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HomeMy WebLinkAboutJan Marx - Mayor - Form 460 - Termination Statement - 12-18-14Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE fro Type or print in ink. Statement covers period Date of election if applicable: 10/19/2014 (Month, Day, Year) m through 12/18/14 1. Type of Recipient Committee: All Committees- complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee Q Recall O Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party /Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1364038 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jan Marx for Mayor 2014 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX same CITY OPTIONAL: FAX / E -MAIL ADDRESS STATE ZIP CODE AREA CODE /PHONE Date Stamp 11/4/2014 1 DEC 18 2014 i 2. Type of Statement: ❑ Preelection Statement ❑ Semi - annual Statement ® Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Gregory Ty Griffin MAILING ADDRESS COVER PAGE UAXII-114XIMA 46U FOFUVI Page � of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 ( NAME OF ASSISTANT TREASURER, IF ANY Jan Marx MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 ( 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 penalty of perjury under the laws of the State of California that the foregoing is true and cor J Executed on I, Z _ f U 1 By We Executed on 10— — 1 ?' — 20 ` By Date sigrat.Te.wConlrolling Oiricehc Executed on Date Executed on Date 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jan Marx OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor of the City of San Luis Obispo RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 265 Albert Drive San Luis Obispo CA 93405 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. COMMITTEENAME 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 COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page --I— of 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. 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 U I 1 JIMIC Llr ���� r{rcva 1.�.lVC/rrIVIVC Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to Whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jan Marx for Mayor 2014 Contributions Received 1. Monetary Contributions ............ ............................... S Schedule A, Line Expenditures Made 6. Payments Made ... ............................... _........- .......... Schedule E, Line 4 7. Loans Made .............................. ............................. .. Schedule H, Line 3 8. SUBTOTAL CASH 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 , ................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule /. 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. Column A TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) $ I° $ 2� $ 2�9_ $[, _- $ . $ u ©o $ T Zs bo 18' $ 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, 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 $ SUMMARY PAGE Statement covers period e - 1 from 10/19/2014 FORM i through 12/18/14 Page � of ✓ LD. NUMBER 1364038 Column B CALENDARYEAR TOTALTO DATE $ $ $ 1063 $ 14''Co�3 i $ 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). 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 Limit) Date of Election Total to Date (mm /dd /yy) I $ $ `Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts , ................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule /. 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. Column A TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) $ I° $ 2� $ 2�9_ $[, _- $ . $ u ©o $ T Zs bo 18' $ 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, 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 $ SUMMARY PAGE Statement covers period e - 1 from 10/19/2014 FORM i through 12/18/14 Page � of ✓ LD. NUMBER 1364038 Column B CALENDARYEAR TOTALTO DATE $ $ $ 1063 $ 14''Co�3 i $ 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). 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 Limit) Date of Election Total to Date (mm /dd /yy) I $ $ `Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. 10/19/2014 ' FORM. SEE INSTRUCTIONS ON REVERSE through 21 1% ° I ! Page of NAME OF FILER I.D. NUMBER Jan Marx for Mayor 2014 1364038 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITfEE,ALSO ENTER I.D NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND 10/23 David Cox ❑COM Businessman, Barnett 100 100 100 1659 Frambusea Dr, SLO, CA 93405 ❑OTH Cox & Associates Inc. ❑ PTY ❑ SCC ❑IND Planned Parenthood of Santa Barbara ❑COM 10/20 518 Garden St., Santa Barbara, CA 93101 VIOTH 300 300 300 ❑ PTY ❑ SCC ❑IND Friends of Salud Carbajal ❑COM 10/20 PO Box 20084, Santa Barbara, CA 93120 ZOTH 250 250 250 ❑ PTY ❑ SCC ®IND 10/30 Susan Fryer ❑COM Attorney, Self 200 200 200 524 Woodbridge St, SLO, CA 93401 ❑ OTH ❑ PTY ❑ Scc ❑ IND E] COM ❑ OTH ❑ PTY [] SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................... ..... .......................... $ 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.) ....................... TOTAL $ 850 175 1025 '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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule B — Part 1 Loans Received Type or print in ink. SCHEDULE B- PART 1 Amounts may be rounded Statement covers period to whole dollars. t from 10/19/2014 _ Schedule B Summary Loansreceived this period .............................................................,...,................... ............................... $ (Total Column (b) plus unitemized loans of less than $100.) Loanspaid or forgiven this period .......................................................................... ............................... $ (Total Column (c) plus loans under $100 paid orforgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ......... ............................... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. fEnter(e) on Schedule E, Line 3) 0 tContributor Codes 1,000.00 ..... _ NET $ — 1,000.00 (May be a negative number) 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) 12/18/14 SEE INSTRUCTIONS ON REVERSE through page _!�_ of NAME OF FILER i I.D. NUMBER Jan Marx for Mayor 2014 :1364038 i FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER lal OUTSTANDING (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING (e) INTEREST IT) ORIGINAL {g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERI PERIOD LOAN TO DATE Jan Marx 265 Albert Drive Mayor City of San Luis PAID CALENDARYEAR San Luis Obispo CA 93405 Obispo 1,000.00 $ 0 0 1,000.00 $ $ % $ PER ELECTION— ❑ FORGIVEN RATE t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR $ S % $ $ ❑ FORGIVEN PER ELECTION" RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ s DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN RATE PER ELECTION"' t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEINCURRED DATE DUE SUBTOTALS $ $ $ $ Schedule B Summary Loansreceived this period .............................................................,...,................... ............................... $ (Total Column (b) plus unitemized loans of less than $100.) Loanspaid or forgiven this period .......................................................................... ............................... $ (Total Column (c) plus loans under $100 paid orforgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ......... ............................... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. fEnter(e) on Schedule E, Line 3) 0 tContributor Codes 1,000.00 ..... _ NET $ — 1,000.00 (May be a negative number) 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/19/2014 SCHEDULEE NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.13 NUMBER) Journal Plus 654 Osos San Luis Obispo CA 93401 (1017) CODE OR PRT SESLOC Visa 11491 Los Osos Valley Road San Luis Obispo CA 93405 (1018) WEB PRP 2224 Beebee Street San Luis Obispo CA 93401 (1019) LIT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary DESCRIPTION OF PAYMENT AMOUNT PAID 500.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) .................................................. ............................... 2. Unitemized payments made this period of under $100 ............................................... ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ................... ............................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............. SUBTOTAL$ 1i q � . 9 (p ....................... $ .................... $ ................ $ TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) 12/18/14 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I I.D. NUMBER Jan Marx for Mayor 2014 1364038 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP 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 BAD 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 1.13 NUMBER) Journal Plus 654 Osos San Luis Obispo CA 93401 (1017) CODE OR PRT SESLOC Visa 11491 Los Osos Valley Road San Luis Obispo CA 93405 (1018) WEB PRP 2224 Beebee Street San Luis Obispo CA 93401 (1019) LIT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary DESCRIPTION OF PAYMENT AMOUNT PAID 500.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) .................................................. ............................... 2. Unitemized payments made this period of under $100 ............................................... ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ................... ............................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............. SUBTOTAL$ 1i q � . 9 (p ....................... $ .................... $ ................ $ TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jan Marx for Mayor 2014 Type or print in ink. Amounts may be rounded to whole dollars. SCI-IEDULEE Statement covers period CALIFORNIA - from 10/19/2014 FORM 12/18/14 through _ Page -:7— of I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1364038 CIVP 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Secretary of State (1020) annual fee plus fine FIL 200.00 SESLOC Visa 11491 Los Osos Valley Road San Luis Obispo CA 93405 (1025) WEB 170.26 Jan Marx 265 Albert Drive San Luis Obispo CA 93405 (1022) reimbursement for candidate filing fee FIL 270.00 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 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.) .............................. TOTAL $ FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Type or print in ink. SCHEDULE E Payments Made Amounts may be rounded Statement covers period Y to whole dollars. 9 from 10/19/2014 + ' SEE INSTRUCTIONS ON REVERSE through 12/18/14 Page of NAME OF FILER I.D. NUMBER Jan Marx for Mayor 2014 1364038 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 UT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I D. NUMBER) CODE OR Steynberg Gallery 1531 Monterey Street San Luis Obispo CA 93401 FND NOVO 726 Higuera San Luis Obispo CA 93401 The Community Foundation of San Luis Obispo County DESCRIPTION OF PAYMENT I AMOUNT PAID gift to campaign worker donation to non - profit of balance of campaign funds x Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL$ 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.) .......... ................... TOTAL $ 250.00 100.00 1320.56 63a,5�, FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/19/2014 SCHEDULE F through 12/18/14 SEE INSTRUCTIONS ON REVERSE Page —q— of NAME OF FILER I.D. NUMBER Jan Marx for Mayor 2014 1364038 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /misc. MBR member communications RAID 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 90 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 SUBTOTALS $ summarized on Schedule D. $ $ $ 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 $ 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.) ...................... ..,.,... PAID TOTALS $ 519.45 519.45 NET $ 0 Y 9 May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR j 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 OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Sesloc Visa WEB 19.45 0 19.45 0 Journal Plus PRT 500.00 0 500.00 0 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ summarized on Schedule D. $ $ $ 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 $ 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.) ...................... ..,.,... PAID TOTALS $ 519.45 519.45 NET $ 0 Y 9 May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule I Miscellaneous Increases to Cash Type or print in ink. _ SCHEDULE I Amounts may be rounded Statement covers period to whole dollars. from 9 through r� SEE INSTRUCTIONS ON REVERSE . _ pggQ of NAME OF FILER _ I/�r I.D.NUMBER 3 & -,/0 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE. ALSO ENTER I D NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH JS�0 (/-7/4- GIS Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period ......................................................................................... ............................... $ g 2. Unitemized increases to cash of under $100 this period . ........................................................ .................................... $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .. ............................... $ _ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the g v Summary Page, Line 14. ............. ............................... TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)