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HomeMy WebLinkAboutForm 460 - Gary Phillips for Mayor 2011 (2011-12-31)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 10-23-11 through 12-31-11 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall (Also Complete Part 5) E] General Purpose Committee 0 Sponsored Small Contributor Committee Political Party/Central Committee 3. Committee Information E:] Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Gary Phillips for Mayor 2011 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my under penalty of perjury under the laws of the State of California that the foregoing is true and correO Executed on January 31, 2012 Date Executed on January 31, 2012 Date Executed on Date Executed on Date By By By Date Stamp Rec-o".ad v eed', Date of election if applicable: (Month, Day, Year) 2. Type of Statement: COVER PAGE Page 1 of 14 For Official Use Only El Preelection Statement Quarterly 'Statement Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 E] Amendment (Explain below) Treasurer(s) NAME OF TREASURER Richard Kalish MAILING ADDRESS STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 NAME OF ASSISTANT TREASURER, IF ANY CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS the information contained herein and in the attached schedules is true and complete. I certify /-%njiture of Treasurer or Assistant Treasurer or By Signature ofControting Officeholder. Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK.FPPC (866/275-3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Gary Phillips Type or print in ink. 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. 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? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVERPAGE-PART2 Page 2 of 14 BALLOT NO. OR LETTERI 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 Listnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD r❑- SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD r� SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10-23-11 SUMMARYPAGE SEE INSTRUCTIONS ON REVERSE To calculate Column B, add 14987 through 12-31-11 Page 3 - of 14 NAME OF FILER 7. Loans Made ......... ...... ....... ............... ....... ............ Schedule H, Line 3 0 0 I.D.NUMBER Gary Phillips for Mayor 2011 30029 $ 79245 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 1339680 Contributions Received 10. Nonmonetary Adjustment ..... ............ Column A Column B Calendar Year Summary for Candidates 11. TOTAL EXPENDITURES MADE ......... .................... Add Lines 8 + 9 + 10 $ TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 16387 $ 66842 2. Loans Received ....... ........ ........................ ....... . Schedule B, Line 3 -1400 13600 1/1 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines I + 2 $ 14987 $ 80442 20. Contributions Received $ $ 4. Nonmonetary Contributions ... ......... ......... ......... Schedule C, Line 3 300 7201 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 15287 $ 87643 Made $ $ Expenditures Made To calculate Column B, add 14987 6. Payments Made.. .............. ........................ Schedule E, Line 4 $ 30029 $ 79245 7. Loans Made ......... ...... ....... ............... ....... ............ Schedule H, Line 3 0 0 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6 + 7 $ 30029 $ 79245 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0 0 10. Nonmonetary Adjustment ..... ............ ............... Schedule C, Line 3 300 7201 11. TOTAL EXPENDITURES MADE ......... .................... Add Lines 8 + 9 + 10 $ 30329 $ 86446 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 8 above 16. ENDING CASH BALANCE .... _ _ Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17.LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ... _ .... Add Line 2 + Line 9 in Column B above $ 16239 To calculate Column B, add 14987 amounts in Column A to the corresponding amounts from Column B of your last 0 30029 report. Some amounts in Column A may be negative 1197 figures that should be subtracted from previous period amounts. If this is the first report being filed 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if I any). 13600 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subjectto Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. O . 