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HomeMy WebLinkAboutForm 460 - Revitalize San Rafael Libraries and Community Center Ad Committee's Top Funder San Rafael Public Library Foundation; preelectionCOVER PAGE Recipient Committee Campaign Statement Cover Page Statement covers period from July 1, 2024 SEE INSTRUCTIONS ON REVERSE I through September 21, 2024 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ® Primarily Formed Ballot Measure State Candidate Election Committee Committee Recall Controlled (Also Complete Part5) ✓] Sponsored (Also Complete Part 6) ❑ General Purpose Committee __� Sponsored ❑ Primarily Formed Candidate/ j Small Contributor Committee Officeholder Committee I Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER 1467556 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 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 AREACODE/PHONE San Rafael CA 94901 OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applid (Month, Day, Year) 1 of 18 For Official Use Only November 5, 2024JI' 1 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 CITY STATE ZIP CODE AREACODE/PHONE San Rafael CA 94901 NAME OF ASSISTANT TREASURER, IF ANY Charles Litchfield MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Rafael OPTIONAL: FAX/E-MAIL ADDRESS CA 94901 4. Verification have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information containeq 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 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) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) 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 STREET ADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 of 18 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Revitalize San Rafael Libraries & Communtiy Center BALLOT NO. OR LETTER JURISDICTION San Rafael ®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 Listnames 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 (8661275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period from July 1, 2024 through September 21, 2024 Page 3 of 18 NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 1467556 oD BAR Calendar Year Summary for Candidates Contributions Received TOTALColumn P CALENDAR Running in Both the State Primary (FROM ATTACHED SCHEDULES) TOTALTODATE and General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 16375 $ 130428 -5000 ® 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule B, Line 3 11375 125428 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 0 230 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 11375 125658 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ $ Expenditures Made 6. Payments Made, ..... ......................................................... Schedule E, Line 4 $ 2990 $ 110395 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 2990 $ 110395 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 0 10, Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 2990 $ 110395 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13926 To calculate Column B, 13. Cash R2C21ptS........................................................... Column A, Line 3 above 11375 add amounts in Column 0 Ato the corresponding 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 amounts from Column B 15. Cash Payments ............................................. Column A, Line 8 above 2990 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 22311 be negative figures that should be subtracted from If this is a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Part 2 $ 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 22311 any). 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 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 (8661275-3772) www.fppc.ca.gov 1 0 Amounts may be rounded SCHEDULE A Monetary Contributions Received to wnoce uooiars. Statement covers period CALIFORNIA , 60 from July 1, 2024 • - through September 21, 2024 Page 4 of 18 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 1467556 FULL NAME, STREET ADDRESS AND ZIP CODE OF [FAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR 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) 7/8/2024 Beverly Brand 0 IND Retired 3000 3000 n/a El COM ❑ OTH Crescent City, CA 95531 ❑ PTY ❑ SCC 7/25/24 Sean Prendiville Z IND Retired 500 500 n/a ❑ COM ❑ OTH San Rafael, CA 94903 ❑ PTY ❑ SCC 8/26/24 Friends of the San Rafael Library ❑ IND 7500 15000 n/a ❑ CoM ® OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 9/4/24 Alten Construction, LLC ❑ IND 2500 2500 n/a ❑ COM® OTH Richmond, CA 94804 ❑ PTY ❑ SCC 9/9/24 Sandra Yoffie ® IND Retired 150 150 n/a ❑ COM ❑ OTH San Rafael, CA 94901 ❑ PTY ❑ SCC SUBTOTAL $ 13650 Schedule A Summary 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.).......... 16375 $0 '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 ......TOTAL $ 16375 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) wwwJppc.ca.gov Schedule A (Continuation Sheet) Amounts may he rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 1 from July 1, 2024 • - • through September 21, 2024 page 5 of 18 NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 1467556 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 9/12/24 Margaret Woodring ® IND Retired 100 100 n/a ❑ COM ❑ OTH San Anselmo, CA 94960 ❑ PTY SCC 9/13/24 Thomas O'Brian ® IND Retired 25 25 n/a ❑ COM ❑ OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 9/13/24 Nancy Mackle ® IND Retired 50 50 n/a ❑ coM _'OTH San Anselmo, CA 94960 ❑ PTY ❑ SCC 9/16/24 Paula & Mark Kamena Z IND Retired 1000 1000 n/a ❑ coM ❑ OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 9/16/24 Frances Scher IND Retired 500 500 n/a ❑ COM ❑ OTH San Rafael, CA 94903 ❑ PTY scc SUBTOTAL $ 1675 *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 period from July 1, 2024 • - 460 through September 21, 2024 page 6 of 18 NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P 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 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) 9/16/24 Ellen & Robert Tollen Z IND Retired 250 250 n/a ❑ COM ❑ OTH San Rafael, CA 94901-1354 ❑ PTY ]SCC 9/16/24 Wayne Lechner ® IND Gardner 100 100 n/a ❑ COM ❑ OTH San Rafael, CA 94903 ❑ PTY ❑ SCC 9/16/24 Seagate Properties, Inc. ❑ IND 500 500 n/a El COM ✓' OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 9/16/24 Ann Batman ® IND Retired 200 200 n/a ❑ COM ❑ OTH Larkspur, CA 94904 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1050 "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 6Y•1.1X1P14:8 MV-Vial Schedule — Part 1 to whole dollars. Statement covers period A • _NIA , 60 Loans Received from July 1, 2024 • - through September 21, 2024 Page 7 of 18 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 1467556 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING (b) AMOUNT c AMOUNT PAID d OUTSTANDING e INTEREST ORIGINAL g CUMULATIVE OF LENDER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD * CLOPERIOD HIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD ® PAID CALENDAR YEAR Charles Litchfield Real Estate Broker $ 5000 $ 0 0 % $ 5000 $ 5000 Litchfield Brokers RATE ❑ FORGIVEN PER ELECTION** $ 5000 $ 0 $ $ 3/26/24 $ n/a t ® IND ❑ COM [_1 OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE ❑ IND ❑ COM ❑ OTH PTY ❑SCC tEl $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE DATE DUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0 $ 5000 $ 0 $ 0 Schedule B Summary 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) 5000 2. Loans paid or forgiven this period.........................................................................................................$ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. -5000 (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor 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 B - PART 2 5CheClule B ® Part Z Amounts may ®e rounaeo Statement cowers period . to whole dollars.'mmm • A• , Loan Guarantors July 1, 2024 FORM from September 21, 2024 8 18 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 1467556 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE BALANCE CONTRIBUTOR * OCCUPATION AND EMPLOYER LOAN GUARANTEED OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) THIS PERIOD TO DATE TO DATE LENDER CALENDAR YEAR ❑ IND ❑ COM $ ❑ OTH DATE PER ELECTION PTY (IF REQUIRED) ❑ SCC LENDER CALENDAR YEAR ❑ IND ❑ COM $ ❑ OTH DATE PER ELECTION ❑ PTY (IF REQUIRED) ❑ SCC $ CALENDAR YEAR LENDER ❑ IND ❑ COM $ ❑ OTH PER ELECTION ❑ PTY DATE (IF REQUIRED) ❑ SCC $ LENDER CALENDAR YEAR ❑ IND ❑ COM $ ❑ OTH ❑ PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC $ Enter on SUBTOTAL $ Summary Page, a Line 17 only. ,, 3Yyx✓yy,U,,, FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule Amounts may be rounded SCHEDULE C dV W1luic UU1 01D. Nonmonetary Contributions ReceivedCALIFORNIA Statement covers period from July 1, 2024 - , 6 September 21, 2024 9 18 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 1467556 DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) * CODE (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) (IF NAME OF BUSINESS) (JAN 1 - DEC 31) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND —1 COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH 7 PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 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 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 D SCHEDULE D Summary of Expenditures Amounts may be rounded statement covers period CALIFO_ NIA Supporting/Opposing Other to whole dollars. July 1, 2024 ® ® • ' Candidates, Measures and Committees from . through September 21, 2024 Page 10 of 18 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 1467556 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAN. 1 - DEC.31) (IF REQUIRED) ® Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ® Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ® Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 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.) .......... TOTAL.. $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D tConunuavon Sneei) Amounts may ne rounueo SCHEDULE D (CONT. Summary of Expenditures to whole dollars. Statement covers period CALIFORNIA 460 Supporting/Opposing Other July 1, 2024 FORM from Candidates, Measures and Committees through September 21, 2024 Page 11 of 18 NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 1467556 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ® Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ® Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from July 1, 2024 through September 21, 2024 Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 12 I.D. NUMB 1467556 of 18 CMP campaign paraphernalia/misc. MBR member communications RAID 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 FIND 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Neilsen Merksamer et al PRO 2278 San Rafael, CA 94901 eFundraising Connections Credit Card Discounts on Donations Made by Credit Cards 712 Sacramento, CA 95816 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2290 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2290 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 2290 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONY.) Amounts may be rounded Statement covers period (Continuation Sheet) to whole dollars. CALWORNIA , 60 Payments Made July 1, 2024 from FORM through September 21, 2024 13 18 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 167556 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 RAID 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULEF Schedule F Amounts may be rounded Accrued Expenses (Unpaid Bills to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2024 through September 21, 2024 14 18 Page of — NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P 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. CMP 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 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) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD " Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. Schedule F Summary 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.)........................................ 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.).................... INCURRED TOTALS $ ....... PAID TOTALS $ Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ May be a negative number FPPC Form 460 (Jan/2016)) advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FPPC Advice Schedule (Continuation Sheet) Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from July 1, 2024 SCHEDULE F (CONT.) through September 21, 2024 15 18 Page of NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P 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 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) * 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) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G SCHEDULE G Payments Wade by an Agent or Independent Amounts may be rounded statement covers period CALIFO'kNIA460 Contractor (on Behalf of This Committee) to whole dollars. from July 1, 2024 . through September 21, 2024 16 18 Page of g SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P 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. Otherwise, describe the payment. CMP campaign paraphernalia/misc. IVIBR 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL* $ * 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 H Schedule H Amounts may be rounded Statement covers period A - to whole dollars. July 1, 2024 , Loans Made to Others* from • - through September 21, 202z page 17 of 18 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 1467556 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a) OUTSTANDING b AMOUNT c REPAYMENT OR e OUTSTANDING ORIGINAL g CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT OF THIS INTEREST RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) FRIOD PERIOD THIS PERIOD* PERtor)CLOSE LOAN TO DATE ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION** DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR $ $ % $ $ RATE ❑ FORGIVEN PER ELECTION** DATE DUE DATE INCURRED "Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ $ $ $ Schedule H Summary 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.)............................................................................................ NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) (inter (e) on Schedule I, Line 3) *-If Required (May be a negative number) FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov _qg-harii da 0 SCHEDULE I Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2024 through Setember 21, 2024 CA I LIFORNIA 460 • ' Page 18 of 18 NAME OF FILER Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation I.D. NUMBER 1467556 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 Schedule 1 Summary 1. Itemized increases to cash this period............................................................................................................................$ 0 2. Unitemlzed 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