Loading...
Form 460 - Carolina Martin for San Rafael School Board Trustee 2022 10-27-22Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 09/25/2022 through 10/22/2022 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) 0 Sponsored (Also Complete Part 6) ❑ 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,D, NUMBER 1449397 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Carolina Martin for San Rafael City Schools District 4 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Antelope CA 95843 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS ( COVERPAGE D FPage Date of election if a i te: f T 2 7 2022 i(Month, Day, Y - ! of — For Official Use Only 11/08/2022 CLERK'S OFFICE 2. Type of Statement: ❑x Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special 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 Chelsea Johnson MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Antelope CA 95843 ( 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 my knowledge the under penaltyof peduryunder the laws of the State of California that the foregoing is true Executed on 10/22/2022 Daie Executed on 10/22/2022 Date Executed on Date Executed on Data +.+nin�i nnffiln nnm By By contained herein and in the attached schedules is true and complete. I certify By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Carolina Martin OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Board of Education City of San Rafael District 4 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 COVER PAGE - PART 2 Page 2 of 13 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER I JURISDICTION I ❑ 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. COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary 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 www.neffile.com FPPC Form 460 (Jan/2016) 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 Carolina Martin for San Rafael City Schools District 4 2022 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•....................••••••AddLines3+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 8+9+10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts ............................................... i... Column A, Line 3above 14. Miscellaneous Increases to Cash...,; ..................... Schedule t, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. Amounts may be rounded to whole dollars. Column A TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) $ 6,000.00 0.00 $ 6,000.00 1,325.00 $ 7,325.00 $ 5,745.19 0.00 $ 5,745.19 711.66 1,325.00 $ 7,781.85 $ 15,683.22 6,000.00 0.00 5,745.19 $ 15,938.03 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above www.netfile.com 0.00 $ 0.00 $ 4,866.75 SUMMARY Statement covers period from 09/25/2022 through 10/22/2022 Page 3 of 13 I.D. NUMBER 1449397 Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTALTO DATE Running in Both the State Primary and General Elections $ 31,064.00 0.00 $ 31,064.00 1,325.00 $ 32,389.00 $ 15,125.97 0.00 $ 15,125.97 4,866.75 1,325.00 $ 21.317.72. 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). 1/1 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 Limit) Date of Election Total to Date (mm/dd/yy) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A SCHEDULE A Amounts may be rounded Monetary Contributions Received to dollars. Statement covers period CALIFORNIA whole 460 from 09/25/2022 FORM through 10/22/2022 Page 4 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Carolina Martin for San Rafael City Schools District 4 2022 1449397 DATE ADDRESSZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (EET IT .D.N * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/13/2022 Reynaldo Arellano [X]IND Certified Public 100.00 100.00 G2022 $100.00 ❑ COM Accountant Forest Knolls, CA 94933 OTH Reynaldo E Arellano, CPA Received through inter diary: ❑ Donorbox ❑ PTY 2615 Columbia Pike, #4 7 ❑SCC Arlington, VA 22204 10/18/2022 Lee Battat MIND Not Employed 100.00 100.00 G2022 $100.00 ❑COM n/a Sari Rafael, CA 94901 ❑ OTH Received through inter diaryi Donorbox ❑ PTY 2615 Columbia Pike, #4 k7 [—]SCC Arlington, VA 22204 09/25/2022 John Carroll MIND Superintendent 100.00 100.00 G2022 $100.00 ❑COM Bolinas-Stinson USD Woodacre, CA 94973 OTH Received through inteinediaryi ❑ Donorbox ❑ PTY 2615 Columbia Pike, #427 ❑ SCC Arlington, VA 22204 10/13/2022 Winnie Cheung MIND Sr. Director, 250.00 250.00 G2022 $250.00 ❑COM Organizational Design Belmont, CA 94002 United Way Bay Area Received through intermediary; ❑ OTH Donorbox ❑ PTY 2615 Columbia Pike, #4 7 El SCC Arlington, VA 22204 10 11/2022 Rodrigo Dias ©IND Attorney 100.00 100,00 (32 D22 $100.00 ❑COM Greene Taubman Dias San Rafael, CA 94901 Chernus Simborg & Received through inter ediary- ❑OTH Dominguez LLP Donorbox C] PTY 2615 Columbia Pike, #417 Arlington, VA 22204 ❑ SCC SUBTOTAL$ 650.00 Schedule A Summary Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................................ $ 5,950.00 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.) . www.netfile.com 50.00 .................. TOTAL $ 6.000.00 '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) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodF to whole dollars. from 09/25/2022 5 of 13 through 10/22/2022 NAME OF FILER I.D. NUMBER Carolina Martin for San Rafael City Schools District 4 2022 1 1449397 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 (IF COMM ITTEE,ALSO ENTER I.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 10/17/2022 Marie Fisher X❑IND Interior Designer 100.00 100.00 02022 $100.00 El COM Marie Fisher Interior San Rafael, CA 94901 Design Received through inte msediary: ❑ OTH Donorbox ❑ PTY 2615 Columbia Pike, #.27 Arlington, VA 22204 ❑ SCC 10.3.8 2022 Kristen Haviland x❑IND Veterinarian 200.00 200.00 02022 $200.00 ❑ COM Kristen Haviland San Rafael, CA 94901 Received through inte diary- iary:❑OTH DOTH ❑ PTY Donorbox 2615 Columbia Pike, if 27 ❑SCC Arlington, VA 22204 10/15/2022 International Brotherhood of Electrical ❑IND 500.00 500.00 G2022 $500.00 Workers Local 551 PAC (ID# 1277746) X❑ COM Sacramento, CA 95814 ❑ OTH ❑ PTY ❑ SCC 10/07/2022 Marin Women's PAC (ID# 1332045) [-]IND 200.00 200.00 G2022 $200.00 ]COM Greenbrae, CA 94904 []OTH ❑ PTY ❑ SCC 10/20/2022 Holly Middleton X❑IND Not Employed 100.00 100.00 T2022 100.00 ❑COM n/a San Rafael, CA 94901 ❑ OTH Received through inte Donorbox ediary: Columbia Pike, 27 ❑PTY Arlington, VA 22204 ❑ SCC SUBTOTAL$ 11100.00 "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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 1 � ` from 09/25/2022 ■ ' through 10/22/2022 Page 6 of 13 NAME OF FILER I.D. NUMBER Carolina Martin for San Rafael City Schools District 4 2022 1449397 AND ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE, ALSO .D.N * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSI NESS) 10718/2022 Carol Munson ®IND Realtor 500.00 500.00 G2022 $500.00 ❑ COM Compass Larkspur, CA 94939 Received through intwMadiary. ❑ OTH Donorbox ❑ PTY 2615 Columbia Pike, #427 Arlington, VA 22204 ❑ SCC 10/12/2022 San Rafael Federation of Teachers PAC (ID# ❑IND 2,500.00 2,500.00 G2022 $2,500.00 1436380) X❑COM San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC ❑IND 10/12/2022 San Rafael Teachers Association 1,000.00 1,000.00 G2022 $1,000.00 ❑COM Fairfax, CA 94930 x❑ OTH ❑ PTY ❑ SCC 09/29/2022 Ryan Tankoos %❑IND Sales Executive 100.00 100.00 G2022 $100.00 ❑COM Twilio San Francisco, CA 94133 Received through inte diary: ❑ OTH Donorbox ❑ PTY 2615 Columbia Pike, fl 27 Arlington, VA 22204 ❑ SCC. 16/0172M Judy Tuatagaloa x❑IND Teacner O.uu 100.00 G2022 $100.00 Redwood Union School Sari Rafael, CA 94901 ❑COM District Received through ince diary* ❑ OTH Donorbox ❑ PTY 2616 Colujimbia Pike, 27 Arlington, VA 22204 [:]SCC 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.netfile.com SUBTOTAL$ 4,200.001 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded Nonmonetary Contributions Received to whole dollars. Statement 2022 period from o9/z5/zozz SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 10/22/2022 1 Page 7 of 13 ! I.D. NUMBER Carolina Martin for San Rafael City Schools District 4 2022 1 1449397 FULL NAME, STREET ADDRESS AND CONTRIBUTOR [FAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 1 -DEC 31) 10/10/2022 California Federation of Teachers COPE []IND In -Kind, Digital 1,075.00 1,325.00 G2022 $1,325.00 (ID# 741857)X ❑COM Ads Burbank, CA 91505 ❑OTH ❑ PTY❑SCC In -Kind 10/12/2022 California Federation of Teachers COPE ❑IND In -Kind, Digital 250.00 1,325.00 2022 $1,325.00 (ID# 741857) X ❑COM ds Burbank, CA 91505 ❑OTH ❑ PTY In -Kind ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY [:]SCC ❑ IND ❑ COM ❑ OTH ❑ PTY information on appropriately labeled ❑ SCC continuation Attach additional sheets. SUBTOTAL $ 1,325.0" Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. Include all Schedule C subtotals. ......... $ 1,325.00 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .................................... $ 0.00 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 $ 1,325.00 www.netfile.com *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) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Carolina Martin for San Rafael City Schools District 4 2022 Statement covers period from 09/25/2022 through 10/22/2022 Page 8 of 13 I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 1449397 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CJ & Associates, Inc. Antelope, CA 95843 Miguel Carlo G David Carson, CA 90745 Miguel Carlo G David Carson, CA 90745 CODE OR DESCRIPTION OF PAYMENT PRO AMOUNT PAID 356.16 1,080.00 23.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,459.16 Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.) 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. www.netfile.com $ 5,745.19 $ 0.00 ............................................ $ 0.00 TOTAL $ 5,745.19 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Carolina Martin for San Rafael City Schools District 4 2022 Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the payment, you may enter the code CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)" OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Statement covers period from 09/25/2022 through 10/22/2022 Otherwise, describe the payment SCHEDULE E Page 9 of 13 I.D. NUMBER 1449397 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) CODE OR DESCRIPTION OF PAYMENT Donorbox OFC Arlington, VA 22204 ScanArt POS Emeryville, CA 94608 ScanArt I LIT Emeryville, CA 94608 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. www.netfile.com AMOUNT PAID 82.80 SUBTOTAL $ 4,286.03 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from 09/25/2022 through 10/22/2022 SCHEDULEF Page 10 Of 13 I.D. NUMBER Carolina Martin for San Rafael City Schools District 4 2022 1 1449397 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 4,155.09$ 637.00$ 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.) ...................... 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 $100.) 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)................................................................ www.netfile.com 0.00$ 4,792.09 .,............ INCURRED TOTALS $ 711.66 ... I ........ :;....:_............. . PAID TOTALS $ 0.00 ............ .................................... NET $ 711.66 May be a rnegative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov ( ( (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTAA NDING AMOUNTIN CURRED AMOUNT PAID 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 Bank of America WEB 161.44 0.00 0.00 161.44 San Rafael, CA 94901 Bank of America See Schedule G for 3,993.65 0.00 0.00 3,993.65 Individual Payees San Rafael, CA 94901 Bank of America See Scheduie G Lor 0.00 637.00 0.00 637.00 Individual Payees San Rafael, CA 94901 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 4,155.09$ 637.00$ 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.) ...................... 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 $100.) 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)................................................................ www.netfile.com 0.00$ 4,792.09 .,............ INCURRED TOTALS $ 711.66 ... I ........ :;....:_............. . PAID TOTALS $ 0.00 ............ .................................... NET $ 711.66 May be a rnegative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) NAME OF FILER Carolina Martin for San Rafael City Schools District 4 2022 SCHEDULE F (CONT. Amounts may be rounded Statement covers period to whole dollars. from 09/25/2022 through 10/22/2022 Page 11 Of 13 I.D. NUMBER 1449397 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE OR (a) OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD POS 0.00 (b) AMOUNTINCURRED THIS PERIOD (c) AMOUNTPAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Bank of America San Rafael, CA 94901 74.66 0.00 74.66 SUBTOTALS $ 0.00$ 74.66$ 0.00 $ 74.66 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Carolina Martin for San Rafael City Schools District 4 2022 NAME OF AGENT OR INDEPENDENT CONTRACTOR Bank of America Amounts may be rounded to whole dollars. Statement covers period from 09/25/2022 through 10/22/2022 SCHEDULE G Page 12 Of 13 I.D. NUMBER 1449397 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE OR DESCRIPTION OF PAYMENT PHO AMOUNT PAID Peerly, Inc. 359.82 Huntsville, AL 35801 Political Data Intelligence LIT 277.18 Long Beach, CA 90806 Attach additional information on appropriately labeled continuation sheets. * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com TOTAL* $ 637.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Carolina Martin for San Rafael City Schools District 4 2022 NAME OF AGENT OR INDEPENDENT CONTRACTOR Amounts may be rounded Statement covers period CALIFORNIA I to whole dollars. from 09/25/2022 • - through 10/22/2022 page 13 of 13 I.D. NUMBER 1449397 ScanArt 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) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME ANDADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) United States Post Office Emeryville, CA 94608 Attach additional information on appropriately labeled continuation sheets. CODE OR DESCRIPTION OF PAYMENT POS Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com AMOUNT PAID 1,260.38 TOTAL* $ 1,260.38 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov