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Home My WebLink AboutForm 460 - Maribeth Bushey for Council D3 2022; 09-29-22Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2022 through 09/24/2022 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. m Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committeeommittee O Recall Controlled (Ako Complela Part 5) Sponsored (Aka Complete Pad 6) ❑ General Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee (AkoCompklePart 7) 3. Committee Information I.D. NUMBER Re -Elect Maribeth Bushey San Rafael City Council District 3 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAILADDRESS �J COVER PAGE Dpr�l Date of election if applicafll of 12 (Month, Day, Year) SEP 2 9 2022OfFidal {Ise Only November 8, 2022 _�CITY CLERKKIS OFFI EJ T` 2. Type of Statement: ® Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Mark L. Kyle. Esq. MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL. FAX IE-MAiLADDRESS 4. Verification i have used all reasonable diligence in preparing and reviewing this statement and to the best Ofter of sponrior Executed on Date By SignabureofCantrolling Offloshoicler. Candidate. State Measure Proponent Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ce.8ov (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 Maribeth Bushey OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City of San Rafael, City Council, District 3 RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP San Rafael CA 94901 Related Committees Not Included in this Statement: Listany committees not included In this statement that are controlled by you or are primarily formed to receive conbfbudons or make expenditures on behalf of your candidacy. NAM E OFTREASURER I.D. NUMBER COMMITTEE? ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I I.D. NUMBER NAME OF TREASURER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART Page 2 of 12 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 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@Dfppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 07/01/2022 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 09/24/2022 Page 3 of 12 NAME OF FILER I.D. NUMBER Re -Elect Maribeth Bushey San Rafael District 3 2022 1452093 Contributions Received $ 408.81 Column A TOTAL THIS PERIOD schedule E,Line 4 7. Loans Made................................................................. (FROM ATTACHED SCHEDULES) 1. Monetary Contributions .................. ..... schedule A, Lrne3 $ 7724.00 2. Loans Received................................................................ schedule s, Line 3 0.00 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 7724.00 4. Nonmonetary Contributions .......................................... schedule C, Line 3 811.19 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 8535.19 Expenditures Made $ 408.81 6. Payments Made............................................................. schedule E,Line 4 7. Loans Made................................................................. schedule H, line 3 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills)..........................................schedule F, Line 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 13. Cash Receipts........................................................... column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. schedule r, 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. Column B CALENDARYEAR TOTAL TO DATE $ 7724.00 0.00 $ 7724.00 811.19 $ 8535.19 $ 408.81 $ 408.81 0.00 0.00 $ 408.81 $ 408.81 11,566.80 11,566.80 811.19 811.19 $ 12,786.80 $ 12,786.80 $ 0.00 7724.00 0.00 408.81 $ 7315.19 17. LOAN GUARANTEES RECEIVED ................................ scnedure9, Part2 $ 0.00I Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse 19. Outstanding Debts .............................. Add Line 2 + Line 9In Column 8 above -t 0.00 $ 11,566.80 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). 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.co.gov Schedule A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers from 07/01/2022 SCHEDULE A SEE INSTRUCTIONS ON REVERSE through 09/24/2022 Page 4 of 12 NAME OF FILER I.D. NUMBER Re -Elect Maribeth Bushey San Rafael District 3 2022 1452093 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME (IF COMMITTEE, ALSO ENTER I D. NUMBER) OF BUSINESS) PERIOD (JAN. 7 - DEC. 31) (IF REQUIRED) 9/3/2022 Jay L. Paxton m IND Attorney 500.00 500.00 ❑ COM ❑ OTH Buchalter, APC San Rafael, CA 94903 ❑ PTY ❑ scC 8/31/2022 Charles Goodman ®IND retired 500.00 500.00 ❑ COM ❑ OTH San Rafael, CA 94903 ❑ PTY ❑ SCC 8/20/2022 Philip Bruce Raful ®IND real estate appraiser 500.00 500.00 ❑ COM ❑ OTH Raful & Associates San Rafael, CA 94901 ❑ PTY ❑ SCC 8/27/2022; Barbara Heller m I N D retired 175.00 175.00 9/18/2022 ❑ COM ❑ OTH San Rafael, CA 94903 ❑ PTY ❑scc 8/29/2022 Stephen G. Mizroch, M.D. m I N D physician 200.00 200.00 ❑ COM ❑ OTH retired San Rafael, CA 94901 ❑ PTY ❑ SCC SUBTOTAL $ 1875.00 _= Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.).................................................................................................... 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................. $ 7425.00 $ 299.00 TOTAL $ 7724.00 `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ce.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to wnole aouars. Statement covers period CALIFORNIA from 07/01/2022 FORM . � through 09/24/2022 Page 5 of 12 - NAME OF FILER I.D. NUMBER Re -Elect Maribeth Bushey San Rafael City Council District 3 2022 1452093 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OFBUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 9/22/2022 Stephen Schmid ® IND photographer 125.00 125.00 ❑ COM ❑ OTH retired San Rafael, CA 94901 ❑ PTY ❑ SCC 8/30/2022 Andrew McCullough ® IND Attorney 500.00 500.00 ❑ COM ❑ OTH Syufy Enterprises San Rafael, CA 94901 ❑ PTY ❑ scc 9/1/2022 Kate Collin ® IND Mayor 1000.00 1000.00 ❑ COM ❑ OTH City of San Rafael San Rafael, CA 94901 p PTY ❑ SCC 9/10/2022 Elias Hill ® IND City Councilmember 250.00 250.00 ❑ COM ❑ OTH City of San Rafael San Rafael, CA 94901 ❑PTY ❑ SCC 9/13/2022 Gina Daly ® IND higher education advocate 100.00 100.00 ❑ coM ❑ OTH UC Berkeley San Rafael, CA 94903 ❑ PTY SCC SUBTOTALS 1975.00 "Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 07/01/2022 through 09/24/2022 SCHEDULE A (CONT.) Page 6 of 17— Re-Elect 7 - Re -Elect Maribeth Bushey San Rafael District 3 2022 1452093 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME) (IF COMMITTEE, ALSO ENTER LD NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) OF REQUIRED) 9/22/2022 Judith Anne Rosa ® IND retired 125.00 125.00 ❑ COM ❑ OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 9/13/2022 Paula Kamena ® IND retired 500.00 500.00 ❑ COM ❑ OTH San Rafael, CA 94901 ❑ PTY ❑ SCC soNk loop ❑ Com ❑ OTH ❑ PTY ❑ SCC 9/15/2022 Kelly Mason ® IND Education administrator 500.00 500.00 ❑ CoM ❑ OTH Redeemer Preschool San Rafael, CA 94901 ❑ PTY ❑ SCC 9/17/2022 Lawrence Andow ® IND retired 100.00 100.00 ❑ CoM ❑ OTH San Rafael, CA 94901 ❑ PTY SCC SUBTOTALS 1715.00 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers rioci � . from 07/01/2022 . - • through 09/24/2022 Page 7 of 12— ZNAME NAME OF FILER I.D. NUMBER Re -Elect Maribeth Bushey San Rafael District 3 2022 1452093 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 9/21/2022 Frank Lindh ®IND Attorney 100.00 100.00 ❑ COM ❑ OTH Law Office of Frank Lindh San Rafael, CA 94901 p PTY ❑ SCC 9/18/2022 Denise Lucy ® IND Professor + Exec. Director 250.00 250.00 ❑ COM ❑ OTH Dominican University, CA San Rafael, CA 94901 p PTY ❑ SCC 9/19/2022 Leo Isotalo ®IND retired 100.00 100.00 El COM ❑ OTH San Rafael, CA 94901 p PTY ❑ SCC 9/13/2022 Dennis Fisco ® IND CFO 50.00 500.00 El COM ❑ OTH Seagate Properties, Inc. Mill Valley, CA 94941 p PTY ❑ SCC 9/22/2022 Terry Huffman ® IND President 500.00 500.00 ❑ COM ❑ OTH Wetland Regulatory Corte Madera, CA 94925 ❑ PTY Scientist SCC SUBTOTAL $ 1450.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Schedule A (Continuation Sheet) Monetary Contributions Received Re -Elect Maribeth Bushey San Rafael District 3 2022 Amounts may be rounded to whole dollars. covers from 07/01/2022 through 09/24/2022 SCHEDULE A (CONT.) "ALIFOrNrIlA t} FCANIVI Page 8 of 12— I.U. NUMBER 1452093 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) PERIOD (JAN.1 - DEC. 31) (IF REQUIRED) 9/14/2022 Gail Anderson ® IND CEO and Founder 125.00 125.00 ElCOM ❑ OTH Donor Concierge San Rafael, CA 94901 ❑ PTY ❑ SCC 9/14//2022 Michael Smith ® IND partner 125.00 125.00 ❑ CoM ❑ OTH Waterford Associates San Rafael, CA 94945 ❑ PTY ❑ SCC 9/14//2022 Lynn Smith ® IND painter 125.00 125.00 ❑ COM ❑ OTH Lynn Smith San Rafael, CA 94945 ❑ PTY ❑ ScC 9/16/2022 Mike Wolpert ® IND video strategist 125.00' 125.00 ❑ COM ❑ OTH Social Jumpstart San Rafael, CA 94901 ❑ PTY ❑ SCC 9/19/2022 Roger Smith ® IND Manager 125.00 125.0 ❑ coM ❑ OTH Smith Brothers 2 San Rafael, CA 94901 ❑ PTY SCC SUBTOTALS 625.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Schedule A (Continuation Sheet) Monetary Contributions Received Re -Ilea Maribeth Bushey San Rafael District 3 2022 Amounts may be rounded to whole dollars. Statement covers from 07/01/2022 through 09%24/2022 SCHEDULE A (CONT) !;ALIFO&FIIA •- • Page 9 of 12 I.D. NUMBER 1452093 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME) (IF COMMITTEE, ALSO ENTER I D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) OF REQUIRED) 9/20/2022 Therese Moran ® IND nurse 125.00 125.00 ❑ COM ❑ OTH retired San Rafael, CA 94901 ❑ PTY ❑ SCC 9/21//2022 Tunstall Lang ® IND Senior environmental 150.00 150.00 ❑ COM ❑ OTH regulatory scientist; Corte Madera, CA 94925 ❑ PTY Huffman -Broadway Group, ❑ SCC Tnr• ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY El SCC SUBTOTALS 275.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.co.8ov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded ._ J_ SCHEDULE C Nonmonetary Contributions Received Statement covers period from m/01/2022SEE FPage INSTRUCTIONS ON REVERSE through 09/24/2022 10 of 12 NAME OF FILER I.D. NUMBER Re -Elect Maribeth Bushey San Rafael District 3 2022 1452093 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT! CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE OF REQUIRED) NAME OF BUSINESS) (JAN 1 - DEC 31) 9/22/22 Patty Garbarino ®IND President + CEO fundraising event; 811.19 811.19 ❑ COM ❑ OTH Marin Sanitary Service food and drink San Rafael, CA 94901-2221 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH []PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 811.19 Schedule C Summary Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)........................................................... ......... --- ........ ................................... $ 811,19 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..................................$ OAO 3. Total nonmonetary contributions received this period. 811.19 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .....................TOTAL $ 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 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 AME OF FILER Re -Elect Maribeth Bushey San Rafael District 3 2022 Amounts may be rounded to whole dollars. Statement covers period from 07/01/2022 through 09/24/2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 11 of 12 I.D. NUMBER 1452093 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 eFundraising Connections fees for website -based fundraising application 206.00 Sacramento, CA 95816 Eventbrite fees for electronic event invitations and website fundraising 152.81 San Francisco, CA " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 358.81 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)...............................................................................................:............. $ 358.81 2. Unitemized payments made this period of under $100 $ 50.00 AM 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).............................................................................. $ I 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ..................... TOTAL $ 408.81 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE Schedule F Amounts may of rounded statement covers period ' to whole dollars. P � • - � I � Accrued Expenses (Unpaid Bills)from 07/01/2022 • - through 09/24/2022 Page 12 of 12 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Re -Elect Maribeth Bushey San Rafael District 3 2022 1452093 CODES: If one of the following codes accurately describes the payment, you may enter the code CMP campaign paraphernalialmisc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)* OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00 $ 11,566.80 $ 0.00 $ 11,566.80 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ...........................................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................................. PAID TOTALS $ 11,566.80 0.00 Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 11,566.80 onthe Summary Page, Column A, Line 9.).................................................................................................................................................................................. NET $ May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.co.gov (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODEOR OUTSTANDING AMOUNT INCURRED AMOUNTPAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD four waters media, inc.; CNS; LIT; FEL 0.00 10,066.80 0.00 10,066.80 West Sacramento, CA 95691 PMCohen Public Affairs; CNS 0.00 1,500.00 0.00 1,500.00 San Rafael, CA 94915-0268 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00 $ 11,566.80 $ 0.00 $ 11,566.80 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ...........................................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................................. PAID TOTALS $ 11,566.80 0.00 Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 11,566.80 onthe Summary Page, Column A, Line 9.).................................................................................................................................................................................. NET $ May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.co.gov