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Home My WebLink AboutForm 460 - Damon Connolly for City Council 2011 (2012-06-30)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 01/01/12 through 06/30/12 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure C) State Candidate Election Committee Committee () Recall 0 Controlled (Also Complete Pad 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ (D Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 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. BOXI 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 I E-MAIL ADDRESS Date of election If applicable: (Month, Day, Year) Date Stamp 2. Type of Statement: F-1 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 -J- of —6 -- For Official Use Only M Quarterly Statement M Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 knqqedge the m0 f ion contained herein and in the attached schedules is true and complete. I certify under penalty of perjury and r the laws of the State of California that the foregoing is true and correct ct K Executed on s t By gnature of Tras erorAssistantTreasurer Executed on By Date Executed on By Signature of Controlling Officeholder, Candidate, State Mea shUl Proponent or Responsible Officer of Sponsor Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of ControllingOfficeholder, Candidate, State Measure Proponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline; 8661ASK-FPPC (8661275-3772) State of California 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 / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knqqedge the m0 f ion contained herein and in the attached schedules is true and complete. I certify under penalty of perjury and r the laws of the State of California that the foregoing is true and correct ct K Executed on s t By gnature of Tras erorAssistantTreasurer Executed on By Date Executed on By Signature of Controlling Officeholder, Candidate, State Mea shUl Proponent or Responsible Officer of Sponsor Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of ControllingOfficeholder, Candidate, State Measure Proponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline; 8661ASK-FPPC (8661275-3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in ink. 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 RESIDENTIAUBUSINESS 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 CODEIPHONE COMMITTEE NAME 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 COVER PAGE - PART 2 IPage of I 6. 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 I 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 464 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (6661275-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/12 SUMMARY PAGE FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 06/30/12 Page SEE INSTRUCTIONS ON REVERSE through _�_ of NAME OF FILERI.D.NUMBER Damon M. Connolly �11299779 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 50.00 $ 50.00 2, Loans Received .....................0.00 ................................. Schedule B, Line 3 0.00 111 through 6/30 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 $ 50.00 $ 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 $ 50.00 $ 50.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........° .............................................. Schedule E, Line 4 $ 2052.00 $ 2052.00 Candidates 7. Loans Made..... ............ .......... ____ ............ ........... Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 2052.00 $ 2052.00 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 0.00 0.00 (mmicifty) 11. TOTAL EXPENDITURES MADE .............. ................. Add Lines 8 + 9 + 10 $ 2052.00 $ 2052.00 $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 30141.00 To calculate Column 13, add 13. Cash Receipts ............ ........... ............... ...... .... Column A, Line 3 above 50.00 amounts in Column A to the 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 corresponding amounts from Column B of your last *Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments ................... .. ___ ...................... Column A, Line 8 above 2052.00 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 28139.00 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 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ UO for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts fromLines 2, 7, ands (if 18. Cash Equivalents... ____ ....... see instructions on reverse $ 0.00 any) 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A Type or print in ink. SCHEDULE A Moneta Contributions Received Amounts may oe rounoeo Statement covers period CALIFORNIA• to whole dollars. from 01/01/12 . Page Pa through 06/30/12 SEE INSTRUCTIONS ON REVERSE g _1L_ Of NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 i DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER CONTRIBUTOR AMOUNT CUMULATIVE TO DATE PER ELECTION, RECEIVED IFOOMMITTEE,ALSOENTERLD.NUMBER} OCCUPATION AND EMPLOYER CODE RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD {JAN. t -DEC.. 31} � (IF REQUIRED} OF BUSINESS} ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH Q PTY ❑ SCC I ❑ IND j ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND COM ❑ OTH PTY ❑ SCC ❑IND i ❑ COM 70TH I ❑ PTY I ❑ SCC SUBTOTAL$ I Schedule A Summary 1. Amount received this period —itemized monetary contributions. 0.00 (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 $ 50.00 SKI '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: 866/ASK-FPPC (866/275-3772) �Schedule D scHF=mxF:n bumaryoT txpenaituKes Type or print in ink. Statement covers per o Amounts may be rounded Supporting/Opposing Other to whole dollars, Candidates, Measures and Committees from 01/01/12 06/30112 SEE INSTRUCTIONS ON REVERSE through Page -5- Of i�AME OF -FILER LD. 'NUMBER Damon M. Connolly 1299779 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR I TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS I CUM ULATIVE TO DATE: PER ELECTION CALENDAR YEAR TO DATE I MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD WW 1 - DEC. 31) (IF REQUIRED) ORCOMMITTEE Katie Rice for Marin County Supervisor 2012 Monetary 02/16/12 Contribution 150.00 150.00 Nonmonetary Contribution Independent Support oppose Expenditure Kate Sears for Marin County Supervisor 2012 F,,l Monetary 02/29/12 Contribution 100.00 100.00 rj Nonmonetary Contribution Independent Support oppose Expeni Jared Huffman for Congress 2012 Monetary 03/27/12 Contribution 40.00 290.00 Nonmonetary Contribution Independent r-11 Support 171 oppose Expenditure SUBTOTAL $ 290.00 Schedule Summary 1. Itemized contributions and independent expenditures made this period. (include all Schedule D subtotals.)... .............. ....... __ ........... ............ $ 890.00 2. Unib*mizedcontributions and independent expenditures made this peh—-------------------------O period �� .0O 3. Total contributions and independent expenditures made this period. (Add Lines I and 2. Oonot enter onthe Summary Pugej—890.00�—.�'��l��s �OO FPPC Form mm(January/05) FPpoToll-Free Helpline: os*wSm-FpPc(8nsm7s-3772) Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/12 06/30/12 de It> through Page (a Of 0 NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. I - DEC. 31) (IF REQUIRED) ORCOMMITTEE Michael Allen for Assembly 2012 Monetary 05/03/12 j Contribution 350.00 350,00 ❑ Nonmonetary Contribution 0 Independent R Support rl oppose Expenditure Jared Huffman for Congress 2012 Monetary 05/25/12 Contribution 250.00 290.00 ❑ Nonmonetary Contribution E] Independent [D Support E] oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support E] oppose Expenditure Monetary Contribution rl Nonmonetary Contribution IE E] Independent E] support E] oppose Expenditure SUBTOTAL $ 600.00 FPPC Form 460 (January/05) FIPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Type or print in ink. Payments Made Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/12 through 06/30/12 Page i NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 7 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 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 Friends of China Camp Dominican University - Venture Greenhouse Marin Women's Political Action Committee, FPPC ID #13325045 CVC CVC CTB * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ 780.00 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).)............................................................................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 1670.00 382.00 0.00 2052.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) ,chedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/12 SCHEDULE E (CONT.) through 06/30/12 page � of ySEE INSTRUCTIONS ON REVERSE 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 paraphernalia/mise. 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE ! CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID I.O (IF COMMITTEE, ALSO ENTER . NUMBER) Katie Rice for Marin County Supervisor 2012, FPPC ID#1343255 Kate Sears for Marin County Supervisor 2012, FPPC ID#1343634 Jared Huffman for Congress 2012, FEC #C00491746 Michael Allen for Assembly 2012, FPPC ID#1335032 CTB COW CTB IN 150.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 690.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline; 866]ASK-FPPC (666/275-3772)