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Home My WebLink AboutForm 460 - San Rafael Public Library Foundation (501(c)(3)); 2nd preelectionCOVER PAGE Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2024 through September 30, 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/ ] Small Contributor Committee Officeholder Committee ] Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER 1467937 San Rafael Public Library Foundation (Non Profit 501(c) (3)) STREETADDRESS (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 OPTIONAL: FAX / E-MAIL ADDRESS Date Stamp GIE9WCE Date of election if (Month, Day, U U I 1 OCT 2 4 2024 November 5, 2024 1 of 17 For Official Use Only 2. Type of Statenientw I t t V t_t_I %1 % V V t I I V r1 5 I 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 CA 94901 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 Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent or Responsible Officer of Sponsor Executed on By n,,tr Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on — By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COVER 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 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. COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary 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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Public Library Foundation (Non Profit 501(c) (3)) Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period from July 1, 2024 through September 30, 2024 Page 3 of 17 Column A Column B Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 1. Monetary Contributions................................................... Schedule A, Line 3 $ 0 $ 89313 2. Loans Received................................................................ schedule B, Line 3 0 0 3. SUBTOTAL CASH CONTRIBUTIONS ............................ Add Lines 1 +2 $ 0 $ 89313 0 0 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 0 $ 89313 Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 0 $ 89313 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 0 $ 89313 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 s+9+10 $ 0 $ 89313 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ To calculate Column B, 13. Cash Receipts........................................................... Column A, Line 3 above 0 add amounts in Column 0 Ato the corresponding 14. Miscellaneous Increases to Cash .................................. Schedule /, Line 4 amounts from Column B 15. Cash Payments ............................ Column A, Line 8 above 0 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 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 B, 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 0 any). 18. Cash Equivalents ................................................ see instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 I.D. NUMBER 1467937 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (tr Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 1J $ *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 A Amounts may be rounded SCHEDULE A Monetary Contributions Received to wnoie sonars. Statement covers period , , ff ' from July 1, 2024 a • " through September 30, 2024 page 4 of 17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 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) No Political Activities this period ❑ IND 0 0 n/a ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND 0 0 n/a ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND 0 0 n/a ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND 0 0 n/a ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND 0 0 n/a ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 0 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 $100 .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.). .................$ 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 $ U 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 CALIFORNIA from July 1, 2024 FORM through September 30, 2024 Page 5 of 17 NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 FULL NAME, STREET ADD RESSAND 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) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) No Political Activities this period ❑ IND 0 0 n/a ❑ COM ❑ OTH ❑ PTY SCC ❑ IND 0 0 ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND 0 0 ❑ COM 1:1 OTH ❑ PTY ❑ SCC ❑ IND 0 0 ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND 0 0 ❑ COM ❑ OTH ❑ PTY n SCC SUBTOTAL $ 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 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B-PART 1 Schedule B — Pali 1 to whole dollars. Loans Received Statement covers period from Julv 1.2024 CALIFORNIA FORM SEE INSTRUCTIONS ON REVERSE through September 30, 2024 Page 6 of 17 NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 FULL NAME, STREETADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER ENTER (IF SELF-EMPLOYED, BUSINESS) NAME OF BUSINESS) OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT RECEIVED THIS PERIOD AMOUNT PAID OR FORGIVEN THIS PERIOD * OUTSTANDING BALANCE AT CLOPERIODHIS INTEREST PAID THIS PERIOD ORIGINAL AMOUNT OF LOAN CUMULATIVE CONTRIE3UTIONS TO DATE ® PAID CALENDAR Y A s0 $0 % $0 $0 PER ELECTION** ❑ FORGIVEN RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 0 $ $ 0 SO DATE DUE $0 . ` DATE INCURRED Lj PAID CALENDAR YEAR $ 0 $ 0 0 % $ 0 $ 0 ❑ FORGIVEN PER ELECTION** RATE t ❑ IND ❑ COM ❑ OTH ❑PTY ❑SCC 0 $ 0 $ O $ O DATE INCURRED $ DATE DUE ❑ PAID CALENDAR YEAR $0 $0 % $ 0 $0 PER ELECTION** ❑ FORGIVEN RATE 0 0 0 0 DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE SUBTOTALS $ 0 $ 0 $ 0 $ 0 Schedule B Summary 1. Loans received this period.......................................................................... (Total Column (b) plus unitemized loans of less than $100.) 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.) ............................. Enter the net here and on the Summary Page, Column A, Line 2. .......................................... $ .......................................... $ ................................. NET $ 0 0 0 (May be a negative number) (triter (a) on SCneauie t, Line J) 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 *Amounts forgiven or paid by another party also must be reported on Schedule A. ** FPPC Form 460 (Jan/2016)) If required. -- - — — - — - FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 2 Scneaule t3 — Dart 1 mmoumis may oe rounaea Statement covers period to whole dollars. to , � 1 Loan Guarantors Juy 1, 2024 - � from September 30, 2024 7 17 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 FULL NAME, STREETADDRESS 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 0 CALENDAR YEAR 0 ❑ IND ❑ COM ❑ OTH DATE PER ELECTION 7 PTY (IF REQUIRED) ❑SCC $ LENDER 0 CALENDAR YEAR 0 ❑ IND ❑ COM $ ❑ OTH DATE PER ELECTION ❑ PTY (IF REQUIRED) ❑ SCC $ CALENDAR YEAR ❑ IND LENDER 0 0 ❑ COM $ ❑ OTH PER ELECTION ❑ PTY DATE (IF REQUIRED) ❑ SCC $ LENDER CALENDAR YEAR ❑ IND 0 0 ElCOM $ ❑ OTH El PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC $ cmar on SUBTOTAL $ 0 summary Page, Line 17 only. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C "' WHOW u01141S. Nonmonetary Contributions ReceivedCALIFORNIA Statement covers period , from Julv 1, 2024 - 6 0 through September 30, 2024 Page 8 of 17 SEE INSTRUCTIONS ON REVERSE VAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 DATE FULL NAMESTREET ADDRESS AND , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * CODE (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) NAME OF BUSINESS) ❑ IND 0 0 n/a ❑ COM ❑ OTH ❑ PTY ❑SCC ❑ IND 0 0 n/a ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND 0 0 n/a I COM ❑ OTH ❑ PTY ❑ SCC ❑ IND 0 0 n/a ❑ COM ❑ OTH 7 PTY ❑ SCC 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 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.)........ 0 $ 0 .... 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 SCHEDULED summary OT tX enaitures Amounts may ne rounaea Statement covers period to whole dollars. Supporting/Opposing Other July 1, 2024FORM CALIFORNIA ' • Candidates, Measures and Committees from through September 30, 2024 9 17 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 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) No Political Activities this Perios ❑ Monetary 0 0 n/a Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary 0 0 n/a Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary 0 0 n/a Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 0 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.) ..... FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D ��r(7I1j1IlUClilVfl •7ll��l) Amounts may oe rounueo SCHEDULE D CONT. Summary of Expenditures to whole dollars. Statement covers period CALIFORNIA I ' Supporting/Opposing Other July 1, 2024 • FORM from Candidates, Measures and Committees September eptember 30, 2024 10 17 Page of NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION AMOUNT THIS M CUULATIVE 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 0 0 n/a Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary 0 0 n/a Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary 0 0 n/a Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary 0 0 n/a Contribution ❑ 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 SCHEDULE E Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Public Library Foundation (Non Profit 501(c) (3)) Amounts may be rounded to whole dollars. Statement covers period from July 1, 2024 through September 30, 2024 page 11 17 of I.D. NUMBER 1467937 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 supportinglopposing 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) No Political Activites this Period 0 0 0 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 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 $ 0 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) Amounts may be rounded Statement covers period (Continuation Sheet) to whole dollars. • � Payments Made from July 1, 2024 . • through September 30.2024 12 17 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 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 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID No Political Activities this Period 0 0 0 0 0 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0 FPPC Form 460 Jan 2016) 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 30, 2024 I 13 Page of 17 NAME OF FILER I I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 CODES: If one of the following CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting legal defense campaign literature and mailings codes accurately describes the payment, you may enter the code. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research /opposing others (explain)* POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads 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) (a) (c) (d) (b) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER LID NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD 0 0 0 0 0 0 0 0 0 0 0 0 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 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.) ............... $0 $ 0 $ 0 ....................INCURRED TOTALS $ _0 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under$100.).................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 0 onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F (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 30, 2024 14 17 Page of — _ _ NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 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 0 (b) AMOUNT INCURRED THIS PERIOD (C) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. statement covers pe from Julv 1, 2024 SCHEDULE G through September 30, 2024 15 17 Pa a of g SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 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. Otherwise, describe the payment. CMP campaign paraphernalia/mist. 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 PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 0 0 0 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 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Statement covers period CALIFORNIA 4 6 ' to whole dollars. July 1, 2024 Loans Made to Others* from •- through September 30, 202z Page 16 of 17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (e OUTSTANDING AMOUNT c REPAYMENT OR OUTSTANDING e INTEREST 1 ORIGINAL 9 CUMULATIVE OF RECIPIENT (IF SELF-EMPLOYED, ENTER BALANCE BEGIPF LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNT OF LOANS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) =PinnTHIS PERIOD THIS PERIOD" PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR $0 $0 i $0 $ RATE ❑ FORGIVEN PER ELECTION 0 0 $ S 0 $ 0 $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $0 $0 $ $0 % ❑ FORGIVEN PER ELECTION RATE 0 0 DATE INCURRED DATE DUE *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 $ (Enter (e) an Schedule I, Line 3) 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 $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ........................... (Enter the net here and on the Summary Page, Column A, Line 7.) ......................$ 0 ......................$ 0 ............. NET $ 0 (May be a negative number) ..If Required FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 4;rhP_dij1P_ I e.,,—.,+. SCHEDULE I Miscellaneous Increases to Cash to whole dollars. Statement covers period CALIFORNIA 460 from July 1, 2024 FORM through September 30, 2024 Page 17 of 17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Public Library Foundation (Non Profit 501(c) (3)) 1467937 DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER I.D NUMBER) INCREASE TO CASH 0 0 0 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 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).).......................................$ 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