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HomeMy WebLinkAboutForm 460 - Randy Warren for City Council 2013 (2013-09-21)r U Recip'lentCommittee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period from 7/1/2013 Q/91/*?nii SEE INSTRUCTIONS ON REVERSE V] E] E] through 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee E] Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX (Also Complete Part 6) General Purpose Committee MAILING ADDRESS PO Box 6285 0 Sponsored Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1359636 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Randy Warren for City Council 2013 STREET ADDRESS (NO P.O. BOX) V] E] E] '01 CITY STATE ZIP CODE AREA CODEIPHONE San Rafael CA 94903 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 6285 MAILING ADDRESS PO Box 6285 CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94903 OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) 11/5/2013 2. Type of Statement: (Z c-- V] E] E] '01 For Official Use Only 0 Preelection Statement El Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) V] E] E] Quarterly Statement Special Odd -Year Report Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Sue Ellen O'Brien MAILING ADDRESS PO Box 6285 CITY San Rafael STATE CA ZIP CODE AREA CODE/PHONE 94903 415 479 3847 NAME OF ASSISTANT TREASURER, IF ANY 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 and r the la of the State of California that the foregoing is true and correct. Executed on By ureofTrey r or Assistant Treasurer Executed on By Date S 1gn7t_urdlTff'C_o ntrolling Of, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Date By Signature oil' Controlling Officeholder, Candidate, State Measure Proponent Executed on Date By Signature oil Controffinig Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Type or print in ink. • i i i• 11;rry • ` i • NAME OF OFFICEHOLDER OR CANDIDATE RANDY WARREN OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY COUNCIL, CITY OF SAN RAFAEL RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP SAN RAFAEL CA 94903 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? 0 YES E] 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 STREET ADDRESS (NO P.O. BOX.) 1916171: IN .,. Page of G. Primarily Farmed Ballot Measure Committee BALLOTNAME OF BALLOT NO. OR LETTER JURISDICTION E] SUPPORT Ej OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I 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 F1 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 CITY 61AIL Z -IF' UUUt AKtA UCrf° t Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Tall -Free Helpline. 866/ASK-FPPC 866/276-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Summary Page Amounts may be rounded to whole dollars. Statement covers period -I CALIFORNIA 4 60' from 7/1/2013 FORM through 9/21/2013 Page 3 of SEE INSTRUCTIONS ON REVERSE - NAME OF FILER I.D.NUMBER 1359636 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 5y545.00 $ 5,545.00 2. Loans Received ...................................................... Schedule B, Line 3 11000.00 11000.00 1/1 through 6/30 7/1 t© Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 61545.00 $ 69545.00 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 61545-00 $ 61545.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line 4 $ 41810.92 $ 4Y810.92 Candidates 7. Loans Made ............................................................. Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 41810.92 41810-92 $ • 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ......... ..................... Schedule F, Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment .................. ....................... Schedule C, Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE .... .................... _ Add Lines 8 + 9 + 10 $ 4,810.92 $ 41810.92 $ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 67545-00 amounts in Column A to the 14. Miscellaneous Increases to Cash ........................ Schedule/, Line 4 0 corresponding amounts from Column B of your last *Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments ......................... .................. ..... Column A, Line 8 above 41810.92 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 11734.08 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0 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 $ 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) ScheduleA JwL1TffLP,t,aji1.GA7f1 d. K" t i -a TcL RA r, Pd IM -P, 1101 Statement covers period CALIFORNIA 7/1/2013460 FORM from I W!o SUBTOTAL.5 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period — uniternized 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.) ....................... TOTAL $ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entit PTY - Political Party SCC - Small Contributor Committel FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) through 9/21/2013 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER RANDY WARREN 1359636 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) W1 IND 7/30/13 RANDY WARREN []COM ATTORNEY 500 500 BOTHWARREN LAW GROUP SAN RAFAEL CA 94903 0 PTY PC f-jSCC IZIND 8/7/13 JOSEPH GELLER EI COM ATTORNEY 500 500 [BOTH GREENSPOON AVENTURA FL 33180 [] PTY MARDER [:] SCC WIND 8/29/13 ALDUGAN EICOM INSURANCE 200 200 [-]CATHEXECUTIVE NOVATO CA 94947 Ej PTY FALVEY INSURANCE [:] SCC WJIND 8/29/13 NANCY MURPHY [:]Com PRO SONO MANAGER 100 100 Fj CITH LEGAL AID OF MARIN San Rafael CA 94903 PTY SCC MEI I.q-c," A 13R,&nl F=Y WIND E-] Com REALTOR 8/30/13 0 CITH BRADLEY REAL 27000 21000 SAN RAFAEL CA 94903 0 PTY ESTATE I EISCC I W!o SUBTOTAL.5 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period — uniternized 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.) ....................... TOTAL $ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entit PTY - Political Party SCC - Small Contributor Committel FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2013 through 9/21/2013 Page of NAME OF FILER I.D. NUMBER RANDY WARREN 1359636 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 'IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF -EMPLOYEE), ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. I - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 21 IND 8/31 /13 JESSICA MIDDLETON []COM STUDENT 100 100 r] CITH UNEMPLOYED Z. AIN MtArMI=_L UA Z. f -I PTY El SCC ®IND 9/4/13 SANDRA CHILVERS El COM RETIRED 1 00 100 [-] OTH 6AN RAFAEL CA 94903 n PTY El SCC WIND 9/4/13 r**LIRIS , KNIEL - El COM RETIRED 100 100 ;j%_ . I [:] OTH ORINDA CA 94563 F] PTY [:]SCC [BIND J iny _q HRIFBMAN 000M HOMEOPATH 100 100 9/4/13 , E]OTH JUDY SHREIBMAN SAN RAFAEL CA 94903 E] PTY SCC IND GERALnOTI 1r)IER El COM PARALEGAL 100 100 9/4/13 DOTH EEE PARALEGALS SAN RAFAEL CA 94903 [:] PTY 0SCC SUBTOTAL $ 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 Line 1 and 2. Enter here and on the Summary Paqe, Column A, Line 1.) ....................... TOTAL $ 11 11; Ill-, I D ( lianuaryff5l I ili & *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Schedule A Type or print in ink. SCHEDULE A Moneta Contributions Received Amounts may oe rounaea Monetary to dollars. Statement covers period CALIFORNIA, whole , from 7/1/13 - 9/21/13 SEE INSTRUCTIONS ON REVERSE through Page of ,7 NAME OF FILER I.D. NUMBER RANDY WARREN 1359636 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) VI IND 9/20/13 ROBERT GARVEY ❑COM CONTRACTOR 100 100 DOTH ROBERT GARVEY EAST MARION NY 11939 ❑ PTY ❑ SCC ®IND 9/17/13 JOHN GILLIES [:]COM RETIRED 100 100 F1 OTH LONGWOOD FL 32/79 F-1 PTY ❑ SCC ® IND 9/15/13 JOSEPH DOUGHERTY [:]COM PRODUCER 600 600 DOTH PRETTY LITTLE LIARS 02 ❑ PTY ❑ SCC VIIND 8/32/13 ❑COM RETIRED 100 100 **A F-1OTH 94903 ❑ PTY ❑ SCC ®IND TONI SHROYER ❑COM REALTOR, FRANK 8/29/13 DOTH HOWARD ALLEN 125 125 Novato CA 94947 ❑ PTY ❑ scc SUBTOTAL$ 4,825 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.) ........ ............... $ ... I.... $ 4,825 1,780 ........ TOTAL $ 6,605 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) T1,11e or rint in ink SCHEDULE B - PART I Schedule B — Pad IAmounts may be rounded F a Statement covers period i CALIFORNIA 6 4,mw 0 Loans Received to whole dollars. 7/1/13 FORM from 9/21/13 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D.NUMBER RANDY WARREN 1359636 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER (a) OUTSTANDING (b) AMOUNT (c) AMOUNT PAID OUTSTANDING OUTSTA (e) INTEREST M ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE RANDY WARREN ATTORNEY [:] PAID CALENDAR YEAR 63 EL PAVO REAL CIRCLE WARREN LAW GROUP $ 0 1,000 0 % $ 1,000 $ SAN RAFAEL CA 94903 PC © FORGIVEN RATE PER ELECTION" 0 1,000 0 12/1/13 0 8/14/13 $ $ $ $ $ t IND COM n OTH F1 PTY SCC DATE DUE DATE INCURRED PAID CALENDAR YEAR FORGIVEN RATE PER ELECTION tEl IND [] COM [:1 OTH [:1 PTY F] SCC DATE DUE DATE INCURRED E] PAID CALENDAR YEAR FORGIVEN RATE PER ELECTION' tO IND El COM El OTH E:1 PTY El SCC DATE DUE DATE INCURRED d% SUBTOTALS 1p 11000$ 0 1,000 0 (Enter (e)carp Schedule B Summary Schedule E, Line 3) 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) In 2. Loans paid or forgiven this period ......................................................................................................... .I (Total Column (c) plus loans under $100 paid or forgiven.) ' (Include loans paid by a third party that are also itemized on Schedule A.) I 3. Net change this period. (Subtract Line 2 from Line 1.) ...................... ............................... NET $ 1,000 Enter the net here and on the Summary Page, Column A, Line 2. Way -be a regative rumber) --7 *Amounts forgiven or paid by another party also must be reported on Schedule A. If required. I W.W 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 Januar 105 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) - bch dule B -Part 2 Loan o INSTRUCTIONSSEE REVERSE NAME OF NAME,RANDY WARREN FULL STREET ADDRESS i ZIP CODE OF GUARANTOR (IF COMMITTEE, +r ENTER I.D. NUMBER) Type or print in ink. Amounts may be rounded to whale dollars. Statement covers period frim 7/1/2013 through 9/21/2013 AMOUNT LOAN GUARANTEED THIS PERIOD LENDER DATE LENDER DATE i i_ LENDER DATE SUBTOTAL .. Page S� IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) BIND OUTSTANDING [:]Com TO DATE [ OTH PTY SCC Statement covers period frim 7/1/2013 through 9/21/2013 AMOUNT LOAN GUARANTEED THIS PERIOD LENDER DATE LENDER DATE i i_ LENDER DATE SUBTOTAL .. Page S� of I.D. NUMBER 1359535 BALANCE CUMULATIVE OUTSTANDING TO DATE TO DATE CALENDAR YEAR PER ELECTION (IF REQUIRED) CALENDAR YEAR PER ELECTION (IF REQUIRED) CALENDAR YEAR PER ELECTION (IF REQUIRED) CALENDAR YEAR PER ELECTION (IF REQUIRED) Eimer Summary Page, Li '17 only, P. Form • .1 1 Helpline:FPPC Toll -Free ...(866/275-3772) 4 0 Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER RANDY WARREN FULL NAME, STREET ADDRESS AND DATE ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTERNUMBER) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2013 through MW =1 IF AN INDIVIDUAL, ENTER 11 AMOUNT/ CONTRIBUTORDESCRIPTION OF OCCUPATION AND EMPLOYER I FAIR MARKET CODE GOODS OR SERVICES (IF SELF-EMPLOYED, ENTER VALUE NAME OF BUSINESS) Page of I.D. NUMBER 1359636 CUMULATIVE TO PER ELECTION DATE TO DATE CCOALENDAR YEAR (IF DREQUIRED) EC 31) Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (include all Schedule C subtotals.) ..................................................................................... ....... .......... ........... $ 2. Amount received this period — uniternized 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 $ *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) OOther (e.g., business entity) TH PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) SUBTOTAL o 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)......................................................... 2. Uniterni ed contributions and independent expenditures made this period of under $100 ........................ . . . ........... ...................... , .. , ..... , . 3. Total contributions and independent expenditures made this period. (Add lines 1 and 2. Cho not eater on the Summary Fuge.) ............ TOTAL FPPC Form 4 {,January/5 FPPC Toll -Free Helpline. 866/ASIS -I=PICC (866/275-3772) Monetary Contribution [� Nonmonetary Contribution Independent Expenditure [� Support ❑ oppose ❑ Monetary Contribution F1 Nonmonetary Contribution see. - .. CALIFORNIA FORS 460 [l Monetary Contribution E] Nonmonetary Contribution Independent ❑ Support ❑ oppose Expenditure ! U I.D. NUMBER 1359636 CUMULATIVE ! !kTE PER i • NAME OF CANDIDATE, OFFICE, AND DISTRICT ! ' TYPE OF PAYMENT DESCRIPTIONAMOUNT THIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) OR COMMITTEE SUBTOTAL o 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)......................................................... 2. Uniterni ed contributions and independent expenditures made this period of under $100 ........................ . . . ........... ...................... , .. , ..... , . 3. Total contributions and independent expenditures made this period. (Add lines 1 and 2. Cho not eater on the Summary Fuge.) ............ TOTAL FPPC Form 4 {,January/5 FPPC Toll -Free Helpline. 866/ASIS -I=PICC (866/275-3772) Monetary Contribution [� Nonmonetary Contribution Independent Expenditure [� Support ❑ oppose ❑ Monetary Contribution F1 Nonmonetary Contribution Independent Support ❑ oppose Expenditure [l Monetary Contribution E] Nonmonetary Contribution Independent ❑ Support ❑ oppose Expenditure SUBTOTAL o 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)......................................................... 2. Uniterni ed contributions and independent expenditures made this period of under $100 ........................ . . . ........... ...................... , .. , ..... , . 3. Total contributions and independent expenditures made this period. (Add lines 1 and 2. Cho not eater on the Summary Fuge.) ............ TOTAL FPPC Form 4 {,January/5 FPPC Toll -Free Helpline. 866/ASIS -I=PICC (866/275-3772) Schedule I' SUBTOTAL O FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC 866/275-3772 Statement covers period CALIFORNIA 460M +� • i • • • i • �! - ! FORM ❑ Nonmonetary * Contribution through - of sI.D. NUMBER Support Oppose ., ...1359636 ❑ Monetary CUMULATIVE ; DATE �I Contribution I PER ELECTION iNAME iTYPE OF AND DISTRICT OR OF PAYMENT DESCRIPTION AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER ,. AND JURISDICTION,REQUIRED) Contribution PERIODREQUIRED) ❑ Independent Expenditure OR COMMITTEE Monetary SUBTOTAL O FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC 866/275-3772 Monetary Contribution ❑ Nonmonetary Contribution Independent Expenditure Support Oppose ❑ Monetary Contribution Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose Monetary Contribution Nonmonetary Contribution Independent Q Support ❑ Oppose Expenditure Monetary Contribution © Nonmonetary Contribution Independent Support Oppose Expenditure SUBTOTAL O FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC 866/275-3772 Schedule E Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/13 SEE INSTRUCTIONS ON REVERSE through 9/21/13 Page of NAME OF FILER I.D. NUMBER RANDY WARREN 1359636 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW 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 V\EB 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 CITY OF SAN RAFAEL FILING FEE 5TH AVENUE FIL 840.00 SAN RAFAEL CA 94901 THREE LEAVES LLC LIT ENVELOPES 177.56 16745 CAGAN CROSSING BLVD, CLERMONT FL 34714 1 1 FEDEX OFFICE CMP SIGN PRINTING 155.86 NORTHGATE1 SAN RAFAEL CA 94903 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 11173.42 1. Itemizedpayments made this period., (include all Schedule E subtotals.) .............................................................. ............................................... $ 41601. 82 2. Unite sized payments made this period of under $100 ........................................... ..................................................... ............ ........................... $ 209.10 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.) ... ......................... TOTAL $ 41810.92 FPLC For 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule ESCHEDULE E (CONT.) Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded CALIFORNIA' Payments Made to whole dollars. from 7/1/13 •' through 9/21/13 Page _11of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER RANDY WARREN 1359636 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 mailinqs 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 TAKE 1 MARKETING DOOR HANGERS INCLUDING DISTRIBUTION P.O. BOX 163222, Sacramento, CA 95816 CMP 1,260.00 GW2 PRINTING FLYERS CMP 1,148.40 SANTA ROSA CA 95403 SINGS PAR EXCELLENCE YARD SIGNS CMP 1,020.00 SANTA ROSA CA 95403 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,428.40 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule F Type or print in ink. Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. cr-m mic-rni u--ru-%K1Q t-IKI DM/C:04Z1= N Statement covers period from 7/1/2013 through 9/21/2013 Page 4 of / -7 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW 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 PFK) phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND 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 camnaian literature and mailings PRT print ads V\EB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD AMOUNT INCURRED THIS PERIOD AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Payments that are contributions or independent expenditures must also be SUBTOTALS $ 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 uniternized 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 0 onthe Summary Page, Column A, Line 9.) ............................................................. ................................... ...... ................ .................. NET $ Wybaanejative nurniber FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) ,i •• !a i' i i -.Statement coversperiod CALIFORNIA 7/1/2013460 i s a s i i'•# fri FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER RANDY BARREN 9/21/2013 through 11� -, , 2 Page Z of I.D. NUMBER 1359535 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. CNP 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 PET office expenses petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs CVC civic donations 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 MB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Attach additional information ion ori appropriately labeled continuation sheets. TOTAL..* Dei not transfer to any ether schedule or to the Summary Page. This tufa/ may not equal the amount paid to the agent or independent contractor as refired on ScheduleEFPPC Fora (January/05) FPPC Toll -Free Helpline: 865/ASK-FPPC (866/275-3772) Schedule H Type or print in ink. Statement covers period i CALIFORNIA 460 Amounts may be rounded 7/1/2013 FORM Loans Made to Others* to whole dollars. from 9/21/2013 Z7 through Page of SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER 1359636 RANDY WARREN FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT LOANED THIS REPAYMENT OR OUTSTADING BALANCE AT INTEREST RECEIVED ORIGINAL AMOUNT OF CUMULATIVE LOANS OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD FORGIVENESS THIS PERIOD CLOSE OF THIS PERIOD LOAN TO DATE PAID CALENDAR YEAR FORGIVEN RATE PER ELECTION" $ DATE DUE DATE INCURRED PAID CALENDAR YEAR FORGIVEN PATE PER ELECTION" $ $ DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee 777 must also be summarized on Schedule D. Loans forgiven must SUBTOTALS also be reported on Schedule E. (tater ke) on Schedule 1, Line 3) Schedule H Summary 1. Loans made this period .......................................... ........................................................................................................ $ **If Required (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans ........................................................................................................................................... $ (Total Column (c) plus uniternized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1 -) .............. __ ...... ....... ___ ..................... .................... .... NET $ 0 (May be a negative number) (Enter the net here and on the Summary Page, Column A, Line 7.) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) SchedufiDl Type or print in ink. SCHEDULE I Miscellaneous Increases �o Cash Amounts may be rounded Statement covers periodCALIFORNIA to whole dollars. 4601, from 71112013 FORM through 9/21 /2013 pale of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER RANDY WARREN 1359030 DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL Schedule I Summary 1. itemized increases t0 Casal this period........................................................................................................................ 2. Ur iternized increases to Cash of Under $100 this period............................................................................................. 3. Total Of all interest received this period on loans made t0 others. Schedule H Column (e).) ................................. . Total miscellaneous increases t0 Cash this period. (Add Lines 1, 2, and 3. Eater here and on the 0 SummaryPage, ..il°e 1........................................................................................................................... TTA $ FPPC Dorm 460 Januaryl05 FPPC Toll -Free Helpline: $66/ASK-FPPC (8661275-3772)