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)