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Home My WebLink AboutForm 460 - Maribeth Bushey for Council D3 2022; 01-14-2026Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from (7/01/2025 through 12/31/2025 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. m Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure State Candidate Election Committee Committee Recall Controlled lto (ACompkte Pad6) ® Sponsored (Alto complete Pmf 6) ❑ General Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee ❑ Political Party/Central Committee (AhoConpkfePat 7) 3. Committee Information I I D_ NUMBER (OR CANDIDATE'S NAME IF NO Re -Elect Maribeth Bushey San Rafael City Council District 3 2022 STREET ADDRESS (NO P.O BOX) 396 Riviera ZIP CODE AREACODE/PHONE San Rafael CA 94901 (415) 448- (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX IE-MAIL ADDRESS Date of election if applica�: I J A N 1 4 2026 (Month, Day, Year) COVER PAGE of 4 Use Only IQITY CLERK'S OFFIgE 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement m Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Forth 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Mark L. Kyle MAILING ADDRESS 25 Cottonwood CODE AREACODE/PHONE San Rafael CA 94901 (415) 246- ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEWHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to e BY - Signature of Controlling Officeholder, Candidate, Stets Measure Proponent Executed on Date BY Signature of ControlHng lder, Candidate, Slate 6reasure 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 Maribeth Bushey OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member, City of San Rafael, District 3 RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP San Rafael CA 94901 Related Committees Not Included in this Statement: ust any committees not included In this statement that are controlled by you orare primarily formed to receive contributions or make expenditures on behalf of your candidacy. NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODOPHONE COVER PAGE - PART 2 Page 2 of 4 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 Listnamesof of►lceholder(s) or candidete(s) for whkh 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 46D (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 07/01/2025 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through IV311=5 Page 3 of 4 NAME OF FILER I.D. NUMBER Re -Elect Maribeth Bushey, San Rafael City Council, District 3, 2022 1452093 Contributions Received 1. Monetary Contributions................................................... schedule A, Linea 2. Loans Received................................................................ Schedule B, Linea 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 4. Nonmonetary Contributions ............................................ schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED.............................Add Lines 3+4 Expenditures Made 6. Payments Made............................................................... Schedule Line 7. Loans Made....................................................................... schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 10. Nonmonetary Adjustment........................................................ schedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................... Add Lines 6+ 9+ 10 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 13. Cash Receipts........................................................... column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. schedule i, Line 4 15. Cash Payments......................................................... Column A, Line 8above 16. ENDING CASH BALANCE .................. Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement Llne 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, kart Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ see instructions on reverse 19. Outstanding Debts .............................. Add tine 2 + Line 9 in Column a above Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 0.00 0.00 $ 0.00 0.00 $ 0.00 $ 268.00 0.00 $ 268.00 0.00 0.00 $ 268.00 $ 831.01 0.00 0.00 268.00 $ 563.01 $ 0.00 $ 0.00 $ 0.00 Column B CALENDAR YEAR TOTAL TO DATE $ 0.00 0.00 $ 0.00 0.00 $ 0.00 $ 586.00 0.00 $ 586.00 0.00 0.00 $ 586.00 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (it Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 1 1 $ `Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advke: advice@fppe.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E to whole dollars. Statement covers period Payments Made from 07/01/2025 • - • SEE INSTRUCTIONS ON REVERSE through 12/31/2025 Page 4 of 4 NAME OF FILER I D NUMBER Ito -Flea Maribeth Bushey, San Rafael City Council, District 3, 2022 145200 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Bank of Mann I OFC I bank fees 118.00 Law Office of Mark Kyle I PRO 250.00 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 268•00 Schedule E Summary 1. Itemized payments made this period, Include all Schedule E subtotals. ................. $ 268'00 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 0.00 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.).................... $ 0.00 ... TOTALS 268.00 FPPC Form 460 (Jan/2016)) FPPC Advice: advice"pc.ca.gov (966/275-3772) www.fppc.ca.gov