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Home My WebLink AboutForm 460 - Kate Colin for City Council 2013 (2013-10-19)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period from 9/2/2013 10/19/2013 SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee E] Primarily Formed Ballot Measure (:D State Candidate Election Committee Committee CD Recall 0 Controlled (Also Complete Part 5) 0 Sponsored San Rafael (Also Complete Part 6) E:] General Purpose Committee MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P.O. Box 150817 CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94915-0817 OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) 11/5/2013 Date Stamp ff Lecaived [0iWl Z i 9XIC U Page - 1 of For Official Use Only 2. Type of Statement: Preelection Statement Quarterly Statement Semi-annual Statement QSpecial Odd -Year Report ❑ Termination Statement Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 Amendment (Explain below) Treasurer(s) NAME OF TREASURER Richard Kalish MAILING ADDRESS 999 Fifth Avenue, Suite 320 CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 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 m edge 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 foregoing is true and c sect.r Executed on 10-24-2013 By Date Signa e Treasurer or Assistant Treasurer Executed on 10-24-2013 By t441 4�� Date Sign3t—ure of Cor(froging Officeholder, Candidate, State Measure Proponent or Responsible (3'fficer of Sponsor Executed on Date By Signature of Controlling Ofd ;older, Candidate, State Measure Proponent Executed on Date By Signature of Controlling Officeholder. Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) State of California Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Kate B. Colin OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Councilmember RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP San Rafael, CA 94901 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) Page 2 of 12 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 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 c] SUPPORT Q OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 Januaryi05 FPPC Tall-FreeHelpline: 66 ASI •FPP (866/276-3772) State of California U_TMPWrbW3 Summary Page Q=r: IP,1C,%TP1 IrTinNS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period from 9/2/2013 �M through 10/19/2013 Page 3 of 12 NAME OF FILER Friends of Kate Colin for San Rafael City Council 2013 Column A Column B Contributions Received TOTALTHIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 13674 $ 48032 2. Loans Received ...................................................... Schedule B, Line 3 0 1000 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 13674 $ 49032 4. Nonmonetary Contributions .................................... Schedule C, Line 3 142 6462 5. TOTAL CONTRIBUTIONS RECEIVED ...... Add Lines 3 + 4 $ 13816 $ 55352 Expenditures Made 6. Payments Made ..................................................... Schedule E, Line 4 $ 16069 $ 28158 7. Loans Made ............................................................. Schedule H, Line 3 0 0 — 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 16069 $ 28158 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0 0 142 6323 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ............................... Add Lines 8 + 9 + 10 $ 16211 $ 34478 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 23269 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 13674 amounts in Column A to the corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0 from Column B of your last 16069 report. Some amounts in 15. Cash Payments .................................................. Column A, Line 8 above Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 20874 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 for this calendar year, only - 0 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ carry over the amounts from Lines 2, 7, and 9 if 011, gill Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents .......... ....................... . . - .. See instructions on reverse $ 0 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 1000 I.D.NUMBER 1357514 alendar Year Summary for Candidates unning in Both the State Primary and ieneral Elections 1/1 through 6/30 7/1 to Date 0. Contributions Received $ $ 1. 