HomeMy WebLinkAboutForm 460 - Damon Connolly for City Council 2015 (2013-12-31)RecipientCommittee mittee Date Stamp
COVER PAGE
Type or print in ink.
Statement
� .
1
Campaign
Cove' Pa e
(Government Code Sections 84240-84218.5)
Page of
Statement covers period
Bate of election if applicable:
07/ /2
(Month, Day, Year)
For Official Use Only
from
12/31/2013
SEE INSTRUCTIONS ON REVERSE through
1. Type of Recipient Committee: All Committees - complete Parts It 2, 3, and 4.
2. Type of Statement:
Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure
❑ Preelection Statement
F-� Quarterly Statement
0 State Candidate Election Committee Committee
Ja Semi-annual Statement
❑ Special Odd -Year Report
Recall 0 Controlled
❑ Termination Statement
Supplemental Preelection
(Also Complete Part 5) 0 SponsoredAlso
file a Form 410 Termination) )
Statement -Attach Form 495
(Also Complete Part 6)
General Purpose Committee
Amendment (Explain below)
Sponsored Primarily Formed Candidate/
Small Contributor Committee Officeholder Committee
Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER
1299779
Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME OF TREASURER
Darvon Connolly for City Council 2015
Gary Anspach
MAILING ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE AREA CODE/PHONE
San Rafael CA
94901 (
CITY STATE ZIP CGDE AREA CGDE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
San Rafael CA 94903 (
MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE
ZIP CODE AREA CODE/PHONE
OPTIONAL. FAX / 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 knowled the informati ontained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under a laws o -the State of California that the foregoing is true and correct.
Executed on By
Dat
Assl ant Treasurer
Signature of TIState
Executed on B '
ate Signature of Controlling Officeholder, CandidaMeasu Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature
of Controlling Officeholder, Candidate, State Measure Proponent
Executed on B
Date Signature
of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 January/05)
FPPC Toll -Free Helpline: 366/ASK-FPPC 866/275.3772)
State of California
Type or print in in -k.
Recipient Committee
Campaign Statement
Cover Page-- Peart 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Damon M. Connolly
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
San Rafael City Council
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
San Rafael, CA 94903
Related Committees Not Included in this Statement: List any committees
not Included /n 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 CGDE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
all 1111 1111k L 51
.. 7. y 1 •
Page x of
8. Primarily Formed 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 Candidate/Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHTis HELD
..O-
SUPPORT
OP!
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHTOR HELD
F�SU�PPO
FIOPPOSE
NAME OF OFFICEHOLDER " i" CANDIDATE
OFFICE SOUGHTO"' !
SUPPORT
OPPOSE
CITY STATE ZIP CGDE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460 January/05
FPP+C Toll -Free Helpline: 555/ASK-FPPC (555/275-3772)
State of Callfomia
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2013
a__ �,=
Expenditures Made
through
12/31/2013
P age Of 0
SEE INSTRUCTIONS ON REVERSE
$ 39701.00
7. Loans Made ............................................................. Schedule H, Line 3
I
0.00
0.00
NAME OF FILER
$
33838.00
$ 39701.00
I.D. NUMBER
Damon M. Connolly
0.00
0.00
10. Nonmonetary Adjustment .. ....... # .... Schedule C, Line 3
1 12_9 1 9779 1
0.00
COJUM A
Column A
Column B
Calendar Year Summary for Candidates
Contr"Ibutions Received
TOTALTHIS PERIOD
CALENDARYEAR
Running in Both the State Primary and
(FROM ATTACHED SCHEDULES)
TOTALTODATE
General Elections
1. Monetary Contributions ........................................... Schedule A, Line 3
$ 100.00 $
14625.00
1/1 through 6/30 7/1 to Date
100.00
0.00
0.00
LL
2. Loans Received ...................................................... Schedule B, Line 3
correspondina amounts
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
$ 100.00 $
14625.00
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2
report. Some amounts in
15. Cash Payments .................................................. Column A, Line 8 above
Received $ $
0.00
1072.00
$
4. Nonmonetary Contributions .................................... Schedule C, Line 3
figures that should be
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...... Add Lines 3 + 4
$ 100.00 $
15697.00
Made $ $
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line 4
$
33838.00_
$ 39701.00
7. Loans Made ............................................................. Schedule H, Line 3
0.00
0.00
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7
$
33838.00
$ 39701.00
0.00
0.00
10. Nonmonetary Adjustment .. ....... # .... Schedule C, Line 3
0.00
1072.00
33838.00
$ 40773.00
Current Cash Statement
12.Beginning Cash Balance ....................... ® Summary Page, Line 16
$
33742.00
To calculate Column B, add
13. Cash Receipts ................................................... Column A, Line 3 above
100.00
amounts in Column A to the
0.0v
correspondina amounts
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
from Column B of your last
33838.0 0
report. Some amounts in
15. Cash Payments .................................................. Column A, Line 8 above
Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$
4.00
-
figures that should be
subtracted from previous
If this Is a termination statement, Line 16 must be zero.
period amounts. If this is
the first report being filed
----------
0.00
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ see instructions on reverse
$
0.00
19. Outstanding Debts ....... ............... Add Line 2 + Line 9 in Column B above
$
0.00
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
{if Subject to voluntary Expenditure Limit}
Date of Election Total to Date
(mm/dd/yy)
J $
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 (8661276-3772)
Schedule A Type or print In ink.
Amounts may be rounded
Monetary Contributions Received to whole dollars.
NAME OF FILER
Damon M. Connollv
Statement covers period
from 07/01/2013
through 12/31/2013
Page Of
WN
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
I IF AN INDIVIDUAL, ENTER AMOUNT
CONTR BUTOR OCCUPATION AND EMPLOYER RECEIVED THIS
CUMULATIVE TO DATE PER ELECTION
CALENDAR YEAR TO DATE
(IF COMMITTEEALSO ENTER I.D. NUMBER)
RECEIVED ,
CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
Glady Gilliland
OIND Retired
[3Com 100.00
100.00
08/08/13
OTH
San Rafael, CA 94901
PTY
[]SCC
E] IND
�Com
OTH
❑ PTY
SCC
®IND
[]COM
7 OTH
[� PTY
F� SCC
']IND
[3Com
M OTH
0 PTY
F-] SCC
MIND
[-]COm
OTH
PTY
[]SCC
SUBTOTAL$ 100.00
Schedule A Summary
1. Amount received this period — itemized monetary contributions. 100.00
(include all Schedule A subtotals.) ........................................................................................................ $
2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 0.00
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
I=,
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entl
PTY — Political Party
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Oft
bchedule D
0
Summary of Expenditures
Supporting/Opposing Other
IS& Aft la� a a AsAft -0& M& Alft law ALOWU
Statement covers period
CALIFORNIA
0 lie 07/01/2013 FORM 460
from
toc-Ina 1W2LW'j*q 1V1W4*U1 W* OR 1U %.#Vl 1111 11ILLWWO
12/31/201 3
SEE INSTRUCTIONS ON REVERSE
through Page of
NAME OF FILER I.D.NUMBER
Damon M. Connolly 1299779
CUMULATIVE TO DATE
PER ELECTION
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION AMOUNT THIS CALENDAR YEAR
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED) PERIOD (JAN. I - DEC. 31)
(IF REQUIRED)
OR COMMITTEE
Democratic Central Committee of Marin
Monetary
08/03/13
Contribution
125.00 125.00
Nonmonetary
Contribution
Independent
0 Support ❑ oppose
Expenditure
Re -Elect Tom McInerney for Town Council
Monetary
08103/13
2013
Contribution
100.00 100.00
Nonmonetary
Contribution
Independent
0 Support 0 oppose
Expenditure
Kate Colin for San Rafael City Council 2013
Monetary
09/19/13
Contribution
100.00 1 00.00
Nonmonetary
Contribution
Independent
Support Oppose
Expenditure
SUBTOTAL $ 325.0(12,,�
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (include all Schedule D subtotals.) ......................................................... $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
II
o•Sheet)
gummaryofExpenditures
lifft-
ij-rz&jTffj'w ;MT
. � I Tgrz- , � '
• «.Statement covers periodCALIFORNIA
460"0
t FORM
from
Candidates, Measures and Committees
12/31/2013 (' � t
through Page of
NAME OF FILER I.D. NUMBER
Damon M. Connolly 1299779
CUMULATIVE TO DATE PER ELECTION
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT
DESCRIPTION
AMOUNTTHIS CALENDAR YEAR TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED)
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OR COMMITTEE
Daman Connolly for Supervisor 2014 Monetary
09/20113
Contribution
22,000.00 22,000.00
[� Nonmonetary
Contribution
Independent
Support ® appose Expenditure
Committee for a Safer San Rafael - Yes on 0 Monetary
10/16/13
Measure E Contribution
250.00 250.00
® Nonmonetary
Contribution
Independent
Support ® appose Expenditure
Jessica Jackson for Mill Valley City Council Q Monetary
10/20/13
2013 Contribution
100.00 100.00
Nonmonetary
Contribution
Independent
Support appose Expenditure
North Say Labor Council Monetary
10128/14
Contribution
175.00 175.00
Nonmonetary
Contribution
Independent
Support appose Expenditure
SUBTOTAL ., 22525.00011
FPPC Farm 480 (January/05
FPPC Tall -Free Helpline.- 888/ASK-FPPC (866/276-3772)
A Statement covers period
CALIFORNIA
07/01/2013 FORM
IMFfrom
Candidates, Measures and Committees
12/31/2013 I
through Page — of
NAME OF FILER I.D. NUMBER
Damon M. Connolly 1299779
CUMULATIVE TO DATE
PER ELECTION
DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION
AMOUNT THIS CALENDAR YEAR
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED)
PERIOD (JAN. 1 - DEC. 31)
(IF REQUIRED)
OR COMMITTEE
Jared Hufftnan for Congress
ja Monetary
11/03/13
Contribution
100.00 100.00
0 Nonmonetary
Contribution
0 Independent
0 Support 0 oppose
Expenditure
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
0 Support- 0 oppose
Expenditure
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
0 Support 0 oppose
Expenditure
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
0 Support 0 Oppose
Expenditure
SUBTOTAL $ 100.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
,Schedule E
VA' till
SEE INSTRUCTIONS ON REVERSE
1,Nkr_A1kTjIff4]
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2013
through 12/31/2013
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
I.D. NUMBER
CIVP
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
PCL
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)
VCT
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
Next Generation Consulting
1814 Franklin Street, Suite 510
WEB
180.00
Oakland, CA 94612
Next Generation Consulting
1814 Franklin Street, Suite 510
CNS
21000-00
Oakland, CA 94612
Next Generation Consulting
1814 Franklin Street, Suite 510
POS.
81000.00
Oakland, CA 94612
Ji -11R11 V�
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 from Schedule B, Part 1, Column (e).) ............................................................................... Z5
33,542-00
296.00
M
a33,870.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) oil at, TOTAL $
FPPC Form 460 (January 05)
FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772)
Schedule E Type or print in ink.
(Continuation Sheet) Amounts may be rounded
Payments Made to whole dollars.
Tylkyil"Xel
Damon M. Connolly
Statement covers period
07/01/2013
12/31/2013
Of rouol,
Page of
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIVP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
IVTG
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
\AIEB
information technology costs (Internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) I I
Democratic Central Committee of Marin, FPPC #76142�il
P.O. Box 6411
San Rafael, CA 94903
Re -Elect Tom McInerney for San Anselmo Town Council 2013
FPPC #1357776
50 Nokomis Avenue
San Anselmo, CA 94960
Damon Connolly for Supervisor 2014, FPPC #136116
San•
Rafael, CA 94903 1
North Bay Labor Council, FPPC #744444
2525 Cleveland Avenue, Suite A
Santa Rosa, CA 95403
F-riends of Kate Colin for City Council 2013, FPPC #1357514
San Rafael, CA 94915
414ft* i"i-10110- _211144#141401A -4ti-If hil tit-. 191F'44�vl
CTB 1 1 125.00
CTB I 1 100.00
CTB 1 1 22,000.00
CTB 1 1 175.00
CTB I 1 100.00
Schedule E Type or print In Ink.
(Continuation Sheet) Amounts may be rounded
Payments'Made to whole dollars.
t itLq rqT n" -,.T*: 0
NAME 0 FILER
Damon M. Connolly
Statement covers period
itroin 07/01/2013
12/31/2013
I.D. NUMBER
1299779
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
MTC
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
POL
phone banks
polling and survey research
TRC
TRS
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
FND
IND
fundralsing 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
PRT
professional services (legal, accounting)
VOT
WEB
voter registration
information technology costs (internet, e-mail)
LIT
campaign literature and mailings
print ads
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) I I
Committee For A Safe San Rafael - Yes on Measure E, FPPC #1 359554t!
1000 Fourth Street, Suite 600
San Rafael, CA 94901
Can Do! Education Foundation
P.O. Box 6182
San Rafael, CA 94903
Jessica Jackson for Mill Valley City Council 2013, FPPC #1360031
Mill Valley, CA 94941
Jared Huffman for Congress, FEC #CO0536680
San Rafael, CA 94901
Click N Pledge
12202 Airport Way, Suite 100
Broomfiield, CO 80021
CTB 1 1 250.00
CvC 1 1 180.00
CTB i 1 100.00
CTB I 1 100.00
WEB 1 1 232.00
ji
11 fill Ir. 111M:lk I 7M M r3
FPPC Form 460 (January 15
FITC Toll -Free Helpline.- 8661ASK-FPPC (8661275-3772)