The URL can be used to link to this page

Home My WebLink AboutForm 460 - Gary Phillips for Mayor 2015 (2019-12-31)COVER PAGE Recipient Committee Mal Wj_ CITY STATE ZIP CODE AREA CODE/PHONE San Rafael Ca 94903 OPTIONAL: FAX/ E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Gary Phillips MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE San Rafael Ca 94903 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of knowledge a 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 trued correct. Executed on 1/30/20 By Date Executed on 1/30/20 By Date or Executed on BY Dale Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on BY Date Signature of Controlling Officeholder, Candidate, Slate Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Gary Phillips for Mayor 2015 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor - City of San Rafael RESIDENTIAUBUSI NESS ADDRESS (NO. AND STREET) CITY STATE ZIP San Rafael, Calif. 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. I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page 2 of 6 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 Listnamesof 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 To calculate Column B, Amounts may be rounded SUMMARY PAGE 6. Payments Made................................................................ Schedule E, Line 4 $ 268 $ Page 7. Loans Made....................................................................... to whole dollars. 0 statement covers periodCALIFORNIA 460'i Summary 318 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 7/1/19 - ,' Schedule c, Line 3 185 185 11. TOTAL EXPENDITURES MADE........................................Add from 453 $ • through 12/31/19 page 3 of 6 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER Gary Phillips for Mayor 2015 1376443 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 111 through 6/30 7/1 to Date 0 0 2. Loans Received................................................................ Schedule B, Line 3 0 0 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 185 185 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 185 185 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ $ Expenditures Made To calculate Column B, 185 add amounts in Column 6. Payments Made................................................................ Schedule E, Line 4 $ 268 $ 318 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 268 $ 318 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 0 10. Nonmonetary Adjustment......................................................... Schedule c, Line 3 185 185 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+9+10 $ 453 $ 503 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Faye, 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 B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above $ 3300 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (Ir 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) FPPCAdvice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov To calculate Column B, 185 add amounts in Column 0 A to the corresponding amounts from Column B 453 of your last report. Some amounts in Column A may 3032 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 3032 any). 0 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (Ir 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) FPPCAdvice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Sr_hPrlulP C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received to wnoie sonars. Statement covers periodF . 1 . from 7/1/19 of 6 through 12/31/19 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1 1376443 DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * (IF SELF-EMPLOYED. ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF REQUIRED) (IF COMMITTEE, ALSO ENTER I.O. NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) El IND The Dutra Group ® COM Fruit basket 75 75 12/10/19 2350 Kerner Blvd., Ste 200 [-1OTH San Rafael ❑ PTY ❑ SCC ❑ E] IND Mercedes Benz of Marin COM Bottle of wine 60 60 12/15/19 West Francisco Blvd ❑ OTH San Rafael, Calif ❑ PTY ❑ SCC Maaryam & Henry Kafaii �❑ COM IND Persian Society of Box of candies 50 50 12/15/19 142 Oak Shade Lane F-1 OTH Marin Novato, Calif 94945 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 185 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)..............................................................................................•----..............-----$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..................................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ "Contributor Codes IND — Individual 185 COM — Recipient Committee (other than PTY or SCC) 0 OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 185 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summa of Expenditures Amounts may be rounded Summary p Statement covers period e " to whole dollars. Supporting/Opposing Other 7/1/19 1 " Candidates, Measures and Committees from through 12/31/19 page 5 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Gary Phillips for Mayor 2015 1376443 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OR COMMITTEE Damon Connolly ® Monetary Contribution 7/9/19 Marin County Supervisor Contribution 250 250 ❑ Nonmonetary Contribution ❑ Independent 0 Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 250 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 250 2. Unitemized contributions and independent expenditures made this period of under $100.................................................................................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL.. $ 250 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 Gary Phillips for Mayor 2015 Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA .1 from 7/1/19 FORM through 12/31/19 Page 6 of 6 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 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 Damon Connolly Campaign contribution Marin Supervisor CTB 250 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.).............................................................................................................$ 250 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 18 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 $ 268 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov