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Home My WebLink AboutForm 460 - San Rafael Public Library Foundation (501(c)(3)); 06-30-24RecipientCOVER PAGE rR� �',�tJE4RNtA Campaign 4 Cover Page i Statement covers period Date of election if appliI: s I i 2 5 2024 from April 1, 2024 (Month, Day, Year) " "�`'` SEE INSTRUCTIONS ON REVERSE I through Tune 30, 2024 1. Type of Recipient Committee: Ail Committees —Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ® Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Parts) O Sponsored (Also Complete, Part 6,1 ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (AlsoCornpletePart 7) LD.NUMBER 1467937 COMMITTEE NAME (OR CANDIDATE'S San Rafael Public Library FOundation(NonProfit 501(c)(3)) STREET ADDRESS (NO P.O. BOX) 109 Knollwood ZIP CODE AREA CODE/PHONE San Rafael CA 94901 415-342- (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 1 of 17 For Official Use Only November 5, 2024 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 Charles H Stuckey MAILING ADDRESS 109 Knollwood ZIP CODE AREA CODE/PHONE San Rafael NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CA 94901 415-342- ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAILADDRESS chuckstuckev@hotmail.com I have used all reasonable diligence in preparing and reviewing this statement and to the best Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on By Cate Signature of Controlling Officeholder; Candidate: State Measure Proponent FPPC Form 460 (Jan/2016)) FPFC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 STREETADDRESS (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) CODER PAGE - PART 2 Page 2 of 17 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Revitalize San Rafael Libraries & Community Center BALLOT NO. OR LETTER JURISDICTION Q SUPPORT San Rafael ❑ 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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Amounts may be rounded �.Oampaign Disclosure Statement to whole dollars. Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Public Library Foundation(NonProfit 501 (c) (3)) Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ................................................... Schedule A, Line 3 $ 0 2. Loans Received ........................................... ................ Schedule B. Line 3 0 3. SUBTOTAL CASH CONTRIBUTIONS ..... ....... -- ....... ... Add Lines I + 2 $ 0 4. Nonmonetary Contributions............................................ Schedule C, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED ................................Add Lines 3 + 4 $ 0 6. Payments Made....-- ........................... ............... ............ Schedule E. Line 4 $ 0 7. Loans Made ...... ..... -- ....... .................. ................. - Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS.... .... ......... -- ... ... AddLines6 + 7 $ 0 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F. Line 3 0 10. Nonmonetary Adjustment.....--................................................ Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ..........................-....--Add Lines 8 + 9 + 10 $ 0 12. Beginning Cash Balance .................. — ....... Previous Summary Page, Line 16 $ 0 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 0 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14; then subtract Line 15 $ 0 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED.. ... .......................... Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............. ...... ................. see instructions on reverse $ 0 19. Outstanding Debts ..... .............. ..... .... Add Line 2 +Line gin Column B above $ 0 SUMMARY PAGE Statement covers period from April 1, 2024 through June 30, 2024 1 Page -3 of 17 Column B CALENDAR YEAR TOTAL TO DATE $ 89313 0 $ 89313 0 $ 89313 $ 89313 0 $ 89313 0 0 $ 89313 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 1467937 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 $ 21. Expenditures Made $ $ Ca.rdiVates 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 SEE INSTRUCTIONS owREVERSE NAME oFFILER San Rafael Public Library Foundation(NonProfit 501 (c)(3)) FULL NAME, STREET ADDRESS AND ZIP CODE OF DATE CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER J.D. NUMBER) No Political Activities this period Statement covers period from April 1, 2024 CONTRIBUTORj I IF AN INDIVIDUAL, ENTER AMOUNT OCCUPATION AND EMPLOYER RECEIVED THIS CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD El SCC El SCC El IND El OTH El PTY El SCC El IND Schedule A Summary 1.Amount received this period — itemized monetary contributions. (include all Schedule Aoubtota|aj................ ....... --............. --........ ........ ........... ............. 2. Amount received this period — uniternized monetary contributions of less than $100 .......... O 0 ~� ~, contributions~'---'----�--- 0 (Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1.) ...................... TOTAL $ SCHEDULE A I.D. NUMBER 1467937 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE #3 -,Contributor Codes COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPpC Form wo(Jan/2016)) FppCAdvice: advice@fppc.ce.gmv(8s6/2r5-3772) Schedule A (Continuation Sheet) San Rafael Public Library Foundation (Non -Profit, 501(c)(3)) FULL NAME, STREETADDRESS AND ZIP CODE OF DATE RECEIVED CONTRIBUTOR (IF COMMITTEE,. LSO ENTER I.D. NUMBER) No Political Activities this period *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Parry SCC — Small Contributor Committee CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT OCCUPATION AND EMPLOYER RECEIVED THIS CODE (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) PERIOD ❑ IND 0 COM 0 F1 OTH 7 PTY El SCC F-1 IND E-1 COM 0 7 OTH F-1 PTY El SCC 7 IND ❑ COM ❑ OTH F-1 PTY ❑ SCC ❑ IND ❑ COM 1 0 ❑ OTH [I PTY El SCC ❑ IND El COM 0 F-1 OTH [:] PTY CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. I - DEC. 31) i (IF REOUIRED) 0 1 n/a W N 1% FPPC Form 460 (3an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement----' (Total (Enter (a) on Schedule E, Line 3) Schedule B Summary 0 Column Counnn (b)plus unitemizedloans ofless than $1OUj tContributor Codes 2. Loenapedorforg�enthk*pehud-----------------------------------$ ` (Total Column (c)plus loans under $1OOpaid orforgivenj COM — Recipient Committee (include loans paid byathird party that are also itemized onSchedule 4.) 0(other than PTY or SCC) 3. Net change this period. (Subtract Line 2 from Line 1j........ ....... ..................... ...................... NET $ OTH — Other (e.g., business entity) 1 Enter the net here and onthe Summary Page, Column A`Line 2. PTY — Political Party (May be a negative number) 'Amounts forgiven mpaid byanother party also must be reported on Schedule A. — If required. FPPC Form 460(Jan/2016)) ppPCxdvice mdvice@fppc.oa.gom(aa*/27s-377o SCHEDULE B - PART 2 Schedule B - Part 2 Amounts may ne rouncea Statement covers period to whole dollars. Loan Guarantors April 1, 2024 ro fm 7 17 June 30, 2024 SEE INSTRUCTIONS ON REVERSE through Page - Of NAME OF FILER B.D. NUMBER San Rafael Public Library Foundation(NonProfit 501 (c) (3)) j 1467937 IIII 777' FULL NAME, STREET ADDRESS AND Z=AMOUNT OF 1OBUTR IF INDIVIDUAL, ENTER BALANCE CONTRIBUTOR OOC CU PATION AND EMPLOYER CUMULATIVE LOAN GUARANTEED CONTRIBUTOR * OUTSTANDING CODE(IF SELF-EMPLOYED, ENTER THIS PERIOD TO DATE TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) LENDER CALENDAR YEAR i I 7 IND i0 IQ F-1 Com F1OTH DATE PER ELECTION F-1 PTY (IF REQUIRED) 7 SCC ❑ IND LENDER 0 i CALENDAR YEAR 0 El COM F-1 OTH DAT E PER ELECTION ❑PTY (IF REQUIRED) ❑ SCC CALENDAR YEAR LENDER Ej IND 0 0 ❑ Com E]OTH PER ELECTION F-1 PTY I DATE j (IF REQUIRED) F-1 SCC LENDER CALENDAR YEAR F-1 IND 0 n Com 0 F-1 OTH fPER F1 PTY DATE ELECTION (IF REQUIRED) EISCC Enter on SUBTOTAL $ 0 Surnn"ary Peg Line 1-1 only. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www,fppc.ca.gov Schedule C Amounts may be 1rounded SCHEDULE C 9 LOWA101eU0 arS. Nonmonetary Contributions Received Statement covers period April 1, 2024 i frosts — ► June 30, 2024 through 8 Page — of 17— SEE INSTRUCTIONS ON - _REVERSE NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation(NonProfit 501(c)(3)) 1467937 ]FAN INDIVIDUAL, ENTER CUMULATIVE TO PER ELECTION A DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF MOUNT DATE TO DATE O� RECEIVED ZIP CODE OF CONTRIBUTOR CODE (IF SE ENTER GOODS SERVICES FAIR MARK'ET CALENDAR YEAR (IF REQUIRED) (IF COMMITTEE, ALSO ENTER E.D. NUMBER) VALUE ME (JAN 1 -DEC 31.) NAME OF BUSINESS) I F-1 D COM R C 0 0 n/a El OTH R PTY R SCC R IND I El COM 0 0 1 n/a F-1 OTH I R PTY I El SCC Fj IND R COM 0 0 n/a R OTH FIPTY R ScC R IND F] COM 0 0 n/a El OTH R PTY FISCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 0 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 I and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) I ...................... $ ............ I ... ... .$ *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 D -summary ot txpencinures xmounts May be rounded Statement covers period to whole dollars. Supporting/Opposing Other April 1, 2024 G Candidates, Measures and Committees from through of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR I F DESCRIPTION AMOUNTTHIS CU ULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION. TYPE OF PAYMENT CALENDAR YEAR TO DATE (IF REQUIRED) PERIOD OR COMMITTEE (JAN1 - DEC. 31) (IF REQUIRED) No Political Activities this period Monetary Contribution 0 0 n/a. Nonmonetary 1 Contribution E] Independent 0 Support Oppose Expenditure Monetary Nonmonetary Contribution El support El Oppose Expenditure F1 Monetary Nonmonetary Contribution independent El support DOppose Expenditure 1. Itemized contributions and independent expenditures made this period. (include all Schedule D subtotals.). ........ .......................................... 2. Unitemized contributions and independent expenditures made this period of under $100 .................................................... ............ ....... ....... 0 S— O 3.Total contributions and independent expenditures made this period. (Add Lines 1and 2. Do not enter on the Summary Page) ........ .TOTAL'$__O FPpCForm 4sn(Jan/zn1s)) pppC Advice:admce@fppc.ca.gov (866/275-3772) Schedule D (Continuation Sheet) Amounts may be rounded SCHEDULE D (CONT.) Summary of Expenditures to whole dollars. statement covers period Supporting/Opposing Other April 1, 2024 from Candidates, Measures and Committees I through June 30, 2024 10 17 1 Page - of - I NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation(NonProfit 501 (c) (3)) 1467937 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE PER ELECTION I DATE MEASURE NUMBER OR LETTER AND JURISDICTION, I TYPE OF PAYMENT CALENDAR YEAR TO DATE j (IF REQUIRED) PERIOD OR COMMITTEE (JAN, I -DEC. 31) (IF REQUIRED) I0 monetary No Political Activities this period Contribution 0 0 n/a Nonmonetary Contribution Independent 0 Support 0 Oppose Expenditure Cj Monetary Contribution i 0 i 0 n/a F1 Nonmonetary Contribution ❑ Independent Support 0 oppose Expenditure Monetary Contribution 0 0 n/a E] Nonmonetary i I Contribution Independent El support [I Oppose Expenditure I E] Monetary Contribution 0 0 n/a Nonmonetary Contribution In Independent El Support El oppose Expenditure FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) vVWw.fppC.ca.gov SCHEDULEE Schedule E SEE INSTRUCTIONS nwREVERSE NAME oFFILER Amounts may be rounded to whole dollars. Statement covers period from April l,2OJ4 CODES: Ifone ofthe following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment �age ll 17 1467937 CMP campaign paraphernalia/misc,M8n member communications RAID radio airtime and production costs ows Campaign consultants Mna meetings and appearances RFD returned contributions cTe contribution (explain nonmonetan4` OFc office expenses SAL campaign workers' salaries Cvo civic donations PET petition circulating TEL txo,cable airtime and production costs FiL candidate filing/ballot fees PHO phone banks TnC candidate travel, lodging, and meals FmD fundraising events poL polling and survey research TnG otaffiopouaetravn| lodging, and meals }ND independent expenditure supporting/opposing others (uxpiain)~ POS postage, delivery and messenger services TSF transfer between committees ofthe same candidate/sponsor LEG legal defense PRO professional services (ioQa|.accounting) V0T voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (/n»emet.e-me8) NAME AND ADDRESS opPAYEE } 000E on (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) No Political Activities this period ° Payments that are contributions or independent expenditures must also be summarized on Schedule D. DESCRIPTION OF PAYMENT 1. Itemized payments made this period. (include all Schedule Esubtotahsj...... .......... ............. ............. —............. -- 2.Unhemizedpayments made this period of under $iQQ................. —..... .......... ....... -----....... ... —........ ___ -- 3.Total interest paid this period onloans. (Enter amount from Schedule B.Part 1.Column ... .............. .......... 4.Total payments made this period. (Add Lines 1.2.and 2iEnter here and omthe Summary Page, Column A`Line B.) AMOUNT PAID IC Fill FPPC Form460 (Jan/2016)) FppC Advice: edvice@fppc.u,.aov(86*/a7s-37r2) Schedule (Continuation Sheet) Amounts be rounded to whole dollars. SCH�ou��E�x]mT) Statement covers period A Is April 1, 2024 Iffim Payments Made from i Page - of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otharwine, describe the payment. CIVIp oamnaignpenaphemanamixc MBR member communications RAn radio airtime and production costs omG campaign consultants MTo meetings and appearances RFD returned contributions cTa contribution (explain nonmonetary)` OFo office expenses SAL campaignmmmn,s'aala,ies CYC civic donations PET petition circulating TEL txo,cable airtime and production costs F!L candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals rmo fundraising events pOL polling and survey research TnG staffiepousvtravel, lodging, and meals |wD independent expenditure supporting/opposing others (axp|ain)~ pDG postage, delivery and messenger services r8F transfer between committees nfthe same canuidatelsponno, LEG legal defense PRO professional services (ieOa|.accounting) V0T voter registration LIT campaign literature and mailings Pnr print ads WEB information technology costs (mtemsu.e-maU) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I-D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID No Political Activities this period 0 * Payments that are contributions or 'Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0 FppC Advice: advice@fppc.ca.gou(8as/27s-37r2) SCHEDULEF Schedule F Arnonts may be rounded to whole dollars. Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME opFILER San Rafael Public Library F000datkoz(NooPcofit50l(c)(3)) CODES: If one of the following codes accurately describes the payment, you may enter the code CMP campaign paraphernalialmisc. MBR member communications CwS campaign consultants MTG meetings and appearances cTe contribution (explain nonmnnman)~ OFC office expenses CvC civic donations PET petition circulating F|L candidate filing/ballot fees P*o phone banks FwD fundraising events PoL polling and survey research |wo independent expenditure supporting/opposing others (explain)* pOa postage, delivery and messenger services LEG legal defense PRO professional services (|nga|.accounting) LIT campaign literature and mailings PRT print ads Statement covers period from April l^2024 through June 30,2024 Otherwise, describe the payment. Page 13 of 17 �D.nmwasn 1467937 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL tumcable airtime and production costs Tno candidatetravel, |ougin d meals TR8 staff/spouse travel, lodging, and meals Tsp transfer between oommiueoacxmesamvnanu|uate/sponsnr N3T voter registration WEB information technology costs (intemeu.e-mui!) NAME AND ADDRESS OF CREDITOR CODE UK I OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING IIF 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 ~Payments that are contributions or independent expenditures must also be SUBTOTALS $O $0 $U $0 summarized onSchedule u Schedule F Summary 1. Total accrued expenses incurred this period. (include all Schedule F, Column( subtotals for accrued expenses of $100 or more, plus total uniternized accrued expenses under $100.) ......... 2. Total accrued expenses paid this period. Amdmde all Schedule F,Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)..... 3.Net oh Une2�on�L�e1. Enter the d�erencehere and U onthe Gunma �Pag�.�n�nnnA.Un�9j—...--..------..—..~.—....—~..---.--.—....--..........------.—...--.—.—��ET� ' may be"negative number FPPCForm 460 (Jan/2016)) FppcAdvice: advice@fppc.ca.gov(o66/27s-37za) Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from April 1, 2024 �AME OF FILER I.D. NUMBER San Rafael Public Library Foundation(NonProfit 501(c)(3)) 1467937 CODES: |fone ofthe following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. oIMP isc moe member communications RAD radio airtime and production coats CNO campaign consultants MTG meetings and appearances npo returned contributions CT8 contribution (explain ^onmnnetary)~ VFC office expenses GAL campaign workers' salaries Cvc civic donations PET petition circulating TEL txnrcable airtime and production costs p|L candidate filing/ballot fees pHO phone banks TRC candidate travel, lodging, and meals pmo fundraising events P0L polling and survey research TRG staM/spouse travel, lodging, and meals |ND independent expendituresupporting/opposing others (exn|ain)~ POS postage, delivery and messenger services TGF transfer between committees ofthe same candidate/sponsor LEG legal defense PRO professional services (|ega|.accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet.e'mai|) °Payments that are contributions mindependent expenditures must also be summarized vnSchedule D. NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING i AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER LD. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING AMOUNTINCURRED THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD SUBTOTALS $ O �O $0 $0 FpPCForm 46VVan/2mx6> pppCAdvice advice@fppc.oa.gov(86s/a7s-3rr2) Schedule G Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. btatement covers from April 1, 2024 SCHEDULE G through Tune 30, 2024 Page 15 ®� 17 j SEE INSTRUCTIONS ON REVERSE I { NAME OF FILER !.D. NUMBER San Rafael Public Library Foundation(NonProfit 501(c)(3)) 1467937 NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code CHIP campaign paraphernalia/misc. 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 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 0 0 I i j 0 I I I f 0 i Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 0 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 96o Ilan{2016j1 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE Schedule H Amounts may be rounded Statement covers period j Loans Made to (hers* to whole dollars. from April 1, 2024 � . through June 30, 2024 Page 16 of 17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER I S San Rafael Public Library Foundation(NonProfit 501(c)(3)) 1467937 I IF AN INDIVIDUAL, ENTER FULL NAME, STREETADDRESS AND ZIP CODE OCCUPRTlONANDEMPLOYER a) (b} OUTSTANDING AMOUNT c e OUTSTA REPAYMENT OR NDING ( i ORIGINAL i9 � CUMULATIVE OF RECIPIENT BALANCE LOANED THIS FORGIVENESS I BALANCE AT INTEREST I AMOUNT OF L ( LOANS (IF SELF-EMPLOYED. ENTER (IF CO:U:MITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS} BEGINNING THIS lopi PERIOD , I THIS PERIOD" J CLOSE OF THIS RECEIVED PF Inn I LOAN I TO DATE f 1 i � ❑ PAID � j ' CALENDAR YEAR 0 0 0 $ S /o $ ❑ FORGIVEN i PER ELECTION i I RATE I�0 C30 0 0 s0 II f DATE DUE DATE INCURRED I j ❑PAID CALENDAR YEAR §® s s0 �$0 ❑ FORGIVEN PER ELECTION( l RATE 0 ® 0 (�0 $ i50 I I DATE DUE DATE INCURRED *Loans that are contributions to another Candidate or committee must � f also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS �$ 0 $ 0 $ 0 $ 0 (Enter (e) or. Schedule i, Line 3) 1. Loans made this period..................................................................... (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans............................................................. (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ...................... (Enter the net here and on the Summary Page, Column A, Line 7.) I .................$ 0 ..................$ 0 ...... -NET $ 0 (May be a negative number) I*elf Required FPPC Form 4460 (Jan/2016)) FPPC Advice advice@fppc.ca.gov (866/275-3772) vuww.fppc.ca.gov Schedule I Miscellaneous Increases to Cash NAME opFILER San Rafael Public Library Fouodu1iou(NooPrnfit50l(c)(3)) DATE FULL NAME ANDADDRESS OF SOURCE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Amounts may be rounded to whole dollars. Statement covers period from April 1, 2024 ,oug» June 30,2024 DESCRIPTION OF RECEIPT SCHEDULEI 17 17 ��_�__ /.uwuMasn 1467937 In 0 0 11 AmoowroF INCREASE TO CASH Attach additional information onappropriately labeled continuation sheets. SUBTOTAL $ 0 Schedule 1 Summary 2. Unbem�edincreases tocash ofunder $1OOthis per�d.---------------------------- -----$ 3. Total of all interest received this period on loans made to others. (Schedule H. Column (e).) ................. ----....... $ ~ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and onthe 0 Summary Page, Unei4j .... ----......... ....... ...... ...... —....... --................ ---------........... TOTAL $ pppC Form 4au(Jav/2uz6)> pPpcAdvice: advice@fp»c.ca.gov(886/a7S-3772)