HomeMy WebLinkAboutForm 460 - Andrew McCullough for City Council 2011 (2013-12-31)Recipient Committee
Campaign Statement
CoverPage
(Government Code Sections 84200-84216.5)
Type or print in ink.
Statement covers period
from 7/1/13
SEE INSTRUCTIONS ON REVERSE I through 12/31/13
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee
E] Ballot Measure Committee
0 State Candidate Election Committee
0 Primarily Formed
0 Recall
0 Controlled
(Also Complete Part 5)
0 Sponsored
❑ General Purpose Committee
(Also Complete Part 6)
0 Sponsored
Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information I.D. NUMBER
1 1339798
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
McCullough for City Council 2011
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date of election if applicable:
(Month, Day, Year)
2. Type of Statement:
El Preelection Statement
Semi-annual Statement
Termination Statement
Amendment (Explain below)
Date Stamp
Treasurer(s)
NAME OF TREASURER
Andrew McCullough
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
San Rafael CA 94901
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
WPTIONAL: FAX / E-MAIL ADDRES@
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the b of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoi true and co, - "r Ct.
1/31/14
Executed on Date By Signature of Treasurer or Assistant Treasurer
Executed on 1/31/14 By';:4
Date k,_,.-,0'Siqnature of Con trolling' o,Ider, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on Date By Signature of Controlffficeholder, Candidate, State Measure Proponent FPPC Form 460 June 01
FPPC Toll -Free Helpline: 8661ASK-FPPC
State of California
CALIFORNIA
FORM 460
• f . •
NAME OF OFFICEHOLDER OR CANDIDATE
Andrew McCullough
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
San Rafael City Council
RESIDENTIAUBUSI NESS 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 E.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES E] NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Page 2 of 3
f. 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 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
F 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(June/01)
FPPC Toil-FreeHelpline: 866/ASK-FPPC
State of California
A*ft 0
t;ampaign Disclosure Statement
Summary Page
Type or print i
In ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7/1/13
FPPC Toll -Free Helpline: 866/ASK-FPPC
through
12/31/13 Page 3 of 3
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Andrew McCullough
1339798
Contributions Received
Column A
Column B
Calendar Year Summary for Candidates
TOTALTHISPERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions ........................................... Schedule A, Line 3
$
$
1/1 through 6/30 7/1 to Date
2. Loans Received ...................................................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
$
0
$ 0
20. Contributions
Received $ $
4. Nonmonetary Contributions .................................... Schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 + 4
$
0
$ 0
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made ....................................................... Schedule E, Line 4
$
$ —
Candidates
7. Loans Made ............................................................. Schedule H, Line 3
00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7
$
(if Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3
Date of Election Total to Date
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
(mm/dd/yy)
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10
$
0
$ 0
$
Current Cash Statement
$
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16
$
10,346.12
To calculate Column B, add
$
13. Cash Receipts ................................................... Column A, Line 3 above
0
amounts in Column A to the
0
corresponding amounts
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
—
from Column B of your last
1$
15. Cash Payments ................................................. Column A, Line 8 above
0
report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$
10,346.12
figures that should be
$
subtracted from previous
ff 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 B, Parte
$
0
for this calendar year, only
carry over the amounts
*SinceJanuary 1, 2001. Amounts in this section may be
I
Cash Equivalents and Outstanding Debts
III
from Lines 2, 7, and 9 (if
different from amounts reported in Column B.
0
any.
18. Cash Equivalents .............. ......................... See Inst ruclions on reverse
$
19. Outstanding Debts .......... ............ . Add Line 2 + Line 9 in Column B above
$
0
FPPC Form 460 (June/01)
FPPC Toll -Free Helpline: 866/ASK-FPPC