Page, Column A, Lines 4 and 10. ... TOTAL $ 500 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Gary Phillips for Mayor 2015 Type or print in ink. Statement covers period . Amounts may be rounded to whole dollars. from 7/1/2015 through 12/31/2015 Page is of 20 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1376443 CNP campaign paraphemalia/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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID PM Cohen Public Affairs Box 150268 CNS 1000 San Rafael, CA 94915 Stuart Lirette Photography 345 Novato, CA 94945 Stuart Lirette Photography 195 Novato, CA 94945 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1540 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.).................................................................................................. $ 3 y 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ d 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 $ G 3 K 7 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK-FPPC Schedule E (Continuation Sheet) Payments Made Gary Phillips for Mayor 2015 CODES: If one of the following CNP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary) civic donations candidate filing/ballot fees fundraising events independent expenditure supportin legal defense campaign literature and mailings Type or print in ink. Amounts may be rounded to whole dollars. codes accurately describes the payment, you may enter the code. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research g/opposing others (explain)' POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads SCHEDULE E (CONT.) Statement covers period CALIFORNIA from 7/1/2015 FO 460RM through 12/31/2015 Page 17 of 20 I.D. NUMBER 1376443 Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I.D. NUMBER) PM Cohen Public Affairs Box 150268 LIT 280 San Rafael, CA 94915 four waters media, Inc. 3903 Lassen Street CNS 1625 Sacramento, CA 95691 four waters media, Inc. 3903 Lassen Street LIT 239 Sacramento, CA 95691 Nunzio Alioto RFD 268 San Rafael, CA 94901 D Jack Nixon RFD 401 San Rafael, CA 94901 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2813 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Gary Phillips for Mayor 2015 Amounts may be rounded to whole dollars. Statement covers period from 7/1/2015 SCHEDULE E (CONT.) through 12/31/2015 18 of 20 Page I.D. NUMBER 1376443 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 WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Gordon Manashil RFD 134 San Rafael, CA 94901 Ghilotti Bros. Inc. RFD 500 San Rafael, CA 94901 Boys & Girls Clubs of Marin and Sonoma CVC 100 Petaluma, CA 94954 San Rafael Business Improvement District CVC 250 San Rafael, CA 94915 Marin Food Bank CVC 100 1741 Indian Valley, Novato, CA 94947 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1084 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded AMOUNT PAID Schools Rule—Marin Office of Education SCHEDULE E (CONT.) Statement covers period • - 460 (Continuation Sheet) to whole dollars. Payments Made from 7/1/2015 FORM Casa Alegra Community Services through 12/31/2015 Page 19 of 20 SEE INSTRUCTIONS ON REVERSE CVC 100 San Rafael, CA 94903 NAME OF FILER Whistlestop E.D. NUMBER Gary Phillips for Mayor 2015 930 Tamalpais CVC 1376443 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetery)' 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Schools Rule—Marin Office of Education P.O. Box 4925 CVC 150 San Rafael, CA 94903 Casa Alegra Community Services 35 Mitchell Blvd., Suite 8 CVC 100 San Rafael, CA 94903 Whistlestop 930 Tamalpais CVC 210 San Rafael, CA 94901 San Rafael Public Library P.O. Box 151541 CVC 250 San Rafael, CA 94915 Dixie Schoolhouse Foundation 2255 Las Gallinas CVC 100 San Rafael, CA 94903 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 810 FPPC Form 460 (Jan/2016) FPPCAdvice: advice@fppc.ca,gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E (CONT.) (Continuation Sheet) CVC to whole dollars. Statement covers period � � . , • 1 Payments Made from 7/1/2015 FORM through 12/31/2015 Page 20 of 20 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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 AMOUNT PAID Lifehouse 899 Northgate Drive San Rafael, CA 94903 CVC 100 * Payments that are contributions Or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 100 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov