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Home My WebLink AboutForm 460 - Damon Connolly for City Council 2011 (2012-12-31)Recipient Committee Campaign Statement ever Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 07/01/12 through 12/31/12 1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4. 21 Officeholder, Candidate Controlled Committee 17 Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Pap -5) 0 Sponsored (Also complete Pail 6) ❑ General Purpose Committee 0 Sponsored E] Primarily Formed Candidate! 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Pee 7) 3. Committee Information I.D. NUMBER 1299779 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Damon Connolly for City Council 2011 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEiPHONE San Rafael CA 94903 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-fVAIL ADDRESS Date of election if applicable: (Month, Day, Year) Date Stamp 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 Gary Anspach MAILING ADDRESS COVER PAGE Page of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report E-] Supplemental Preelection Statement - Attach Form 495 CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 ( NAME OF ASSISTANT TREASURER, IF ANY NG ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE 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 information ca me herein and in the attached schedules is true and complete. I certify under penalty of perjury und rth Tawsoft State of California that the foregoing is true and correct. Executed on By Dat I Tto .... �®rorAosista, o. Executed on By J�tur — !� t . Y�� Signatu'_ of Sent olhnr Office -holder, Candidate, State Measure Proponent or Respotslpie Offieer of Sponsor Executed or By V Date SignatureafControllnq Offireholder, Candidate, State Me UrePrep overa Executed or, By Cate Signature & Conecifing Offl,:ehidder, Candidate, State Measure Proponent FPPC Form 46D (January/05) FPPC Toll -Free Helpline: 866!ASK-FPPC (8661275-3772) State of California Recipient Committee Campaign Cover Page —Part I 5. Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE Damon M. Connolly 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 94903 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 STREET ADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 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 candidates) 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 i SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California ,,ampaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers to whole dollars. period from 07101/12 through of 12/31/12 Page of NAME OF FILER I.D.NUMBER Damon M. Connolly 1,1299779 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROMATTACHED SCHEDULES) CALENDARYEAR TOTAL TO DATE Running in Both the State Primary and 1. Monetary Contributions ..... ..................................... Schedule A, Line 3 $ 0.00 $ 50.00 General Elections 2. Loans Received .................. ..... _ .... .... Schedule 8, Lille 3 0.00 0.00 1/1 through 6i30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 0.00 $ 50.00 20. Contributions 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 0.00 Received $ - $ - 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............... ........... Add Lines 3 + 4 $ 0.00 $ 50.00 Made $ - $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ................................................... Schedule E, Line 4 $ 3055.00 $ 5107.00 Candidates 7. Loans Made ............................................................. Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 1 7 $ 3055.00 $ 5107.00 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ........... ................... Schedule F Linea 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment .......................................... Schedule Q Line 3 0.00 0.00 (mmiddilyy) 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 3055.00 $ 5107.00 $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous Summary Page, L 'ne 16 28139.00 To calculate Column B, add 13. Cash Receipts ................................................... column A. Line 3 above 0.00 amounts in Column A to the 14. Miscellaneous Increases to Cash........................... Schedule 1, Lille 4 0.00 corresponding amounts from Column B of your last 'Amounts in this section may be different from amounts 15. Cash Payments.................................................. Column A, Line 8 above 3055.00 report. Some amounts in reported in Column B. Column A may be negative 16. ENDING CASH BALANCE.. ........ Add Lines 12 + 13 + 74, than subtract Lille 15 $ 25080�00 figures that should be If this is a termination statement, Line 16 must be zero. subtracted from previous period amounts. If this is - the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule S, Part 2 S 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if 18. Cash Equivalents ........................................ See instructions on reverse S0.00 any). 19. Outstanding Debts Add Line 2 +'Line 9 in Column 6 above $ 0.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (9661275-3772) . . Schedule A _ Type "rprint mink. SCHEDULE monetary Contributions Received ~^~~^~^'~` ~~ '`~^~~~Statement to whole dollars. covers period from 07/01/12 SEE INSTRUCTIONS ON REVERSE 12/31/12 through Page of NAME OF FILER 1,11. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE CODE I ,IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) PTY SCC MCOM El PLY FICOM El PTY DCOM E] OTH F� PTY EIIND COM F-1 PTY Schedule A Summary 1.Amount received this period - itemized monetary contributions. OOO 2. Amount received this period - unitemized monetary contributions ofless than $100 3. Total monetary contbudonsreueiveddhispehod. (Add Lines 1and 2.Enter here and on the Summary Page, Column A.Line 1.)....... -------'� *Contributor Codes �---- IND -Individual COM - Recipient Committee (other than PTY o,SCC) oT:-Other (o.Q, business entity) pTr-PmdomPany SCC - Small Contributor Committee FppoForm wm(Jmmury/m5) rPpoToll-Free Helpline: uss/ASK-Fppc(86smrs-3r7z . . Schedule D _ sc*Fno=n - y I � 14=°="=="== Supporting/Opposing Other ',v""^ p^"""°` Amounts may be rounded I Statement covers period Candidates, Measures and Committees to whole dollars. from 07/01/12 12/31/12 SEE INSTRUCTIONS ON REVERSE through Page of �AME OF FILER I.D.NUMBER Damon M. Connolly 1299779 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT OR CUM, U LATIVE TO DATE PER ELECTION TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) CALENDAR YEAR TO DATE OR COMMITTEE PERIOD tJAN. I - DEC. 31) �IF REQUIRED) Fran Pavley for State Senate 2012 Monetary 07/09/12 Contribution 100.00 100.00 Nonmonetary Contribution Independent Support oppose Expenditure Friends of Judy Arnold f -.,l Monetary 07/13/12 Contribution Nonmonetary 100.00 100.00 Contribution I Independent Support Oppose Expenditure Jason Davies for Petaluma City Council 2012 Fj/ Monetary 08/21/12 Contribution 200.00 200.00 E] Nonmonetary Contribution Independent 0 Support E] oppose Expenditure SUBTOTAL $ 400.00 Schedule Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ............... ................................... $ 3.Total contributions and independent expenditures made this period. (Add Lines 1and 2.Do not enter on the Summary Pagcj--... TOTAL $ FPPC Form wm(Januarym5) pppcToll-Free Helpline: oaawSx-FPpo(m6/27s-37r2) Schedule D Type or print in ink. SCHEDULE D (CONT.) -jurnmary ot txpenditures Amounts may De rounaec Statement covers period over5 p to whole dollars. Supporting/Opposing Other from 07/01/12 Candidates, Measures and Committees 12131/12 through page/ of—d._— NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTIONCUMULATIVE TO DATE PER ELECTION AMOUNT THIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) ORCOMMITTEE PERIOD (JW I -DEC. 31) (IF REQUIRED) Katie Rice for Marin County Supervisor 2012 F.,j Monetary 09/13/12 Contribution 100.00 250.00 Nonmonetary Contribution Independent Support Oppose Expenditure Michael Allen for Assembly 2012 n,, Monetary 09/13/12 Contribution Nonmonetary 500.00 950.00 Contribution Independent Support Oppose Expenditure Michael Allen for Assembly 2012 Monetary 09/30/12 Contribution100.00 950.00 ®Nonmonetary ry Contribution Lj independent Support ❑ Oppose Expenditure Dan Kalb for Oakland City Council 2012 ED menetar, 10/08/12 Contribution 100.00 100.00 Nonmonetary Contribution F1 independent Support ❑ oppose Expenditure SUBTOTAL $ 800.00 FPPC Form 460 (January/{t5) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) �-_N "MAN (Continuation Sheet) Type or print in ink. Summary ®t Expenditures Amounts may be rounded Supporting/Opposing Other to whole dollars. Candidates, Measures and Committees NAME OF FILER Damon M. Connolly Statement covers period from 07/01/12 through 12/31/12 Malitalg]Wbi Page - .7 of I.D. NUMBER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT PTION DESCRIPTION CU LATIVE TO DATE AMOUNTT HIS CMAULENDAR YEAR PER ELECTION TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN, I DEC. 31) (IF REQUIRED) Betsy Butler for Assembly 2012 