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Home My WebLink AboutForm 460 - Kate Colin for City Council 2017 (2016-12-31)Recipient Committee Campaign Statement Cover Page Type or print In ink. (Government Code Sections 84200-84216.5) Statement covers period from ____ 7_/1_1_20_1_6 __ _ SEE INSTRUCTIONS ON REVERSE h h 12/31/2016 t roug ________ _ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. !;zJ Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Pari 5) o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee 3. Committee Information o Primarily Formed Ballot Measure Committee o Controlled o Sponsored (Also Complete PariS) o Primarily Formed Candidate/ Officeholder Committee (Also Complete Pari 7) I.D. NUMBER 1357514 CDMMITIEE NAME (OR CANDIDATE'S NAME IF NO COMMITIEE) Re-Elect Kate Colin for San Rafael City Council 2017 STREET ADDRESS (NO P.O. BOX) CITY San Rafael STATE CA ZIP CODE 94901 MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE AREA CODE/PHONE San Rafael CA 94915-0817 OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification Date of election if appl; .. "IIttI,,· ... (Month, Day, Year) 2. Type of Statement: o Preelection Statement !;zJ Semi-annual Statement o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) Treasurer(s) NAME OF TREASURER Richard Kalish MAILING ADDRESS CITY San Rafael NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS rkalish@kalishnexon,com STATE CA STATE o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement -Attach Form 495 ZIP CODE 94901 ZIP CODE AREA CODE/PHONE AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the best 0 nowledge 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 foregoing is true and orrect. Executed on ___ J_a_n_u_a_ry-;;::;2:-5_, _2_0_1_7 __ _ Date Executed on ___ J_a_n_u_a_ry-;;::;2:--5,;..' _2_0_1_7 __ _ Date Executed on -----""D""a""t.------- Executed on -----""D""a::::~~------ By _____ ~~~~~~~~~~~~~~~~~~-------Signature ofControling Officeholder, Candidate, State Measure Proponent By-----~s~~=na~lu=re70of~Co~n~tro~I~=9~Offi~ce~oo~too~~C~a=nd~ida~le~,S~ta=~ .. M=ea~s~~Pro=p=o~=n~I------ FPPC Form 460 (JanuarY/OS) FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275·3772) State of California Type or print in ink. COVER PAGE -PART 2 Recipient Committee Campaign Statement Cover Page -Part 2 5. 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 RESIDENTIAUBUSINESS ADDRESS (NO . AND STREET) CITY STATE San Rafael, CA 94901 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? DYES 0 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? DYES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O . BOX) CITY STATE ZIP CODE AREA CODE/PHONE IJIIIIIII!I!II!WI 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO . OR LETTER JURISDICTION o SUPPORT D 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 D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275·3772) State of California Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 Contributions Received 1. Monetary Contributions .......................................... . Schedule A, Line 3 $ 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4 . Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 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. Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11 . TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 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 I. 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 term ination 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 $ ColumnA TOTAL THIS PER IOD (FROM ATTACHED SCHEDULES) o o o o o 385 o 385 o o 385 7180 o o 385 6795 o o o from ___ 7/_1_/2_0_1_6 __ _ h h 12/31/2016 t roug ________ _ Page __ 3 __ of __ 4 __ $ $ $ $ $ $ ColumnB CALENDAR YEAR TOTAL TO DAlE o o o o o 2060 o 2060 o o 2060 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). 1.0. NUMBER 1357514 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20 . Contributions Received $ _____ _ $----- 21 . Expenditures Made $ _____ _ $----- Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If SubJecllo Voluntary Expenditure LImit) Date of Election (mm/dd/yy) --.1~ __ Total to Date $----- $----- 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/OS) FPPC TolI·Free Helpline: 866/ASK·FPPC (866/275·3772) ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ___ 7_1_1/_2_0_1_6 __ th h 12/31/2016 roug _______ _ SCHEDULEE CALIFORNIA 460 FORM Page __ 4_ of __ 4 _ 1.0 . NUMBER 1357514 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OIIP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate filing/ballot fees FND fundraising events 11'1[) independent expenditure supporting/opposing others (explain)' LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (I F COMMITTEE. AlSO ENTER 1.0. NUMBER) US Postal Service 9100 Street San Rafael, CA 94901 Marin Forum PO Box 1322 San Rafael, CA 94915 MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR POS MTG * Payments that are contributions or independent expenditures must also be summarized on Schedule D . Schedule E Summary 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 VaT voter registration VllEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID 150 235 SUBTOTAL $ 385 1. Itemized payments made this period . (Include all Schedule E subtotals.) .............................................................................................................. $ _____ 3_8_5 o 2. Unitemized payments made this period of under $1 00 .......................................................................................................................................... $ _____ _ o 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ _____ _ 385 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 460 (January/OS) FPPC Toll-Free Helpline: 866IASK-FPPC (8661275-3772)