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) J $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) . , . Type or print in ink. SCHEDULE A 5cnedule A Amounts may be rounded Statement covers period CALIFORNIA ' Monetary Contributions Received to whole dollars. 9/22/13 from - through 10/19/13 Page 4 of 12 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER 1357514 Friends of Kate Colin for San Rafael City Council 2013 FULL NAME, STREET 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 DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND lershi Council PAC (1246290) WICOM 750 750 9/22/13 ❑ OTH San Rafae , ❑ PTY ❑ scc ®IND P Id El COM Businessman 1,000 1,000 9/22/13 E] OTH Resolution Remedies San Rafael, CA 94901 ❑ PTY ❑ SCC ❑IND cal Union No. 665 PAC (1280975) ®coM 500 500 9/22/13 E]OTH a y I y, 5 ❑ PTY ❑ SCC IND Jeff Pinkner El COM Writer 100 100 9/22/13 ❑OTH Jeff Pinkner, Writer Los Angeles, CA 90049 ❑ PTY ❑ SCC ® IND Lance Swanson El COM Antiques 100 100 9/22/13 E] OTH Sentimental Journey San Rafael, CA 94903 ❑ PTY ❑ SCC SUBTOTAL$ 2,450 I 1 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.) ....................... TOTAL $ 13,150 524 13,674 *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) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. SCHEDULE A (CONT.) Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 9/22/13 FORM ' from *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 SUBTOTAL$ 5,250 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) through 10/19/13 Page 5 of 12 I.D. NUMBER NAME OF FILER Friends of Kate Colin for San Rafael City Council 2013 1357514 DATE FULL NAME, STREET 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) ®IND❑IOM Carol Thompson Director 100 100 9/22/13 ❑OTH San Rafael Business an ❑ PTY Improvement District ❑ SCC ®IND Attorney 9/22/13 ❑IoM 00TH Judith A Bloomber Es q 9' 150 150 San Rafael, CA 94901 ❑ PTY ❑ SCC San Rafael Police Assoc PAC FPPC 831553 ) ( �[:]INDIND coM 3,000 3,000 10/4/13 1 ❑ OTH San Rafael, CA 94901 ❑ PTY 0 SCC Wa ne Clark ®IND 0COM EO C 1,000 1,000 OTH 0CTH Cricket Company Novato, CA 94949 ❑ PTY 0 SCC ❑IND Marin Builders Assoc PAC (FPPC 1357514) ICOM 1,000 1,000 10/4/13 [_]OTH San a ae , ❑ PTY 0 SCC *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 SUBTOTAL$ 5,250 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) @..L....I..In A /i_nntini ration Sheetl Tvne or mint in ink. SCHEDULE A (CONT.) Moneta Contributions Received Amounts may be rounded dollars. Statement covers period CALIFORNIA I , to whole 9/22/13 • ' from through 10/19/13 page 6 of 12 I.D. NUMBER DAME OF FILER 1357514 Friends of Kate Colin for San Rafael City Council 2013 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR (IF REQUIRED) RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) OF BUSINESS) Robert Spofford ®IND ❑COM Retired 250 250 10/4/13 ❑ OTH San Rafael, CA 94901 ❑ PTY ❑ SCC ❑ IND Friends of Marc Levine for 2014 (1353695) VICOM 250 250 10/4/13 []OTH San Rafael, CA 94915 ❑ PTY ❑ SCC Moira Brennan ®IND ❑COM Fundraiser 250 250 10/4/13 ❑OTH Moira Brennan San Rafael, CA 94901 ❑ PTY ❑ SCC William Kier ®IND ❑COM Consultant 200 200 10/4/13 E] OTH William Kier Consulting San Rafael, CA 94901 ❑ PT'/ ❑ScC Arthur Latno ®IND [:]COM200 Retired 200 10/4/13 ❑ OTH San a ae , ❑ PTY El SCC A ACA *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 SUM IUTALa �, �•�•' FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Cr-hsarh tIP_ A ICnntinuatiOn Sheet) Tvoe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA ' to whole dollars. 9/22/13FORM from through 10/19/13 Page 7 of 12 I.D. NUMBER NAME OF FILER 1357514 Friends of Kate Colin for San Rafael City Council 2013 FULL NAME, STREET 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 DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND El COM Filmmaker 500 500 10/4/13 DOTH Kramer Herzog San Rafael, CA 94901 ❑ PTY ❑ SCC [jIND CA Real Estate PAC (890106) W] coM 1,000 1,000 10/7/ 13 ❑ OTH Los Angeles, CA 90020 ❑ PTY ❑ Scc ®IND CFO 10/9/13 EICO ❑OOH Saul Zagutz Co. 100 100 San Rafael, CA 94901 ❑ PTY ❑SCC Robert Goldrich aIND coM Advisor 500 500 10/9/13 DOTH City of New York New York, NY 10023 ❑ PTY ❑SCC []IND Ghilotti Bros Contractors ❑COM 250 250 10/9/13 LZOTH San Rafae , 1 ❑PTY D ScC *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 SUBTOTAL$ Z,3ou FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink.SCHEDULE A (CONT.) Amounts may be rounded Statement covers periodCALIFORNIA to whole dollars. 9/22/13 1 i FORM' from `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 SUBTOTALS -I,uoa I FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) through 10/19/13 Page 8 of 12 I.D. NUMBER DAME OF FILER 1357514 Friends of Kate Colin for San Rafael City Council 2013 FULL NAME, STREET 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 DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF•EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) RECEIVED OF BUSINESS) ❑ IND Marin Women's PAC (1332045) ®COM 200 200 10/9/ 13 ❑ OTH ManMaa , R P ❑ PTY ❑ SCC ®IND ❑COM Homeopatholgist 150 150 Jud Schriebman 10!15/13 ❑OTH Judy Schriebman San a ae , 94903 ❑ PTY ❑ SCC Richard Nave ®IND ❑COM Director 100 100 10/19/13 E] OTH Nave Enterprises San Rafael, CA 94901 ❑ PTY Gary Giacomini ❑ SCC ®IND ❑COM Attorney 500 500 10/19/13 ❑OTH Hanson, Bridgett Larkspur, CA 94939 ❑PTY ❑ SCC Lynn Taylor ®IND E]COM Attorney 100 100 9/22/13 ❑OTH Lynn Taylor Esq San Rafael, CA 94901 ❑ PTY ❑ SCc `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 SUBTOTALS -I,uoa I FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) c._v_rl..ln D /('_nntinrratinn Si7P_P_tl Tvneornrintinink. SCHEDULE A (CONT.) Amounts may rounded Statement covers period Monetary Contributions Received lars. , ' to whole dollars. 9/22/13 •' from through 10/19/13 Page 9 of 12 I.D. NUMBER NAME OF FILER 1357514 Friends of Kate Colin for San Rafael City Council 2013 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR (IF REQUIRED) RECEIVED (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) OF BUSINESS) Don Tarantino ® IND E] COM Broker 250 250 9/24/13 E] OTH Arthur J Gallagher Risk San Rafael, ❑ PTY Mgmt ❑ SCC Emily Brew ®IND ❑COM Consultant 150 150 9/24/13 E] OTH Emily Brew Portland, OR 97209 ❑ PTY ❑ SCC ®IND CFO 500 500 10/15/13 ooTH Anacor Pharmaceuticals Menlo Park, CA 94025 ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑SCC []IND ❑ COM ❑ OTH ❑ PTY ❑ SCC '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 JU61 V IHL.➢ .iv.,, FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) t I S, IND W1, COM o OTH ■ PTY El SCC mj�r E] PAID FORGIVEN RATE PER ELECTION** $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ 0$ 0 $ 1000 $ 7:0i 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 aid bv a third party that are also itemized on Schedule A.) ( p, ...................... NET $ 3. Net change this period. (Subtract Line 2 from Line ........................................ Enter the net here and on the Summary Page, Column A, Line 2. *AmoLints forgiven or paid by another party also must be reported on Schedule A. ** if required. 0 0 0 May be a negative number) r tContributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Cornmitte=,n, FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULE B - PART I I Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA 46 01 Schedule B — Part LoansKeceived to whole dollars. from 9/2/2013 FORM through 10/19/2013 Page 10 of 12 SEE INSTRUCTIONS ON REVERSE I.D.NUMBER NAME OF FILER 1357514 Friends of Kate Colin for San Rafael City Counci12013 ORIGINAL AMOUNT OF (9) CUMULATIVE CONTRIBUTIONS — (aT-- (b) (c) (d) (e) IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNTAMOUNT PAID UTSTANDING INTEREST FULL NAME, STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYER BALANCE BALANCEAT PAID THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS OF LENDER (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD PERIO ) PERIOD LOAN TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD — CALENDAR YEAR o PAID Kate B. Colin Councilmember 0 $ 1000 0 % $ 1000 $ 18 Culloden Park Road City of San Rafael $ RATE PER ELECTION" San Rafael, CA 94901 o FORGIVEN 1000 0 0 $ 0 4/29/13 $ DATE DUE $ $ $ DATE INCURRED t IND COM GZ OTH 0 PTY 0 SCC CALENDAR YEAR PAID n FORGIVEN RATE PER ELECTION DATE DUE DATE INCURRED to IND o COM o OTH El PTY El SCC CALENDAR YEAR t I S, IND W1, COM o OTH ■ PTY El SCC mj�r E] PAID FORGIVEN RATE PER ELECTION** $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ 0$ 0 $ 1000 $ 7:0i 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 aid bv a third party that are also itemized on Schedule A.) ( p, ...................... NET $ 3. Net change this period. (Subtract Line 2 from Line ........................................ Enter the net here and on the Summary Page, Column A, Line 2. *AmoLints forgiven or paid by another party also must be reported on Schedule A. ** if required. 0 0 0 May be a negative number) r tContributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Cornmitte=,n, FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule C Nonmonetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 9/2/2013 through 10/19/2013 Page 11 of 1 2 iEE INSTRUCTIONS ON REVERSE NAME OF FILER Friends of Kate Colin for San Rafael City Council 2013 ET 1 0 IF AN INDIVIDUAL, ENTER SCRIPTION OF FULL NAME, STREET ADDRESS AND DEOCCUPATION AND EMPLOYER I C DATE ZIP CODE OF CONTRIBUTOR F -EMPLOYED, ENTER GOODS OR SERVICE (IF SEL R CEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) Kate Colin 18 Culloden Park Road San Rafael, CA 94901 WIND Councilmember Stationery MCOM F -10TH City of San Rafael E]PTY [:]Scc I.D. NUMBER 1357514 AMOUNT/ CUMULATNE TO DATE PER ELECTION FAIR MARKET TO DATE CALENDAR YEAR VALUE (IF REQUIRED) (JAN 1 -DEC 31) 142 1 421 SUBTOTAL $ 142 Attach additional information on appropriately labeled continuation sheets. *Contributor Codes Schedule C Summary INIn—individiml 1. Amount received this period — itemized nonmonetary contributions. $ 142 (include all Schedule C subtotals.) ..................................................................................................................... 0 2. Amount received this period — uniternized nonmonetary contributions of less than $100 .................................... $ +r4rik"tinniz received this period. 142 1 Utdi HUHI I IUC; HOf y %,%J (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10 ............ TOTAL .) ..........$ FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule E Payments Made — 1KICT01 Ir.TInAIS nN REVERSE NAME OF FILER Friends of Kate Colin for San Rafael City Council 2013 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 9/2/2013 through 10/19/2013 Page 12 of 12 I.D. NUMBER 1357514 If the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CODES: one of MBR member communications RAD radio airtime and production costs CMP campaign paraphernalia/misc. MTG meetings and appearances RFD returned contributions CNS CTB campaign consultants contribution (explain nonmonetary)` OFC office expenses SAL TEL campaign workers' salaries t.v. or cable airtime and production costs CVC civic donations PET PHO petition circulating phone banks TRC candidate travel, lodging, and meals FIL candidate filing/ballot fees POL polling and survey research TRS staff/spouse travel, lodging, and meals FI D FNindependent fundraising events 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 WEB voter registration information technology costs (internet, e-mail) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) AD -VANTAGE MARKETING LIT, POS 14859 Santa osa, 401 SC Design LIT 1140 Santa Rosa, CA 95401 Pa Pal Inc. Fundraising fees 35 San Jose, CA 95131 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 16209 Schedule E Summary 16209 1. Itemized payments made this period. (include all Schedule E subtotals.).............................................................................................................. $ 35 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).)............................................................................... $ 0 16234 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)