Recipient Committee Campaign Statement Covet Page RECEiVED (Government Code Sections 842-84216.5) SEP 2 4 3 Statement covets period Date of election if applicabic from 7/1/215 (Month, Day, Year) For Official Use Only 9/19/215 11-3-215 1. Type of Recipient Committee: Au Committees - Complete Parts 1,2, 3, and 4. 2. Type of Statement: CITY OF NOVATO o State Candidate Election Committee Committee D Semi-annual Statement Special Odd-Year Report Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure Preelection Statement Quarterly Statement o Recall Controlled Termination Statement Supplemental Preelection (Also CompletePait5) Q Sponsored (Also file a Form 41 Termination) Statement-Attach Form 495 (Also Complete Part 6) General Purpose Committee D Amendment (Explain below) Primarily Formed Candidate! Small Contributor Committee Officeholder Committee Sponsored o Political Party/Central Committee (Also complete Part 7) 3. Committee Information COMMITTEE NAME (OR CANDIDATE S NAME IF NO COMMITTEE) Pam Drew for City Council, 215 Treasurer(s) NAME OF TREASURER Trish Boorstein MAILING ADDRESS 131 Maestro Road COVER PAGE STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 36 Monte Vista Way Novato CA 94945 415-892-6812 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY 415-897-8687 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS je( of CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 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 information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury underthe laws of the State of California that the foregoing is true and correct. Executed on 9 / CC By 4 / Date signature of Treas rer or Assistant Treas er Executed on Yt/y By. 1Date SignatureofConlroli?tg O e der, candidate, atemasureprb,entorresponsibieofflcerofsponsor Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 46 (Januarylo5) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) State of California
Recipient Committee Campaign Statement Cover Page Part 2 COVERPAGE-PART2 Page of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee Ms. Pam Drew (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Novato City Council RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 36 Monte Vista Way Novato CA 94945 NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION I SUPPORT fl OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT f Related Committees Not Included in this Statement: Listany 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. DISTRICT NO. IF ANY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CONTROLLED COMMITTEE? YES NO STREET ADDRESS (NO RO. BOX) 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME SUPPORT fl OPPOSE SUPPORT OPPOSE NAME OF TREASURER COMMITTEE ADDRESS CONTROLLED COMMITTEE? YES NO STREETADDRESS (NO P.O. BOX) SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 46 (January/5) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) State of California
Campaign Disclosure Statement Summary Page from 7-1-215 9-19-215 3 9 Page of PAM DREW FOR CITY COUNCIL, 215 137911 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTH1S PERIOD CALENDARYEAR IFROMAUACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 65.99 65.99 1. Monetary Contributions Schedule A, Line 3 1/1 6/3 7/1 to Date 575. 575. 2. Loans Received Schedule B, Line 3 1 18.99 1 18.99 2. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS AddLines 1+2 Received 4. Nonmonetary Contributions Schedule C, Line 3 21. Expenditures 118.99 118.99 Made 5. TOTALCONTRIBUTIONS RECEIVED AddLines3+4 Expenditures Made 6. Payments Made Schedule E, Line 4 7. Loans Made Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS AddLines6+7 9. Accrued Expenses (Unpaid Bills) ScheduleF Line 3 1. Nonmonetary Adjustment Schedule C, Line3 11. TOTALEXPENDITURES MADE Add Lines8+9 + 7 2587.4 5713.82 2587.4 5713.82 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to voluntary Expenditure Limit) Date of Election (mm/dd/yy) I Total to Date Current Cash Statement 12. Beginning Cash Balance PreviousSummaryPage,Linel6 1 3. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule!, Line4 1 5. 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. 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents Seeinstructionson reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column B above 118.99 5713.82 5367.17 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). I *Amounts in this section may be different from amounts reported in Column B. 5,75 FPPC Form 46 fjanuarylo5) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
ScheduleA Statement Covers Period FORM 46 Monetary Contributions Received From: 8/1/215 Page Name of Filer: Pam Drew for City Council, 21 5 ID# 1 37911 To: 9/16/215 Contributor ContributorCode Cumulative to 8/1/15 t Date City State Zip Code Date Calendar Address Occupation and Employer 9/19/15 Received Year Last Name First Name Company cj o o 8/1/15 Boorstein Patricia 131 Maestro Rd. Novato CA 94947 x Volunteer 4. 4. 8/1/15 Eklund Patricia 36 White Oak Way Novato CA 94949 x Retired 4. 4. 8/12/15 McMilIan Tina 1748 Novato Blvd. Suite 21 Novato CA 94947 x Psychotherapist 2. 2. 8/12/15 Bronstein Zelda 1731 TacomaAve. Berkeley CA 9477 x Journalist 25. 25. 8/19115 Reyff Michael 625 Wilson Ave. Novato CA 94947 x Shopping Center Manager 1. 1. 8/19/15 Reece Frednck 1541 Hill Rd. Novato CA 94947 X Local 28 2. 2. 8/24/15 Bndwell Robert 1372 Carmel Ave. POBox 275 Glen Ellen CA 95442 x President Davis Properties Co.,LLC 2. 2. 8/24/15 Jacobson Jean 112 San Luis Way Novato CA 94945 X Retired 5. 5. 8/24/15 Arnold Michael 15 Fairway Dr. Novato CA 94949 x Cal Berkeley University Professor 1. 1. 8/26/15 Dugan Albert 19 Los Cedros Dr. Novato CA 94947 x Retired 2. 9/19/15 Dugan Albert 19 Los Cedros Dr. Novato CA 94947 x Retired 2. 4. 8/26/15 Dolan Jerolyn 3 Driftwood Ave Novato CA 94945 X Self-employed 1. 1. 8/27/15 Turner John 418 Ridge Rd. Novato CA 94947 X Self-employed 4. 4. 8/27/15 Hutchinson & Company 25 San Mann Dr. Suite 6 Novato CA 94945 x 4. 4. 8/29/15 Wilhelm Gail 21 Hayes Street Novato CA 94947 X Retired 2. 2. 8/29/15 Koch Robert 1169 Santolina Dr. Novalo CA 94945 X Retired 2. 2. 9/5/15 Manzoni Edna 1411 Indian Valley Rd. Novato CA 94947 x Retired 1. 1. 9/7/15 Piazza Antoinette 85 McClay Rd. Novato CA 94947 X Retired 1. 1. 9/7/15 Shroyer Toni 1955 Indian Valley Rd. Novato CA 94947 x Businesswoman 4. 4. 9/1/15 Ruzick Andrina 196A San Andreas Dr. Novato CA 94945 x Retired 1. 1. 9/1/15 Larsen Emily 773 Clausing Ave. Novato CA 94945 x Novato Unified Yard Supervisor 15. 15. 9/1/15 Frederickson Sally 1955 Indian Valley Rd. Novato CA 94947 x Retired Teacher 1. 1. 9/1/15 McNern Joseph 61 McCIay Ave. Novato CA 94947 x Retired Novato Fire Caplain 25. 25. 9/15/15 McClellan Griffin 55 Manzanita Ave. Novato CA 94945 x Broadmark Technology Director 1. 1. 9/16/15 Goode Joan 11 Altamira Ct. Novato CA 94949 x Not Applicable 9. 9. 9/16/15 Gazzano Edward 1 Lomba Vista Novato CA 94947 X Retired 5. 5. 9/16/15 Kirsch Susan 19 Ryan Ave. Mill Valley CA 94941 X Retired 1. 1. 9/16/15 Mock Laurent 79 Monte Vista Novato CA 94947 X CFD Studios Inc. Furniture Maker 2. 2. 9/18/15 Moscoso Jane 29 Grande Vista Novato CA 94947 X Retired 1. 1. 9/19/15 McConnell Marilyn 7 Meisner Dr. Novato CA 94947 x Retired 5. 5. 9/19/15 Pogefto Peggy 683 Bird Ct. Novato CA 94947 X Retired 25. 25. 9/19/15 Liberati Michelle 29 Plata Ct. Novato CA 94947 x Self-employed 5. 5. 9/19/15 Wilde Pamela 188 Indian Valley Rd. Novato CA 94947 x Retired 2. 2. 9/19/15 James Thomas 8 San Ardo Novato CA 94945 x Retired 2. 2. 9/19/15 Breheney James 2114 Feliz Dr. Novato CA 94945 x Novato Unified Substitute Teacher 1. 1. 9/19/15 Small Barry 63 Monte Vista Novato CA 94947 X Big Rock Ranch Security Officer 25. 25. of Schedule A Summary 1. Amount received this period - contributions of 25 or more Subtotal: 5,865. 5,865. (include all Schedule A subtotals) I 2. Amount received this period - unitemized contributions of less than 25. 1499 14.99 3. Total monetary contributions received this period 6,5.99 6,5.99 (Add lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1)
Political Small Schedule B Part I Loans Received PAM DREW FOR CITY COUNCIL, 215 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER ) Pam Drew 36 Monte Vista Way IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAMEOF Retired 7-1-215 from 9-19-215 5 9 Page of 137811 CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR PER ELECTION IND LI COM LI TH LI PTY LI 5CC Pam Drew 36 Monte Vista Way Retired CALENDAR YEAR PER ELECTION ** tli IND LI COM LI TH LI PTY LI SCC Pam Drew 36 Monte Vista Way Retired CALENDAR YEAR PER ELECTION tli ND LI COM LI TH LI PlY LI SCC SUBTOTALS Schedule B Summary 1. Loans received this period (Total Column (b) plus unitemized loans of less than 1.) 2. Loans paid or forgiven this period (Total Column (C) plus loans under 1 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.) NET Enter the net here and on the Summary Page, Column A, Line 2. forgiven or paid by another party also must be reported on Schedule A. 1 If requited. 575 575 (May be a negative number) (Enter fe) on Schedule E, Line 3) tcontributor Codes ND Individual COM Recipient Committee (other than PTY or SCC) TH Other (e.g., business entity) PTY Party SCC Contributor Committee FPPC Form 46 (January/5) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule E Payments Made from 7-1-215 9-19-215 6 Page PAM DREW FOR CITY COUNCIL, 215 137911 of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ctvp campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs cns campaign consultants MTG meetings and appearances RED returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers salaries cvc civic donations Fit 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 END fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND 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 cmmihee, ALSO ENTER ) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Secretary of State 15 11th Street, Room 495 Sacramento, CA 95814 FIL Annual fee purusant to CA Government Code Section 8411.5 5 City of Novato Council filing fee 922MachinAvenue FIL 25 City of Novato Ballot statement printing 922 Machin Avenue FIL 358. Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 433. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under 1 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 46 (January/5) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule E (Continuation Sheet) Payments Made from 7-1-215 9-19-215 1 Page C of PAM DREW FOR CITY COUNCIL, 215 137911 SCHEDULE E (CONT.) CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. QvP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RED 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 EIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals END 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) (F COMMIHEE, ALSO ENTER CD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Trish Boorstein 131 Maestro Road Postage POS 24 1 Dan Mullen 1 Altamira Ct Novato, CA 94949 Consultation CNS 5 Zenith Printing l4l9grantavenue Bank Deposit Stamp CMP 278 Cross and Oberlie 916 ByrdAvenue Neenah, WI 54956 Signs CMP 47934 Zenith Printing Campaign literature and remit envelopes 1419 GrantAvenue LIT 9422 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 2187.46 FPPC Form 46 (JanuarylO5) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule E (Continuation Sheet) Payments Made from 7-1-215 thr,i irih 9-1 9-215 Page SCHEDULE E (CONT.) 8 PAM DREW FOR CITY COUNCIL, 215 137911 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. avp campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RED returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers salaries CVC civic donations FET petition circulating TEL tv. or cable airtime and production costs AL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals END fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals NO 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) VOl voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) of Cf (IF commrnree, ALSO ENTER CO NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Staples 55 Rowland Way Miscellanous supplies (e.g. paper, ink, etc) CMP 15245 Stickers and Banners 377 Peachtree Crest Drive Duluth, GA 397 Magnetic Signs CMP 35 58 Vista Print 95 Hayden Avenue Lexington, Massachusetts 2421 Business cards CMP 32 69 Fred Reece 1541 Hill Road Cable ties for signs CMP 15 24 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 55.96 FPPC Form 46 (]anuarylo5) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule F Accrued Expenses (Unpaid Bills) frnm 7-1-215 SCHEDULE F 9-19-215 9 9 Page of PAM DREW FOR CITY COUNCIL, 215 137911 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ctvp campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RED returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers salaries CVC civic donations FET petition circulating TEL tv. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals END fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND 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) VOl voter registration LIT campaign literature and mailings PRF print ads WEB information technology costs (internet, e-mail) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF cmmiuee, ALSO ENTER. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON B) OF THIS PERIOD Aquecs, Inc. CMP 916 Byrd Avenue 972 9 972 9 Neenah, WI 54956 Strahm Communications 3 Kerner Blvd San Rafael, CA 9491 LIT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 2587.4 2587.4 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of 1 or more, plus total unitemized accrued expenses under 1.) INCURRED TOTALS 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of 1 or more, plus total unitemized payments on accrued expenses under 1.) PAID TOTALS 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 2587.4 2587.4 May be a negative number FPPC Form 46 (January/5) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)