HomeMy WebLinkAboutForm 460 - Gary Phillips for Mayor 2015 (2017-12-31)~ecip,ient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 711/17
through 12/31/17
Date of election if applicable ~
(Month, Day, Year)
1. Type of Recipient Committee: All Committees -Complete Parts 1,2,3, and 4. 2. Type of Statement:
o Preelection Statement
~ Semi-annual Statement
I!lI Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall
(Also Complete Parl 5)
o Ge neral Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee
3. Committee Information
COMMITIEE NAME (OR NAME IF NO
Gary Phillips for Mayor 2015
STREET ADDRESS (NO P.O. BOX)
CITY
San Rafael
STATE
Ca
o Primarily Formed Ballot Measure
Committee o Controlled o Sponsored
(Also Complete Pari 6)
o Primarily Formed Candidatel
Officeholder Committee
(Noo Complete Part 7)
1.0. NUMBER
1376443
ZIP CODE
94903
AREA CODEIPHONE
o Quarterly Statement
o Special Odd-Year Report o Termination Statement
(Also file a Form 410 Termination)
o Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O . BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
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 foregoing is true and correct.
Executed on -Dale
Executed on 1/23/17
Date
Executed on --Dale
Executed on
Dale
I , = ~ .
By _._ ... ~LI1~~ _______ O J_o_ ..... a. ___ _
By ~. __ J . _. ~ __ . ," __ "m __ ~_.~ __ ~n~'~_. __ ,-,_" u , .. _ ~ n_u.
By----------~~~~~~~?W~~~~~~~~~~~~~----------Signature of Controlling Officeholder, Candidate, State Measare Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
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
San Rafael Ca 94903
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.
COMMIITEE NAME I.D. NUMBER
NAME OF TREASURER CO NTROLLED COMMITTEE?
DYES o NO
COMMIITEE AD DRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMIITEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROLLED COMMIITEE?
DYES ONO
COMMIITEE 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 LEITER 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
1. Primarily Formed Candidate/Officeholder Committee Listnamesof
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 Form 460 (Jan/20I6)
FPPC Advice: advice@fppc.ca.gov (866/275-3172)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Gary Phillips
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 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 reverse $
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)
1450
1450
1450
6750
1450
5050
5050
SUMMARY PAGE
Statement covers period CALIFORNIA 460
FORM from 7/1/17
through 12/31/17 3 5 Page of __ _
$
$
$
$
$
$
Column B
CALENDAR Y EAR
TOTAL TO DATE
2225
2225
2225
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. Expenditures
Made $ ______ _ $-----
Expenditure limit Summary for State
Candidates
22 . Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
_--...J/~ __
~~--
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
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
Statement covers period
from 7/1/17
through 12/31 /17
SCHEDULE E
CALIFORNIA 460
FORM
Page _4_~ of __ 5_
I.D. NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code . Otherwise, describe the payment.
CMP
CNS
CTa
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 COMMITIEE. ALSO ENTER 1.0. NUMBER)
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage , delivery and messenger services
professional services (legal, accounting)
print ads
CODE OR
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
VOT voter registration
WEB information technology costs (internet , e-mail)
DESCRIPTION OF PAYMENT AMOUNT PAID
Marin History Museum History museum
C/O Gary Rigghanti cvc
San Rafael, California
Albert Park Restoration Support Park
San Rafael Community Center cvd
618 S Street, San Rafael, Ca
Secty State Form 410
Sacramento fil
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
1. Itemized payments made this period . (Include all Schedule E subtotals .)
2. Unitemized payments made this period of under $100 ...... ..
3. Total interest paid this period on loans . (Enter amount from Schedule S, Part 1, Column (e).) ...
4. Total payments made this period . (Add Lines 1, 2 , and 3. Enter here and on the Summary Page , Column A, Line 6 .)
500
500
50
SUBTOTAL $ 1050
$ 1450
$-----
. .......... $-----
TOTAL $ 1450
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
Amounts may be rounded
to whole dollars. Statement covers period
from 7/1/17
through 12131/17
SCHEDULE E (CONT)
CALIFORNIA 460
FORM
Page 5 of 5
1.0 . NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTS
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/mise.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising 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)
San Rafael Police Officers Association
San Rafael, Calif
San Rafael Public Library Foundation
San Rafael, Calif
Ritter Center
16 Ritter Street
San Rafael, Calif
Community Media Center of Marin
81 9 A Street,
San Rafael, Calif
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage , delivery and messenger services
professional services (legal, accounting)
print ads
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
VOT voter registration
WEB information technology costs (internet, e-mail)
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Support POA
cvc 100
Support Library
cvc 100
Non-profit; homeless and in need
evc 100
Non-profit; community media
cvc 100
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 400
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)