HomeMy WebLinkAboutForm 460 - Revitalize San Rafael Libraries and Community Center Ad Committee's Top Funder San Rafael Public Library Foundation; 12-31-24Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from July 1, 2024
through December 31, 2024
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
[ State Candidate Election Committee
[ Recall
(Also Complete Part 5)
❑ General Purpose Committee
Sponsored
Small Contributor Committee
f� Political Party/Central Committee
3. Committee Information
0 Primarily Formed Ballot Measure
Committee
[ Controlled
7 Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1467556
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
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
AREACODE/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
94912-2459
OPTIONAL: FAX/E-MAIL ADDRESS
COVER PAGE
11 OU JAN 3 1 2025 F2 I e of _7L
Date of election if applic llle:
(Month, Day, Year)17TIFor Official Use Only
YCTY CLERK'S OFFIC .
November 5, 2024
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
W1 Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
L] Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Charles Litchfield
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
San Rafael CA 94901
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX/E-MAIL ADDRESS
STATE ZIP CODE AREACODE/PHONE
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder, Candidate, State 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
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Page 7— of 2--L-
5.
Z
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Tol
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
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
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
Summary Page
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
SUMMARY PAGE
Statement covers period
from July 1, 2024
through December 31, 2024 Page _s2 of Z-2—
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
Contributions Received
Column A
TOTAL THIS PERIOD
Column B
CALENDAR YEAR
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
1. Monetary Contributions.................................................. schedule A, Line 3
$
34168
$ 203129
2. Loans Received................................................................ Schedule B, Line 3
-5000
0
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2
$
34168
$ 203129
4. Nonmonetary Contributions ............................................ schedule C, Line 3
0
0
5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4
$
34168
$ 203129
Expenditures Made
6. Payments Made. Schedule E, Line 4
$
37127
$ 132640
7. Loans Made....................................................................... Schedule H, Line 3
0
0
8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7
$
37127
$ 132640
9. Accrued Expenses (Unpaid Bills) ......................................... Schedule F Line 3
5204
5204
10. Nonmonetary Adjustment ................................................ .. Schedule C, Line 3
0
0
11. TOTAL EXPENDITURES MADE........... Add Lines &+9+10
$
37127
$ 132640
Current Cash Statement
12. Beginning Cash Balance............................ Previous Summary Page, Line 16
$
13926
To calculate Column B,
13. Cash Receipts........................................................... Column A, Line 3 above
34168
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
37127
of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15
$
5205
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
any).
18. Cash Equivalents ................................................ See instructions on reverse
$
19. Outstanding Debts .............. .............. Add Line 2 + Line 9 in Column B above
$
5204
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*
(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 A Amounts may be rounded SCHEDULE A
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA , '
from July 1, 2024
• '
through Decembr 31, 2024
Page of 2-7—
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
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)
7/8/24
Beverly J Brand
Q 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
Z COM
❑ OTH
San Rafael, CA 94901
❑ PTY
❑ SCC
9/4/24
Alten Construction, LLC
❑ IND
2500
2500
N/A
❑ COM
0 OTH
Richmond, CA 94804
❑ PTY
❑ SCC
9/9/24
Sandra Yoffie
MIND
RETIRED
150
150
N/A
❑ COM
❑ OTH
San Rafael, CA 94901
❑ PTY
❑ SCC
SUBTOTAL $ 13650
Schedule A Summary
1. 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.).....
34168
0
....TOTAL $ 34168
*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)
Monetary Contributions Received
Amounts may be rounded SCHEDULE A (CONT.)
to whole dollars. Statement covers period ,
__ July 1. 2024 • -
*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
through December 31, 2024
Page of ZZ
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 ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
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)
9/12/24
Margaret Woodring
Z IND
RETIRED
100
100
N/A
❑ COM
❑ OTH
San Anselmo, CA 94960
❑ PTY
scC
9/12/24
Elias Hill
m IND
CONSULTANT
25
25
N/A
❑ CoM
❑ OTH
San Rafael, CA 94901
❑ PTY
❑ SCC
9/13/24
Thomas O'Brian
Z IND
RETIRED
25
25
N/A
❑ COM
❑ OTH
San Rafael, CA 94901
❑ PTY
❑ SCC
9/13/24
Nancy Mackle
Z IND
RETIRED
50
50
N/A
E] 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
F1 SCC
SUBTOTAL $ 1200
*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 Amounts may be rounded SCHEDULE A
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA
from July 1, 2024
,
' •
FORM
through December 31, 2024
Page (_ of -1 Z'
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
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
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)
9/16/24
Frances Scher
IND
RETIRED
500
500
N/A
❑ CoM
❑ OTH
San Rafael, CA 94903
❑ PTY
❑ SCC
9/16/24
Ellen & Robert Tollen
0 IND
RETIRED
200
200
N/A
❑ CoM
❑ OTH
San Rafael, CA 94901-1354
❑ PTY
❑ SCC
9/16/24
Wayne Lechner
m 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
❑ COM
0 OTH
San Rafael, CA 94901
❑ PTY
❑ SCC
9/16/24
Ann Batman
Z IND
RETIRED
200
200
N/A
❑ COM
EIOTH
Larkspur, CA 94904
❑ PTY
❑ SCC
SUBTOTAL $ 1500
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) ..............................................
2. Amount received this period — unitemized monetary contributions of less than $100 ....
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.).
31168
...................$ 0
......TOTAL $ 31168
"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 Julv 1, 2024
• -
page of ZZ
through December 31, 2024
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, STREET ADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
CONTRIBUTOR
*
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME)
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
9/24/24
Kate Colin
Z IND
MAYOR
400
1400
N/A
❑ COM
❑ OTH
San Rafael, CA 94901
❑ PTY
❑ SCC
9/24/24
Kay & Mark Noguchi
® IND
RETIRED
500
500
N/A
❑ COM
❑ OTH
San Rafael, CA 94903-2428
❑ PTY
❑ SCC
9/24/24
Ann Rivo, Phd.
Z IND
RETIRED
100
100
N/A
❑ COM
❑ OTH
San Rafael, CA 94903-5105
❑ PTY
❑ SCC
10/5/24
Barbara Squires
® IND
PERSONAL ASSISTANT
50
150
N/A
❑ COM
❑ OTH
Greenbrea, CA 4904
❑ PTY
❑ SCC
10/11/24
Lois & Frank Noonan
Z IND
RETIRED
10000
10000
N/A
❑ COM
❑ OTH
San Rafael, CA 94901
❑ PTY
Fl SCC
SUBTOTAL $ 11050
'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
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA , '
from Julyl, 2024
•
through December 31, 2024
Page R of Z2
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
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 LD NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
10/11/24
Gladys Gilliand
Z IND
INSURANCE AGENT
150
150
N/A
❑ COM
❑ OTH
San Rafael, CA 94903-5517
❑ PTY
❑ SCC
10/11/24
Pamela & Willard Dixon
0 IND
ARTIST
500
500
N/A
❑ COM
❑ OTH
San Rafael, CA 4901-1625
❑ PTY
❑ SCC
10/16/24
Joe O'Hehir
0 IND
RETIRED
1000
2000
N/A
❑ COM
❑ OTH
San Rafael, CA 94901
❑ PTY
❑ SCC
10/24/24
Resource Conservation PAC
❑ IND
500
500
N/A
COM
❑ OTH
San Rafael, CA 94901
❑ PTY
❑ SCC
11/26/24
Andrew McCullough
m IND
LAWYER
1000
1000
N/A
❑ COM
❑ OTH
San Rafael, CA 94901
❑ PTY
❑ SCC
SUBTOTAL $ 3150
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.).........................................................................................................$
2. Amount received this period — unitemized monetary contributions of less than $100
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.).
31168
.............$ 0
TOTAL $ 31168
*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
•G
page ` of Z -L
through December 31, 2024
NAME OF FILER I
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
CODE
(IF SELF-EMPLOYED, ENTER NAME)
(IF COMMITTEE, ALSO ENTER I D. NUMBER)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
12/31/24
Charles Litchfield
Z IND
REAL ESTATE BROKER
618
1633
N/A
El COM
❑ OTH
San Rafael, CA 94901
❑ PTY
F1 scc
12/2/24
San Rafael Public Library Foundation
❑ IND
3000
3000
N/A
Z COM
❑ OTH
San Rafael, CA 94915
❑ PTY
❑ SCC
❑ IND
❑ COM
OTH
❑ PTY
❑ SCC
❑ IND
❑COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
n scc
SUBTOTAL $ 3618
'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
A .........4 L. ...4 A
SCHEDULE B - PART 1
Schedule B — Part 1 to whole dollars. A
Statement covers period =
Loans Received
July 1, 2024
CALIFORNIA
FORM 460
from
through December 31, 2024
Page 10 of Z2—
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
(bj(c)
OUTSTANDING AMOUNT
AMOUNT PAID
t
OUTSTANDING
e)
INTEREST
ORIGINAL
g
CUMULATIVE
OF LENDER
OCCUPATION AND EMPLOYER
BALANCE RECEIVED THIS
OR FORGIVEN
BALANCE AT
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
BEGINNING THISi PERIOD
THIS PERIOD*
CLOSE OF THIS
PERIOD
LOAN
TO DATE
NAME OF BUSINESS)
PERIOD
PERIOD
Z PAID
CALENDAR YEAR
Charles Litchfield
REAL ESTATE BROKER
$ X000
$
�
$ 5000
828 Mission Ave.
LITCHFIELD BROKER
$5000
San Rafael, CA 94901
❑ FORGIVEN
PER ELECTION
$ 5000
$
$
$
3/26/24
s
t 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
PAID
CALENDAR YEAR
$
$
%
$
g
❑ FORGIVEN
PER ELECTION"
RATE
t ❑ IND El ❑ OTH El [:1 SCC
$
$
$
$
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
$
$
%
$
$
❑ FORGIVEN
PER ELECTION*
RATE
$
$
$
$
$
DATE DUE
❑ IND El ❑ OTH [-IPTY [-ISCC
tEl
DATE INCURRED
SUBTOTALS $ $ $ $
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.
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
$ 5000.00
.......................................... $
.................................. NET $
5000.00
0.00
(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
scneauie ti — cart z Amounts may De rounaeo
whole dollars.460 Loan Guarantors
Statement covers periodCALIFORNIAto
from July 1, 2024
-
Page I I of ZZ
SEE INSTRUCTIONS ON REVERSE
through December 31, 2024
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 OFIF
CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
*
CODE
AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER
NAME OF BUSINESS)
LOAN
AMOUNT
THIS PERIOD GUARANTEED
CUMULATIVE
TO DATE
BALANCE
OUTSTANDING
TO DATE
LENDER
CALENDAR YEAR
❑ IND
❑ COM
$
DATE
❑ OTH
PTY
PER ELECTION
(IF REQUIRED)
❑ SCC
LENDER
CALENDARYEAR
❑ IND
❑ COM
$
DATE
PER ELECTION
(IF REQUIRED)
❑ OTH
❑ PTY
❑ SCC
$
❑ IND
LENDER
CALENDAR YEAR
❑ COM
$
DATE
❑ OTH
❑ PTY
PER ELECTION
(IF REQUIRED)
❑ SCC
$
❑ IND
LENDER
CALENDAR YEAR
❑ COM
$
DATE
PER ELECTION
(IF REQUIRED)
❑ OTH
F-1PTY
❑ SCC
$
Enter on
SUBTOTAL $ 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
L,_, ,, ,, SCHEDULE C
Nonmonetary Contributions Received
Statement covers period
a .
July 1, 2024
I • '
-
from
0
2-
Page of
through December 31, 2024
SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation
1467556
DATE
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
DESCRIPTION OF
AMOUNT/
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
*
CODE
(IF SELF-EMPLOYED, ENTER
GOODS OR SERVICES
FAIR MARKET
VALUE
CALENDAR YEAR
TO DATE
(IF REQUIRED)
NAME OF BUSINESS)
(,JAN 1 - DEC 31)
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule C Summary
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 $
0.00
0.00
0.00
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Parry
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule D
SCHEDULED
aufi mar or GX enunures Amounts may De rounaea
covers period
to whole dollars. to
Supporting/Opposing Other
CALIFORNIA
' •
July 1, 2024
FORM
Candidates, Measures and Committees
from
through December 31, 2024
`%�
page — of Z 2"
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
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
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........................................................................
$ 0.00
$ 0.00
3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL.. $ 0.00
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule D
(Continuation Sheet)
Amounts may be rounded
SCHEDULE D (CONT.)
to whole dollars.
Summary of Expenditures
Supporting/Opposing Other
Statement covers period
p
from July 1, 2024
. -
Candidates, Measures and Committees
through December 31, 2024
�
Page I " �J of 22—
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
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 -DEC. 31)
PER ELECTION
TO DATE
(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 $ 0.00
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
FILER
Amounts may be rounded
to whole dollars.
Statement covers period
from July 1, 2024
through December 31. 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.
SCHEDULEE
Page i 5 of 2-
I.D.
I.D. NUMBED
1467556
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 I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
CivX CMP
21 Orinda Way, Ste. C-191
Orinda, CA 94563
Lawn Sign Design & Printing
34849
Nielsen Merksamer LEG 2278
2350 Kerner Blvd #250
San Rafael, CA 94901
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 37127
Schedule E Summary
1. Itemized payments made this period. (include all Schedule E subtotals.).....................................................................................................
2. Unitemized payments made this period of under $100..................................................................................................................................
$ 37127
$ 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 Summa Page, Column A, Line 6. ................ TOTAL $ 37127
P Y p ( Summary 9 ) ...........
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule ESCHEDULE
E (CONT.)
Amounts may be rounded
Statement covers period
-
(Continuation Sheet)
to whole dollars.
• ' , ff •04 a
July 1, 2024
• -
Payments Made
from
through December 31. 2024
page UL.a_ of LL
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
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)
NAME AND ADDRESS OF PAYEE
CODE OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER LD NUMBER)
II
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
FPPC Form 460 (Jan 2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule F Amounts may be rounded
Accrued Expenses (Unpaid Bills) to whole dollars.
SEE INSTRUCTIONS ON REVERSE
SCHEDULEF
Statement covers period
from _July 1, 2024
h
throwg December 31, 2024 ' �7 Z
Page of Z''
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.
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)
Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 $ 5204 $ 34849 $ 5204
summarized on Schedule D.
Schedule F Summary
1. 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.) ............................................INCURRED TOTALS $
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.) .................................. PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.).................................................................................................................
.................................................. NET $
5204
34849
-29645
May be a negative number
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
(a)
(b)
(c)
(d)
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
AMOUNT INCURREDTHIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
CiVX
CMP
0
5204
34849
5204
21 Orinda Way, Ste. C-191
Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 $ 5204 $ 34849 $ 5204
summarized on Schedule D.
Schedule F Summary
1. 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.) ............................................INCURRED TOTALS $
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.) .................................. PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.).................................................................................................................
.................................................. NET $
5204
34849
-29645
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.)
* 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
through December 31. 2024
Page � of Z Z
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
I
SUBTOTALS$
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.
SEE
SCHEDULE G
Statement covers
from July 1, 2024
through December 31, 2024
Page A—ofZ
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.
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 I.D. NUMBER)
COMPLETE Digital
1317 Potomac Ave. SE
Washinaton, DC, 20003
Cornerstone Printing, Inc.
1 Blackfield Dr. #345
Tiburon, CA 94920
USPS
Cornerstone Printing, Inc.
1 Blackfield Dr. #345
Tiburon, CA 94920
CODE OR DESCRIPTION OF PAYMENT
CMP I Design & Place Social Media/Digital Advertising
LIT I Print, and Mail "Times" to 15,043 HH
POS I Postage for "Times"
LIT I Print, and Mail "Times" to 15,043 HH
AMOUNT PAID
14400
4697.16
5367.08
i 4697.16
Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 29161.40
* 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 G
Payments Made by an Agent or Independent Amounts may be rounded
Contractor (on Behalf of This Committee) to whole dollars.
ONS ON REVERSE
Statement covers
from July 1, 2024
through
December 31, 2024
SCHEDULE G
Page ZO of 721
NAME OF FILER I.D. NUMBER
Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top Funder San Rafael Public Library Foundation 1 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.
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 I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Scale to Win
13742 Harper St
Santa Ana, CA 92703
POS
Text Messaging on 10/17 and 11/2
1067.76
Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 1067.76
* 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
to whole dollars.
Loans Made to Others*
July 1, 2024
CALIFORNIA 460 •'
• -
from
Z 21-1-
'ZNAME
December 31, 2024
SEE INSTRUCTIONS ON REVERSE
through
page Of
NAMEOF 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
(o)
AMOUNT
(c)
REPAYMENT OR
(aI (e)
OUTSTANDING
()
ORIGINAL
g
CUMULATIVE
OF RECIPIENT
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
BALANCE
BEGpNNING THIS
LOANED THIS
FORGIVENESS
BALANCE AT INTEREST
CLOSE OF THIS RECEIVED
AMOUNT OF
LOANS
NAME OF BUSINESS)
ERIODPERIOD
THIS PERIOD*
LOAN
TO DATE
❑ PAID
CALENDAR YEAR
RATE
❑ FORGIVEN
PER ELECTION**
DATE INCURRED
DATE DUE
❑ PAID
CALENDAR YEAR
RATE
❑ FORGIVEN
PER ELECTION
$
$
$
$
$ 0.00
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
$
$
$
$
(Enter (e) on
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.)
0.00
$ 0.00
NET $ 0.00
(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
I.�TT:mr71
SCHFDULEI
Miscellaneous Increases to Cash to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers periodCALIFORNIA
from July 1, 2024
through December 31, 2024
460 .'
FORM
Page 21, of
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 $ 0.00
Schedule ummary
1. Itemized Increases to cash this period. $ 0_00
............................. 0.00
2. Unitemized increases to cash of under $100 this period................................................................... $
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).)
$ 0.00
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 0.00
Summary Page, Line 14.) ............................................................................................................................. TOTAL $ FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
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