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Home My WebLink AboutForm 460 - Gary Phillips for Mayor 2015 (2021-12-31); AmendmentRecipient Committee a I Campaign Statement PD " IE�a r� Cover Page Statement covers period Date of election i abl� R 2 5 2022 7/1/2021 (Month, Ela , Year from ��!! p SEE INSTRUCTIONS ON REVERSE through 12/31/2021 CITY C ERK'S OFFICE 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Palltical Party/Central Committee 3. Committee Information UUMMITTI:E NAME (OR CANDIDATE Gary Phillips for Mayor 2015 ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER ITTEE) STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE San Rafael Ca 94903 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 2. Type of Statement: COVER PAGE Page 1 of 5 For Official Use Only ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Added detailed addresses for contributions made. 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 MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL. FAX/ E-MAIL ADDRESS 4. Verification By By Signature of Controlling Officehotdar, Candidate, State 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 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE Gary Phillips OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor - City of San Rafael RESIDENTIAL/BUSINESS 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ 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 ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 5 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 candidefe(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 I 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 Amounts may be rounded to whole dollars. Contributions Received Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ . 550 7. Loans Made-. .......... .............. Schedule H, Line 3 0 ............................................ 8. SUBTOTAL CASH PAYMENTS ......:................................ Add Lines 6+7 $ 550 9. Accrued Expenses (Unpaid Bills) ..............................:.:...:..... Schedule F Line 3 0 10. Nonmonetary Adjustment...............................I...:.........:........... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ...............:.... .....AddLinesa+g+10 $ 550 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 932 13. Cash Receipts Column A, Line 3 above 0 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments .... Column A, Line 8 above 550 .....................................�.............. 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 382 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Part 2 $ 0 1 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............................................... See instructions on reverse 19. Outstanding Debts........ ...................... Add Line 2 + Line 9 in Column 8 above $ 382 $ 0 SUMMARY PAGE Statement covers period from 7/1/21 through 12/31/21 Page 3_ of 5 Column B CALENDAR YEAR TOTAL TO DATE $ 0 0 $ 0 0 $ 0 $ 550 0 $ 550 0 0 $ 550 To calculate 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). I.D. NUMBER 1376443 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ 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 0 . .............................. . 1. Monetary Contributions............... Schedule A, Line 3 $ 0 2. Loans Received. ................... Schedule e, Line 3 0 3. SUBTOTAL CASH CONTRIBUTIONS: ............................. Add Lines 1 +2 $ 0 4. Nonmonetary Contributions.................. .............. Schedule C, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ . 550 7. Loans Made-. .......... .............. Schedule H, Line 3 0 ............................................ 8. SUBTOTAL CASH PAYMENTS ......:................................ Add Lines 6+7 $ 550 9. Accrued Expenses (Unpaid Bills) ..............................:.:...:..... Schedule F Line 3 0 10. Nonmonetary Adjustment...............................I...:.........:........... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ...............:.... .....AddLinesa+g+10 $ 550 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 932 13. Cash Receipts Column A, Line 3 above 0 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments .... Column A, Line 8 above 550 .....................................�.............. 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 382 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Part 2 $ 0 1 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............................................... See instructions on reverse 19. Outstanding Debts........ ...................... Add Line 2 + Line 9 in Column 8 above $ 382 $ 0 SUMMARY PAGE Statement covers period from 7/1/21 through 12/31/21 Page 3_ of 5 Column B CALENDAR YEAR TOTAL TO DATE $ 0 0 $ 0 0 $ 0 $ 550 0 $ 550 0 0 $ 550 To calculate 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). I.D. NUMBER 1376443 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ 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 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Gary Phillips for Mayor - 2015 Amounts may be rounded to whole dollars. Statement covers period from 7/1/21 through 12/31/21 Page 4 of 5 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1376443 EDULE E 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 FIND 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) San Rafael Police Association San Rafael, Calif 94901 San Rafael Firefighters Foundation San Rafael, Calif. 94901 Canal Alliance San Rafael, Calif 94901 CODE OR CTB CTB CTB Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary DESCRIPTION OF PAYMENT AMOUNT PAID 100 100 100 SUBTOTAL $ 300 550 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 0 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 $ 550 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period 7/1/21 from SCHEDULE E (CONT.) A SEE INSTRUCTIONS ON REVERSE San Rafael Chamber of Commerce San Rafael, Calif 94901 CTB 150 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 250 FPPC Form 460 (!an 2416 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov