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Home My WebLink AboutForm 460 - Gary Phillips for Mayor 2015 (2017-06-30)-Recipient Committee Campaign Statement Cover Page Statement covers period from ____ 0_1_/_0_1/_1_7 __ Date of election if aPlpIi4:alllE!: (Monlh. Day. Year) SEE INSTRUCTIONS ON REVERSE 06/30/17 through ________ _ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. III Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete PII1/ 5) D General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee 3. Committee Information D Primarily Formed Ballot Measure Committee o Controlled o Sponsored (Also Complete PII1/ 5) D Primarily Formed Candidatel Officeholder Committee (Also Complete PII1/ 7) I.D. NUMBER 1376443 NAME IF NO COMMITIEE) Gary Phillips for Mayor 2015 STREET ADDRESS (NO P.O. BOX) CITY San Rafael STATE Ca ZIP CODE 94903 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY San Rafael, OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification STATE Ca ZIP CODE 94903 AREA CODE/PHONE AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the certify under penalty of perjury under the laws of the State of California that the foregoin is tru Executed on 7/23/17 By Dale Executed on 7/23/17 By Dale Executed on By Dale Executed on By Dale 2. Type of Statement: D Preelection Statement 121 Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) D 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 I E-MAIL ADDRESS STATE Ca STATE D Quarterly Statement D Special Odd-Year Report ZIP CODE 94901 ZIP CODE AREA CODE/PHONE AREA CODE/PHONE y knowledge the information contained herein and in the attached schedules is true and complete . nd·corr ... G of Treasurer or Assistant Treasurer Signalure of €:onlrolling Officeholder. Candidale. Slale Measure Proponenl Signature of Controlling Officeholder, Candidate , Stale Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 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 18 Elda Drive Ca 94903 Related Committees Not Included in this Statement: Ustanycommittees 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. COMMITIEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITIEE? DYES D NO COMMITIEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITIEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITIEE? DYES D NO COMMITIEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE -PART 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO . OR LETIER JURISDICTION D SUPPORT o OPPOS E 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 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 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 o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Gary Phillips for Mayor 2015 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 B + 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 B 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 rever.;e $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ Amounts may be rounded to whole dollars. ColumnA TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 775 775 7275 775 6750 SUMMARY PAGE Statement covers period CALIFORNIA 460 FORM 01/01/17 from _________ _ 3 4 06/30/17 through _______ _ Page ___ of __ _ $ $ $ $ $ $ Column B CALENDAR YEAR TOTAL TO DATE 775 775 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). I.D. 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. Expenditures Made $ ____ _ $----- Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/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@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Gary Phillips for Mayor 2015 Amounts may be rounded to whole dollars. Statement covers period from ___ 0_1/_0_1_/1_7 __ _ through __ 0_61_3_0_/1_7 __ SCHEDULE E (CaNT.) CALIFORNIA 460 FORM page~ of _4 __ I.D. NUMBER 1376443 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc . campaign consultants contribution (explain nonmonetary)' civic donations candidate filing/ballot fees fund raising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE . ALSO ENTER 1.0. NUMBER) Camp Chance Marin Girls Teen Conference MBR MTG OFC PET PHO POL pas PRO PRT member communications meetings and appearances office expenses pelition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE OR Contribution cvc Contribution cvd * Payments that are contnbutlons or Independent expenditures must also be summanzed on Schedule D. 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 WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID 525 250 SUBTOTAL $ 775 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov