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Form 460 - Lucia Martel Dow for San Rafael School Board 2022; 09-29-22Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 7/1 /eOa, through q AV 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ❑x Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 5) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1442869 COMMITTEE NAME (OR CANDIDATE'S NAME 1F NO COMMITTEE) Lucia Martel Dow for San Rafael School Board 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Novato CA 94949-5731 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification have used all reasonable diligence in preparing and reviewing this statement and to the best of my Executed on By Dale Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Conlrolfing Officeholder, Candidate, Stale Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Lucia Martel Dow OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) School Board City of San Rafael RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Novato CA 94949-5731 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 LD NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVERPAGE-PART2 Page 2 of 11 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 ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) � fnnr en n— Campaign Disclosure Statement SUMMARY PAGE Amounts may be rounded Statement covers period ■ - + Summary Page to whole dollars. 1 from 07/01/2022 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lucia Martel Dow for San Rafael School Board 2022 Contributions Received 1. Monetary Contributions .....................................:..... Schedule A, Line 3 2. Loans Received...................................................... Schedule e, Line 3 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 7. Loans Made.................................................,........... Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment .........................:................ Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........ ........................Add Lines s + 9 + 10 Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) $ 3,724.00 0.00 $ 3,724.00 0.00 $ 3,724.00 $ 2,261.29 0.00 $ 2,261.29 -498.76 0.00 through 09/24/2022 Page 3 of 11 Column B CALENDAR YEAR TOTALTO DATE $ 4,874.00 0.00 $ 4,874.00 0.00 $ 4,874.00 $ 2,760.20 0.00 $ 2,760.20 671.63 0.00 $ 1,762.53 $ _ _ 3,431.83 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 651.09 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 3,724.00 amounts in Column A to the corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 from Column B of your last 15. Cash Payments .................................................. column A, Line a above 2,261.29 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 2,113.80 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 e, Part 2 $ 0.00 for this calendar year, only carry over the amounts arny) Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 671.63 I.D. NUMBER 1442869 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made'* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date *Amounts in this section may be differentfrom amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) w fnnr ro nnv Schedule A SCHEDULE A Moneta Contributions Received Amounts may be rounded dollars. Statement covers period CALIFORNIA to whole 460 from 07/01/2022 FORM page 4 of 11 through 09/24/2022 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lucia Martel Dow for San Rafael School Board 2022 1442869 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTERI DNUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN 1 - DEC 31) (IF REQUIRED) OF BUSINESS) 08/26/2022 Mary Jane Burke RIND Superintendent 100.00 100.00 G2022 $100.00 El COM Marin County Office of Novato, CA 94947 [:1 OTH Education ❑ PTY ❑ SCC 08/25/2022 Omar Carrera MIND CEO 200.00 200.00 G2022 $200.00 ❑COM Canal Alliance Corte Madera, CA 94925 ❑OTH ❑ PTY ❑ SCC ❑IND 09/24/2022 Democratic Central Committee of Marin (ID# 250.00 250.00 G2022 $250.00 761428) [g] COM ❑ OTH Sacramento, CA 95841 ❑ PTY ❑SCC 09/03/2022 Laura Diecks MIND Senior Manager of Health 100.00 100.00 G2022 $100.00 Servi❑COM Valley, CA 94941 CanalAes llianceMill ❑ OTH ❑ PTY ❑ SCC 08[1:9/2022 Carolyn Dow MIND Retired 200.00 250.00 G2022 250.0 ❑COM Retired San Francisco, CA 94121 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 850.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) $ 3,499.00 2. Amount received this period — unitemized monetary contributions of less than $100 .............................. $ 225.00 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. .._... TOTAL $ 3.724.00 *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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) w fnnr rn nmi Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 07/01/2022 " through 09/24/2022 page 5 of 11 NAME OF FILER I.D. NUMBER Lucia Martel Dow for San Rafael School Board 2022 1442869 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSAND I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/30/2022 Jerry Dow x❑IND Director 1,200.00 1,200.00 G2022 $1,200.00 ❑COM PwC San Rafael, CA 94903 ❑ OTH ❑ PTY ❑ SCC 09/12/2022 Shlomo Franco RIND Worrier in Chief 199.00 199.00 G2022 $199.00 ❑ COM Wine Meats Cheese Petaluma, CA 94952 ❑ OTH ❑ PTY ❑ SCC 08/27/2022 Tom Ladenburg x❑IND Consultant 100.00 100.00 G2022 $100.00 [-]COM Management Concepts Reston, VA 20191 ❑ OTH ❑ PTY ❑ SCC 08/22/2022 Jonathan Marker X❑IND Philathropy 200.00 200.00 G2022 $200.00 ❑COM Aviv Foundation Arnold, MD 21012 ❑ OTH ❑ PTY ❑SCC 08/26/2022 Maritza Martel 91 IND Physician 250.00 450.00 G2022 454.00 ❑COM Providence Health and Portland, OR 97229 Services ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 11949.00 '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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) � fnnr rn nn" Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. I , from 07/01/2022 ' through 09/24/2022 Page 6 of 11 NAME OF FILER I.D. NUMBER Lucia Martel Dow for San Rafael School Board 2022 1442869 DATE ADDRESSZIP 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 (EET I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 150.00 09/12/2022 Carolina Martin X❑IND ' Development 150.00 62022 $150.00 ❑COM UWBA San Rafael, CA 94952 ❑ OTH ❑ PTY ❑ SCC 09/13/2022 Sally Newson x❑IND Director 100.00 100.00 G2022 $100.00 ❑COM Wellify Teen Tiburon, CA 94957 ❑ OTH ❑ PTY ❑ SCC 08/28/2022 Anna Pletcher x❑IND Attorney 100.00 100.00 G2022 $100.00 [-]COM O'Melveny & Meyers Mill Valley, CA 94941 ❑ OTH ❑ PTY ❑ SCC 08/25/2022 Dennis Rodoni x❑IND County Supervisor 200.00 200.00 G2022 $200.00 ❑COM Marin County Point Reyes Station, CA 94956 ❑ OTH ❑ PTY ❑ SCC 08/22/2022 Natu Tuatagaloa E] IND Consultant 150.00 150.00 G2022 slgd.bo ❑COM Whyspeople San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 700.00 `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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) - fnnr r2 nn%l Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lucia Martel Dow for San Rafael School Board 2022 Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period from 07/01/2022 through . 09/24/2022 I Page 7 of 11 I.D NUMBER 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 t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND 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) Anedot New Orleans, LA 70112 Anedot New Orleans, LA 70112 Anedot New Orleans, LA 70112 NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID I 48.30 8.30 62.60 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 119.20 Schedule E Summary 1. Itemized Davments made this period. Include all Schedule E subtotals. ..... $ 2,261.29 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).)................................................................................ $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........... ........... :....... TOTAL $ 0.0 0.00 2,261.29 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) unnnu fn — nn" Schedule E (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lucia Martel Dow for San Rafael School Board 2022 Statement covers period from 07/01/2022 through 09/24/2022 SCHEDULE E (CONT. Page 8 of 11 I.D. NUMBER 1442869 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 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 WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I D NUMBER) Anedot FND 6.60 New Orleans, LA 70112 Anedot FND 18.86 New Orleans, LA 70112 wepac LLC PRO 69.75 Novato, CA 94949 wepac LLC PRO/OFC 484.00 Novato, CA 94949 wepac LLC PRO 200.75 Novato, CA 94949 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 779.96 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lucia Martel Dow for San Rafael School Board 2022 Amounts may be rounded to whole dollars. Statement covers period from 07/01/2022 through 09/24/2022 SCHEDULE E (CONT. Page 9 of 11 I.D. NUMBER 1442869 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 IvTG 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 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 PRO 415.89 wepac LLC Novato, CA 94949 wepac LLC PRO 306.87 Novato, CA 94949 wepac LLC PRO 639.37 Novato, CA 94949 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,362.13 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC 1866/275-37721 Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lucia Martel Dow for San Rafael School Board 2022 Amounts may be rounded to whole dollars. Statement covers period from 07/01/2022 through 09/24/2022 SCHEDULEF Page 10 Of 11 I.D. NUMBER 1442869 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 mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 484.00$ 623.00$ 484.00$ 623.00 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 unitemized accrued expenses under $100.) ............................................. INCURRED TOTALS $ 671.63 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 $ 1,170.39 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 $ -498.76 9 )................................................................................................................ r he a negative Ms slue rwrriber FPPC Form 460 (Jan/2016) FPPr Tnll-FraP Halnlina• RAR/ACK-FPPr lRRR/77A-17721 (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNTINCURRED AMOUNTPAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Carlo David WEB 0.00 450.00 0.00 450.00 Berkeley, CA 94705 ScanArt CMP 0.00 173.00 0.00 173.00 Emeryville, CA 94608 wepac LLC PRO/OFC 484.00 0.00 484.00 0.00 Novato, CA 94949 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 484.00$ 623.00$ 484.00$ 623.00 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 unitemized accrued expenses under $100.) ............................................. INCURRED TOTALS $ 671.63 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 $ 1,170.39 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 $ -498.76 9 )................................................................................................................ r he a negative Ms slue rwrriber FPPC Form 460 (Jan/2016) FPPr Tnll-FraP Halnlina• RAR/ACK-FPPr lRRR/77A-17721 Schedule F ( ( OUTSTAA NDING AMOUNT IN NCURRED (c) ( AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE SCHEDULE F (CONT) OF THIS PERIOD Statement covers period ^ (Continuation Sheet) Amounts may be rounded to dollars. Accrued Expenses (Unpaid Bills) 69.75 whole Novato, CA 94949 wepac LLC PRO 415.89 0.00 415.89 0.00 Novato, CA 94949 wepac LLC PRO 200.75 0.00 200.75 0.00 Novato, CA 94949 SUBTOTALS $ 686.39$ 0.00$ 686.39 $ 0.00 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)