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Home My WebLink AboutForm 460 - Rachel Kertz for City Council 2024 (12-31-25)Recipient Committee COVER PAGE p Campaign Statement D e !l ' • Cover Page )t SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2025 through 12/31/2025 Date of election if lk4ble: Pia % �—`� (Month, Day, ear) n/a I CITY CLERK'S OFFICE Page 1 of 5 For Official Use Only 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. 2. Type of Statement: ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Z Preelection Statement ❑ Quarterly Statement ❑ State Candidate Election Committee Committee Semi-annual Statement ❑ Special Odd -Year Report ❑ Recall ❑ Controlled ❑ Termination Statement (Also Complete Part 5) ❑ Sponsored ❑ (Also file a Form 410 Termination) below) (Also Complete Part 6) Amendment (Explain ❑ General Purpose Committee ❑ Sponsored ❑ Primarily Formed Candidate/ ❑ Small Contributor Committee Officeholder Committee ❑ Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1473447 ITTEE NAME (OR CANDIDATE'S NAME IF N Committee to Re-elect Rachel Kertz for San Rafael City Council 2024 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Novato CA 94945 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Tamara Hull MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE Novato CA 94945 NAME OF ASSISTANT TREASURER, IF ANY n/a MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/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 foregoitrue and correct. Executed on 1/23/2026 Date Executed on 1/23/2026 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 (1an/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 RESIDENTIALIBUSINESSADDR.ESS (NO.ANDSTREET) 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page 2 of 5 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 (1an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page Statement covers period from 07/01/2025 SUMMARY PAGE 12/31/2025 Page 3 of 5 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER Committee to Re-elect Rachel Kertz for San Rafael City Council 2024 1473447 AoD ColuDmn BR Calendar Year Summary for Candidates Contributions Received TOTALolu�mn Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions................................................... schedule A, Linea $ 0.00 $ 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ schedule e, Line 3 0.00 0.00 0.00 0.00 20. Contributions 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 0.00 0.00 4. Nonmonetary Contributions ............................................ schedule C, Line 3 21 � Expenditures 3,394.38 $ 1,959.32 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 0.00 $ $ Expenditures Made 6, Payments Made................................................................ Schedule E, Line 4 $ 1,959.32 $ 5,353.70 7. Loans Made....................................................................... Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 1,959.32 $ 5,353.70 9. Accrued Expenses (Unpaid Bills) .......................................... schedule 1, Line 3 0.00 -1,500.00 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 1,959.32 $ 3,853.70 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 2,374.94 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 1,959.32 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 415.62 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 any). 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above $ 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 D SCHEDULED Summary of Expenditures Amounts may be rounded statement covers period CALIFORNIA Supporting/Opposing Other to whole dollars. 07/01/2025 • ' ORM Candidates, Measures and Committees from through 12/31/2025 Page 4 5 of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Committee to Re-elect Rachel Kertz for San Rafael City Council 2024 1473447 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTERAND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAN. 1 - DEC. 31) (IF REQUIRED) 9/26/2025 Sackett for Supervisor CMonetary Contribution 500.00 500.00 ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure 12/23/2025 Eric Lucan for State Assembly 2026 ❑ Monetary 500.00 500.00Contribution ❑ Nonmonetary Contribution ❑ Independent m Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 1,000.00 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.) ........ $ 1,000.00 $ 0.00 TOTAL.. $ 1,000.00 FPPC Form 460 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov 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 07/01/2025 through 12/31/2025 .ODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E FORM -r60 Page 5 of 5 I.D. NUMBER 1473447 CMP campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) LITA Marin I CTB ( Donation 1 187.65 Marin Democratic Party CTB Donation 150.00 PO Box 683 Fairfax, CA 94978 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 337.65 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.)........................... 337.65 ............ $ 621.67 $ 0.00 TOTAL $ 959.32 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov