HomeMy WebLinkAboutForm 465 - Police Association PAC (Colin)Supplemental Independent
Expenditure Report
(Government Code Section 84203.5)
SEE INSTRUCTIONS ON REVERSE
STREET ADDRESS (NO P.O. BOX)
1520 Fifth Avenue
Type or print in ink.
Amounts may be rounded to
whole dollars.
n Amendment (Explain Below)
I.D. NUMBER (If recipient committee)
831553
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901 (415) 485-3000
Report covers period
from 10/20/2013
through 12/31/2013
Date of election if applicable:
(Month, Day, Year)
11/05/2013
Treasurer (if recipient committee)
Sate Stamp CALIFORNIA
FORM 46:mm)
NAME OF TREASURER
Ms. Beth Minka
MAILING ADDRESS
1520 Fifth Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA, 94901 (415) 485-3000
OPTIONAL: FAX / E-MAIL ADDRESS
OPTIONAL: FAX / E-MAIL ADDRESS
2. Name of Candidate or Measure Supported or Opposed CHECK ONE
NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE SUPPORT OPPOSE
Kate Colin City Council Member City of San Rafael, CA X
NAME OF BALLOT MEASURE BALLOT NO./LETTER JURISDICTION SUPPORT OPPOSE
I MMMMOO
3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. CUMULATIVE TO DATE
DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR
DATE NAME AND ADDRESS OF PAYEE (JAN. 1 - DEC. 31) ---
Freeman Public Affairs, Inc. 5,870.50
Mailer including production and postage
10/25/2013 1405 Marcelina Avenue, Suite 111 in support of Kate Colin for City 10,759.50
Council.
Torrance, CA 90501
u.S. Postmaster 2,900-00
Postage for mailer in support of Kate MEMO
Colin for San Rafael City Council Subpayment made through:
10/25/2013 1433 Marceline Avenue Freeman Public ffairs,
Inc.
Torrance, CA 90501 1
FPPC Form 465 (June/09)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
SUPPLEMENTAL INDEPENDENT EXPENDITURE
Type or print in ink. —gasigza
Supplemental Independent Amounts may be rounded Report covers period
Expenditure Report to whole dollars.
from 10/20/2013
through 12/31/2013 Page 2 Of 2
SEE INSTRUCTIONS ON REVERSE I.D. NUMBER (If recipient com.)
NAME OF FILER831553
San Rafael Police Association Political Action committee ....J
4. Summary $ 5,870.50
1. Total independent expenditures of $100 or more made this period. (Part 3.) ........................................................................................... $ 0.00
2. Total independent expenditures under $100 made this period. (Not itemized.) ........................................................................................ 5,870.50
3. Total independent expenditures made this period (Add Lines I + 2.) .......................................................................................... TOTAL $ ---
5. Filing __ OfficerS Enter the name and address of each filing officer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been filed.
1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER
San Rafael City Clerk
ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET)
1400 5th Avenue
CITY STATE ZIP CODE CITY STATE ZIP CODE
San Rafael, CA 94901
2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER
ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET)
CITY STATE ZIP CODE CITY STATE ZIP CODE
6. Verification closed in this statement were not "made at the behest of the candidate or committee that benefitted from the expenditure(s)
I certify that the "independent expenditure(s)" "disclosed
Section 82031 and FPPC Regulation 18225.7. 1 have used all reasonable diligence in preparing and reviewing this
as those terms are defined in Government Code corn lets. 1 certify under, penalty of perjury under the laws of the State of California that
statement and to the best of my knowledge the information contained herein is true a
the foregoing is true and correct.
Executed on 1 22 By 0- T EA_ OR ASSISTANT TREASURER
DAT9
Executed onA;,o tv By
I DATEf SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR
Executed on
DATE
Executed on
DATE
By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
0
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENI
FPPC Form 465 (June/09)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)