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Home My WebLink AboutForm 460 - Damon Connolly 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 10/23/11 through 12/31/11 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. (� Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall O Controlled (Also Complete Part 5) 0 Sponsored ❑ General Purpose Committee (Also Complete Part 6) Q Sponsored ❑ Primarily Formed Candidate! 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part T1 3. Committee Information I.D. NUMBER 1299779 :OMMITTEE NAME (OR CANDIDATE'S NAME IF NO Damon Connolly for City Council 2011 STREET ADDRESS (NO P.O.:BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94903 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX 1 E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k under penalty of perjury under the laws of the State of California that the foregoing is true and correct. t Executed on ' li By ---. vate Executed on 1 A By Date Signsture,of S COVER PAGE Date Stamp Date of election if applicable: Page_ of (Month, Day, Year) For Official Use Only 11/08/11 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑r Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 [] Amendment (Explain below) Treasurer(s) NAME OF TREASURER Gary Anspach MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 ( NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX 1 E-MAIL ADDRESS the info tion contained herein and in the attached schedules is true and complete. I certify M171,14., Executed on By Cate Signature of Gontroirtrtg 04ttcehdder, Candidate, Stats Measure Proponent Executed an By Date Signatureof ControNing Otflcehotder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free;Helpline: 866/ASK-FPPC (8661275.3772) State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee CALIFORNIA Campaign Statement Cover Page — Part 2 FORM 460 1! Page of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE 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 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? f_1 YES Fl NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME LD, NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES Ej NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 SOUGHT OR HELD Fj SUPPORT F-1 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT El OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD F-1 SUPPORT [I OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [-I SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of Calfforala Campaign Disclosure Statement Type or print In ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 10/23/11 SUMMARY PAGE 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. 46599.00 3314.00 0.00 19772.00 30141.00 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents............ ........ .............. See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ 0.00 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). *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 (866/275-3772) 12/31/11 1 Li Page '13 of SEE INSTRUCTIONS,ON REVERSE through NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 Contributions Received Column Column S Calendar Year Summary for Candidates TOTALTHISPER100 (FROMArrACHED SCHEDULES) CALENDARYEAR TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ............................ .............. Schedule A, Line 3 $ 3314.00 $ 73861.00 2. Loans Received ...................................................... Schedule B, Line 3 0.00 0.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I +2 $ 3314.00 $ 73861.00 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 989.00 7286.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ..................... ..... Add Lines 3 + 4 $ 4303.00 $ 81146.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line 4 $ 19772.00 $ 43756.00 Candidates 7. Loans Made . ............................................................ Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 19772.00 $ 43756.00 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 989.00 7285.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ 20761.00 $ 51041.00 $ 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. 46599.00 3314.00 0.00 19772.00 30141.00 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents............ ........ .............. See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ 0.00 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). *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 (866/275-3772) Schedule A Type or print in ink. SCHEDULER Monetary Contributions Received Amounts may oe rounded Statement covers period to whole dollars. • ' , from 10/23/11 • FORM through 12/31/11 SEE INSTRUCTIONS ON REVERSE Page of - NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/23/11 Carolyn Kneiblher BIND ❑COM Hydrogeologist/ San Rafael, CA 94901 ❑OTH Geosyntec Consultants 25.00 25.00 ❑ PTY ❑ SCC Lorraine Grace FIND 10/25/11❑COM �' ❑OTH Educator/ Self-employed 400.00 1100.00 Tiburon, CA 94920 ❑ PTY ❑ SGC 10/25/11 Kathleen Russell �m�N Q I N D ❑ COM Consultant/ _T San Rafael, CA 94901 Ej pN Self-employed 100.00 100.00 ❑ SCC '10/26/11 Jim Leddy '�- ICOM IND Community & Govt'1 Santa Rosa, CA 95401 ❑OOH Affairs Manager/ County 100.00 � 100.00 ❑ PTY of Sonoma ❑ SCC David A. Mayer FIND Employment Program 10/26/11 San Rafael, CA 94903 ❑ COM 0 pn Rep/EDD 25.00 75.00 ❑ SCc SUBTOTAL$ 650.00 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 $ 3230.00 84.00 3314.00 "Contributor 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 Foran 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) nw%W-aw■y VWIILItuuuvrrs r%ecelvea Amounts may be rounded Statement covers period to whole dollars. ` from 10/23/11e - • 12/31!11 through Pae -S ofJ 9 NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE {IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Morrow Cater RIND Consultant/ 10/27/11 1F-1 OOH COM Cater Communications 100.00 100.00 San Rafael, CA 94901 ElPte, ❑ SCC Sandv Tom kins ZIND General Manager/ 10!27/11I� ❑COM Tompkins Tennis 100.00 200.00 Walnut Creek, CA 94596 ❑ OTH ❑ PTY ❑ SCC Larry Paul BIND Architect/ 10/27/11 ❑COM L.A. Paul & Associates 50.00 50.00 San Rafael, CA 94903 F-1 OTH ❑ PTY ❑ SCG Jason Wong pIND Senior Inspector/ 10/27/11 ❑ COM U.S. Marshals Service 100.00 100.00 San Rafael CA 9 3 ❑OTH ❑ PTY ❑ SCC Wallace Chipman BIND Retired 10/27/11 ❑COM 30.00 260.00 San Rafael, CA 94903 0 j PTY ❑ SCG SUBTOTAL $ T80,00 *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 A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period i CALIFORNIA to whole dollars. 10/23/11 FORM 4 6 (r from 12131/11 through Page of 1 --6— NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 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. I -DEC. 31) (IF REQUIRED) OF'SUSINESS) Linda D.Spaulding RIND Administrative Law 10/30/11 r-1 COM Judge/State of CA 50.00 50.00 Sacramento, CA 95835 M OTH E] PTY r-1 SCC David Crutcher IND Attorney/ 10/31/11 ❑com Self-employed 100.00 200.00 San Rafael, CA 94901 r-1 OTH n PTY ❑ SGC Kathleen Harding RIND Retired 10/31/11 E]COM CO 100.00 350.00 Bonita, CA 91902 r_1 F-1 PTY El SCC Tymber Cavasian P,1 IND Project Administrator/ @1111111111111111W ncom Distinctive Builders, Inc. 50.00 50.00 San Rafael, CA 94901 M OTH [:] PTY F-1 SCC Adam Piacente BIND Educator/ 1111/11 Com Marin SAT Prep 100.00 200.00 San Rafael, CA 94901 7 OTH ❑ PTY EISCC SUBTOTAL$ 400,00 *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 FIPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) monetary contributions Received Amounts may be rounded Statement covers period to whole dollars. from10/23/119j through 12/31/11 Page of �— NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION ZIPD. RECEIVED (E COMMITTEE, ALSO ENTER NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Denise Lucy BIND Business Professor/ 11/1/11 i� ❑COM Dominican University 100.00 300.00 San Rafael, CA 94901 OOTH ❑ PTY ❑ SCC I Scott Patton ZIND Assistant D.A./ E] CO Alameda County 100.00 100.00 Piedmont, CA 94610 ❑ PTY ❑ SCC William J. O'Connell, Jr. QQ IND Attorney/ 11/4/11ncOM Self-employed 100.00 300.00 San Rafael, CA 94903 ❑ OTH ❑ PTY ❑ SCC Barbara Thornton 2IND Executive Officer/ 11/7/11 FjooH Marin 100.00 100.00 San Anselmo, CA 94960 Telecommunications Cj PTY Agency F� SCC United Healthcare Workers West PAC ❑IND 11/7/11 n COM 500.00 500.00 )I� ❑ OTH Sacramento, CA 95814 ❑ 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 SGC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 10/23111 eRM 46(r from through 12/31/11 page of NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 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 {IFCOMMnTEE,ALSOENTERI.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Lorraine Grace MIND Educator/ 11/7/11 M COM Self-employed 100.00 1100.00 Tiburon, CA 94920 MOTH M PTY M SCC Robert Hunter MIND Investment Advisor/ 11/8/11 ..000— � FJCOM Self-employed 50.00 50.00 San Anselmo, CA 94960 MOTH M PT, M SGC Kris Organ MIND Organizer/ 1118/11 ❑COM SEW Local 1000 50.00 4 50.00 San Rafael, CA 94903 ❑OTH I ❑ PTY M SCC Barry Kami MIND Dentist/ 11/12/11 MCOM Self-employed 100.00 1 350.00 Berkeley, CA 94703 M PTY M SCG Treemasters MIND 11/16/11 I MCOM 100.00 100.00 San Rafael, CA 94901 TH Pte, 0 M scc SUBTOTAL$ 400.00 I *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. 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 10/23/11 • ! • '.f from through 12/31111 Page NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ADDRESSZI LD.N DEO OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFSUSINESS) Michelle Gluck QIND Attorney/ 11/17/11 - D COM Self-employed 250.00 250.00 Bethesda, MD 20817 ❑ OTH ❑ PTY ❑ SCC Stuart Corvin FIND Co-founder/ 12/10/11 ❑coM Venture Greenhouse 200.00 200.00 Mill Valley, CA 94941 ❑OTH ❑ PTY ❑ SCC Thomas Greene Z IND Attorney/ 12/31/11 ❑ coM FTC j 50.00 j 100.00 Sacramento, CA 95831 ❑OTH ❑ PTY ❑ SCC ❑ IND ncom ❑ OTH f ❑ PTY ❑ SCC n IND ❑ COM ❑ OTH r n PTY SCC SUBTOTAL$ 500.00 `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 C Type or print in ink. - - - ,. SCHEDULE C Nonmoneta Contributions Received rirnvuncs maywe ruunaea to whole dollars. Statement covers period . from 10/23/11 � • i SEE INSTRUCTIONS ON REVERSE through 12/31/11 Page V of VAME OF FILER I.D. NUMBER Darvon M. Connolly 1299779 CUMULATIVE TO FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT( PER ELECTION DATE CONTRIBUTOR DESCRIPTION OF DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER VALUE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 - DEC 31) Heidi Kuhn BIND Executive Director/ Food & Bev for 10/27/11 DCOM Roots of Peace Event 285.00 285.00 San Rafael, CA 94901 ❑OTH ❑ PTY ❑ SCC Andy's Local Market ❑IND Food & Bev for 10/27/11 ==mawPCOM Event 348.00 348.00 San Rafael, CA 94901 EOTH PTY ❑ SCC No. Cal. Carpenters Regional Council []IND Use of 11/8/11 ��, R., Phonebank 356.00 856.00 E] Oakland, CA 94621 ❑PTS' ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 989,00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)..................................................................................................................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .................................... $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ SE, *Contributor Codes IND -Individual COM— Recipient Committee (other than PTY or SGC) 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 (8661275-3772) Schedule E Payments Made SEE INSTRUCTIONS owREVERSE Type or print mink. Amounts may be rounded to whole dollars. Statement covers period from 10/23/11 through 12/31/11 AL Of Page �� uawuwBsn ��o�� Dannon M. Connolly | 1299779 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. WSR member communications R0 radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions ona contribution (explain nonm"nmary)^ opn mmne expenses SAL campaign workers' salaries cvo civic donations PET petition circulating TeL t.xmcable airtime and production costs nL candidate filing/ballot fees PHO phone banks nmc candidate travel, lodging, and meals pNo mnuru|oino events PoL polling and survey research TRS mun/svouoeoawm. |woomu, and meals IND independent expenditure supporting/opposing others (explain)* POS pmutaQe, delivery and messenger services TSF transfer between committees of the same xmnumommponam LEG legal defense pmzprofessional services (|ana|, accounting) voT voter registration LIT campaign literature and mailings PRT print ads vwaa information technology costs (intemw.emwiV NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pacific Print Resources 1259 Park Avenue LIT 853.00 Emeryville, CA 94608 Mikko Design 1406 Park Street, Suite 200 LIT 511.00 Alameda, CA 94501 Pacific Print Resources 1259 Park Avenue LIT 6261.00 Emeryville,CA 94608 °Payments that are contributions or independent expenditures must also be summarized on Schedule 0. SUBTOTAL$ 7625.00 Schedule E Summary 1.Itemized payments made this period. (Include all Schedule Eeubbda\a.)............................. .................................................................. ............. $ 2.Uniternizedpayments made this period ofunder Q1DO.......................... ........................... .................... .............................................................. $ 3.Total interest paid this period onloans. (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 $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule�� CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pacific Print Resources GCH�DULEE��DMT> Statement covers part 1259 Park Avenue �p in Ink. (Continuation Sheet) Amounts may be rounded Payments Made 4046.00 to whole dollars. from 10/23/11 Can Do! Education Foundation 12/31/11 through CVC SEE INSTRUCTIONSON REVERSE 180.00 San Rafael, CA 94903 Page Page Of --2-4— NAME OF FILER Election Night Party I.D, NUMBER Damon M. Connolly 525.00 San Rafael, CA 94903 1299779 CODES: If one of the following codes accurately describes the poymnnt, you may enter the code. Othenwioo, describe the payment. CW numnmiunvamnxvmeno»nisc. MBR member communications RAD radio airtime and production costs cmG campaign oonounomm MTG meetings and appearances RFD returned ronmwu«uno CTB contribution (nvpeivnonmvnman/)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.xu,cable airtime and production costs nL candidate filing/ballot fees pno phone banks TRC candidateuanm lodging, and meals nvo fundraising events poL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (exp|m")~ POS postage, delivery and messenger services Tap transfer between committees mrthe same candidate/sponsor uaa legal defense pnopmfeus/ona services (legal, accounting) voT voter registration LIT campaign literature and mailings pm' print ads WEB information technology costs (imvmm.e+nei0 NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMaER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pacific Print Resources 1259 Park Avenue LIT 4046.00 Emeryville, CA 94608 Can Do! Education Foundation 2255 Las Gallinas Avenue CVC 180.00 San Rafael, CA 94903 Gaspares Pizzeria Election Night Party 200 Merrydale Road 525.00 San Rafael, CA 94903 The Next Generation 1814 Franklin Street, Suite 510 CNS 5357.00 Oakland, CA 94612 Pacific Print Resources 1259 Park Avenue LIT 25.00 Emeryville, CA 94608 Payments that are contributions or independent expendituMs must also be summarized on Schedule D. SUBTOTAL $ 10133.00 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: m66/ASm-FPP(8661275-3n2) Schedule ESCHEDULE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Next Generation E (CONT) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA 46M Payments Made 30.00 whole dollars. from 10/23/11 FORM United States Postal Service through 12/31/11 Of Page 711 SEE INSTRUCTIONS ON REVERSE 88.00 San Rafael, CA 94901 NAME OF FILER 75 Digital Drive I.D. NUMBER I Damon M. Connolly 150.00 Novato, CA 94949 1299779 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVIP 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 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Next Generation 1814 Franklin Street, Suite 510 WEB 30.00 Oakland, CA 94612 United States Postal Service 40 Bellam Boulevard POS 88.00 San Rafael, CA 94901 Marin Food Bank 75 Digital Drive CVC 150.00 Novato, CA 94949 The Next Generation 1814 Franklin Street, Suite 510 WEB 30.00 Oakland, CA 94612 The Next Generation 1814 Franklin Street, Suite 510 CNS I 1500.00 Oakland, CA 94612 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1798.00 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. Statement covers period from 10/23/11 SCHEDULE E (CONT) through 12/31/11 Page I q of SEE INSTRUCTIONS ON REVERSE -A-4— NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemaliatmiso. 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 TRIC 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE 7TCODE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OR DESCRIPTION OF PAYMENT AMOUNT PAID Click and Pledge 12202 Airport Way, Suite 100 Broomfield, CO 80021 WEB 45.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 45.00 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)