HomeMy WebLinkAboutForm 460 - Kate Colin for City Council 2017 (2017-12-31)Recipient Committee
Campaign Statement
Cover Page
Type or print in ink. Dale Stamp
(Government Code Sections 8420~216.5)
Statement covers period
from 7/1/2017
SEE INSTRUCTIONS ON REVERSE through 12131/2017
1. Type of Recipient Committee: All Committees -Complete Paris 1, 2, 3, and 4.
~ Officeholder, C andidate Controlled Committee D Primarily Formed Ballot Measure
Committee o State Candidate Bection Committee o Recall
(Also Complete Part 5)
D Generai Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee
3. Committee hlformation
MITIEE NAME (OR CANDIDATE'S
o Controlled o Sponsored
(Also Complete Patt 6)
D Primarily Formed Candidatel
Officeholder Committee
(Also Complete Part 7)
Re-Elect Kate Colin fiJr San Rafael City Council 2017
STREET ADDRESS (NO P.O . BOX)
~.
CITY
San Rafael
STATE ZI P CO DE
CA 94901
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP COOE
AREA CODE/P HONE
AREA COD E/PHONE
San Rafael CA 94915-0817
OPTIONAL: FAX / E-MAIL ADORESS
4. Verification
JAN 2 5 2018
Date of election if apP fjt ble":"I:TV CLERK'S OFFl kF r ~-.... (Month, Day, Year) I 'I _
2. Type of Statement:
D Preelection Statement
~ Semi-annual Statement
o Termination Statement
(Also file a Form 410 Termination)
D Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Richard Kalish
MAILING AoDRESS
CITY
San Rafael
NAME OF ASSISTANT TREASURER . IF ANY
MAIUNG ADDRESS
CITY
OPTIONAl: FAX / E-MAIL AODRESS
rkalish@kalishnexon.com
o Quarterly statement o SpeCial Odd-Year Report o Supplemental Preelection
Statement -Attach Form 495
STATE ZIP CODE AREA C ODE/PHONE
CA 94901
STATE ZIP CODE AREA. CODE/PHONE
I have used all reasonable diligence in preparing and reviewing this statement and to the best 0 nolNledge the infonnation contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the'State of Califomia that the foregoing is true an corre ct -L
Executed on January 25,2018
Date
Executed on January 25,2018
Date
Executed on
Date
Executed on
Date
8y
By
By
By
Sipl1Jre afeontrouingOfticehoider, Cand"idaIe , Stale Measure Prnponent
SlgnaILre ofCcrtUling Oftic:eholde(,Candidate, Stale Measure PiopaneOt FPPC Form 460 (JanuaryJ06)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661276-3772)
State of California
Recipient Committee
Campaign Statement
Cover Page -, ' Part 2
Type or print in ink. COVERPAGE-PART2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFIC EHOLDER OR CANDIDATE
Kate B. Colin
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Councilmember
RESIDENTlAUBUSINESS ADDRESS (NO. AND STREET) cm STATE ZIP
San Rafael, CA 94901
Related Committees Not Include~ in this Statement: Listanycommittees
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 . NUMB ER
NAME OF TREASURER CONTROLLED 'COM MITTE.E?
DYES 0 NO
COMMITTEE ADDRESS STREET AD DRESS (NO P.O . BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMIDEE NAME !.D. NUMBER
NAME OF TREASURER CONTROlleD CO MMITTEE?
D. YES 0 NO
COM MITTEE ADdRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
lieGe.
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LEDER J URISD IC TION D SUPPORT
D OPPOSE
Identify the controlli,ng officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CAN DIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeh,!lder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o S'UPPORT o OPPOSE
NAME OF OFFICEHOLDER OR CAN E>1DATE OFFICE SOUGHT OR HELD D SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CAN DIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT o OPPOSE
-----
Attach continuation sheets If necessary
FPPC Fonn 460 (JanuaryI05)
FPPC TolI~ree Helpline: 866/ASK·FPPC (866/276-377.2)
Stale of Califomill
Campaign Disclosure Statement
Summary Page
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 ................................................................ ScheduleB, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS AddLines 1 +2
4. Nonmonetary Contributions............................................ Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines3 +4
Expenditures Made
s.. Paymen.ts 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) .......................................... ScheduleF, 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, Une 4
15. Cash Payments ......................................................... Column A, Une 8 above
16. ENDING CASH BALANCE .................. Add Lines 12 + 13 + 14, then subtlactLine 15
If this is a termination statement, Une 16 must be zero.
17. LOAN GUARANTEES RECEiVED .......................... : ..... ScheduleB, Part 2
Cash Equival ents and Outstanding Debts
18. Cash Equivalents · ................................. ; ........... :.. See insiruc/ions on reve~
$
$
$
$
19. Outstanding Debts .............................. Add Une 2 + Une 9 in" Column B above $
Amounts may be rounded
to whole dollars.
Colum'nA
TOTAL THIS PER IOD
(FROM ATTACHED SCHEDULES)
100
o
100
o
100
3052
o
3052
o
o
3052
14770
100
o
3052
11818
o
o
o
S UM MARY PAGE
Statement covers period CALIFORNIA 460
FORM from 07/01/2017
through 12/31/2017 Page 3 of 5
$
$
$
$
$
$
Column B
CALENDAR YEAR
TOTAL TO OATE
11375
o
11375
625
12000
6352
o
6352
o
625
6977
To calculate ColUmn B,
add amounts in Column
Ato the corresponding
amounts from Column B
of your last report. Some
amounts in Column A may
be negative figures that
shouid be subtracted from
previous. period amounts. If
this is the first report being
file.d for this calendar year,
only carry over the amounts
from lineS 2, 7, IiInd 9 (if
any).
1.0. NUMBER
1357514
Calendar Year Summary for Candidates
Running in Both the S~te Primary and
General Elections
1/1 t hrough 6/30 7/1 to Date
20. Contributions
Received $ _____ _ $----
21. Expenditures
Made $ ____ _ $----
Expenditure Limit Summary for State
Candidates
22. Cumulative Expendit\Jres Made*
(It Subject to Voluntary Expenditure LirilitJ
Date of Election
(mmldd/yy)
~~--
-.----1----1 __
Total to Date
$----
$----
* Amounts in this section may be different from amounts
reported in Column B .
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fpp£.ca.gov (866/275-3nZ)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCH EDULE A
Monetary Contributions ReceiYed to whole dollars. . covers CALIFORNIA 460
FORM from 7-1-2017
SEE INSTRUCTIONS 'ON REVERSE
through 12-31-2017 Page 4 of 5
NAME 'OF
Re-Elect Kate Colin for San Rafael City Council 2017
DATE
RECENED
FULL NAME , STREET A DD RESS AN D ZIP CODE OF CONTR IBU TOR I C'ONTRIBUTOR
OF COMMITTEE, ALSO ENTER I.D . NUMBER) C'ODE *
7/16/2017 Jeanne Leoncini
San Rafael, CA 94901
Schedule A Summary
~INO
DCOM
DOTH
DpTY
Dscc
INO
COM
D OTH
D pTY
DscC
DIND ,
DeOM
DOTH
DpTY
Osee
OIND
DeoM
DOTH
DpTY
Osee
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SB.F-EMPLOYED; ENTER NAME
OF BUSINESS)
Retired
SUBTOTAL $
AM'OUNT
RECEIVED THIS
PERIOD
100
100
1. AmolJnt received this period -itemized monetary contributions. . . . 100 (Include all Schedule A subtotals.) .......................................................•............................................... ;.$ .
2. Amount received this period -unitemized monetary contributions of less than $100 ........................... $ 0
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page. Column A, Line 1.) ...................... TOTAL $ 100
1.0. NUMBER
1357514
CUMULATNE TO DATE
CALENDAR YEAR
(JAN . 1-DEC . 31)
100
PER ELECTI'ON
TO DATE
(IF REQUIRED)
·Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g .. busine ss entity)
PTY -Political p arty
sce -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca;gov
SCHED ULE E Schedule E
Payments Made
Amounts may be rounded
to whole dollars. Statement covers period
from 07/01/2017
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
through 12/31/2017 Page _5 __ Of _5 __
NAM E O F FlLER I.D. NU MBE R
Re-Elect Kate Colin for San Rafael City Council 2017 1357514
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernal ia/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 worK.ers' 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 Oegal; 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 !.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
PM Cohen Affairs
PO Box 150268 CNS 1000
San Rafael CA 94915 . .
U.S. Postal Service
o Street POS 132
San Rafael, CA 94915
four waters media
3093 Lassen Street CNS 1920
W. Sacramento CA 95691
* Payments that are contri~utions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3052
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................................................. $ 3052
2. Un itemized payments made this period of under $100 ............................................................................................................................................ $ 0
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................. $ 0
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 3052
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov·