HomeMy WebLinkAboutForm 460 - Revitalize San Rafael Libraries and Community Center Ad Committee's Top Funder San Rafael Public Library Foundation; 06-30-24COVER PAGE
CoverPage
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from April 1, 2024
through Tune 30, 2024
1. Type of Recipient Committee: All Committees - Complete tarts t, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ® Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(AlsoCompiefePart 5.) O Sponsored
(Also Complete Par, 6)
❑ General Purpose Committee
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee I„Iso Coirpleta Pan n
I.D. NUMBER
1467556
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder
San Rafael Public Library Foundation
STREET ADDRESS (NO P.O. BOX)
109
STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901 415-
ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
91
1! 3 L v .= age 1 of 19
Date of election if appl -
(Month, Day, Yea For Offlmai Use Only
November 5, 2024 E CLERK'S OFFICE
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 Stuckey
MAILING ADDRESS
109
STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901 415-
OF ASSISTANT TREASURER, IF ANY
Charles Litchfield
MAILING ADDRESS
96
STATE ZIP CODE AREA CODE/PHONE
San Rafael
OPTIONAL: FAX; E-MAILADDRESS
CA 94901 415-
Verification
I have used all reasonable diligence in preparing and reviewing this statement and
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)
www.fppc.ca.gov
a Officeholder Candidate Controlled o
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)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Page 2 of 19
NAME OF BALLOT MEASURE
Revitalize San Rafael Libraries & Community Center
BALLOT NO. OR LETTER JURISDICTION
® 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
Attach continuation sheets if necessary
FPPC Form 460 (lan/2026)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
C%'Aampaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME orFILER
Revitalize San Rafael Libraries &(ommunity Center Ad Committees top Funder San Rafael Public Library Foundatim
Column
Contributions Received
TOTAL THIS PERIOD
(FROM ATTACHED omEouLo*
1. K�onetaryContributions -----------------
�hoxumA.Lmax
$ I8O20
2. Loans Received .................... —......................................
Schedule B, Line
-,-
3. SUBTOTAL CASH CONTRIBUTIONS— ... .... .......
—...... Add Lines /+u
$ 18020
4. Nonmon�oryCo�hbudons--------------'
a�*m^e�Lmey
Z0
18250
S. paymen�yWade---------------------
Schedule Line
$ ��
7. Loans Made ........................ --- ..................... —..............
Schedule H. 'Lmox
`,
8. SUBTOTAL CASH F�Y/K�ENT8-------------
A�'Lmo6~r
$ ��
3. AocmedExpenaes(UnpaidBiUe) -------------
—�F. noxou"Lmeo
1608
iU.NunmunetaryAdustman-------------------
uchedule C, Line
'"'
11.TOTAL EXPENDITURES MADE .... ............
...... _— Add Lines n+o+m
$ 7114
Current Cash Statement
12,Beginning Cash Balance ..................... ...... Prvxmmovmma�Line
$
1412
13.Cash Recsi�s-------------------' c�umo�m�oabo�
l8O20
14.Miscellaneous Increases to Cash ... —.... ---.......... . Schedule 1. Line
`'
15CaohPayments------------------- Column A, Line oabove
550"
18.ENDING CASH BALANCE ------Add Lines 12+13 ^~^mo uuom�m� ,15
$
13926
Ifthis isstermination statement, Line 10must bozero.
17. LOAN GUARANTEES RECEIVED ............... ............... Schedule B,� p�z
$
0
Cash Equivalents and Outstanding Debts
18. Cash Equiva|e�s---------------- see instructions on reverse
$
l3926
66U#
SUMMARYPAGE
Statement covers period
from April l,2O24
/ 3 l9
��3�l�4 through —i��----�---
Column
CALENDAR YEAR
TOTAL TO DATE
114053
_—___
5000
$
119053
____--
230
119283
l05l%7
'O'
$
105127
1608
-,'
$
106735
To calculate Column s.
add amounts inColumn
Amthe corresponding
amounts from Column o
nfyour last report. Some
amounts inColumn xmay
benegative figures that
should bosubtracted from
previous period amounts. If
this inthe first report being
filed for this calendar year,
only carry over the amounts
from Lines 2.7.and 9(if
I.D. NUMBER
1467556
Caiendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
zoContributions
Received $----------__ $
�
21Expenditures
xp�n nan
� Made $--________ $
Candidates
22. Cumulative Expenditures Made*
(if Subject wVoluntary Expenditure Limit)
Date mElection Total to Date
�
*Amounts inthis section may be different from amounts
reported in Column B.
FppCForm 46OUan/2VzGU
ppPCAdvice: advica@*ppc.ca.gov(8s6/2rs-377z
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received to whole dollars.
Statement covers period
from April 1, 2024
through June 30,2024
j Page 4 of 19
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I I.D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder San Rafael Public Library Foundation 11467556
FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED)
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS)
Wq1 IND
04/01/24
Penny M. Pera
El Com
Retired
100
100
n/a
F-1 OTH
Santa Rosa, CA 94509
F-1 PTY
El SCC
7 IND
04/01/24
Bert Katzung
El COM
Retired
100
100
n/a
F-1 OTH
San Rafael, CA 94901
❑ PTY
0 SCC
Z IND
04/04/24
Daniel H. Mardesich
El Com
Retired
100
100
n/a
El OTH
Greenbrae, CA 94904
El PTY
El SCC
7 IND
04/04/24
Jonathan Parker
r-1 Com
Real Estate Developer
250
250
n/a
E] OTH
Monahan Parker, Inc.
Kentfield, CA 94904
F-1 PTY
El SCC
Foll IND
04/04/24
Jeff Schoppert
R COM
Retired
500
1 500
n/a
F] OTH
San Rafael, CA 94903
F1 PTY
El SCC
SUBTOTAL $ 1050
Schedule A Summary
Amount received this period — itemized monetary contributions.
(include all Schedule A subtotals.). . ...................................... - ................... .......
2. Amount received this period — uniternized 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.)...
17850
170
*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
FPFC 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.
Statementcovers period
® . ,
qq
from @!Z
®.
through
Page of
NAME OF FILER I.D. NUMBER
FLU t- z V_ 3-A Al L aA&[ � ��►� ��� i �� m � cDot 'SPLf If 4OY S
FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE CONTRIBUTOR OCCUPATION AND EMPLOYER
CONTRIBUTOR * 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) (IF REQUIRED)
® IND
05/01/24
Maribeth Bushey
❑ COM
Attorney
1000
1000
n/a
396 Riviera
Sftware, Inc
San Rafael, CA 94901
❑ PTY
❑ SCC
IND
06/05/24
Al Boro
❑ COM
Retired
250
250
n/a
274 Mountain
Rafael. CA 94901
❑ PTY
❑ SCC
❑Q IND
06/05/24
Maureen Boro
El COM
Retired
250
250
n/a
19 Shannon
Rafael, CA 94901
❑ PTY
❑ SCC
❑s IND
06/24/24
Jacquelyn Brand
El
Retired
5000
5000
n/a
312 Riviera
Rafael, CA 94901
❑ PTY
❑ SCC
❑IND
06/24/24
Friends of the San Rafael Library (501(c)(3))
ElCOM
7500
7500
n/a
1100 E
Rafael, CA 94901
❑ PTY
El SCC
SUBTOTAL $ 14000
"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 (CONT.)
Monetary ntributionS Received to whole dollars.
Statement covers period
from April 1, 2024
® -
through Tune 30, 2024
Page of +
NAME OF FILER I.D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder San Rafael Public Library Foundation 1467556
FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE CONTRIBUTOR OCCUPATION AND EMPLOYER
CONTRIBUTOR * 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) (IF REQUIRED)
® IND
04/04/24
Larry Andow
0 COM
Retired
500
500
n/a
❑ OTH
San Rafael, CA 94901
PTY
❑ SCC
®IND IND
4/12/24
Michelle Wolfe
❑
Teacher
1000
1000
n/a
❑ OTH
Tuoro University -California
San Rafael, CA 94915
❑ PTY
❑ SCC
❑ IND IND
04/12/24
Barbara Heller
® COM
Retired
500
1000
n/a
❑ OTH
San Rafael, CA 94903
❑ PTY
❑ SCC
®IND IND
04/17/24
Carin Normandin
❑
Retired
100
100
n/a
❑ OTH
Rohnert Park, CA 94928
❑ PTY
❑ SCC
Q IND
04/19/24
Susie Pollak
DCOM
Retired
100
100
n/a
❑ OTH
San Rafael, CA 94901
❑ PTY
01
SCC
SUBTOTAL $ 2200
'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))
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
from April 1, 2024
through June 30, 2024
Page L7 of I
_ J-9--
NAME OF FILER I.D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder San Rafael Public Library Foundation 1467556
FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
CONTRIBUTOR
RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME)
(IF COMMITTEE, ALSO ENTER LD. NUMBER) OF BUSINESS) PERIOD (JAN. I - DEC, 31) (IF REQUIRED)
IND
06/27/24
Linda DeLucchi
El COM
Science Education
100
100
n/a
676
OTH
Researcher
Berkeley, CA 94707
E] PTY
University of California
E SCC
7%f IND
06/30/24
Karyn Palmer
F1 COM
Retired
500
500
n/a
13948
OTH
Sherman Oaks, CA 94101
❑ PTY
SCC
F-1 IND
El COM
F-1 OTH
F-1 PTY
❑ SCC
F-1 IND
D COM
❑ OTH
❑ PTY
D SCC
❑ IND
El com
❑ OTH
❑ PTY
El SCC
SUBTOTAL$ 600
*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)
NO=
Schedule B Part I
to whole ---' ----- —
statement covers period
Loans Received
April 1, 2024
from —
thir,,gh June 30, 2024
Page 8
of 19
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Revitalize San Rafael Libraries & Community
Center Ad Committees top Funder San Rafael Public Library Foundation
1467556
FULLNAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING AMOUNT
I
AMOUNT PAID OUTSTANDING INTERES I
ORIGINAL
CUMULATIVE
�CONTRIBUTIONS
OFLENDER
COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EPAPLOYED, ENTER
BALANCE RECEIVED THIS
BEGINNINGTHIS1 PERIOD
OR FORGIVEN BALANCE AT PAID THIS
THIS PERIOD� CLOSE OF THIS PERIOD
AMOUNTOF
LOAN
TO DATE
(IF
NAME OF BUSINESS)
PERIOD
PERIOD
PAID
CALENDAR YEAR
Charles Litchfield
Real Estate Broker
0
5000
0
5000
5000
Litchfield Brokers
RATE
E] FORGIVEN
i
PER ELECTION
San Rafael, CA 94901
PAID
CALENDAR YEAR
RATE
FORGIVEN
PER ELECTION**
DATE DUE
DATE INCURRED
PAID
CALENDAR YEAR
FORGIVEN
PER ELECTION�
RATE
1. Loanereoeivedthinperod------------------------'
(Total Column 0dplus unbemizedloans ufless than $iOOj
2. Luanmpeidorforgiventhksperod--------------------
—
(Tota Column (c)plus loans under 81OOpaid orforgivenj
(include loans paid byathird party that are also itemized onSchedule A`)
3. Net change this period. (Subtract Line 2from Line 1j.........................
Enter the net here and on the Summary Page, Column A, Line 2.
*Amounts forgiven mpaid by another party also must be reported on Schedule A.
** If required.
--.......................... ......... $
--------------$
(May be a negative number)
on Schedule E, Line 3'
tContributor Codes
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
FPPC Form 460(Jan/2016))
FpPCAd*ice udvce@f pc�a.gov(866/27s-3772)
SCHEDULE B - PART 2
Schedule B — Part 2 Amounts may De rounaea Statement covers period
to whole dollars.
Loan Guarantors April 1, 2024
from
Page _9 of 19
through June 30, 2024
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder San Rafael Public Library Foundation a 1467556
FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT BALANCE
LA
CONTRIBUTOR PAT M CUMULATIVE OC CU IONANDE PLOYER
LOAN GUARANTEED OUTSTANDING
CODE (IF SELF-EMPLOYED, ENTER THIS PERIOD TO DATE TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS)
LENDER
1,11LtNUIAN, YEAR
F1 IND
0
0 1 0
R COM
F OTH
DATE
PER ELECTION
F-1 PTY
(IF REQUIRED)
7 ScC
LENDER
CALENDAR YEAR
E] IND
0
�
0
F com
(
❑ OTH
DATE
PER ELECTION
F-1 PTY
(IF REQUIRED)
❑ ScC
CALENDARYEAR
LENDER
❑ IND
0
0
D COM
FIOTH
PER ELECTION
[_1 PTY
DATE
(IF REQUIRED)
F-1 SCC
LENDER
CALENDARYEAR
❑ IND
F-1 COM
0
S 0
F-1 OTH
I PER ELECTION
❑PTY
DATE
(IF REQUIRED)
E]SCC
Enter on
SUBTOTAL $ 0 SummaryPage,
Line 17 only.
