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Home My WebLink AboutForm 460 - Rachel Kertz for City Council 2024 (06-30-25)Recipient Committee Campaign Statement Cover Page Statement covers period from 01/01/2025 SEE INSTRUCTIONS ON REVERSE 'through 06/30/2025 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 ❑ General Purpose Committee (Also Complete Part 6) ❑ Sponsored ❑ Primarily Formed Candidate/ ❑ Small Contributor Committee Officeholder Committee ❑ Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Re-elect Rachel Kertz for San Rafael City Council 2024 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Novato CA 94945 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS COVER PAGE CALIFORAIA 07, FORM Date of election if t1lble: Page 1 of 6 (Month, Day, JUL �nC For Official Use Only n/a CR CLERK'S OFFICE I 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement m Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER TamaraHull MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE Novato CA 94945 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoingA Executed on 7/30/2025 Date Executed on 7/30/2025 Date Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By 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 Rachel Kertz OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, City of San Rafael, District 4 RESIDENTIAL/BUSINESSADDRESS (NO. AND STREET) CITY STATE ZIP Novato CA 94945 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 6 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee 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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period CALIFORNIA 46 01/01/2025 from FORM 06/30/2025 Page 3 of 6 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER Committee to Re-elect Rachel Kertz for San Rafael City Council 2024 1473447 Contributions Received Column A TOTAL THIS PERIOD Column B CALENDARYEAR Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 0.00 $ 0.00 0.00 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule a, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 0.00 $ $ 0.00 20. Contributions 000 Received $ ' $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0.00 0.00 21. Expenditures 3,394.38 5. TOTAL CONTRIBUTIONS RECEIVED ................................ Add Lines 3+4 $ 0.00 $ 0.00 Made $$ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 3,394.38 $ 3.394.38 7. Loans Made....................................................................... Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS.... ........................ .......... Add Lines6+, $ 3,394.38 $ 3,394.38 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 -1,500.00 -1,500.00 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE .................................... Add Lines 8 + 9 + 10 $ 1,894.38 $ 1,894.38 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 5,769.32 To calculate Column B, 13. Cash Receipts ........................................................... Column A, Line 3 above 0.00 add amounts in Column 0.00 A to the corresponding 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 amounts from Column B 15. Cash Payments......................................................... Column A, Line 8 above 3,394.38 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 2,374.94 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 $ 0.00 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding. Debts 0.00 any). 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0.00 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) 11 $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary of txpenciitures Amounts may be rounded Statement covers period Supporting/Opposing Other to whole dollars. 01/01/2025 , . ' • Candidates, Measures and Committees from • through 06/30/2025 4 6 page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Committee to Re-elect Rachel Kertz for San Rafael City Council 2024 1473477 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) 6/12/25 Kellman for Lt. Governor ® Monetary 100.00 100.00 Contribution ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 100,00 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.)........ 100.00 $ 0.00 TOTAL.. $ 100.00 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 Committee to Re-elect Rachel Kertz for San Rafael City Council 2024 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2025 through 06/30/2025 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. :ALIORM FUKNIA F460 - NW�� I.D. NUMBER 1473477 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 I.D. NUMBER) Marin Women's Political Action Committee CVC Event contribution 1000.00 PO Box 113 Kentfield, CA 94914 Marin Democratic Party CTB Contribution 250.00 PO Box 683 Fairfax, CA 94978 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,250.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................ 2. Unitemized payments made this period of under$100......................................................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)....... 1,250.00 544.38 $ 0.00 .................. TOTAL $ 1,794.38 FPPC Form 460 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULEF Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTI NAME OF FILER RFVFRSF Committee to Re-elect Rachel Kertz for San Rafael City Council 2024 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2025 through 06/30/2025 Page 6 of 6 I.D. NUMBER 1473477 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) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Amy Lopez CNS $1,000 $0 $1,000 $0 Sacramento, CA 95816 Just Gus, Inc. c/o David Checel CNS $500 $0 $500 $0 , Culver City, CA 90230 Payments that are contributions or independent expenditures must also be SUBTOTALS $ 1500.00 $ 0.00 $ 1500.00 $ 0.00 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 $ 0.00 1500.00 Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and-1500.00 on the SummaryPage, Column A, Line 9. NET $ 9 )................................................................................................................................................................................... May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov