HomeMy WebLinkAboutForm 460 - Andrew McCullough for City Council 2011 (2014-06-30)Statement covers period
from 1/1114
through
pe of Recent COMMittee.- All Committees – Complete Parts
Officeholder, Candidate Controlled Committee 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 e)
0 sponsored El Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/CentralCommittee (Also Complete Part 7)
I
I.D. NUMBER Committee information
COMMITTEE NAME (OR CANDIDATE$ NAME IF NO COMMITTEE)
McCullough for City Council 2011
---------- -- ----- -
STREET ADDRESS (NO RO� BOXJ-
- - --------
sTA7r ZIP CODE AREA CODEIPHONE
San Rafael CA 94901
CITY STATE -71P CODE AREA CODEIPHONE
OPTIONAL- FAX / E-MAIL ADDRESS
Date Stamp
1A
20"Ot
Date of election if applicable:
(Month, Day, Year Page of
For Official Use Only
2. Type of Statement:
Preelection Statement Quarterly Statement
Semi-annual Statement Ej Special Odd -Year Report
E] Termination Statement 0 Supplemental Preelection
E] Amendment (Explain below) Statement - Attach Form 495
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/PHON—A
OPTIONAL FAX I E-MAIL ADDRESS
AEVEIJHKL-LV2� MAMUmAt vmnm RLWIN LWA W'Mv1 101*74=19
tin
, 6
911��
4 4 =1�=
Executed on 7/31114
Date
Executed on 7/31/14
Date
Executed on
Ome
Exetuted on Date
M
State Meast" Proporver or Responsible Officer of
By
Sigrohre of ControkV OfficeholcW, Canddate. State Measure Proponent
By
SigrOtLre of Controlling OffioehokW. Car6date, State Meastre Proporav FPI C Form 460 (June/01)
FPPC Toll -Free Helpline: 866/ASK -FPPC
State of California
1111 A • a gal
ON
F0
14
Pill
NAME OF OFFICEHOLDER OR CANDIDATE
Andrew McCullough
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
San Rafael City Council
RESIDENTIALIBUSINESS ADDRESS NO. AND STREET) CITY STATE ZIP
San Rafael, CA 94901
Related Committees Not Included in this Staterneft. 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 NAR
ME
NAME OF TREASURER CONTROLLED COMMITTEE?
I [:] YES f -I NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O, BOX)
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
page 2 Of 3
W 0
-log=
Identify the controlling officeholder, candidate, or state measure proponeft, If any.
- ------- ---------- --- -
DISTRICT NO. IF ANY
7. Primarily Formed Committee List names of officeholder(s) or candidate(s)
which this committee is primarily formed.
---- - - -- ---- ------------------- --------
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
COMMITTEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANOtDATE OFFICE SOUGHT OR HELD
[:] YES NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.0, BOX)
CITY STATE ZIP CODE AREA CODE PHONE Attach continuation sheets it necessary
SUPPORT
OPPOSE
SUPPORT
OPPOSE
-11-11.1-1 ------------------ -- -- I
SUPPORT
OPPOSE
FPPC Form 460 (June 01)
FPPC Toll -Free Helpline.- 866/ASK-FPPC
State of California
Campaign Disclosure Statement Type or print in ink.
Amounts may be rounded
Summary towhole# •
--------------
Contributions ""
1. Monetary Contributions .... a .................... a.... a............ Schedule A. Line 3
. Loans Received ....a .......... ....... aax..aa............ ...a......... Schedule B, Line 3
Statement covers period
1/1/14
6R. wllli
fromh;
e
�1 Pace Of
ColumnA Column B
TOTAL THIS PERIOD .• YEAR
(FROM # i!TOTAL
NUMBER w
Calendar Year Summary for Candidates
Runningmary .
111 through • Date
. SUBTOTAL TAL CASH CONTRIBUTIONS ............ . .......... Add Lines 1 + 2 20. Contributions
Received
. Nonmonetary Contributions. .. ..... ......................... Schedule C, Line 3 21. Expenditures
. TOTAL CONTRIBUTIONS RECEIVED ........a.. ........,..... Add Lines 3 + 4 Made
Expenditures Made
a Payments Made.....-.. ... _........ .
Schedule E, Line 4
7. Loans Made.. ................................... . ................
Schedule H. Line 3
. SUBTOTAL CASH PAYMENTS ..................................
, . Add Lines & + i $ 0
. Accrued Expenses (Unpaid Bills) ..................... ........
Schedule F, Lire 3
10. Nonrncnetary Adjustment ..........................................
scheduieC. Line
11. TOTAL EXPENDITURES MADE .. . .............. a ...........
Add Lines 8+ s + 10
Current Cash Statement
. Beginning Cash Balance......,. Previous Summary Page, de 1 10,346.1 �'
.,... ,.... .... To calculate Column B, add
a
. CashReceiptsw.a,.....,a. t.....w,.,.ssa........b
., ...... x.... Column A, Line 3 above
14. Miscellaneous Increases to Cash... ..................r.... Schedule 1, Line 4
amounts in Column A to the
corresponding amounts
from Column B of your lust
15ash
< CPayments. s. s a . s < s . w . s Column . • . a. s . s . a s .. , s + e a. < s « . a a . <. s . s . , s x s + .. « e , ¥ �7 � 3 e 8 id V iF
16. EN CASHBALANCE.......... Add Litres 12 + 13 + 4, then sub r�ac ..r 15 �
report. o amounts in
C lumn A, may be negative
figures that should be
, 3
ff this is a termination statement, Line 16 mast be zero.
subtracted from previous
period amounts. If this is
the first report being flea
. LOAN GUA ITEES RECEIVED ........................... Schedule B, Pad 2 $carry
----- ---- ill 11 111111111 1111111111 poll lmillilli III
0
for this calendar year, only
over the an S �
Cash uvalents and utstan n Debi
. Cash Equivalents . See instruc6ons on reverse S
, !
. Outstanding Debts ........... . .. a .... a ..... AddLine2 + Line 9in CoiumnB above S -
0
I
t,
Expenditure Limit Summaryfor « .
Candidates
Z.~ Cumulative Expenditures Made*
(11' Subject to Voluntary Expenditure omit)
Date of Election Total to gate
(rr mld yy
._.
January
different from!Column S.
FPPC Form
460