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
WWWJPPC.ca.gov
Schedule C Amounts, may beroundedSCHMIJI-E C
Nonmonetary Contributions Received tu VMUR;
statement covers period
A a
April 1, 2024
from
10 19
Page — of —
June 30, 2024
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
Revitalize Sap. Rafael Libraries & Community Center Ad Committees top Funder San Rafael Public Library Foundation 1467556
I CUMULATIVE To
DATE FULL NAME, STREETADDRESSAND IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ DATE PER ELECTION
CONTRIBUTORI OCCUPATION AND EMPLOYER TO DATE
ZIP CODE OF CONTRIBUTOR FAIR MARKET
RECEIVED I CODE* (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES CALENDAR YEAR (IF REQUIRED)
VALUE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31)
4/1-6/'30/
Charles Stuckey
F71 IND
F] COM
Retired
Postage
230
230
24
109 Knollwood CA 94901
[:] OTH
Bookkeeping-
Il
[]PTY
Quickbooks
11 SCC
F] IND
M
COM
0
0
n OTH
E]PTY
FISCC
E] IND
n COM
0
0
❑ OTH
❑ PTY
El SCC
n IND
El COM
0
0
n OTH
F-1 PTY
FISCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 230 1 1
Schedule C Summary
1. Amount received this period - itemized nonmonetary contributions.
(include all Schedule C subtotals.) .............................. .................................................. ..........................
2. Amount received this period - uniternized 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
$
230
230 a
*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 (1an/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc,ca.gov
SCHEDULE D
Summary of Expenditures
Amounts may be rounded
Statement covers period
Supporting/Opposing Other
to whole dollars.
A-pril 1, 2024
Reim
Candidates, Measures and Committees
from
through June 30, 2024
I I 19
Page
SEE INSTRUCTIONS ON REVERSE
- of
NAME OF FILER
I.D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder San Rafael Public Library Foundation 1467556
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
DESCRIPTION
AMOUNTTHIS CUMULATIVE TO DATE PER ELECTION
DATE MEASURE NUMBER OR LETTER AND JURISDICTION,
TYPE OF PAYMENT (IF REQUIRED,
PERIOD CALENDAR YEAR TO DATE
Monetary
Nonmonetary
Contribution
Independent
[I support El oppose
Expenditure
Monetary
Nonmonetary
Contribution
independent
El Support [I Oppose
Expenditure
Monetary
Nonmonetary
Contribution
Independent
El support 0 oppose
Expenditure
SUBTOTAL
$
1. Itemized contributions and independent expenditures made this period. (include all Schedule D subtotals.) ....... .......................... - ......... $
2. Unbennizedcontributions and independent expenditures made this period of under $10U...... --................. ......... ...... ............................... —$
3.Total contributions and independent expenditures made this period. (Add Lines 1and 2. Donot enter onthe Summary Page.) ..... .... TOTAL'$
FPpCForm 46uUan/2n1W)
FPPC Advice: edvice@fppu.ca.go*(8u6/ars-3r72)
Schedule D
(Continuation Sheet) Arnounts 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
FPge
!!ji
through June 30, 2024
2
of
_91
—
NAME OF FILER I.D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder San Rafael Public Library Foundation 1467556
NAME OF CANDIDATE, OFFICE, AND DISTRICT OR I ESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION
D
DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT CALENDAR YEAR TO DATE
(IF REQUIRED) PERIOD
OR COMMITTEE (JAN. 1 -DEC. 31) (IF REQUIRED)
Monetary
i
Contribution
0
0
n/a
Nonmonetary
Contribution
E] Independent
El Support El oppose
Expenditure
E] Monetary
Contribution
0
0
n/a
Nonmonetary
Contribution
E] independent
E] Support ❑ Oppose
Expenditure
E] Monetary
Contribution
0
0
n/a
❑ Nonmonetary
Contribution
Independent
[I Support El oppose i
Expenditure
i
Monetary
Contribution
0
0
n/a
Nonmonetary
Contribution
❑ independent
❑Support oppose
Expenditure
SUBTOTAL $ 0
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
wwW.fppC.Ca'goV
SCHEDULEE
Schedule E
SEE INSTRUCTIONS nwREVERSE
Amounts may be rounded
to whole dollars.
Devitalize San Rafael Libraries & Community Center AdCommittees top FuoJer San Rafael Public Library Foundation
Statement covers period
from April l`2O24
through June 30, 2024
CODES: U one of the following codes accurately describes the payment, you may enter the code. Othanwise, describe the payment
�D.wmmBEn
1467556
CMpparaphernalia/misc.
MBR
member communications
FwD
radio airtime and production costs
CNG
campaign consultants
MT8
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetap0~
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
txurcable airtime and production costs
nL
candidate filing/ballot fees
pHO
phone banks
TnC
candidate travel, lodging, and meals
FNo
fundraising events
POL
polling and survey research
rRn
and meals
|mo
independent expenditure supporting/opposing others (explain)*
pOS
postage, delivery and messenger services
T8F
transfer between committees ufthe same nandidetelsponoor
LEG
legal defense
PRO
professional services (|egal.accounting)
voT
voter registration
LIT
campaign literature and mailings
PRT
print ads
vvEe
information technology costs (intemet.a'maiV
NAME AND ADDRESS oFPAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Neilsen Merkhamer et al PRO 1500
2350 Kerner Blvd 94901
Olsen Petition Management, LLC Ph I signature gathering 1965
808 N. Irwin
^Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3749
Schedule E Summary
5506
i. Itemized payments made this period. (include all Schedule Enubtota|sj......... -----........ ............ -------...... —...... ....................... $
2. Unbemized payments made this period ofunder $1OU... ............ ---.......... ............. ......... ........ ---........ ..... —....... --.......... ........ $ '
3. Total interest paid this period onloans. (Enter amount from Schedule B. Pad 1. Column (e)l...... ___ ......... ..... ........................... ..... ___ $ ~
4.Total payments made this period. (Add Lines 1.2.and 3.Enter here and onthe Summary Page, Column A,Line S.)........... .......... .... TOTAL $ 5506
FPPC Form 460(Jan/2O16))
FPpCAdvice: edvice@fppc.oa.gnv(86e/27s'3r72)
wwwdppn.oa.gov
Schedule E
(ContinuationSheet)
Amounts may be rounded
to whole dollars.
SCHEDULE E (CONT.)
i Statement covers period
April 1, 2024
® >
Payments
from
through
Tune 30, 2024
sage 14 19 of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder San Rafael Public Library Foundation
I 1467556
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 candidatelsponsor
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
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER LID. NUMBER)
eFundraising Connections
Credit Card discounts on donation made by credit cards
1002
Sacramento, CA 95816
I
Minuteman Press
I
f Printing letterhead stationery
56
, San Rafael, CA 94901
j
1
The Monaco Group
i Printing ballot measure
699
Santa Ana, CA 92705
I
I
i
I
I
i
0
3
I
0
1
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1757
€PPC Form 46€3 (Jan 2016))
FPPC ,advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULEF
Schedule F Amounts may be rounded Statement covers period
Accrued Expenses (Unpaid Bills) to whole dollars. April 1, 2024
from - NMI
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder San Rafael Public Library Foundation 1467556
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
M8R
member communications
RAD
radio airtime and production costs
CmS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmnnmarA~
OFC
mffiva expenses
SAL
oampaignmmdem'va|ahes
CVC
civic donations
PET
petition circulating
TEL
txo,cable airtime and production costs
F|L
candidate filing/ballot fees
pHO
phone banks
TRIC
candidate tl, lodging, and meals
FND
fundraising events
P0L
polling and survey research
TnG
staff/spouse travel, lodging, and meals
|mo
independent expenditure supportinglopposing others (explain)*
pOa
postage, delivery and messenger services
TSF
transfer between committees n[the same candidate/sponsor
LEG
legal defense
PRO
professional services (lega|.accounting)
vOT
voter registration
LIT
campaign literature and mailings
pRT
print ads
VvEB
information technology costs (mtemsu.e'maiV
1
NAME AND ADDRESS OF CREDITOR
I CODE OR
OUTSTANDING
I AMOUNT INCURRED
AMOUNT PAID
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
2350 Rafael, CA 94901
1011S. Ana, CA 92705
-papnemsthataeconmuutionsmmuependen expenditures must also be SUBTOTALS * 2199 $ 1608 $ 3199 $ 1008
summarized on Schedule D_
Schedule F Summary
1.Total accrued expenses incurred this period. (include all Schedule FColumn ( subtotals for 1608
accrued expenses of $100 or more, plus total uniternized accrued expenses under $100.) ...... .......... _ ......... .......... ... INCURRED TOTALS $
2. Total accrued ex (include all Schedule F, Column (c) subtotals for payments on
accrued expenses of$1O0ormore, plus total unhemizedpayments onaccrued expenses under $1OOl.'.
3 Net this Line Enter
� change � mo � (591)
onthe Summary Page, Column A^Line &)..... —....... ............ .......... ---'.---...... ....... .................... ...... .................... ..._........ ...................... —NET $
May be a negative ==w"
FPPCForm 46O(Jan/2Vu6)}
FPPC Advice: mdwice@fppc.ca.gov(866/Zr5-3772)
wwm^fppo.ca.gov
Schedule
(Continuation
Accrued Expenses (Unpaid Bills)
Amounts may be rounded
to whole dollars.
Statement covers period
from
April 1, 2024
SCHEDULE F (CONT)
1 through June 30, 2024
Page 16 of 19
NAME OF FILER
I.D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees
top Funder San Rafael Public Library Foundation
1467556
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
CT, B 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)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
l CODE OR
DESCRIPTION OF PAYMENT
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
I (b)
AMOUNT INCURRED
THIS PERIOD
{c)
AMOUNT PAID
I THIS PERIOD
i (ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSE
l OF THIS PERIOD
i
0
0
0
0
j o
o
0
i
0
i
I
1
0
1
{
SUBTOTALS $ 0 $ 0 $ 0 $ 0
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule G
Payments Made by an Agent or Independent Amounts may be rounded
Contractor (on Behalf of This Committee) to whole dollars.
from April 1, 2024
SCHEDULE G
through June 30, 2024 1 Page. 17 of 19
SEE INSTRUCTIONS ON REVERSE I
NAME OF FILER I.D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder San Rafael Public Library Foundation 1467556
NAME OF AGENT OR INDEPENDENT CONTRACTOR
CODES: If one of the following codes accurately describes the payment, you may enter the code
CIVIP
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
PR
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.
RAID 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
N
R
111
It
Attach additional information on appropriately labeled continuation sheets. TOTAL* $ o
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan/2016))
independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE
Schedule H
!amounts may be rounded
Statement covers period
1 �
Loans Made ' Others*
to whole dollars.
from April 1, 2024
page 18
of 19
through June 30, 2024
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder
San Rafael Public Library
Foundation
1467556
IFAN INDIVIDUAL, ENTER
FULL NAME: STREET ADDRESS AND ZIP CODE ( OCCUPATION AND EMPLOYER
(a (b) c e
OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING
(r
ORIGINAL
g
CUMULATIVE
OF RECIPIENT
( IF SELF-EMPLOYED, ENTER
BALANCE
LOANED THIS
FORGIVENESS
I BALANCE AT INTEREST
AMOUNT OF
LOANS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) ` NAME OF BUSINESS)
Pppinn BEGINNING THIS PERIOD
I THIS PERIOD* PERinn CLOSE OF THIS RECEIVED
I LOAN
TO DATE
❑ PAID
I
I
CALENDAR YEAR
$0
i
$0
0 %
1$0
$0
RATE
❑ FORGIVEN
PER ELECTION**
j$
0
$ 0
i$ 0
$ 0
$ n/a
I DATE DUE
(
DATE INCURRED
!
❑ PAID
I
CALENDAR YEAR
E ❑ FORGIVEN
RATE
PER ELECTION
$0
0
$ 0
$n/a
DATE INCURRED
�$0
I$
I
DATE DUE
*Loans that are contributions to another candidate or committee must
I
j
also be summarized on Schedule D. Loans forgiven must also be
SUBTOTALS
$ 0
0
$ 0
$ 0
reported on Schedule E.
is
(Enter (e) on
1
Schedule i, Line 3)
I
t
1. Loans made this period.......................................................................
(Total Column (b) plus uniterrlized loans of less than $100.)
2. Payments received onloans...............................................................
(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.)
............................... $
-*If Required
(May be a negative number)
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppe.Ca.gov
Schedule I
Miscellaneous Increases to Cash
Amounts may be rounded
to whole dollars.
Statement covers period
from April 1, 2024 —
SCHEDULEI
through. June 30, 2024 Page 19 of 19
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I-D. NUMBER
Revitalize San Rafael Libraries & Community Center Ad Committees top Funder San Rafael Public Library Foundation 1467556
DATE FULL NAME AND ADDRESS OF SOURCE I AMOUNT OF
I DESCRIPTION OF RECEIPT
RE (IF COMMITTEE, ALSO ENTER J.D. NUMBER) I I INCREASE TO CASH
0
A
It
W
W
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ o
Schedule I Summary
1. Itemized increases to cash this period . ...... .................. ..................... .................................. ......... - ................... ......... $ 0
2. Unitemized increases to cash of under $100 this period . ....... ...... .................... ................... .................................. $ 0
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ...............................-......$ 0
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 0
Summary Page, Line 14.) - ................ ......... - ......... ...... ................. ........... ...... TOTAL $ FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov