HomeMy WebLinkAboutForm 460 - Alliance for San Rafael Safety (2013-06-30)Recipienfiommiftee
Campaign Statement
CoverPage
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
49
Type or print In ink.
Statement covers period
1/1/12
from
through
6/30/13
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Part 5) 0 Sponsored
(Also Complete Part 6)
General Purpose Committee.
0 Sponsored Primarily Formed Candidate/ 0 Officeholder Committee Small Contributor Committee (Also Complete Pad 7)
0 Political Party/Central Committee
3. Committee Information I.D.NUMBER
1 1299833
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Alliance for San Rafael's Safety
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 RO. BOX
WORM
Date of election if applicable:
(Month, Day, Year)
0 COVER PAGE
Page of
For Official Use Only
e
2. Type of Statement:
[:] Preelection Statement E] Quarterly Statement
62 Semi-annual Statement Special Odd -Year Report
F-1 Termination Statement Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
F-1 Amendment (Explain below)
To cover approximately $110 in calculations
Trea.surer(s)
NAME OF TREASURER
Jonathan Frieman
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowle ar e t in rmation 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.
J
104 /5 -IV \
Executed on —1 - - By 1\
Date X1 Sig attire of Treasurer or Assistant Treasurer
Executed on
Date
Executed on Date
a
of Controllirq OV"OkJer, Candidate, State Measure Proponent or Responsible Officer of Sponsor
By S 4 -,at of Controlling Officeholder, Cand�ite, State Measure Proporient
By Sgiature of Controlling Ofteholder, Candidate, State Measure Proponert FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
State of California
0 91
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
0
Type or print in ink.
Amounts may be rounded
to whole dollars.
de'l
Expenaitures Made 0
6. Payments Made ....................................................... Schedule E, Line 4 $
7. Loans Made ............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 0
9. Accrued Expenses (Unpaid Bills) ......................... I ...... Schedule F, Line 3
10. Nonmonetary Adjustment ......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $
Current Cash Statement 153
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0
13. Cash Receipts ................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4
0
15. Cash Payments .................................................. Column A, Line 8 above 3
15
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
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......................................... See instructions on reverse $
19. Outstanding Debts
Statement covers period
1/1/12
from
I through
Column B
CALENDAR YEAR
TOTALTO DATE
6/30/13
49
SUMMARY PAGE
2 2
Page Of
I.D.NUMBER
1299833
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Column
Contributions Received
TOTALTHIS PER100
$
(if Subject to Voluntary Expenditure Limit)
(FROM ATTACHED SCHEDULES)
Date of Election Total to Date
(mm/dd/yy)
1. Monetary Contributions ............................ # ..............
Schedule A, Line 3
$
2. Loans Received ......................................................
Schedule B, Line 3
amounts in Column A to the
corresponding amounts
0
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines I + 2
$
4. Nonmonetary Contributions ....................................
Schedule C, Line 3
figures that should be
0
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4
$
de'l
Expenaitures Made 0
6. Payments Made ....................................................... Schedule E, Line 4 $
7. Loans Made ............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 0
9. Accrued Expenses (Unpaid Bills) ......................... I ...... Schedule F, Line 3
10. Nonmonetary Adjustment ......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $
Current Cash Statement 153
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0
13. Cash Receipts ................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4
0
15. Cash Payments .................................................. Column A, Line 8 above 3
15
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
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......................................... See instructions on reverse $
19. Outstanding Debts
Statement covers period
1/1/12
from
I through
Column B
CALENDAR YEAR
TOTALTO DATE
6/30/13
49
SUMMARY PAGE
2 2
Page Of
I.D.NUMBER
1299833
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
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)
$
To calculate Column 13, add
amounts in Column A to the
corresponding amounts
*Amounts in this section may be different from amounts
from Column B of your last
reported in Column B.
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).
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)