Monetary 10/18/12 Contribution 250.00 250.00 E] Nonmonetary Contribution ❑ Independent Support ❑ Oppose Expenditure Jared Huffman for Congress 2012 ❑ Monetary 10/28/12 Contribution ❑ Nonmonetary 50.00 340.00 Contribution ❑ Independent Support ❑ oppose Expenditure Democratic Central Committee of Marin Monetary 07/09/12T Contribution 250.00 250.00 ❑ Nonmonetary Contribution Independent Support ❑ oppose Expenditure North Bay Labor Council Monetary 11/24/12 Contribution 175.00 175.00 ®Nonmonetary Contribution Independent Support ❑ oppose Expenditure SUBTOTAL $ 725.00 i FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Type or print in ink. Statement covers period Payments Made Amounts may be rounded to whole dollars. � from 07101/12 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Damon M. Connolly through 12/31/12 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment Page 4� of I.D. NUMBER 1299779 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 PEr 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 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 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 I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Democratic Central Committe of Marin, FPPC #761428 San Rafael, CA 94903 CTB 250.00 Fran Pavley for State Senate 2012, FPPC #1314513 Agoura Hills, CA 91376 CTB 100.00 Friends of Judy Arnold, FPPC #1277176 Novato, CA 94947 CTB 100.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 450.00 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 fro m 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 $ 2629.00 426.00 0.00 3055.00 FPPC Form 460 (JanuaryloS) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. ON REVERSE NAME OF FILER Damon M. Connolly Statement covers period from 07/01/12 through 12/31/12 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E (CONT.) 011 Page—9--- of—lj— I.D. NUMBER 1299779 CI`VlP 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 LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Jason Davies for Petaluma City Council 2012, FPPC #1351643 Petaluma, CA 94952 1 CTB 1 1 200.00 Michael Allen for Assembly 2012, FPPC #1335032 CTB 600.00 San Rafael, CA 94903 1 I i--tenin-q for a Change Santa Rosa, CA 95401 CVC 100.00 Katie Rice for Marin County Supervisor 2012, FPPC #1343255 San Anselmo, CA 94960 CTB 100.00 Dan Kalb for Oakland City Council 2012, FPPC #1343715 Oakland, CA 94612 CTB100.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1100.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) I Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVER, NAME OF FILER Damon M. Connolly Statement covers period from 07/01/12 through 12/31/12 SCHEDULE E (CONT.) Page I Q of I.D. NUMBER 1299779 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member cornmunications 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 FIL civic donations candidate filing/ballot fees PEr PHO petition circulating TEL t.v. or cable airtime and production costs FND fundraising events POL phone banks polling and survey research TRC TRS candidate travel, lodging, and meals 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 LIT legal defense PRO professional services (legal, accounting) VOT voter registration campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER to. NUMBER) CODE OR I DESCRIPTION OF PAYMENT AMOUNT PAID I Rptqv Butler for Assembly 2012, FPPC #1334532 Los Angeles, CA!JUU2b I CTB 1 250.00 The Next Generation WEB Oakland, CA 94612 300.00 Can Do Education Foundation San Rafael, CA 94903 CVC 104.00 Biq Brothers Big Sisters of the North Bay i I San Rafael, CA 94901 CVC 100.00 Marin Food Bank Novato, CA 94949 CVC 4 150.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 904.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) 8 - che8ule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Statement covers period Payments Made to whole dollars. from 07/01/12 SEE INSTRUCTIONS ON REVERSE through 12/31112 NAME OF FILER Damon M. Connolly CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB; contribution (explain nonmonetary)- OFC office expenses CVC civic donations PET petition circulating FIL candidate filingiballot fees PHO phone banks FND fundraising events POL polling and survey research M independent expenditure supporting/opposing others (explain)f POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Otherwise, describe the payment. SCHEDULE E (CONT.) Page of JL I.D. NUMBER 1299779 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 175.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)