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HomeMy WebLinkAboutForm 460 - Gary Phillips for Mayor 2015 (2018-12-31)Recipient Committee COVER PAGE Campaign Statement ( 1UJ ism= Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from ..�. 7/1/18 through 12/31/18 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ElGeneral Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee InformationI I.D. NUMBER _ 1376443 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Gary Phillips for Mayor 2015 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael ca 94903 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 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 o y k certify under penalty of perjury under the laws of the State of California that the foregoing is trtnd ( Executed on 1/2/19 Date Executed on 1/2/19 Date Executed on Date Executed on Date By By By Date of election if appli (Month Day, Year) JA'! 2 2019 ...._ of 5 r Official Use Only JCITY CLERK'S OFFICE 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement 1Z Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Gary Phillips MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Rafael ca 94903 NAME OF ASSISTANT TREASURER, IF ANY MAILINGADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL. FAX/ E-MAIL ADDRESS information contained herein and in the attached schedules is true and compete. I or or By Signature of Controlling Officeholder. Candidate State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Gary Phillips for Mayor 2015 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) Mayor City of San Rafael RESIDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) 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. UUMMI I I EE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE STREETADDRESS (NO P. CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO AUUKESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO, OR LETTERI JURISDICTION El 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 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 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 e, 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 Amounts may be rounded to whole dollars. Statement covers period from 7/1/18 through Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 0 0 $ Add Lines 6 + 7 $ O 0 0 0 $ 0 0 0 C 6. Payments Made................................................................ Schedule E, Line 4 $ 1200 $ 1700 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 1200 $ 1700 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 0 10. Nonmonetary Adjustment......................................................... Schedule c, Line 3 0 0 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ 1200 $ 1700 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 4550 To calculate Column B, 13. Cash Receipts........................................................... Column A, Line 3 above 0 add amounts in Column 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 A to the corresponding amounts from Column B 15. Cash Payments......................................................... Column A, Line 8 above 1200 of your last report. Some 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 3350 amounts in Column A may be negative figures that If this is a termination statement, Line 16 must be zero. should be subtracted fromprevious period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Part 2 $ 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 3350 any). 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 SUMMARY PAGE 12/31/18 page 3 of 5 I.D. NUMBER 1376443 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 $ 0 $ 0 21. Expenditures Made $ 500 $ 1200 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 Amounts may be rounded to whole dollars. Statement covers period from 7/1/18 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 12/31/18 page 4 of 5 — NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 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. NUMOFR) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID San Rafael Police Officers Association Check San Rafael Porch Fest Check Marin History Museum Check San Rafael, Calif 94901 cvd 500 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 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 B, 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.) . 1000 ....................................... $ 0 ....................................... $ 0 .......................... TOTAL $ 1000 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 FI Gary Phillips for Mayor 2015 Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period CALIFORNIA from 7/1/18 FORM through 12/31/18 5 5 Page of _... 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 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 FIL civic donations candidate filing/ballot fees PET petition circulating TEL t.v. or cable airtime and production costs FND fundraising events PHO POL phone banks polling and survey research TRC TRS candidate travel, lodging, and meals 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 AEOF PAYEE (IF COMMITTEE ALSO ENTER I D NUMBER) L50 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Secty of State Sacramento, Calif fil Form 460 200 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 200 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772)