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Home My WebLink AboutForm 460 - Andrew McCullough for City Council 2011 (2011-12-31)Recipient Committee Campaign Statement .Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Statement covers period from 10/23/2011 through 12/31/2011 1. Type of Recipient Committee* All Committees — Complete Parts 11, 2, 3, and 4, Officeholder, Candidate Controlled Committee r-1 Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) F-1 General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) I.D,NUMSER 3. Committee Information 1 4 f3nn"MO NO COMMITTEE) McCullough for City Council 2011 STREET ADDRESS (NO PO. 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) 11/8/2011 COVER PAGE Page ___4_ Of __/4 For Official Use Only 2. Type of Statement: M Preelection Statement ❑ Quarterly Statement ;Z Seml-annual Statement E] Special Odd -Year Report M Termination Statement F-1 Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 496 F-1 Amendment (Explain below) Treasurer(s) NAME OF TREASURER Randy Coleman MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Rafael Ca 94901 NAME OF ASSISTANT TREASURER, IF ANY Andrew McCullough MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Rafael Ca 94901 OPTIONAL: FAX I 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 under the laws of the State of California that the foregoing Is true and corre < Executed on — / / ��) _ / ) �-- BY Signature of Treasurer or Assistant Treasurer Executed on — ora By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsliale Officer of Sponsor Executed on Date By Signature ofControlfing Officeholder, Candidate, State Measure Proponent Executed on Date By Signature of Controlling Offic0older, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 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 Andrew McCullough OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City of San Rafael Council RESIDENTIALBUSINESS 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA COOE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASU RER CONTROLLED COMMITTEE? ❑ YES ❑ NO (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page _';' of BALLOT NO. OR LETTERI JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR 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 Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Type or print in Ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 10/23/2011 SEE INSTRUCTIONS ON REVERSE through 12/31/2011 Page --.;3— . of f .... 1'2 - NAME OF FILER I.D. NUMBER Andrew McCullough 1339798 Contributions Received ColumnA TOTALTHISPERICID (FROM ATTACHED SCHEDULES) 1, Monetary Contributions ........................................... Schedule A, Line 3 $ 5,959.00 2, Loans Received ...................................................... Schedule A Line 3 -15,000.00 3. SUBTOTAL CASH CONTRIBUTIONS ..... ............. Add Lines I + 2 $ -9,041.00 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 5, TOTAL CONTRIBUTIONS RECEIVED . .......................... Add Lines 3 + 4 $ .9,041.00 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 1, 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. $ 14,880-89 0 $ 14,880.89 0 0 $ 14,880-89 $ 34,318.01 .9,041.00 0 14,880.89 $ 10,396.12 17. LOAN GUARANTEES RECEIVED ........................... Schedule S, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ no I I Column B CALENDAR YEAR TOTALTODATE $ 45,751-99 0 $ 45,751.99 0 $ 45,751 .99 $ 35,356.14 0 $ 35,356.14 0 0 $ 35,356.14 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 1/1 through 6130 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 (mm/dd/yy) I I $ PAGE Total to Date *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 (8661275-3772) SchpdulP A Type or print in Ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers periodCALIFORNIA ' 460 from 10/23/2011 • • through 12/31/2011 Page _21— of %vt. SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Andrew McCullough 1339798 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOROCCUPATION IF AN INDIVIDUAL, ENTER OC R AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE TOQUIR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * SELPFE Q OYED,ENERNAME (JAN. 1 -DEC, 31) (IF REQUIRED) OF BUSINESS) ®IND 10/26/2011 Glen Corey McoM Teacher $100.00 100.00 MOTH Novato Unified School Novato, CA 94947 M PTY Dist M SCC Qj IND 10/27/2011 Michael McNeven MCOM ❑aTw Exec. $150.00 150.00 ��w Swiss Neva Incl ne Village, NV 89451 M PTY M scc ® IND 10/27/2011 Laura Woodhead McoM Lawyer $250.00 250.00 MOTH BioMarin San Rafael, CA 94901 M PTY M scc ® IND 10/28/2011 Paul Kromhout MCoM Financial Advisor $100,00 100.00 MOTH UBS San Ra ae , 94901 M PTY M scc ® IND 10/28/2011 Batche Kalfayan MCOM President $100.00 100.00 MOTH Avis Clinical, Inc. San Rafael, CA 94901 M PTY M scc SUBTOTAL $ 700.00 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 $ 5470.00 489.00 Em *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 (666/275-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded dollars. Statement covers period CALIFORNIA , to whole 10/23/2011 FORM from Page of through 12/31/2011 --S— _L,I— NAME OF FILER I.D. NUMBER Andrew McCullough 1339798 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Rich Nave®IND [7C0M Property Management $100.00 $100.00 10!28/2411 ��Ir [70TH Self-employed San Rafael, CA 94901 [7 PTY [7 SCC Marin Professional Firefighters PAC MIND jzCOM PAC #930791 $1,000.00 $2,000.00 10/28/2011 70TH Sacramento, CA 95814 7 PTY [7 SCC Geoffrey Gordon -Creed ®IND 7COM Attorney $200.00 $700.00 10/28/2011 [:]OTH Hail & Sugerman LLP g San Francisco, CA 94118 [7 PTY [7 SCC Eric Johnson OcoM Self-employed $100.00 $100.00 10/28/2011 ❑CTH Lighting Design San Rafael, CA 94901 M PTY ❑ SCC Diversified Equity Holdings ❑IND [7 COM $250.00 $250.00 10/28/2011 LZ OTH San Rafael, CA 94901 ❑ PTY ❑ sec SUBTOTAL $ 1,650.00 `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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 10/23!2011 • * • from 12/31/12011 through Page __tom of NAME OF FILER I.D. NUMBER Andrew McCullough 1339798 DATE ZIPO FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSOAND ENTER I,D. NUMBER) CODE * (IF SELF.EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/29/2011 Eric Stemberger JZIND ❑OTH Attorney Ragghlantti & Freitas $250.00 $250.00 San Rafael, CA 94903 p PTY ❑ SCC 10/30/2011r Rennie Guinasso MIND []COM Self-employed CPA $100.00 $100.00 r7 OTH San Rafael, CA 94901 ❑ PTY ❑ SCG 10/30/2011 Ellen Obstier I- MIND ❑coM Homemaker $200.00 $200.00 ❑ OTH San Rafael, CA 94901 ❑ PTY p SCC 11/01/2011 David Crutcher �coM Self-employed Attorney $100.00 $100.00 m OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 11/01/2011 Joshua Adler ��b (ICOM ❑ COM❑ Physician USF $250.00 $250.00 OTH San Rafael, CA 94901 []'PTY ❑ SCC SUBTOTAL$ 900.00 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) TVDe or print In Ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 10/23/2011 from Page 'i of % through 12/31 /2011 NAME OF FILER I.D. NUMBER Andrew McCullough 1339798 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND 11/0412011/�i� Maggiara & Ghiliotti, Inc. ®0TH $150.00 70'afael, 7an R$150.00 CA 94901 ❑ PTY ❑SCC 11/04/2011 Joel Walienstrom ®IND ❑COM /SEC Partners Internet Security Exec. $100.00 $100.00 [30TH an Rafael, CA 94901 ❑ PTY [3 SCC 11/07/2011 Rory Campbell ®IND [3coM Attorney Hanson, Brid ett LLP $150.00 $150.00 [3 OTH g San Rafael, CA 94901 [3 PTY [-]SCC 11/07/2011 Dana Clark OIND Mom $100.00 $100.00 ,� [3CTH San Rafael, CA 94901 M PTY [3 SCC 11/07/2011 San Rafael Chamber PAC ❑IND OOTTN PAC #1281286 $320.00 $2320.00 �� M San Rafael, CA 94901 [3 PTY [3 SGC SUBTOTAL $ 820.00 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts maybe rounded Statement covers CALIFORNIA to whole dollars. 10/23/2011 FORM i from through 12/31/2011 Page of NAME OF FILER LD, NUMBER Andrew McCullough 1339798 DATE O FULL NAME, STREET ADDRESS AND 2!P CODE OF CONTRIBUTOR ADDRESS S AND ZIPO CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMITTEE, ENTER D, NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/10/2011 Ed Antolin II�� ®IND MCOM MOTH Attorney Silverstein & Pomerantz, $250.00 $250.00 alnut Creek, CA 94598 M PTY LLP M ScC Thomson, Dorfman Partners LLC MIND calor $250.00 $250.00 11 /10/2011 softp ®OTH Mill Valley, CA 94941 M PTY M SCC 11/14/2011 Joe 0 ,, .hir ® IND McoM CEO Whlstlestop Whi $150.00 $150.00 MOTH San Rafael, CA 94901 M PTY M SCC Gumbiner & Eskridge, LLP MIND ❑coM $100.00 $100.00 11/14/2011 ® OTH Walnut Creek, CA 94597 M PTY M SCC 12/06/2011 Judy Arnold JZ OM Supervisor Marin County $100.00 $100.00 i MOTH Novato, CA 94947 ❑ PTY M SCC SUBTOTAL $ 850.00 "Contributor Codes IND - Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCG — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Tvpe or print In Ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded to dollars. Statement covers period CALIFORNIA 460 whole 10/23/2011 FORM - from through 12/31/2011 Page q of NAME OF FILER I.O. NUMBER Andrew McCullough 1339798 DATE FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER IF AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) Patricia Kendall JZIND Administrator $250.00 250.00 12/06/2011 []OTH Kaiser San Rafael, CA 94903 C PTY ❑SCC Russell Pitto ®IND CCOM Real estate $300.00 300.00 12/30/2011 MOTH Simeon Comm Properties San Francisco Ca 94111 C PTY C SCG ❑IND C COM C OTH C PTY C SCC MIND C COM C OTH C PTY C SCC C IND C COM MOTH ❑ PTY ❑ SGC SUBTOTAL$ 550.00 ;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 464 (January/45) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772) Type or print in Ink. Schedule B — Part 1 Amounts may be rounded Statement covers period CALIFORNIA Loans Received to Whole dollars. from 10/23/2011 FORM ' • 0. through 12/31/2011 Page �? of SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER Andrew McCullough 1339798 FULL NAME, STREET ADDRESS AND 21P CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTS ANDING BALANCE AMOUNT RECEIVED THIS (N AMOUNT PAID OUTSTA DING BALANCEAT INTEREST PAID THIS ORIGINAL AMOUNT OF CUMULATIVE CONTRIBUTIONS OF LENDER (IF COMMITTEE, ALSO ENTERLD,NUMBER) (IF SELF-EMPLOYED, ENTER NAMEOFBUSINESS) BEGINNING THIS PERIOD OR FORGIVEN* THIS PERIOD CLOSE OF THIS PERIOD LOAN TO DATE ® PAID CALENDAR YEAR Andrew McCullough Attorney 15000 0 15000 15000 21 Buscayne Ct SYUFY $ $ RATE $ $ San Rafael Ca 94901 ❑FORGIVEN PER ELECTION*" 15000.00 0 $ 0 $ t® IND ❑COM ❑ OTH [3 PTY ❑SGC $ $ $ DATE INCURRED DATE DUE ❑ PAID CALENDARYEAR 0 FORGIVEN RATE PER ELECTION *" $ $ $ $ DATE INCURRED DATE DUE t❑ IND C]COM ❑ OTH [IPTY ❑ SCC ❑ PAID CALENDAR YEAR [� FORGIVEN RATE PER ELECTION*" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ DATE DUE $ DATE INCURRED $ $ SUBTOTALS $ 15000 $ 0 $ 0 Schedule B Summary 1. Loans received this period.............................................................................................................. (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period......................................................................................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 1 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. 4 0 15000 .... NET $ -15000 (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SGC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Andrew McCullough Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from 10/23/2011 through 12/31/2011 Page __&_ of I.D. NUMBER 1339798 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. ISR member communications RAD RFD radio airtlme and production costs returned contributions CNS CTS campaign consultants (explain nonmonetary)* MTG OFC meetings and appearances office expenses SAL campaign workers' salaries CVC contribution civic donations PET petition circulating TEL TRC t.v, or cable airtime and production costs candidate travel, lodging, and meals FIL candidate filing/ballot fees PHO POL phone banks polling and survey research TRS staff/spouse travel, lodging, and meals FND W fundraising events 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 WEB voter registration Information technology costs (intemet, e-mail) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENTI AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Unicorn Group LIT 6705.53 49 Larkspur St San Rafael Ca S C Design CMP 2473.53 555 5th St 101 H Santa Rosa Ca 95401 Gary Phillips for Mayor 2111 McCullough share of election night meeting 370.80 999 5th Ave Suite 320 San Rafael Ca 94901 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 9 549.86 Schedule E Summary 14830.88 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ $ 50.01 2. Unitemized payments made this period of under $100.......................................................................................................................................... 0 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 $ 14880.89 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULE E(CONT) Schedule E (Continuation Sheet) Payments Made Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from 10/23/2011 through 12/31/2011 CALIFORNIAA60 FORM Page _)_iL of SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER 5000-00 Santa Rosa Ca 95404 1339798 Andrew McCullough AD Vantage Marketing Group 455 Tesconi Cir CMP 281.02 Santa Rosa Ca 95401 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CWP campaign paraphernalia/misc. MBR member communications RAID RFD radio airtime and production costs returned contributions CNS campaign consultants CTB contribution (explain nonmonetary)* MTG OFC meetings and appearances office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL TRO Lv. or cable airtime and production costs candidate travel, lodging, and meals FIL candidate filing/ballot fees PHO PO- phone banks poillng and survey research TRS staff/spouse travel, lodging, and meals FND fundralsIng events M Independent expenditure supporting/opposing others (Explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense 1 rr i H4 f"ra —A MIXIIInrle PRO FRT professional services (legal, accounting) print ads VOT WEB voter registration Information technology costs (Internet, e-mail) * P:avmpntq that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5281.02 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Muelrath Public Affairs Inc 50 Old Courthouse Sq Suite 203 CNS 5000-00 Santa Rosa Ca 95404 AD Vantage Marketing Group 455 Tesconi Cir CMP 281.02 Santa Rosa Ca 95401 * P:avmpntq that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5281.02 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)