HomeMy WebLinkAboutForm 460 - Gary Phillips for Mayor 2015 (2016-06-30)Recipient Committee
Campaign Statement
Cover Page
Type or print in ink.
(Government Code Sections 84200-84216.5)
Statement covers period
from ____ 1_'_1/_2_0_1_6 __ _
SEE INSTRUCTIONS ON REVERSE through ___ 6'_3_0_'2_0_1_6 __
1. Type of Recipient Committee: All Committees -Complete Parts 1. 2. 3. and 4.
IKI Officeholder. Candidate Controlled Committee o Ballot Measure Committee o State Candidate Election Committee o Recall
(Also Complete Part 5)
o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee
3. Committee Information
o Primarily Formed o Controlled o Sponsored
(Also Complete Part 6)
o Primarily Formed Candidatel
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1376443
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Gary Phillips for Mayor 2015
STREET ADDRESS (NO P.O. BOX)
CITY
San Rafael
STATE ZIP CODE
CA 94901
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
AREA CODEIPHONE
(
AREA CODE/PHONE
JUl 1 8 2016
2. Type of Statement:
o Preelection Statement
IKI Semi·annual Statement o Termination Statement
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
of __ _
Official Use Only
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 of my knowledge the information contained herein and in the attached schedules is true and complete.
certify under penalty of perjury under the laws of the State of California that the regol is ted corr
July 18. 2016
Executed on ----......;,."'oat:=-e ------
July \c8. 2016
Executed on ----......:..::;;03:=.,=e:;....-----
Executed on ------;:O:::at:::"e------
Executed on -----'""O:-.at,.,-e------
By--~~~~~~bd~~~~~;;~~==~~~==---I , Cand idale, Slale Measure Proponent or Responsible DlrICer 01 Sponsor
By------c~~~~~~~~~~~~~~~==~------Signalure of ConlrDHing Officeholder, Candidale. Siale Measure Proponenl
By ______ ~~~~~~~~~~~~~~~~~~------Signalure of ConlrDlling Officeholder, Candidale. Slate Measure Proponent FPPC Fonn 460 (June/01)
FPPC TolI·Free Helpline: 866/ASK·FPPC
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
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
Related Committees Not Included in this Statement: Ust 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 J.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
COMMITTEE NAME J.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
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION o SUPPORT o 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 Ust names of officeholder(s) or candidate(s) for
which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
Attach continuation sheets if necessary
FPPC Fonn 460 (June/Oi)
FPPC TolI·Free Helpline: 866/ASK·FPPC
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
Gary Phillips for Mayor 2015
Contributions Received
1. Monetary Contributions .......................................... . Schedule A, Une 3 $
2. Loans Received ..................................................... . Schedule B, Une 3
3. SUBTOTAL CASH CONTRIBUTIONS .... ..................... Add Unes 1 + 2 $
4 . Nonmonetary Contributions ........ ..... ... .................... Schedule C, Une 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Unes 3 + 4 $
Expenditures Made
6 . Payments Made ........................... ............................ Schedule E, Une 4 $
7 . Loans Made ............................................................. Schedule H, Une 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Unes 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Une 3
10. Nonmonetary Adjustment .......................................... Schedule C, Une 3
11. TOTAL EXPENDITURES MADE ................................ AddUnes8+9+ 10 $
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Une 16 $
13. Cash Receipts ................................. ........... ... .... Column A, Une 3 above
14. Miscellaneous Increases to Cash ........................... Schedule I, Une 4
15. Cash Payments .................... ........ ......... ............. Column A, Une 8 above
16 . ENDINGCA5HBA~NCE .......... Add Unes 12 + 13 + 14, then sUbtractUne 15 $
"this is a tennination statement, Une 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 Une 2 + Une 9 in Column B above $
ColumnA
TOTAl TH IS PERIOD
(FROMATIACHEDSCHEDULES)
o
o
o
o
o
1050
o
1050
o
o
1050
9475
o
o
1050
8425
o
o
o
from ____ 1'_1_'2_0_1_6 __ _
through __ 6_'_3_0'_2_0_1_6 __ Page __ 3 __ of __ 4 __
$
$
$
$
$
$
ColumnB
CALENDAR YEAR
TOTALTO(l/\TE
o
o
o
o
o
1050
o
1050
o
o
1050
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
1376443
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 . Expend itures
Made $ ____ _ $-----
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made"
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mmldd/yy)
~~--$
~~--$
~~--$
~~--$
~~--$
~~--$
·Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (JuneI01)
FPPC Toll-Free Helpline: 866IASK-FPPC
SCHEDULEE
ScheduleE
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from ___ 1_'_1/_2_0_1_6 __
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
6/3012016 through _______ _ Page __ 4_ of _4 __
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.
0v'P campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
eNS campaign consultants MTG meetings and appearances RFD returned contributions
em contribution (explain nonmonetary)· OFe office expenses SAL campaign workers' salaries
eve civic donations FEr petition circulating 1E... t.v. or cable airtime and production costs
AL 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
IN[) 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 COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
San Rafael Police Department Contribution for Camp Chance
1400 Fifth Avenue CVC 1000
San Rafael, CA 94901
• Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1000
Schedule E Summary
1000 1. Payments made this period of $1 00 or more. (Include all Schedule E subtotals.) .................................................................................................. $ _____ _
50 2. Unitemized payments made this period of under $1 00 .......................................................................................................................................... $ _____ _
3. Total interest paid this period on loans. (Enter amount from Schedule S, Part 1, Column (e).) ............................................................................... $ _____ _
1050 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 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC