HomeMy WebLinkAboutForm 460 - Samantha Ramirez for Board of Education Trustee 2020 (06-30-2023)Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from January 1,2023
through June 30th, 2023
1. Type of Recipient Committee: All committees — complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Pad 5)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
4.
❑ Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Pad 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Pad 7)
I.D. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Samantha Ramirez For San Rafael City Schools
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901
OPTIONAL: FAX/E-MAIL ADDRESS
to m
n, F_
Date of election if i ble:
(Month, Day, ear)
CITY TLERK'S OFFICE
2. Type of Statement:
❑ Preelection Statement
❑ Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Samantha Ramirez
COVER PAGE
Page 1 of 2
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
San Rafael CA 94901
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the 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 true
Executed on 7/30/23
Date
Executed on
Date
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
wwwJppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded
to whole dollars.
Summary Page
Statement covers period
from January 1,2023
SUMMARY PAGE
June 30, 2023
Page 2 of 2
SEE INSTRUCTIONS ON REVERSE
through
NAME OF FILER
I.D. NUMBER
Samantha Ramirez
1430980
oD
Calendar Year Summary for Candidates
Contributions Received
TDColumn
CALENDAR YEAR
Running in Both the State Primary and
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
General Elections
1. Monetary Contributions...................................................
Schedule A, Line 3
$
$
1/1 through 6/30 711 to Date
2. Loans Received................................................................
Schedule s, Line 3
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$
$
Received $ $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
21. Expenditures
Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines3+4
$
$
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made................................................................
Schedule E, Line 4
$
$
Candidates
7. Loans Made.......................................................................
Schedule H, Line 3
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .......................................
Add Lines 6+7
$
$
(If Subject to Voluntary Expenditureumit)
9. Accrued Expenses (Unpaid Bills) ..........................................
Schedule F Line 3
Date of Election Total to Date
10. Nonmonetary Adjustment ...................... ......... - ...............
...... ... Schedule C, Line 3
(mm/dd/yy)
11. TOTAL EXPENDITURES MADE....................................Add
Lines 8+9+10
$
$
$
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16
$ 21653
13. Cash Receipts........................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash .................................. Schedule /, Line 4
15. Cash Payments......................................................... Column A, Line 8 above
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15
$ 21653
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part2
$
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse
$
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above
$
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).
$
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