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Home My WebLink AboutForm 460 - Maika Llorens Gulati for City Council 2020 (2024-06-30) TerminationRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2024 through 06/30/2024 1. Type of Recipient Committee: All 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 Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1425910 CO%%1111 EE NA:r',F (OR CANDIDATE'S NAME IF NO COMMITTEE) Maika Llorens Gulati for San Rafael City Council District 12020 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE San Rafael CA 94901 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS COVER PAGE 11 - 2 2024 1 of 5 Date of election if applicaITYAUG (Month, Day, Year) For Official Use Only 11/03/2020 CLERK'S OFA E 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement W1 Semi-annual Statement ❑ Special Odd -Year Report W1 Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Maika Llorens Gulati 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 AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 4. 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 and correct. Maika Llorens Ll.,,1.;�.,.11, eyMa'ka 06/30/2024 Gulati Da[ e:2024 09 02 10:33:06 Executed on By -07'00' Digitally signed by Dale Signature of Treasurer or Assistant Treasurer Maika Llorens Gulati 06/30/2024 Gulati Date: 2024 08 02 Executed on By 10:33:46-07'00' Dale Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Dale Executed on Dale By Signature of Controlling Officeholder, Candidate, Stale Measure Proponent By Signature of Controlling Officeholder, Candidate, Stale Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Maika Llorens Gulati OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member City of San Rafael District 1 RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP San Rafael CA 94901 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. I.D. NUMBER NAME OF TREASURERI 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 TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 of 5 6. Primarilv 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 SOUGHT OR HELD ❑ SUPPORT JOFFICE ❑ OPPOSE L11 i r a iris c cir i.Uuc AKWA uvUcirnUrvc 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 Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE SUMMARY PAGE Statement covers period from 01/01/2024 through 06/30/2024 _ Page 3 of 5 NAME OF FILER 6. Payments Made ...... Schedule E, Line 4 I.D. NUMBER Maika Llorens Gulati for San Rafael City Council District 12020 Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS....................................... 1425910 Contributions Received 9. Accrued Expenses (Unpaid BIIIS Column A TOTAL THIS PERIOD Column B 10. Non monetary Adjustment...................................................... Calendar Year Summary for Candidates 0.00 11. TOTAL EXPENDITURES MADE...... (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions.................................................. Schedule A, Line 3 $ 0.00 $ 0 0.00 0 1l1 through 6/30 7/1 to Date 2. Loans Received................................................................ schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ 0.00 $ 0 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ schedule C, Line 3 0.00 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 0.00 $ 0 Made $ $ Expenditures Made 6. Payments Made ...... Schedule E, Line 4 $ 189.70 7. Loans Made....................................................................... Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS....................................... Add Lines 6+7 $ 189.70 9. Accrued Expenses (Unpaid BIIIS ............... Schedule F, Line 3 0.00 10. Non monetary Adjustment...................................................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE...... ... ............ Add Lines 8+9+1p $ 189.70 Current Cash Statement 12. Beginning Cash Balance .. _ _..... _...... Previous Summary Page, Line 16 $ 189.70 13. Cash Receipts Column A, Line 3 above 0.00 14. Miscellaneous Increases to Cash .................................. Schedule /, Line 4 0.00 15. Cash Payments ............. .......... Column A, Line 8 above 189.70 16. ENDING CASH BALANCE ................Add Lines 12 + 13 + 14, then subtract Line 15 $ 0.00 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ see instructions on reverse 19. Outstanding Debts _ . ...................... Add Line 2 + Line 9 in Column B above $ 0_00 $ 0_00 $ 0 0 $ 0 0 n To calculate Column B, add amounts in Column Ato 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). 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 D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Maika Llorens Gulati for San Rafael City Council District 12020 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DATE MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE 06/30/2024 Maika Llorens Gulati for San Rafael City Council District 12024 San Rafael, CA 94901 WI Su ort Oppose ❑ Support ❑ Oppose Amounts may be rounded to whole dollars. Statement covers period i from 01/01/2024 through 06/30/2024 TYPE OF PAYMENTI DESCRIPTION AMOUNT THIS (IF REQUIRED) I PERIOD ® Monetary 5 Page Contribution Transferring funds from this 189.70 ❑ Nonmonetary committee for the 2020 Contribution election to the new ❑ Independent committee for the 2024 CALENDAR YEAR Expenditure election ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure SUBTOTAL $ 189.70 SCHEDULED 189.70 Schedule D Summary 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................................................................ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ... 189.70 ............ $ TOTAL.. $ 189.70 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 4 5 Page of I.D. NUMBER 1425910 UMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 189.70 Schedule D Summary 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................................................................ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ... 189.70 ............ $ TOTAL.. $ 189.70 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E to whole dollars. Statement covers period 460 • ' CALIFORNIA Payments Made from 01/01/2024 • - SEE INSTRUCTIONS ON REVERSE NAME OF FILER Maika Llorens Gulati for San Rafael City Council District 12020 through 06/30/2024 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 5 of 5 I.D. NUMBER 1425910 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 LD NUMBER) CODE OR DESCRIPTION OF PAYMENT FIL " Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)....................................................................... 2. Unitemized payments made this period of under $100.................................................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)....................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.).. AMOUNT PAID SUBTOTAL $ ................. $ 0.00 $ 0.00 .... TOTAL $ 0 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov