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Home My WebLink AboutForm 460 - Kate Colin for City Council 2017 (2018-06-30)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 1/1/2018 through 6/30/2018 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1357514 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Re -Elect Kate Colin for San Rafael City Council 2017 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 MAILING ADDRESS (I DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Date of election if appy (Month Day, Year) Al "— gagaF W JUL 1 1 2018 -CITY CLERK'S OFME L,,jVER PAGE 1 of 4 Oficial Use Only 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Richard Kalish MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 NAME OF ASSISTANT TREASURER IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94915-0817 OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of knowledge 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 an orr t. — 0, 1-1 //—n f Executed on July' 2018 Date Executed on JUIyA, 2018 Date Executed on Date Executed on Date By By ! By Signature of Controlling Officeholder Candidate State Measure Proponent By Signature ofControlingOfficeholder Candidate State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Type or print in ink. COVER PAGE-PART2 Recipient Committee CALIFORNIA Campaign Statement FORM ' • 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 ZIP San Rafael, CA 94901 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? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMM ITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidates) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE Page 2 of 4 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ 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 candidates) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [-]SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-7772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re -Elect Kate Colin for San Rafael City Council 2017 Amounts may be rounded to whole dollars. Statement covers period from 1/1/2018 through Expenditures Made Column A Column Contributions Received $ TOTAL THIS PERIOD CALENDAR YEAR 7. Loans Made....................................................................... Schedule H, Line 3 (FROM ATTACHED SCHEDULES) TOTAL TO DATE 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 0 0 1. Monetary Contributions................................................... Schedule A, Line $ $ 0 10. Nonmonetary Adjustment......................................................... Schedule C. Line 3 0 0 2. Loans Received................................................................ Schedule B, Line 3 575 $ 575 Current Cash Statement 0 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ To calculate Column B, 13. Cash Receipts........................................................... Column A, Line 3 above 0 0 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 A to the corresponding 14. Miscellaneous Increases to Cash .................................. Schedule I, Line 4 0 0 5. TOTAL CONTRIBUTIONS RECEIVED..................................Add Lines 3+4 $ $ of your last report. Some amounts in Column A may Expenditures Made 6. Payments Made................................................................ Schedule E. Line 4 $ 575 $ 575 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 575 $ 575 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 0 10. Nonmonetary Adjustment......................................................... Schedule C. Line 3 0 625 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+e+10 $ 575 $ 575 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 11818 To calculate Column B, 13. Cash Receipts........................................................... Column A, Line 3 above 0 add amounts in Column 0 A to the corresponding 14. Miscellaneous Increases to Cash .................................. Schedule I, Line 4 amounts from Column B 15. Cash Payments......................................................... Column A, Line 6 above 575 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 11243 be negative figures that should be subtracted from If this is a termination statement, Line 16 must be zero_ previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ 0 filed for this calendar year, ................................ only carry over the amounts Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts Ifrom 0 any). 18. Cash Equivalents ................................................ See instructions on reverse $ i 19. Outstanding Debts .............................. Add Line 2 +Line g in Column B above $ 0 SUMMARY PAGE 6/30/2018 page 3 of 4 I.D. NUMBER 1357514 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 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 Total to Date (mm/dd/yy) '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 Re -Elect Kate Colin for San Rafael City Council 2017 Amounts may be rounded to whole dollars. Statement covers period from 1/1/2018 through 6/30/2018 SCHEDULE E Page 4 of 4 I.D. NUMBER 1357514 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/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 workers' 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 (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 COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID California Secretary of State FIL 200 U.S. Postal Service D Street POS 140 San Rafael, CA 94915 Marin Forum P.O. Box 1322 MTG 235 San Rafael, CA 94915 ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 575 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).......................................................................... .................................. $ 575 2. Unitemized 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 $ 575 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov