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Home My WebLink AboutForm 460 - Kate Colin for City Council 2017 (2017-06-30)COVER PAGE Recipient Committee Campaign Statement Cover Page Type or print in ink. (Government Code Sections 84200-84216.5) Statement covers period from ____ 1/_1_/2_0_1_7 __ SEE INSTRUCTIONS ON REVERSE h h 6/30/2017 t roug ________ _ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 121 Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part 5) o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party!Central Committee 3. Committee Information o Primarily Formed Ballot Measure Committee o Controlled o Sponsored (Also Complete Part 6) o Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Re-Elect Kate Colin for San Rafael City Council 2017 STREET ADDRESS (NO P.O. BOX) CITY San Rafael STATE CA ZIP CODE 94901 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE AREA CODE/PHONE San Rafael CA 94915-0817 OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification Date of election if applicab (Month , Day, Year) 11/07/2017 2. Type of Statement: o Preelection Statement IJ] Semi-annual Statement o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) Treasurer{s) NAME OF TREASURER Richard Kalish MAILING ADDRESS CITY San Rafael NAME OF ASSISTANT TREASURER . IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS rkalish@kalishnexon.com STATE CA STATE o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement -Attach Form 495 ZIP CODE 94901 ZIP CODE AREA CODE/PHONE AREA CODE/PHONE I hEwe used all reasonable diligence in preparing and reviewing this statement and to the best of m~the information contained her in and in the attached scredules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and corr t. f C Executed on July 28,2017 By ____ --,I-=-r.;.~;;~C/~==!??:~;;,~=;-====------ Executed on Execuled on Executed o n Date SI ~re ofTreaz;:t;casurer July 28, 2017 By Dat. Dat. By Date By Signature olControlling Officehotd.r. Candldat •. Stat. M.asure Propon.nt Signature 01 Controlling Officehold.r, Candldat •• Stat. M.asure Propon.nt FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275·3772) State of California Type or print in ink. 1I~~,c,O~VIE~RPAGE-PART2 Recipient Committee Campaign Statement Cover Page -Part 2 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 RESIDENTIAUBUSINESS 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? DYES 0 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 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION o SUP PORT o OPP OSE 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 officeho/der(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 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3172) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 Contributions Received 1. Monetary Contributions ................................................... Schedule A, Line 3 2 . Loans Received ................................................................ Schedule B, Line 3 $ 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ 4 . Nonmonetary Contributions............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lmes 3 + 4 $ Expenditures Made 6 . Payments Made ................................................................ Schedule E, Line 4 $ 7 . Loans Made ....................................................................... Schedule H, Line 3 8 . SUBTOTAL CASH PAyMENTS .......................................... AddLines6+7 $ 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F. Line 3 10 . Nonmonetary Adjustment... ...................................................... Schedule C , Line 3 11 . TOTAL EXPENDITURES MADE ........................................ Add Lines B + 9 + 10 $ Current Cash Statement 12 . Beginning Cash Balance ............................ Previous Summary Page, Lme 16 $ 13 . Cash Receipts ........................................................... Column A. Line 3 above 14, Miscellaneous Increases to Cash .................................. Schedule I, Line 4 15 . Cash Payments ......................................................... Column A, Line B above 16. ENDING CASH BALANCE .................. Add Lines 12 + 13 + 14 , thtm subtract Line 15 $ If this is a termination statement, Line 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 . Outstand ing Debts .............................. Add Line 2 + Line 9 in Column B above $ Amounts may be rounded to whole dollars. ColumnA TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 11275 o 11275 625 11900 3300 o 330 0 o 625 3925 6795 11275 o 3300 14770 o o o SUMMARY PAGE Statement covers period CALIFORNIA 460 FORM 01/01/2017 from _________ _ 3 12 06/30/2017 through ________ _ Page ___ of __ _ $ $ $ $ $ $ Column B CALENDAR YEAR TOTAL TO DATE 11275 o 11275 625 11900 3300 o 3300 o 625 392 5 To calculate Column B. add amounts in Column A to Ihe 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 ). I.D.NUMBER 1357514 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 71'1 to Date 20 . Contributions Received $ _____ _ $----- 21. Expenditures Made $ _____ _ $----- Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" III Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/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 Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period Monetary Contributions Received from ____ 1_/_1/_1_7 __ _ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE 6/30/17 through _______ _ Page _4 __ of _1_2_ NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 DATE RECEIVED 5/31/17 6/1/17 6/1/17 6/1/17 6/1/17 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I,D , NUMBER) CODE * Dana Oliver IllIND OCOM DOTH San Rafael, CA 94901 OPTY Oscc Dan Toney IZJIND OCOM DOTH San Rafael, CA 94901 OPTY Oscc I2IIND Kathleen Toney OCOM DOTH San Rafael, CA 94901 OPTY Oscc Neil Moran I!lIIND OCOM DOTH San Rafael, CA 94901 OPTY Oscc Tamra Peters I!lIIND OCOM DOTH San Rafael, CA 94901 OPTY Oscc Schedule A Summary IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Homemaker CEO TCS Insurance Agency, Inc. Retired Attorney The Freitas Law Firm Director Resilient Neighborhoods AMOUNT RECEIVED THIS PERIOD 500 250 250 250 500 SUBTOTAL $ 1750 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................................................... $ _____ 9_,8_5_0 2. Amount received this period -unitemized monetary contributions of less than $100 ........................... $ _____ 1....:,_4_25_ 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_1 ,_2_75_ I.D. NUMBER 1357514 CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 -DEC. 31) 500 250 250 750 500 PER ELECTION TO DATE (IF REQUIRED ) ·Contributor Codes INO -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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. EIHER NAME OF BUSINESS) (IF COMMllTEE. ALSO ENTER 1.0 . NUMBER) CODE * Gordon Manashil 6/1/17 San Rafael, CA 94901 Sue Spofford 6/2/17 San Rafael, CA 94903 Andrew McCullough 6/2/17 San Rafael, CA 94901 Melinda Bromberg 6/3/17 San Rafael, CA 94901 Semi Salmi 6/4/17 San Rafael, CA 94901 ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.9 .• business entity) PTY -Political Party SCC -Small Contributor Committee IlIIND DCOM DOTH DPTY DSCC ~IND DCOM DOTH DPTY DSCC IlIIND DCOM DOTH DPTY DSCC IZJIND DCOM DOTH DPTY DSCC IZJIND DCOM DOTH DPTY DSCC Retired Retired Attorney Syufy Enterprises Homemaker Principal SCS Advisors, Inc. SUBTOTAL $ Statement covers period from ____ 1_1_1/_1_7 __ _ through ___ 6/_3_0_/1_7 __ _ SCHEDULE A (CaNT.) CALIFORNIA 460 FORM 5 12 Page ___ of __ _ 1.0. NUMBER 1357514 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 100 100 250 250 250 250 250 250 250 250 1100 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * 6/6/17 6/6/17 6/8/17 6/8/17 6/11/17 Arthur Ablin San Rafael, CA 94901 Susan Clark San Rafael, CA 94901 Patricia Garbarino San Rafael, CA 94901 Grant Hellar San Rafael, CA 94901 Gary Ragghianti San Rafael, CA 94901 ·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 IlIIND DCOM DOTH DPTY DSCC IlIIND DCOM DOTH DPTY DSCC IlIIND DCOM DOTH D PTY D SCC \Z]IND DCOM DOTH DPTY DSCC \Z]IND DCOM DOTH D PTY D SCC Retired Researcher Common Knowledge President Marin Sanitary Service Retired Attorney Ragghianti/Freitas SUBTOTAL $ Statement covers period from ____ 1_1_1/_1_7 __ _ 6/30/17 through _______ _ SCHEDULE A (CaNT.) CALIFORNIA 460 FORM 6 12 Page ___ of __ _ I.D.NUMBER 1357514 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 250 500 100 100 500 500 250 250 250 250 1350 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITIEE, ALSO ENTER I,D. NUMBER) CODE * 6/12/17 6/13/17 6/14/17 6/14/17 6/22/17 Robert Herbst San Rafael, CA 94903 Stephanie Moulton-Peters Mill Valley, CA 94941 Micah Press San Rafael, CA 94903 Stacy Nelson San Rafael, CA 94903 Gary Phillips San Rafael, CA 94903 '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 IllIND OCOM OaTH OPTY OSCC IiZlIND OCOM OaTH OPTY OSCC IiZlIND OCOM OaTH OPTY OSCC IiZlIND OCOM OaTH OPTY OSCC IiZlIND OCOM OaTH OPTY OSCC Owner JHS Properties Council Member City of Mill Valley Student Brown University Recruiter Stacy Nelson & Assoc Mayor City of San Rafael SUBTOTAL $ Statement covers period from ____ 1_/_1 /_1_7 __ _ through ___ 6/_3_0_/1_7 __ _ SCHEDULE A (CaNT.) CALIFORNIA 460 FORM 7 12 Page ___ of __ _ J.D. NUMBER 1357514 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 500 500 150 150 250 250 500 500 250 250 1650 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERID.NUMBER) CODE * 6/26/17 6/30/17 2/21/17 5/17/17 6/6/17 Juli Kauffman Greenbrae, CA 94904 Catherine Rice San Anselmo, CA 94960 Neil Moran San Rafael, CA 94901 Bill Hafferty Sausalito, CA 94965 Barbara Heller San Rafael, CA 94903 '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 IlIIND OCOM OaTH OPTY OSCC IlIIND OCOM OaTH OPTY OSCC IlIIND OCOM OaTH O PTY O SCC ~IND OCOM DOTH OPTY OSCC ~IND OCOM OaTH OPTY OSCC Consultant Kauffman & Associates County Supervisor County of Marin Attorney The Freitas Law Firm Retired Retired SUBTOTAL $ Statement covers period from ____ 1_/_1/_1_7 __ _ 6/30/17 through _______ _ SCHEDULE A (CaNT.) CALIFORNIA 460 FORM 8 12 Page ___ of __ _ I.D.NUMBER 1357514 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED ) 200 200 100 150 500 750 100 100 250 250 1150 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYEO. ENTER NAME OF BUSINESS) (I F COMMITIEE. ALSO ENTER I O.NUMBER) CODE * 6/7/17 6/12/17 6/15/17 6/15/17 6/15/17 Danielle Dasher San Rafael, CA 94901 Judy Ferguson San Rafael, CA 94901 Anthony J. Brady Corte Madera, CA 94925 Arthur Ablin San Rafael, CA 94901 Wayne Clark Novato, CA 94949 'Contributor Codes INO -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee IlIIND DCOM DOTH DPTY DSCC IlIIND DCOM DOTH DPTY DSCC IlIIND DCOM DOTH DPTY DSCC IlIIND DCOM DOTH DPTY DSCC IlIIND DCOM DOTH DPTY DSCC Retired Retired Attorney County of Marin Retired Owner West Coast Beauty Supply SUBTOTAL $ SCHEDULE A (CaNT.) Statement covers period CALIFORNIA 460 FORM from ____ 1_1_1/_1_7 __ _ through ___ 6/_3_0_/1_7 __ _ 9 12 Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD 500 250 250 250 1000 2250 I.D.NUMBER 1357514 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 500 250 250 500 1000 PER ELECTION TO DATE (IF REQUIRED ) FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SElF· EMPLOYED ENTER NAME OF BUSINESS) (IF COMMITTEE ALSO ENTER I.D . NUMBER) CODE * 61117 6/19/17 John Collette San Rafael, CA 94901 Dorothy Breiner San Rafael, CA 94901 ·Contributor Codes IND -Individual COM -Recipient Committee (olher than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee IlIIND DCOM DOTH DPTY DSCC IlIIND DCOM DOTH D PTY D SCC D IND D COM D OTH D PTY D SCC DIND DCOM DOTH DPTY DSCC OIND DCOM DOTH DPTY DSCC Retired Retired SUBTOTAL $ Statement covers period from ____ 1_1_1/_1_7 __ _ through ___ 6/_3_0_/1_7 __ _ SCHEDULE A (CaNT.) CALIFORNIA 460 FORM 10 12 Page ___ of __ _ I.D.NUMBER 1357514 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 500 500 100 100 600 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3n2) Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 Amounts may be rounded to whole dollars. Statement covers period from __ 0=--1.;..:../:.::.0.:.:.1/-=2:.::.0...:.17-=--_ through __ 0_6_1_30_1_2_0_17 __ SCHEDULE C CALIFORNIA 460 FORM Page _1_1_ of ---..:!L I.D. NUMBER 1357514 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF CODE * (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES AMOUNTI FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) PER ELECTION TO DATE (IF COMMITTEE ALSO ENTER 1.0. NUMBER) Paul Srora 6/16/2014 6/16/2017 San Rafael, CA 94901 Chris Yalonis San Rafael, CA 94901 I;z!IND DeOM DOTH DPTY DSCC I;z!IND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY Dsec DIND DeOM DOTH DPTY Dsee NAME OF BUSIt~ESS) Restaurant owner. Self. President, Venture Pad Attach additional information on appropriately labeled continuation sheets. Schedule C Summary Food for campaign event Room for campaign event SUBTOTAL $ 300 200 500 300 200 ·Contributor Codes IND -Individual (IF REQUIRED) 1. Amount received this period -itemized nonmonetary contributions. (Include all Schedule C subtotals.) ...................................................................................................................... $ ___ ---'5:..:0:...=0_ COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party 2. Amount received this period -unitemized nonmonetary contributions of less than $100 .................................. $ ____ ....:1-=2:.::5_ SCC -Small Contributor Committee 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 $ ____ -=6:..::2:..::5_ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppt.ta.gov (866/275-3772) www.fppt.ta.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect Kate Colin for San Rafael City Council 2017 Amounts may be rounded to whole dollars. Statement covers period from __ 0_1_'0_1_'_20_1_7 __ through __ 0_6_'3_0_'_20_1_7 __ SCHEDULE E CALIFORNIA 460 FORM Page~of~ !.D. NUMBER 1357514 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise , describe the payment. CMP CNS eTB 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) PM Cohen Affairs PO Box 150268 San Rafael CA 94915 Jennifer Skinner Potraits 33 Manderly Road San Rafael CA 94901 four waters media 3093 Lassen Street W. Sacramento CA 95691 MBR MTG OFC PET PHO POL pas 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 LIT CNS * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 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 VaT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID 1500 250 1500 SUBTOTAL $ 3250 3250 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................................................. $ ______ _ 50 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).) ............................................................................. $ ______ _ 3300 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov