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HomeMy WebLinkAboutForm 460 - Gary Phillips for Mayor 2011 (2011-09-24)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 7-1-11 through 9-24-11 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1339680 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Gary Phillips for Mayor 2011 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) Date Stamp R :e d �K� .rte �e.� � �� �.e COVER PAGE I Page 1 of 29 For Official Use Only 2. Type of Statement: Ax ® 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 OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowl a 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 and correct. _ a _ Executed on September 29, 2011 Date Executed on September 29, 2011 Date Executed on Date Executed on Date By By By Signature of Co ,trolling Cf ceholder, Candidate, State Measure Proponent By Signature ofContro#mg Officeholder, Candidate. State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Type or print In ink. COVER PAGE - PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 1 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 RESIDENTIAUBU$INESS 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 vour candidacv. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? El YES El NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES F1 NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE(PHONE Page 2 of 29 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTIONSUPPORT I I [:1 E] 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 candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT UJOPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD El SUPPORT n OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] SUPPORT I I El OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January106) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Type or print In Ink. Amounts may be rounded Summafy Page to whole dollars. Statement covers period from 7-1-11 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE 24,295 6. Payments Made ....................................................... Schedule E, Line 4 $ through 9-24-11 Page 3 of 29 NAME OF FILER 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 10. Nonmonetary Adjustment .......................................... schedule C, Line 3 I.D. NUMBER Gary Phillips for Mayor 2011 1339680 Contributions Received Column Column 8 Calendar Year Summary for Candidates TOTALTHISPMOD "OLIATTACHMSCHEDULES) CALEMARYEAR TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A, tine 3 $ - 34,219 $ 34,219 2. Loans Received ... - ... ..... -- ............. .................. schedule B. Line 3 0 15,000 111 through 6130 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS .... -- ...... AddLmas1+2 $ 34,219 $ 49,219 20. Contributions Received $ $ - - 4. Nonmonetary Contributions .................................... schedule C, Line 3 - 2,652 2,652 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 36,871 $ 51,871 Made $ - $ Expenditures Made 24,295 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made ............................................................. Schedule H, tine 3 8. SUBTOTALCASH 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 tines 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 1, 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 S, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on revers-., $ 19. Outstanding Debts ......................... Add tine 2+LJne9in Column B above $ 24,295 $ 24,295 011 0 24,295 $ 24,295 0 0 2,352 2,352 26,647 $ 26,647 15,000 34,219 0 24,295 24,924, I N 15,000 To UdIWIdle 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* IN Subject to Voluntary Expenditure Lin -j" 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 (Januaryl05) FPPC Tolt-Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A Type or print In Ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. 7/101 CALIFORNIA 460 from FORM SEE INSTRUCTIONS ON REVERSE through 9/24/11 Page 4 of 29 NAME OF FILER I.D.NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED OF COWITTEE, ALSO ENTER 1.0, NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OFBUSIIIESS) IND I EICOM Teacher 8/1/11 Pi mww___ E]OTH 250 250 s San Rafael City Schools 100 1 100 wom��lf, 250 1 250 250 1 250 SUBTOTAL$ 1-J00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (include all Schedule A subtotals.) ............. .......................................................................................... $ 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ *Contributor Codes IND—individual 32,650 COM — Recipient Committee (other than PTY or SCC) 1,567 OTH — Other (e.g., business entity) PTY -Political Party SCC—Small Contributor Commit ze 34,217 FPPC Form 460 (January/06) FPPC Toll -Free Hetpline: 8661ASK-FPPC (8661275-3772) Lj PTY ri SCC V]IND 8/1/11 Oak Dowling EICOM Retired 4*PM,WWMW- El OTH San Rafael, CA 94901 El PTY E]SCC ®IND 8/2/11 Lyman Gilliland EICOM Retired EIOTH 1 ❑ PTY ❑ SCC VIINDM Barbara Heiler ❑EICO Retired 8/2/11 El OTH 94901 El PTY El SCC Jennifer Hewitt ®IND EICOM Writer 8/15/11 44!1111M LIOTH Self employed e 94901 E] PTY E]SCC 100 1 100 wom��lf, 250 1 250 250 1 250 SUBTOTAL$ 1-J00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (include all Schedule A subtotals.) ............. .......................................................................................... $ 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ *Contributor Codes IND—individual 32,650 COM — Recipient Committee (other than PTY or SCC) 1,567 OTH — Other (e.g., business entity) PTY -Political Party SCC—Small Contributor Commit ze 34,217 FPPC Form 460 (January/06) FPPC Toll -Free Hetpline: 8661ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink SCHEDULE A (CONT.) Monetary GontrMutions Received Amounts may be rounded statement covers period to whole dollars. CALIFORNIA# i 7/1/11 r from through 9/24/11 Page 5 of 29 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMiTTEE,ALSO ENTER ID.NUMSER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) Cyr Miller QCpM Retired 8/15/11 ❑OTH 250 250 S , C794 01 ❑ PTY -------- - -- ❑ SCC Neil Moran V1 IND ❑OT Attorney ---- 8116111 ` ❑ oTH Freitas, McCarthy00 Y 500 a , A 94901 ❑PTY ❑ SCC Paula Kamena l ®IND ❑COM Retired 8/16/11 500 500 ❑ OTH a `A 9494 ❑ PTY ❑SCC Wilfiam t3agley �coM IND Attorney 811611 1 ❑OTH Nassaman, LLP 500 500 A 94901 ❑ PTY ❑SCC -- of AI t3oro ID 910701) Friends — n ❑IND8!16/11 ®COM � ., , 500 500e l ❑OTH ril ❑ PTY ❑ SCC `Contributor Codes IND—Individual COM —Recipient Committee (other than PTY or SGC) ,OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee SUBTOTAL$ 2,250 ` FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statemep.0 covers period to whole dollars. 7/1/11 CALIFORNIA A6(9 from_r FOR through 9/24/11 Page 6 of 29 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMOTEE,ALSO ENTER LO. NUMBER) CODE OCCUPATION AND EMPLOYER (tF SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) ®IND Mar e E]COM Retired 8/16/11 *Bartoffini []OTH 250 250 Nova 0,494 PTY []SCC Diversified Realty 8/16/11 EICOM 250 250 V]OTH 4912 E] PTY EISCC Donald Leisey ®IND EICOM Retired 8/16/11 100 100 E]OTH 4901 EIPTY EISCC hn a V]IND E]COM Retired 8/16/11 ger 250 250 iJoitn'Tl a Bet, t" FJOTH El PTY EISCC William Brod V]IND EICOM Insurance ---- -------- - ------- -- 8/16111 W"ReW&MI, FJOTH Brody, Walsh & Brody 500 500 6704903 El PTY EISCC - -- ------------ - - ------------ -------- -------- ---------- - ----------- SUBTOTAL$ 1,350 *Contributor Codes It -to — Individual COM— Recipient Committee (other than PTY or SCC) -OTH — Other (e.g., business entity) PTY—Political Party SCC —Small Contributor Committee FPPC Form 460 (January106) FPpC Toff -Free Helpline: 8661ASK.FPPC (8661276-3772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In ink. SCHEDULE A (CONI) Amounts may be roundeditatenTent tat covers period CALIFORWA to whole dollars.ui � — 7/1/11 FORM 460 from *Contributor Codes IND — IndiVidual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Party SCC; — Small Contributor Committee SUBTOTAL$ 2'850 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) 9/24/11 7 29 through Page Of —NUMBER NAME OF FILER I.D. Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE Of: CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IP COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE (F SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I DEC. 31) (IF REQUIRED) OF BUSINESS) 66IND Dennis Fisco EICOM Attorney 8117/11 EJOTH Seagate Properties, Inc. 500 500 Mill Valley, CA 94941 El PTY El SCC Hanson Bridgett LLP EIIND ❑ — ----- 8117/11EICOM 1,500 1,500 San WFran,�i!cod"""M_05 VIOTH El PTY El SCC Jeanne Leoncini ®IND 000M Retired 8/17/11 250 250 EIOTH a a ae 01 El PTY El SCC Realty House RIND OL-]COMOTH 500 500 El PTY EISCC Ma Jane Burke ®IOD rjCOM Superintendent of 8/18/11 1�0% t #a E]OTH Schools 100 100 0 CA 94� o, El PTY Marin County Office of Ed El SCC *Contributor Codes IND — IndiVidual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Party SCC; — Small Contributor Committee SUBTOTAL$ 2'850 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be roundedStitemen periodcevers to whole dollars. CALIFORNIA 4^00 7/1/11 from FORM through 9/24/11 Page 8 Of 29 NAME O:FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED OFCOMMUTEE, ALSO ENTER 1.DJJUM8FR) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) Mic I ie VIND ICOM Retired Retired 8/18/11 A , "IE , E]OTH 100 San Rafael, CA 94903 E] PTY t=i -1 Gordon Manashil W1NDM Retired 8/18/11 1!6!!T1!af!!lW,-CA LICO 250 250 94901 I-JOTH [] PTY El SCC Marin Airporter BIND 8/18/11 COM 500 500 I"R"afliNkA W]OTH ff 94901 [] PTY EISCC Richard Matthews ©IND EICOM CPA 8/18/11 IN - M-,4903 []OTH Self employed 250 250 El PTY Ej-SCC John M ®IND CO EICOM Retired 8/18/11 EI 150 150 OTH CA 94132 [1 PTY E]SCC .Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) f"!TH — Other (e.g., business entity) PTY — Political Party SCC; —Small Contributor Committee SUBTOTAL$ 1,250 FPPC Form 460 (January1115) FPPC Toll -Free Helpline: 8661ASK-FPPC (866127637721 Schedule A (Continuation Sheet) Type or print in ink SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded —Statement covers period CAL*:ORNlA to whole dollars. 7/1/11 4 from FORM Page 9 of 29 - through 9/24/11 NAME OFFILER _ I. D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMITTEE, ALSO ENTER LD. NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OIND Louis Leoncini EICOM Garden services 8/19/11 "C-9%41 LIOTH Self employed 150 150 San Rafael, L] PTY Ej_SCC Lar JZ]IND [:]COM Retired 8/19/11 Iii" 150 150 4 San Tkf!7(",_!"KT_i903 E]OTH El PTY SCC Jeffrey Scho, ert - V]IND Attorney 8/19/11 11 �T_OTH E]EICOM Keegin, Harrison, et al 250 250 San Rafael, 94903 El PTY f—I SCC Fr VIIND L -]COM Retired 8120/11 nOTH 500 500 San Francisco, CA 94115 El PTY El SCC ------------- Joseph Ayoob IZIND EICOM Retired 8/22/11 - ' E]OTH 250 250 Fa 94903 El PTY L]SCC .Contributor Codes IND—Indivkfual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 1'300 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866IASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received 19 AKIN Gary Phillips for Mayor 2011 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/11 through 9/24/11 SCHEDULE A (CONT) Page 0 of 2-17- 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, AIM ENTER I.D. NUMBER} CODE CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OF BUSINESS) Retired Carney Campion ®IND EICOM 8/22/11 a""W't ❑[]OTH 100 100 San 903 El PTY DSCC Lyman Gilliland VIIND EICOM Retired 8/22/11 r] OTH 250 500 San a ael, CK 901 El PTY DScC John J. Grey VIIND F-1com Attorney 8/22/11 NO— W &d DOTH Self employed 250 250 gah-Anselmo, CA El PTY r1scC Michael Smith --1 -_ LAIND EICOM Real estate 8/22/11 4111-1 ", BOTHM.S.Smith Assoc 250 250 ori 0 96 CA 94901 El PTY nSCC Ronald Giambastiani VIIND FICOM Retired ------- ---- 8/23/11 18"W—We-6--&M W—W El OTH 100 100 aef, 6' El PTY El SCC SUBTOTAL$ 950 - - --------------- --------- - *Contributor Codes IND – Individual COM – Recipient Committee (other than PTY or SCC) O–H – Other (e.g., business entity) PTY – Political Party SCC –Small Contributor Committee FPPC Form 460 (January/05) FPPC Toff -Free Helpline: 8661ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.) W-netary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 4601 from 7/1/11 FORM through 9/24/11 Page I I of 7-? NAMEOFFILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME,'STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFSUSINESS) nd G ®INDIND EICOM Real estate broker 8/23111 A�reenblat E]OTH HL Commercial 100 100 San Rafael, CA 94901 E] PTY [J- SCC 8/23/11 J Dietrich Stroeh ®INDCivil EICOM engineer E]OTH CSW/Stuber-Stroeh 250 250 ovato, CA 94947 El PTY Group [:]SCC Alioto Fish Co. E]INID 8/24/11 E)COM 500 500 V]OTH an Francisco, CA 94133 OPTY - - -------- Uscc 8/24/11 Grego Chidlaw IZIND EjCOM Owner/manager FJOTH Chidlaw Financial 100 100 San Rafael, CA 94901 171 PTY E]SCC Michael Cronin VIINDM 000 Retired 8/24/11 L]OTH 250 250 an � at 3 PTY EISCC SUBTOTAL$ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Smat! Contributor Committee =1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 7/1/11 FORM 469", from through 9/24/11 Page 12- of 2-9 NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED rfF COMMITTEE. ALSO ENTER LD. NUMBER) CODE (IF SELF-UWLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFSUSIMSS) IZIND 8/24/11 David Green E)COM Retired 250 250 40 []OTH San Rafael, 94903 El PTY E]SCC Stephen Kinsey ®IND EICOM Supervisor 150 150 8124/11 411-MMolls, E10TH Marin County CA 94933 El PTY FISCC -- - ----- --- -- David Mitchell ®IND LICOM Retired 250 250 8/24/11 w il=a nOTH =e, CA 94903 n PTY []SCC Richard Nave ®IND EICOM Property management 8/24/11 "4a7W;77r,C'A DOTH Self employed 250 250 94901 EIPTY E1SCC Jack Nixon ®IND EICOM Retired 500 500 8/24/11 '40 "I KA E] OTH San Rafael, 9 4 9 0 3 El PTY E]SCC SUBTOTAL$ 1,400 .Contributor Codes IND — individual COM —Recipient Committee (other than PTY or SCC) O—A — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.) Monetary contributions Keceivea Amounts may be rounded Statement covers period towholedollars. 7/1/11 CALIFORNIA 460; from FORM Page AL of� through— 9124/11 NAME OF FI—LER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMMEE, ALSO ENTER LO. NLUSER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR R TO DATE . (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC.- 31) (IF REQU IRED) ®IND OIND OFEUSINESS) Maynard Wilms Retired 8/24/11 GOTH 250 250 San Rafael, CA 94903 El PTY LJSCC Joe Garbarino) BIND E]COM 8124/11 VIOTH 2500 3897 San Rafael, CA 94901 El PTY EISCC Terrel Mason ZIND LICOM Attorney 8126/11 DOTH Self employed 250 250 San Rafael, CA 94901 El PTY EISCC Michael Winter ------ VIiND L]COM Retired 8/26/11 e DOTH 250 250 San Rafael, El PTY EISCC Craig Yates VIIND FjCOM General contractor 8/26/11 IaMnalf!!, EJOTH Self employed 500 500 CPAOT60M El PTY EISCC *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e -q-, business entity) PTY — Political Party SCC —Small Contributor Committee SUBTOTAL$ 3,750 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (86612754772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 7/11/11 46, from FORM Through 9/24111 PageAt— 2 'L of - NAME OF FILER LD. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDWIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED (IFCOMMITTEE, ALSO ENTER W,NUMSER) CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) W]IND Kate Colin E]COM Homemaker 8/29/11 4 [j OTH 500 500 San Rafael, C f-1 PTY EISCC Peter Martin ®COM IND EI Retired 8/29/11 W "M 100 100 FJOTH6 San Rafael, CA94" F1 PTY LISCC Eleanor Zengler ®IND E]COM Retired 8/30/11 100 100 !S!an MafWel,TM94901 E]OTH ❑ El PTY EISCC Marvin Zwern ©IND PhysicianPhysician 8/30/11 A"Wo-w- I-IOTH 401 San Rafael Inc. 500 500 San Rafael, CA 94903 F-1 PTY EISCC S lk�. ®IND EICOM Homemaker - ---------- 8/31/11 ,6us�anPi []OTH 100 100 San Rafael, CA 94901 El PTY EISCG *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee SUBTOTAL$ 1,300 FPPC Form 460 (JanuaW05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In ink. SCHEDULE A (CONT.) Amounts may be rounded Statement covers period to whole dollars. i CALIFORNIA 7/1/11 FORM 46 from01 .Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — 'Nher (e.g., business entity) PTY — Political Party SCG—Small Contributor Committee FPPC Form 460 (January105) FPPC Tall -Free Helpline: 86fifASK-FPPC (8661276-3772) through 9/24/11 Page _W_ of NAME OF FILER I.D. NUMBER rt Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OF COMM"TEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE OF SELP-EMPLOYED, ENTER NAME PERIOD (JAN, 1 -DEC. 31) (IF REQUIRED) OF euslt'r-ss) EIIND Macphail Properties [:]Com 9/7/11 IZIOTH 250 250 94-filRafael, C797901 F] PTY F_1SCC Roger Smith VIIND EICOM Real estate 9/7/11 —E10TH Cornish & Carey 300 300 Sa'n-Rafael,ZX94901 E] PTY 0 SCC Max ThelenZIND EICOM Retired 9/7/11 � 500 500 rdriMA9�9�03 E10THF­l _Ra6el, PTY EISCC PhyllisI "ire - - - - ZIND LICOM Administrator 9/8/11 - - - 1 168MMe"l, "C"AS4903 EIOTH CCSF 250 250 7 El PTY 0SCC Stephanie Plant ®IND EICOM Real estate developer 9/9/11 "&6y, E10TH Cal -Pox, Inc. 500 500 94941 El PTY EISCC SUBTOTAL$ 1,800 .Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — 'Nher (e.g., business entity) PTY — Political Party SCG—Small Contributor Committee FPPC Form 460 (January105) FPPC Tall -Free Helpline: 86fifASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print In ink. Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 7/1/11 SCHEDULE A (CONT.) *Contributor Codes IND—Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee SUBTOTAL$ 1,800 FPPC: Form 460 (January106) FPPC Toll -Free Helpline: NWASK-FPPC (86612763772) through 9/24/11 Page. of NAME OFFILER I.D.NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL FULL NAME, STREET ADDRESS ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED Or COMMMEE. LSAND ENTER LD. NLIMSER) CODE OCCUPATION AND EMPLOYE R RECEIVED THIS CALENDAR YEAR TO DATE (W SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) tWJIND Bremante EICOM Retired 9/13/11 — E]OTH 500 500 Belvedere, CA 94920 EIPTY E]SCC S&N C Company -Sonoma []IND []IND 9/13/11 100 100 VIOTH Sonoma, CA 95476 El PTY & " LT SiN"D ---E1SCC []IND — -------- 9/13/11 LICOM 100 100 VIOTH onoma, CA 95476 Sonoma, 7- FIPTY EISCC- Sonoma Marketplace 11 E] IND 9/13/11 OCOM 100 100 W]OTH Sonoma, CA 95476 EIPTY EISCC Mark Nelson ZIND FICOM Investor 9/15/11 1 -111111111110 E]OTH Self employed 1,000 1,000 San Rafael, CA 94903 E]PTY EISCC *Contributor Codes IND—Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee SUBTOTAL$ 1,800 FPPC: Form 460 (January106) FPPC Toll -Free Helpline: NWASK-FPPC (86612763772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. SCHEDULE A (CONT.) Amounts may be rounded Statome,.t covers period to whole dollars. 7/1/111 CALIFORNIA 46 from FORM E .Contributor Codes IND—Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Party SCC —Small ContributorCommittee SUBTOTAL$ 2,300 FPPC Form 460 (Januaryi06) FPPC Toll -Free Helpline: 8661ASK-FPPC (86612763772) through 9124/11 Page j7-- ofd NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (fFCOWITTEE, ALSO EWER J.D_ NUMBER) CODE OF SEF -EMPLOYED. ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 9/15/11 Jim Placak ®ICOM Retired 250 250 EIOTH 1 San Rafael, CA 94903 El PTY El SCC John Bennett ®CND9/16/11 E]COM Attorney 100 100 -- 01� I I I@ 'we (JOTH Laughlin, Falbo, et al San Rafael, CA 94903 n PTY EISCC William Cranford VIIND ElcOm Real estate agent 200 200 9/16/11 :d E]OTH Cornish & Carey Novato, CA 94947 P Pry 0SCC Marin Professional Firefighters PAC (#930791) EIIND ©COM 9116/11 h 111 -511— 1 [7jOTH 1000 1000 Sacramento, CA 95814 [3 PTY 05CC Gary Ragghianti L&NID EICOM Attorney 750 750 9/16/11 EJOTH Self employed San Rafael, CA 94901 E] PTY EISCC .Contributor Codes IND—Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Party SCC —Small ContributorCommittee SUBTOTAL$ 2,300 FPPC Form 460 (Januaryi06) FPPC Toll -Free Helpline: 8661ASK-FPPC (86612763772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be re..Inded Statement covers period to whole dollars. CALIFOR41A from 7/1/11 FORM 460 through 9/24111 Page —UL— of NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (F COMMITTEE, ALSO ENTER 1,13 NLURER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE W SELF-EMPLOYED, EWER NWE PERIOD (JAM 1 - DEC. 31) (IF REQUIRED) oFeLziNess) EIIND San Rafael Firefighters PAC (#891308) ®COM 9/16/11 adown" 9, E]OTH 1,000 1,000 San Rafael, CA 94912 rl PTY E]SCC Lawrence Brackett ®IND FICOM Owner 9/19/11 ----- - - ---- E EIOTH Breniar Investments 10 0 100 Sonoma, CA 95476 El PTY EISCC Arthur Faibisch ®IND EICOM Owner 9/20/11 EJOTH ADF Research 100 100 San Rafael, CA 94901 El PTY EISCC WEA Consulting []IND r-IOTH COM 9120/11 0 O 100 100 San Rafael, CA 94901 El PTY 0SCC Dorothy Breiner ®IND EI COM Retired 9/21/11 100 100 -mw❑ *m4app pso EIOTH San Rafael, CA 94901 Li PTY El SCC SUBTOTAL$ 1,400 J, *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK+PPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Saternent covers period- 7 CALIFORNIA to whole dollars. 7/1/11 4 6 0"! from FORM i through 9/24/11 Page of NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (WCOMMITTEE. ALSOENTER I.D. NUMBER) CODE (IFSELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) or BUSNESS) ®IND John Harrington CPA CPA 9/21/11 —!1 PPUPOOMI'' r BOTH Self employed 200 200 Tiburon, CA 94920 El PTY EISCC Phillip Abey VI IND 000M Architect 9/22/11 1111 —4 i iimq— BOTH Abey Arnold Assoc 250 250 San Rafael, CA 94901 El PTY El SCC BIND LjCOM BOTH B PTY EISCC David Walsh VIINDM I ]CO Insurance 9/22/11 M Pq BOTH Brody, Walsh & Brody 250 250 San Francisco, CA 94111 B PTY Uscc --ff1N—D EICOM Nelson & Assoc 9/23/11 100 100 LA OTH Sonoma, CA 95476 El PTY EISCC SUBTOTAL$ 800 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC; — Small Contributor Co mmitkee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (86612763772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) NioneTary Contributions eceived Ar unts tmy Do roundedt nt covers period towholedollars. CALIFORNIA 6 horn 7/1111 FORM Page 2.0 of -Z —C] through 9/24/11 NAME OF FILER LD. NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOLMTTEE,ALWENTIERI.1).NLU13ER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OFSUS NESS) PERIOD (JAN. I - DEC. 31) (IF REQUIRED) Law Office of Perry Litchfield BIND 9/23/11EICOM 1801mr- �'--t OOTH 1,000 1,000 San Rafael, CA 94901 E) PTY EISCC --BIND San Rafael Chamber Candidates PAC 9/23/11W 1104, 000M 3,000 3,000 —M) BOTH 817 Mission St, San Rafael, CA 94901 E] PTY E]SCC EIND E)COM BOTH E] PTY E) SCC E] IND E]COM BOTH E] PTY []SCC —EIND E]COM BOTH C] PTY EISCC SUBTOTAL$ 4,000 .Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (JanuarytO61 FPPC Toll -Free Helpline: OWASK-FPPC (8661276-3772) e or rint In in SCHEDULE B - PART I Schedule B — Part I Amounts may be rounded Statement covers period Loans Received to whole dollars. 7-1-11 CALIFORNIA 460 from FORM through 9-24-11Pae of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Of OUTSTANDING 'BALANCE (b) AMOUNT AMOUNTPAtD OUTSTANDING BALANCEAT INTEREST ORIGINAL CUMULATIVE OF LENDER (IF SELF-EMPLOYED, EWER BEGINNING THIS [RECEIVED THIS V OR FORGIVEN OR FORGIVEN CLOSE OFTI-its ;t PAID THIS D 7PERIOD AMOUNTOF CONTRIBUTIONS NWEOFBUSINESS) PERIOD PERIOD THIS PERIOD* PE I D lot) 7 LOAN TO DATE Gary Phillips Certified Public Acct. E] PAR) CALENDAR YEAR 118 Elda Drive DZH Phillips $ 0 $ 15,000 0 % s-15—,000 1, 15,000 FORGIVEN PER ELECTION** San Rafael, CA 94903 999 Fifth Ave, #320 RATE tVI IND Ej COM E) OTH E] PTY E] SCC_ San Rafael, CA 94901 $ 15,000 $ 0 $ 0 $ 6130/11 DATE INCURRED DATE DUE PAO CALENDARYEAR El FORGWEN PERELECTtON- RATE $ $ s $_ $_ — — DATE DUE — DATE INCURRED tc] IND El COM El OTH 0 PTY El SCC E) PAID CALENDAR YEAR ❑ FORGIVEN PEREUECTJON— RATE I 6ATEINCURRED tE] IND El COM El OTH 0 PTY 0 SCC DATE DUE SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period ............................................. ............................ __ ............. ........................ $ (Total Column (b) plus unitemized loans,of less than $100.) 2. Loans paid or forgiven this period ................................................................. - ...................... ............... $ (Total Column (c) plus loans under $ 100 paid or forgiven.) (include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................................. Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. — If required. .......................... NET $ 0 (Mey te a negative na ter) _(E_nt_e r (e) an ScheduleScheckde E, Line 3) tContributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (JanuaryI05) FPPC Toll -Free Helpline: 86WASK-FPPC (8661275-3772) Schedule C _ Type v,print mink._ . ou*EooLsu Amounts may be roun Nunmonetary Contributions Received to whole dollars. Statementcovers period CALIFORNIA from 7-1-11 FORM 9-24-11 22 29 SEE INSTRUCTIONS ON REVERSE through Page of mAME OF Fit PR LD,NUMBER Gary Phillips for Mayor 2011 1339680 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIRMARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMIAT TEE, ALSO ENTER I.D. NUMER) CODE (Ir SELr-EMPLOYED, ENTER NAM OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) IF REQUIRED) EIIND 9-19-11 Row 11 Wine Co. EICOM Wine 911 91, ZOTH EIIND 9-14-11 Marin Resources EICOM Campaign Signs 1,397 3,897 565 Jacoby Street U10TH San Rafael, CA 94901 EIPTY EISCC EIIND 8-24-11 Big Cat Advertising EICOM Staffing by 2 300 300 10 Commercial Blvd., Suite 210 VOTH employees for Novato, CA 94949 EIPTY campaign event EIIND EICOM EIPTY EISCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 2,608�--, Schedule Summary Contributor Codes 1 Amuu��rece�md\h\apeAod-dem�ednunmone�xyconthbut�ne. ' 2.O08 (Include a8Schedule Coub�t�j.--------''------.-----------------------$ COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period - uniternized nonmonetary contributions of less than $100 ............ ................. $ 44 OTH - Other (e.g., business entity) PTY - Political Party 3 7��|nonmon*�ryoo�hboUonunmekmdOh�oper�d. ' 2�53 SCC - Small Contributor Committee ° (Add Unen1and 2. E�erhere and onthe Summary Page, Cu|umnnA.Unos4and 10) --------.TOTAL $ ' ' FPPCForm oe(Janu pppCToll-Free *vlpmnv:omoomSm-Fppo(8eomr5-3r7z Schedule E Type or print in ink. Statement covers period Amounts may be rounded Payments Made to whole dollars. from 8-1-2011 SEE INSTRUCTIONS ON REVERSE Gary Phillips for Mayor 2011 through 9-24-2011 1 Page 23 of 29 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1339680 CNP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs GNS campaign consultants IATG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL Lv. or cable airtime and production costs FIL candidate filing/ballot fees PHD phone banks TRC candidate travel, lodging, and meals F D fundraising events POL polling and survey research TRS statfispouse travel. lodging, and meals IKD independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidateisponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads UVEB information technology costs (internet, a -main NAME AND ADDRESS OF PAYEE (lF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Sig Cat Advertising I Campaign management, printing, Internet name CNS registration, web hosting, postage 1,596 Novato, CA 94949 Inner Workings / LIT 458 Pasadena, CA 91189 City of San Rafael FIL 764 San Rafael, CA 94901 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,818 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ................. .............. ................................ ...... $ 24,139 2. Unitemized payments made this period of under $100 ..................................................... ............ $ 156 3. Total interest paid this period on loans. (Enter amount from Schedule 8, 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 $ 24,295 FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Muelrath Public Affairs, Inc. E (GONT.) (Continuation Sheet) Type or print in inkSCHEDULE Amounts may be rounded Statement covers period CALIFORNIA Payments Made 2,122 to whole dollars. 8-1-2011 from111 • ` Marin Independent Journal through 9-24-2011 Page 24 29 SEE INSTRUCTIONS ON REVERSE PRT 1,515 of NAME OF FILER Marin Bocce Federation I.D. NUMBER Gary Phillips for Mayor 2011 FND 1339680 CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs Ct4S 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 FL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FID fundraising events POL polling and survey research TRS staifispouse travel, lodging, and meats W independent expenditure supportingtopposing 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 10. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Muelrath Public Affairs, Inc. Voter Data from City of San Rafael 3 2,122 Santa Rosa, CA 95404 Marin Independent Journal PRT 1,515 San Rafael, CA 94903 Marin Bocce Federation FND 100 San Rafael, CA 94901 San Rafael Joe's . FND 1,063 San Rafael, CA 94901, Marin Independent Journal PRT 551 San Rafael, CA 94903 * Payments that are contributions or independent expenditures must also be summarized on Schedule O. SUBTOTAL $ 5,351 FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA �, II i Payments Made advertising to whole dollars. 8-1-2011 from • ` inner Workings through 9-24-2011 Page 25 of 29 SEE INSTRUCTIONS ON REVERSE LIT 189 Pasadena, CA 91189 NAME OF FILER Federal Express LD.NUM9ER Gary Phillips for Mayor 2011 POS 1339680 CODS: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMS' campaign paraphernalia/misc. hM 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 FET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meats FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals W 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 ("at, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (Ir COMMrrTEE, ALSO ENTER 1.0. NUMSER} CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Big Cat Advertising Campaign paraphernalia, staffing for event, print advertising 725 Novato, CA 94949 inner Workings LIT 189 Pasadena, CA 91189 Federal Express POS 241 Marin National Women's Political Caucus CTB 100 Kentfield, CA 94914 Muelrath Public Affairs, Inc. Professional fee, postage, campaign paraphernalia 11! 11 PLW 3,805 Santa Rosa, CA 95404 " payments that are contributlons or independent expenditures must also be summarized on Schedule D. SUBTOTAL_ $ 5,060 FPPC Form 460 (January/051 FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made Qi Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from through SCHEDULE E (CONT:) Page 26 of 29 t_D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernaliatmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MfG meetings and appearances RFD returned contributions CTE! contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PEi' petition circulating TEL t.v. or cable airtime and production costs Fit- candidate fifinglbaliot fees PFK) phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals W independent expenditure supportingiopposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor 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.E. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Inner Workings LIT 1,566 Pasadena, CA 91189 AD -Vantage Marketing, Inc. cr,. LIT 222 Santa Rosa, CA 95401 SC Design LiT 1,580 Santa Rosa, CA 95401 Belaire Displays 01111itete LIT 2,061 IC mond, CA 94804 Big Cat Advertising Campaign consultants, photography, campaign --6 -NOW Ili Fillliterature 2,620 Novato, CA 94949 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL. $ 8,049 FPPC Form 460 (Januaryt06) FPPC Toll -Free Helpline: 8661ASK-FPPC (866f2764772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 8-1-2011 through 9-24-2011 SCHEDULE E (CONT.) Page 27 of 29 NAME OF FILER I I.D. NUMBER Gary Phillips for Mayor 2011 1339680 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernaliatmisc. MW member communications , RAD radio airtime and production costs CNS campaign consultants NITG meetings and appearances RFD returned contributions GIB 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 meats FID fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meats M independent expenditure supportingfopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMnTEE, ALSO ENTER I.D. NIJUBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID AD -Vantage Marketing, Inc. LIT 2,270 Santa Rosa, CA 95401 Barbara Squires -! QFC 135 Greenbrae, CA 94904 Barbara St wires , SAL 320 Greenbrae, CA 94904 Intuit OFC 136 Milton, WA 98354-1659 * Payments that are contributions or Independent expenditures must also be summarized on Schedule O. SUBTOTAL $ 2,861 FPPC Form 460 (January/45) FPPC Tofl-Free Helpline: 86WASK-FPPC (8661275-3772) Schedule G CODE OR DESCRIPTION OF PAYMENT Type or print In ink. Stuart Lirette ...... Novato, CA 94949 SCHEDULE G CALIFORNIA I 460 Payments Made by an Agent or Independent Amounts may be rounded period statement covers p Contractor (on Behalf of This Committee' to whole dollars. from 7-1-11 FORM through 9-24-11 Page 28 of 29 SEE INSTRUCTIONS ON REVERSE NAME OFFILER I.D. NUMBER Gary Phillips for Mayor 2011 1339680 NAME OF AGENT OR INDEPENDENT CONTRACTOR Big Cat Advertising CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemahatmisc. K4BR member communications RAD radio airtime and production costs GNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries GVC civic donations PET petition circulating TEL Lv. or cable airtime and production costs FIL candidate Mingiballot fees PHO phone banks TRC candidate travel, lodging, and meals FID fundraising events POL polling and survey research TRS staffispouse travel, lodging, and meals W independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads Vk" information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER 1-0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Stuart Lirette ...... Novato, CA 94949 Photography 975 Attach additional information an appropriately labeled continuation sheets. TOTAL* $ 975 Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (Januaty106) FPPC Toll -Free Helpline: 866tASK-FPPC (86612754772) Schedule G Payments Made by an Agent or Independent Contractor (nn Behalf of This Committee) Type or print in Ink. Amounts may be rounded Statement covers period to whole dollars. from 7-1-11 SEE INSTRUCTIONS ON REVERSEthrough 9-24-11 Page 29 of 29 NAME OF FILER ))) I.D. NUMBER Gary Phillips for Mayor 2011 1339680 NAME OF AGENT OR INDEPENDENT CONTRACTOR Muelrath Public Affairs, inc. CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/mise. iVER member communications RAD radio airtime and production costs GNS campaign consultants NfTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries GVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FR_ candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL potting and survey research TRS staff/spouse travel, lodging, and meals W 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 PRf print ads WEB information technology costs (intemet, e-mail) *Payments that are contributions or Independent expenditures must also be summarized on Schedule D. NAMEAND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER 1,0NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Garrett Enterprises Limited Voter Data and Lists 2,122 a y Clty, GA 94015 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 2,122 Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (JanuarylOS) FPPC Tog -Free Helpline: 1166/ASK-FPPC (86612753772)