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Home My WebLink AboutForm 460 - Gary Phillips for Mayor 2011 (2011-09-24) AmendmentRecipient 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 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) E] General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information Gary Phillips for Mayor 2011 F-1 Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) Date Stamp I.D.NUMBER Treasurer(s) 1339680 NAME OF TREASURER Richard Kalish STREET ADDRESS (NO P.O. BOX) NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my kn ledge 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 t Executed on October 24C 2011 By Date Signat�Vibsurer or Assisi -ant Treasurer Octobers 6, 2011 Executed on By Date Signature Odnrtrrofinq (Dffico.older Cancodate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature ofCo,-,trolfingO'fc holder, Canaidater State Measure Proponent Executed on Date By Signature o'Controffing Officehc1der, Candidate State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) State of California Type or print in ink. COVERPAGE-PART2 Recipient Committee CALIFORNIA Campaign Statement ,RM 4 • 1 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 40 RESIDENTIALBUSINESS 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. 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 COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) Page 2 of 4 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I 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 ❑ 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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS owREVERSE Type or print in ink. Amounts may o,rounded mwhole dollars. NAME orFILER Gary Phillips for Mayor 2O11 Column Contributions Received ,mx°IS~ERIo (FROM ATTACHED SCHEDULES) 1, Monetary Contributions '-----------. Schedule ^ Line a $ 34219 * �� 2. Loans Received ------------------ uo��un a v �� J, GUBTOlALCAOHCONTR|BUTONO --------. Add Lines /,c $ 34219 $ 4. Nonmonetary Contributions ...... ............................. Schedule C,Line o 2652 5. TOTAL CONTRIBUTIONS RECEK/ED .............. ............ Add Lines ow $ 36871 u Expenditures Made mcalculate Column B, add §. Payments Made ... ------------........ ... Schedule eLine 4 $ 7. Loans Made ........................ -----...... ---... Schedule uLine o O. 8UDTOlALCA8UPAYMENTS ... ...................... —.... Add Lines 6~r $ 9. 8unmed Expenses (Unpaid BUls)----------.uchedule F Line o 1O.NonmnnetaryAdjustment ............ ............................. Schedule C, Line 11.TOTAL EXPENDITURES MADE ................ ...... ........ Add Lines o~o~m * ".oUrxt:,oLvodbmOmmW11mL1mu 12. Beginning Cash Balanoo—........ ___ .... Previous Summary Page, Line m u ~�~ 13.Cash Receipts ................................................. Column A. Line 3above 14. MisoeUoneous|nureaaee»oCaoh--------- Schedule , Line * 15.Cash Payments ................................. --...... ... Column A.Line oabove 16. ENDING CASH BALANCE ---�Add Lines o+/a~^^then subtract Line 1a $ If this isatermination statement, Line 10must oozero. Cash Equivalents and Outstanding Debts 18. CaehEquivulenta-------------. See instructions on reverse $ 19. Outstanding Debts ... ....... AddLine 2 +Line 9in Column B above $ 33271 $ 0 33271 o 2852 35923 $ SumMARYPAGE Statement covers period from 7-1-11 A-24-11 through| Page ---� m --- Column CALENDARYEAR TOTALmDATE 34219 15000 49219 2652 51871 33271 33271 2652 35823 15000 mcalculate Column B, add 3*2/9 amounts mColumn xmthe corresponding amounts- from Column omyour last 33271 report. Some amounts m Column xmay uonegative /5948 figures that should un subtracted from vmvm"v period amounts. nthis |n the first report being filed 0 for this calendar year, only carry over the amounts from Lines z. 7.and e(if ----------- any).15000 U Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 7/1 to Date 20. Contributions Received $________'$ 21. Expenditures | Moun $_--______. $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject toVoluntary Expenditure Limit) Date ufElection Total mDate (mm/dd/yy) |$________ | Amounts mmissection mauedifferent from amounts reported in Column B. FPPC Form 460(J^nuary/05) pppcToll-Free Helpline: oanmuwFppo(8aomrsarr2) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Gary Phillips for Mayor 2011 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7-1-11 through 9-24-11 Page 4 of 4 I.D. NUMBER 1339680 A CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL 10 candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) ■ NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER rD.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Big Cat Advertising Campaign consultants, information technology; 10 Commercial Blvd., Suite 210 photography 6476 Novato, CA 94949 Precision Politics 1512 Branch Avenue CNS 2500 Simi Valley, CA 93065 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 8976 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 33115 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 156 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 $ 33271 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)