10/23111 _ from •' • SEE INSTRUCTIONS STRUCTIONS ON REVERSE through Page 4 of 14 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 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) 10/24/11 Peter Herley ®IND El COM Retired F1 OTH 100 100 San Rafael, CA 94901 ❑ PTY ❑ SCG ® IND 10/24/11 10/24/11 Joanne Dunn Homemaker 100 100 ❑OTH San Rafael, CA 94901 ❑ PTY ❑ SCC WIND 10/25!11 Eugene Ceccotti ❑coM President ❑OTH Shamrock Materials ( 250 250 San Rafael, CA 94901 ❑ PTY ❑ SCC R.A.B. Motors ElIND 10/25/11 500 1 500 ®OTH San Rafael, CA 94901 FIFTY ❑ SCC Mary Rabb ®IND 10/25/11 ❑coM Retired 100 100 ❑ OTH San Rafael, CA 94901 ❑ PTY El SCC SUBTOTAL$ 1,050 Schedule A Summary 1. Amount received this period — itemized monetary contributions. Include all Schedule A subtotals. $ 13,200 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3187 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ... _ ....... TOTAL $ 16387 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SGC) OTH — Other (e.g., business entity) PTY — Political Party SCG — Small Contributor Commi"ee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary UontributionS Received Amounts may be rounded Statement covers period to whole dollars. from 10/23/11 Page 5 of 14 through 12/31/11 NAME OF FILER I.C. NUMBER Gary Phillips for Mayor 2011 1339680 FULL NAME. ME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED 0F COMMI rTEE 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) Glenn Koorman IND EICOM CPA 10/25/11 00TH Self employed 100 100 San Rafael, CA 94901 El PTY El SCC 10/26/11 Thomas Tucker ZIND Retired Retired E] OTH 250 250 Larkspur, CA 94939 PTY ❑ SCC Donna Stuckey ICOM IND CPA 10/27/11 410jIgNM GOTH Wilson, Markle, Stuckey 100 100 San Rafael, CA 94901 0 PTY El SCC San Rafael Firefighters PAC (891308) ©IND 10/27/11 Li]COM 3,000 4,000 [:] OTH San Rafael, CA 94912 0 PTY []SCC 10/28/11 Paul Kromhout VIND E]COM Financial Advisor 1 F-] OTH UBS 100 100 San Rafael, 94901 0 PTY 0SCC *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity: PTY — Political Party SCC —Small Contributor Committee SUBTOTAL$ 3,550 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary L;ontrinutionS Keceived Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 10 60 from 10/23/11 FORM through 12/31/11 Page 6 of 14 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED i[F 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) 1111/11 Mar�LGomes OIND EICOM Retired 41ON1116 ❑ OTH 100 100 San Rafael, CA 94901 D PTY El SCC 11/1/11 Frederic Divine ®IND EICOM Architect GOTH Self employed 100 100 Fairfax, CA 94930 O PTY F-1 SCC 11/1/11 Bob Herbst ®IND EIOTHM CO Manager E] H&H Mgmt 500 500 San Rafael, CA 94903 0 PTY F] SCC 11/4/11 Ed Riordan ®IND EICOM Attorney GOTH Self employed 250 250 San Francisco, CA 94127 � PTY ❑SCC 11/4/11 Kerry Mazzoni ®IND EICOM Owner —_ -_ r DOTH Mazzoni Assoc 100 100 San Rafael, CA 94901 OPTY Consulting EISCr- *Contributor Codes IND- Individual COM — Recipient Committee (other than PTY or SCC) OT'i — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 1,050 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) monetary ontrinutionS Keceivea Amounts may be rounded 6_� Statement covers period to whole dollars. CA _ -LIFORNIA 460 from 10/23/11 FORM through 12/31/11 Page — 7 of 14 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED 0F COMMITTEE, ALSO ENTER I.E. 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} Patricia Kendall OIND EICOM Administrator I 11/7/11 MOTH Kaiser Permanente 500 500 San Rafael, CA 94903 [:] PTY FISCC David Freitas ®IND Retired 11/7/11► EICOM 500 500 MOTH San Rafael, CA 94901 M PTY F-1 SCC 11/8/11 Martin Bramante WIND EICOM Retired 1 E]OTH 2,500 3,000 Belvedere, CA 94920 [:] PTY E] SCC 11/8/11 Martha Heidinger ®IND EICOM Office Manager MOTH Grange Debris Box 2,500 2,500 Corte Madera, CA 94925 1-1 PTY El SCC 11/10/11 Lar Paul ®IND EICOM Architect — —111111011111111111 MOTH L.A. Paul & Assoc 250 250 San Rafael, CA 94903 ❑ PTY El SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 6,250 1 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) ivloiitatar ontrlputions Kecelvea Amounts may be rounded Statement covers period to whole dollars. 10/23/11 from • Page 8 of 14 through 12/31/11 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 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) OFBUSINESS) 11 /15/11 David Stone IND ElCOM Financing DOTH Cornerstone Financial 200 200 San Rafael, CA 94903 ❑ PTY Service ❑ SCC Friends of Judy Arnold (#1277176) ❑IND 12/6!11 WICOM 100 100 E]OTH Novato, CA 94947 ❑ PTY ❑ SCC 12/ 16/ 11 Michael Ghilotti ®IND ❑COM Construction ❑OTH Ghilotti Bros., Inc 750 750 San Rafael, CA 94903 ❑ PTY ❑ SCC j 12124/11 Richard Guggenhime ®IND Attorney ooTH Schiff Hardin LLC 250 250 San Francisco, CA 94108 ❑ PTY ❑ SCC j ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCG SUBTOTAL$ 1,300 `Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 0oxt:UUwU0 I-arl -I - Amo-nts may be roun ' ded Statement covers perWd­1 Loans Received to whole dollars. 10-23-11 CALIFORNIA 460 from FORM Page 9 of 14 SEE INSTRUCTIONS ON REVERSE through 12-31-11 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (a) OUTSTANDING BALANCE (b) AMOUNT (c) AMOU NT PAID (d) OUTSTANDING 7) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER �IF COMMITTEE ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED ENTER BEGINNING THIS DECEIVED THIS OR FORGIVEN BA--NCEAT CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS _'___...N.AME OF BUSINLSS) PERIOD THIS PERIOD* PERIOD LOAN TO DATE Gary Phillips Certified Public Acct Wj PAID CALENDARYEAR San Rafael, CA 94903 999 Fifth Avenue, #320 RATE E] FORGIVEN PER ELECTION— [I COM [:1 OTH PTY L] SCC DATE DUE DATE INCURRED PAID CALENDARYEAR E] FORGIVEN PER ELECTION RATE DATE DUE DATE INCURRED PAID CALENDARYEAR PER ELECTION— E] FORGIVEN RATE TL_1 IND D COM Ej OTH E PTY F-; SCC DATE DUE DATE INCURRED ScheduNe B Summary 1. Loans received this period ..... ......................................... ......... _............. ........ ........ ....... $ O (Total Column (b) plus uniternized loans of less than $100.) 2. Loans paid orforgiven this period .......................... .......... _................ .......... .......... _................... $ 1400 (Total Column (c)plus loans under $10Opaid orforgkmnj (include loans paid bya third party that are also itemized onSchedule Aj 3. Net change this period. (Subtract Line 2from Line 1j- ..... ......... ............... -.................. ..... NET $ -1408 Enter the net here and on the Summary Page, Column A, Line 2. (May b� a _aegatve,­be0 Srhedule E, Line 3) tcvnmoum,cvuex - IND -Individual onw-necipiencvmmmee (other than PTY orSCC) orn-Other (e.n..business entity) pTv-pvm/ca/porty SCC - Small Contributor Committee � *Amounts forgiven or paid by another party also must be reported on Schedule A. If required. FPPC Form 460(Januarym5) Schedule C Type or print in ink. Sr:HFrn u F r Nonmoneta Contributions Received ""' towhoQ'"llars. " to whole dollars. statement covers period P �I - • ` , from 10-23-11 - ' Page 10 of 14 SEE INSTRUCTIONS ON REVERSE through 12-31-11 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME. STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR QF COMMITTEE, flL50 ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE NAME OF BUSINESS) (JAN 1 - DEC 31) (IF REQUIRED) 11-8-11 Joe Shekou WJIND Retired Champaign❑COM 300.00 300.00 DOTH San Rafael, CA 94r901 ❑ PTY ❑SCC ❑IND ❑COM ❑0TH PTY ❑ SCC ❑IND ❑COM ❑ 0TH ❑ PTY i [:]SCC IND COM ❑ OTH PTY ❑SCG Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ................................................................................ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ......... 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ........ .......................... $ .......................... $ C *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY —Political Party SCC — Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Payments Made Type mprint mink. Amounts may uwrounded to whole dollars. Statement covers nonuu from 10-23'11 SEE INSTRUCTIONS ON REVERSE through 12-31-11 Page 11 of 14 NAME OF FILER I.D.NUMBER Gary Phillips for Mayor 2011 1339680 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW oampawnpompxemona/miso. MBR member communications nxo radio airtime and production costs ows campaign consultants mnn meetings and appearances m=n returned contributions CTB contribution (explain nnnmvnetory)~ orn vmma expenses SAL campaign workers' salaries cvc civic uooaou,n PET petition circulating TeL tx or cable airtime and production costs nL conmuateminomnoot fees PFK) phone banks rnc candidate travel, lodging, and meals rwo moora|umo ovaom poL polling and survey research TRS xtanypuuo^trave|. |ouoinu'and meals 530 independent expenditureexpendituresupporting/opposing othersothers(explain)* roa postage, deliverydeliveryand messenger services TSF transfer between committees of same candidate/sponsor ' m legal defense PRO professional services (|eou|, accounting) voT voter registration LIT campaign literature and mailings pur print ads Mo information technology costs (|ommot.*mun) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LID, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Ad -Vantage Marketing, Inc. 455 Tesconi Circle LIT 17085 Santa Rosa, CA 95401 West Coast Special Investigators Investigation services Box 981171 250 West Sacramento, CA 95798 Laraine Allen Catering Food for event 9 Bungalow Avenue 530 San Rafael, CA 94901 ° Payments that umovn�muuonovr/nu�nmnu*n^ vxne^unvrea must also be summarized nnSchedule o D. SUBlOT\L$ 17885 Schedule Summary 1.Itemized payments made this period. (include all Schedule Eoubtotabj..... ........ ------............................................... ........ .................. $ 2.Unitemizedpayments made this period of under *1U0 ... .............................. ........................................ —...... ............... ------------s 3.Total interest paid this period onloans. (Enter amount from Schedule B.Part 1.Column (e)1 .......... ...... ........... --........ .......... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6) ............................. TOTAL $ ------� FPPC Form *60(Januan/05) FppCToll-Free Helpline: u000\amfPpc(86mzrm*rro) Schedule E Type orprint mink. (Continuation Sheet) Amounts may uwrounded �wmmvumm Payments Ma���� m. Statement covers period from 1O-23-11 SCHEDULE c(CowT) SEE INSTRUCTIONS ON REVERSE through 12-31-11 Page - 12 of 14 NAME OF FILER LID. NUMBER Gary Phillips for Mayor 2011 1339680 CODES: If one of the following codes accurately describes the payment, you may enter the code. OUhenxise, describe the paymenL cMp campemnoamvxomaoa/misc. MBR member communications nxo radio airtime and production costs cwu orn campaign ovnounomx contribution (explain nunmnootary)~ mma OFC meetings and avwmmnmm office expenses RFD SAL emmvu contributions uvc civic donations PET petition circulating TEL campaign workers' salaries tv,oao�aimmoonovmuu�|oncvxm —x nL FIND candidate mmo/uoofees fundraising v,onto p*o n»vnn banks Tn num�m candidate o�vo| lodging, and meals M irmindependentoexpendituresupporting/opposingsupporting/opposing others (explain)* poL pos polling and survey research postage, delivery and meoxano", services TRS TSF msnvuoetm�e|` '~°i�n and meals s�, between committees m a�x o,e uomw candidate/sponsor LEG LIT legal defense campaign literature and mailings PRO professional services (|oma|, accounting) voT ,ia�uvn SC Design PRT nom WEB �e mmnnaoontechnology costs (mtemvt. e-mail) NAME AND ADDRESS OF PAYEE 'IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Big Cat Advertising 10 Commercial Blvd., Suite 210 CNS 2441 Novato, CA 94949 Marin Independent Journal 4000 Civic Center Drive; Suite 301 PRT 420 San Rafael, CA 94903 Barbara Squires 86 Corte Encanto SAL 640 Greenbrae. CA 94904 SC Design 555 Fifth Street, #10 1 H LIT 2082 Santa Rosa, CA 95401 Mulrath Public Affairs 50 Old Courthouse Square, Suite 203 CNS 3500 Santa Rosa, CA 95404 ~ Payments that are contributions v,independent expenditures must also ovsummarized vnSchedule o. SUBTOTAL$ 0083 FPPC Form *60uanuan/0q pppoToll-Free Helpline: ooaxSn-Fppo(8ua/275�3n2) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10-28-11 SCHEDULE E (CONT) SEE INSTRUCTIONS ON REVERSE through 12-31-11 Page - 13 of 14 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS CTB campaign consultants contribution (explain nonmonetary)* MTG OFC meetings and appearances RFD returned contributions CVC civic donations PET office expenses petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs FIL FND candidate filing/ballot fees fundraising events PHO phone banks TRC candidate travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POL POS polling and survey research postage, delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor LEG UT legal defense campaign literature and mailings PRO professional services (legal, accounting) VOT voter registration PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.13, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID David Haydon San Rafael, CA 94901 Food for event 2196 Barbara Squires Greenbrae, CA 94904 OFC 659 - Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2855 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule G Type or print in ink. Payments Made by an Agent or independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers p4 from 10-23-11 through 12-31-11 1 Page 14 of 14 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 —71339680 NAME OF AGENT OR INDEPENDENT CONTRACTOR Big Cat Advertising CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications RAID 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 FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals M 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. If NAME AND ADDRESS OF PAYEE OR CREDITOR tF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID PSPrint LLC 2861 Mandela Parkway Oakland, CA 94608 LIT 576 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 576 * 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 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)