The URL can be used to link to this page

Home My WebLink AboutForm 460 - Yes on Measure D (2016-06-30)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from ____ 5_-2_2_-_2_01_6 __ 6-30-2016 through ________ _ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 3. o Officeholder, Candidate Controlled Committee hZl Primarily Formed Ballot Measure Committee o State Candidate Election Committee o Recall (Aiso Camp"'. P1II15) o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee o Controlled o Sponsored (Also Camp"'. P1II16) o Primarily Formed Candidatel Officeholder Committee (Aiso Camp"'. PIII1 7) Committee to Support San Rafael Libraries -Yes on Measure 0 STREET ADDRESS (NO P.O. BOX) CITY San Rafael STATE CA ZIP CODE 94901 MAILING ADDRESS (IF DIFFEREND NO. AND STREET OR P.O. BOX CITY San Rafael OPTIONAL: FAX I E·MAlLADDRESS STATE ZIP CODE CA 94915 AREA CODEIPHONE ( AREA CODEIPHONE ( 4. Verification Date of electIon If aplpllc:at,,,* (Month , Day, Year) 6-7-2016 2. Type of Statement: o Preelection Statement I;zJ Semi-annual Statement o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) Treasurer(s) NAME OF TREASURER Dirck W. Brinckerhoff MAILING ADDRESS CITY San Rafael NAME OF ASSISTANT TREASURER, IF ANY Jeffrey Schoppert MAILING ADDRESS CITY San Rafael OPTIONAL: FAX I E-MAIL ADDRESS o Quarterly Statement o Special Odd-Year Report STATE ZIP CODE CA 94903 STATE CA ZIP CODE 94901 AREA CODE/PHONE ( AREA CODE/PHONE ( 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. certify under penalty of perjury under the laws of the State of California that the foregoing is true ant correct. ' Executed on :l(j l\ I 2-'1 ( 2-D l <'0 By ____ 4l""'A:...\_ .... 1i:.-......",==-======:-::==-------- Executed on Executed on Executed on Date Signature of Treasurer or Assistant Treasurer Date By Date By Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure 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 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Ustanycommittees 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? DYES o 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? DYES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE -PART 2 mlllII!!JI!II~ 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE San Rafael Special Library Services Parcel Tax Measure D BALLOT NO. OR LETTER D JURISDICTION City of San Rafael ~ SUPPORT o 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 Ust names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Support San Rafael Libraries -Yes on Measure D Contributions Received 1. Monetary Contributions ................................................... Schedule A, Une 3 2. Loans Received ................................................................ Schedule B, Une 3 $ 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Unes 1 + 2 $ 4. Nonmonetary Contributions............................................ Schedule C, Une 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddUnes3+4 $ Expenditures Made 6. Payments Made................................................................ Schedule E, Une 4 $ 7. Loans Made....................................................................... Schedule H, Une 3 8. SUBTOTAL CASH PAyMENTS .......................................... AddUnes6+7 $ 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F. Une 3 10. Nonmonetary Adjustment... ...................................................... Schedule C, Une 3 11. TOTAL EXPENDITURES MADE. ....................................... AddUnes8+9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Une 16 $ 13. Cash Receipts ........................................................... Column A, Une 3 above 14. Miscellaneous Increases to Cash .................................. Schedule I, Une 4 15. Cash Payments ......................................................... Column A, Une 8 above 16. ENDING CASH BALANCE .................. Add Unes 12 + 13 + 14, then subtract Une 15 $ If this is a termination statement, Une 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Une 2 + Une 9 in Column B above $ Amounts may be rounded to whole dollars. ColumnA TOTAL THIS PERIOD (FROM ATIACHED SCHEDULES) 180.00 o 180.00 o 180.00 18,541.48 o 18,541.48 (4,980.76) o 13,595.72 18,627,18 180.00 o 18,541.48 265.70 o o o SUMMARY PAGE Statement covers period CALIFORNIA 460 FORM 5-22-2016 from _________ _ 6-30-2016 through ________ _ Page __ 3 __ of It $ $ $ $ $ $ Column B CALENDAR YEAR TOTAL TO DATE 41,307.48 o 41,307.48 381.88 41,689.36 41,041.48 o 41,041.48 o 381.88 41,458.66 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). 1.0. NUMBER 1383895 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 7/1 to Date 20. Contributions Received $ _____ _ $----- 21. Expenditures Made $ _____ _ $----- Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary expenditure Urnlt) Date of Election (mmldd/yy) ------1----1 __ Total to Date $----- $----- "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 A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Support San Rafael Libraries -Yes on Measure D Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) CODE * James L. Placak 01ND 5/23/2016 DCOM Retired DOTH San Rafael, CA 94901 DpTY Dscc DIND DCOM DOTH DpTY Dscc DIND DCOM DOTH DpTY Dscc DIND DCOM DOTH DpTY Dscc DIND DCOM DOTH DpTY Dscc SUBTOTAL $ Schedule A Summary SCHEDULE A Statement covers period from ___ 5-_2_2_-2_0_1_6 __ _ CALIFORNIA 460 FORM th h 6-30-2016 roug _______ _ Page _4 __ of _1_( __ AMOUNT RECEIVED THIS PERIOD 100.00 100.00 I.D. NUMBER 1383895 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 100.00 ·Contributor Codes IND -Individual PER ELECTION TO DATE (IF REQUIRED) 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................................................... $ ____ 1_00_._00_ COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party 2. Amount received this period -unitemized monetary contributions of less than $100 ........................... $ _____ 8_0_.0_0_ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...................... TOTAL $ ____ 1_80_._00_ SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Committee to Support San Rafael Libraries -Yes on Measure 0 Statement covers period from ___ 5-_2_2_-2_0_1_6 __ through __ 6_-_3_0_-2_0_1_6 __ SCHEDULEE CALIFORNIA 460 FORM page~ of_(_L _ I.D. NUMBER 1383895 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)· civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)" legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) PMCohen Public Affairs 23 Chestnut Ave. San Rafael, CA 94901 four waters media, inc. 3093 Lassen Street West Sacramento, CA 95691 MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE OR CNS CNS RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID 1,500.00 1,500.00 PMCohen Public Affairs Subvendor: Facebook $384.40 Facebook ads Subvendor: Gateway Media, Inc. 23 Chestnut Ave. 1601 Willow Rd. WEB 2150 River Plaza Dr., Ste. 150 445.76 San Rafael, CA 94901 Menlo Park, CA 94025 Sacramento, CA 95833 $61.36 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,445.76 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................................................. $ ___ 1_8_,3_8_3_.9_4_ 157.54 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ _____ _ o 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 $ ___ 1_8_,5_4_1_.4_8_ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Committee to Support San Rafael Libraries -Yes on Measure D Statement covers period from ___ 5-_2_2_-2_0_1_6 __ _ through __ 6_-_3_0_-2_0_1_6 __ SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page _0_ of -1L- I.D.NUMBER 1383895 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)- civic donations candidate filing/bailot fees fund raising events independent expenditure supporting/opposing others (explain)- legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITIEE. ALSO ENTER 1.0. NUMBER) MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal. accounting) print ads CODE OR RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID four waters media, inc. Subvendor: Doteasy Technology, Inc. $300.00 https:llwww.facebook.com/SupportSanRafaeILibrarie 3093 Lassen Street 3602 Gilmore Wy. #210 WEB West Sacramento, CA 95691 Burnaby, BC, Canada V5G 4W9 MarkSYS 3725 Cincinnati Ave., #200 POS Rocklin, CA 95765 U.S . Postal Service 1675 7th Street POS Oakland, CA 94615-0001 BreakPoint Sales 741 Via Casitas LIT Greenbrae, CA 94904 BreakPoint Sales 741 Via Casitas LIT Greenbrae, CA 94904 '" Payments that are contributions or independent expenditures must also be summarized on Schedule D. s 350.00 724.29 369.50 250.00 238.77 SUBTOTAL $ 1,932.56 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Committee to Support San Rafael Libraries -Yes on Measure 0 Statement covers period from __ 5_-_22_-_2_0_16 __ _ through __ 6_-_3_0_-2_0_1_6 __ SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page J-of_fl __ I.D. NUMBER 1383895 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)" CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)· LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITIEE. ALSO ENTER 1.0. NUMBER) PMCohen Public Affairs 23 Chestnut Ave. San Rafael, CA 94901 PMCohen Public Affairs Subvendor: Facebook 23 Chestnut Ave. 1601 Willow Rd. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR CNS $701.74 Facebook ads WEB San Rafael, CA 94901 Menlo Park, CA 94025 PMCohen Public Affairs Subvendor: Facebook $276.09 Facebook ads 23 Chestnut Ave. 1601 Willow Rd. WEB San Rafael, CA 94901 Menlo Park, CA 94025 RAD radio airtime and production costs RFD returned contributions SAL campaign workers ' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID 1,500.00 Subvendor: Gateway Media, Inc. 2150 River Plaza Dr., Ste. 150 864.70 Sacramento, CA 95833 $162.96 Subvendor: Gateway Media, Inc. 2150 River Plaza Dr., Ste.150 295.27 Sacramento, CA 95833 $19.18 four waters media, inc. Emails to donors 3093 Lassen Street WEB West Sacramento, CA 95691 four waters media, inc. Subvendor: BreakPoint Sales $1,876.45 3093 Lassen Street 741 Via Casitas LIT West Sacramento, CA 95691 Greenbrae, CA 94904 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. 340.00 2,139.00 SUBTOTAL $ 5,138.97 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SCHEDULE E (CONT.) Amounts may be rounded to whole dollars. Statement covers period from ___ 5-_2_2_-2_0_1_6 __ _ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through __ 6_-_3_0_-2_0_1_6 __ Page _'?__ of _I_l_ NAME OF FILER 1.0. NUMBER Committee to Support San Rafael Libraries -Yes on Measure D 1383895 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 commun ications RAD radio airtime and produclion 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 TE L t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC cand idate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging , and meals IND independent expend iture 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 (IF COMMITIEE. ALSO ENTER 1.0. NUMBER) four waters media, inc. Subvendor: BreakPoint Sales $1,991.69 3093 Lassen Street 741 Via Casitas LIT West Sacramento, CA 95691 Greenbrae, CA 94904 four waters media, inc. Subvendor: BreakPoint Sales $185.00 3093 Lassen Street 741 Via Casitas LIT West Sacramento, CA 95691 Greenbrae, CA 94904 four waters media, inc. Subvendor: BreakPoint Sales $370.00 3093 Lassen Street 741 Via Casitas LIT West Sacramento, CA 95691 Greenbrae, CA 94904 Sarah Houghton FND San Rafael, CA 94901 four waters media, inc. 3093 Lassen Street CNS West Sacramento, CA 95691 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. OR DESCRIPTION OF PAYMENT AMOUNT PAID Election night refreshments 2,028.00 185.00 370.00 283.65 2,000.00 SUBTOTAL $ 4 ,866.65 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca .gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Committee to Support San Rafael Libraries -Yes on Measure D Statement covers period from __ 5_-_22_-_2_0_16 __ _ through __ 6_-_3_0_-2_0_1_6 __ SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page~ Of_ll __ I.D. NUMBER 1383895 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)" civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)" legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) PMCohen Public Affairs 23 Chestnut Ave. San Rafael, CA 94901 MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE OR CNS * Payments that are contributions or independent expenditures must also be summarized on Schedule D. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t. v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID 3,000.00 SUBTOTAL $ 3,000.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULEF Schedule F Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from ___ 5_-2_2_-_2_0_16 __ _ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through _-----:..6-....:.3....:.0_-2_0_1....:.6 __ Page~ of_'_( __ NAME OF FILER I.D. NUMBER Committee to Support San Rafael Libraries -Yes on Measure D 1383895 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 I. v. or cable airtime and production costs FIL candidate filinglballot 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) (a) (b) (e) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE four waters media, inc. 3093 Lassen Street West Sacramento, CA 95891 PMCohen Public Affairs 23 Chestnut Ave. San Rafael, CA 94901 -see Continuation Sheet • Payments that are contributions or Independent expenditures must also be summarized on Schedule D. Schedule F Summary CNS CNS SUBTOTALS $ OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD 1,500.00 2,000.00 3,500.00 0 3,000.00 3,000.00 6,000.00 a 4,500.00 $ 5,000.00 $ 9,500.00 $ a 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $1 00 .) ............................................. .lNCURRED TOTALS $ ___ 6_.1_5_9_.9_7_ 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 $ ___ 1_1..:...,1_4_0_,7_3_ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................................................................................... NET $ (4,980.76) May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) NAME OF FILER Committee to Support San Rafael Libraries -Yes on Measure D Amounts may be rounded to whole dollars. Statement covers period from __ 5_-_22_-_2_0_16 __ _ th h 6-30-2016 roug _______ _ SCHEDULE F (CONT.) CALIFORNIA 460 FORM Page ~ of_"_ 1.0. NUMBER 1383895 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)' civic donations candidate filinglballot fees fundraising events independent expenditure supporting/opposing others (explain)' legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services profeSSional services (legal, accounting) print ads * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR CODE OR (a) OUTSTANDING (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD PMCohen Public Affairs WEB 23 Chestnut Ave. 445.76 San Rafael, CA 94901 Subvendor: Facebook $1,362.23 1601 Willow Road Menlo Park, CA 94025 Subvendor: Gateway Media, Inc. $ 243.50 2150 River Plaza Dr., Ste. 150 Sacramento, CA 95833 SUBTOTALS $ 445.76 $ RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) (bl (el (dl AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD 1,159.97 1,605.73 0 1,159.97 $ 1,605.73 $ o FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov