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HomeMy WebLinkAboutForm 460 - Andrew McCullough for City Council 2015 (2015-06-30)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers periodI Date of election if applicable from 1/1/2015 (Month, Day, Year) through 6/30/2015 November 3, 2015 Recelyb JUL 1 & 2015 Time: City Clerk's oliice COVER PAGE Page 1 of-.. 6 For Official Use Only 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee _] Ballot Measure Committee Q State Candidate Election Committee Q Primarily Formed Q Recall Q ControlledTermination (Also Complete Part 5) 0 Sponsored (Also Complete rParted ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 2. Type of Statement: ® Preelection Statement ❑ Semi-annual Statement ❑ Statement ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report E] Supplemental Preelection Statement - Attach Form 495 3. Committee Information I.D. NUMBER 1339798 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER McCullough for City Council 2015 Jeffrey Schoppert MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY San Rafael CA 94901 Andrew McCullough 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 San Rafael CA 94901 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 knowledge the infor a on contained herein and in the a ached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is and rrect. July (6 2015 Executed on By Date Julyi(,,12015 Signature fTreasureror s tantTreasun.r Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Me2sure Proponent Executed on Date By der, Candidate, State Measure Proponent Signature of Controlling Officeholder, C Form 460 June/01 t ) FPPC Toll -Free Helpline: 866/ASK-FPPC State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement RNIA CALIF • 1 FORM� Cover Page — Part 2 2 6 Page of 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Andrew McCullough OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE San Rafael City Councilmember RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. San Rafael, CA, 94901 NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for NAME OF TREASURER CONTROLLED COMMITTEE? which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEENAME ID NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT E] YES F-1NO❑ ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK-FPPC State of California Campaign Disclosure Statement To calculate Column B, add Type or print in ink. 0 SUMMARY PAGE Summary Page Amounts may be rounded to dollars. report. Some amounts in Column A may be negative Statement covers period - � NIA figures that should be subtracted from previous whole period amounts. If this is the first report being filed 0 460 � ' any). 1/1/2015 •' from through 6/30/2015 page 3 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER McCullough for City Council 2015 1339798 Contributions Received Column A Column B Calendar Year Summary for Candidates To D (FROM ATTACHED SCHEDULES) TOTALTODATE Running In Both the State Prima and g Primary General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0 $ 0 O 0 1/1 through 6/30 7/1 to Date 2. Loans Received...................................................... Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 00 $ 0 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 0 $ 0 Made $ - $ Expenditures Made 6. Payments Made ..................................... 7. Loans Made ........................................... 8. SUBTOTAL CASH PAYMENTS .............. 9. Accrued Expenses (Unpaid Bills) ......... 10. Nonmonetary Adjustment ..................... 11. TOTAL EXPENDITURES MADE ............. ............ Schedule E, Line 4 $ ............ Schedule H, Line 3 ................ Add Lines 6 + 7 $ ................ Schedule F, Line 3 ............... Schedule C, Line 3 ............. 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 a 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. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 2,907.60 $ 0 2,907.60 $ 750.00 0 3,657.60 $ 2,907.60 0 2,907.60 750.00 0 3,657.60 10,346.12 To calculate Column B, add 0 amounts in Column A to the corresponding amounts from Column B of your last 0 2,907.60 report. Some amounts in Column A may be negative 7,438.52 figures that should be subtracted from previous period amounts. If this is the first report being filed 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 750.00 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) ��_.. $ $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule E Type or print in ink. Statement covers period Payments Made Amounts may be rounded y to whole dollars. from 1/1/2015 ........_. SEE INSTRUCTIONS ON REVERSE through 6/30/2015 Page 4 of 6 NAME OF FILER I.D. NUMBER McCullough for City Council 2015 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. 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 FET 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 PMCohen Public Affairs P.O. Box 150268 CNS $2,000.00 San Rafael, CA 94915-0268 PMCohen Public Affairs P.O. Box 150268 OFC $172.00 San Rafael, CA 94915-0268 four waters media, inc. 3093 Lassen St. LIT $235.60 West Sacramento, CA 95691 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,407.60 Schedule E Summary 1. Payments made this period of $100 or more. Include all Schedule E subtotals. 2,907.60 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).)............................................................................... $ 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 2,907.60 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. Statement covers period from .. 1/1/2015 SCHEDULE E (CONT.) SEE INSTRUCTIONS ON REVERSE through 6/30/2015 Page 5 of 6 NAME OF FILER I.D. NUMBER McCullough for City Council 2015 1339798 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants NTfG 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 UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 500.00 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC SCHEDULE F Schedule F Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA• ' Accrued Expenses (Unpaid Bills) to whole dollars. from 1/1/2015 • - SEE INSTRUCTIONS ON REVERSE NAME OF FILER McCullough for City Council 2015 through 6/30/2015 Page 6 of 6 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. 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 FIND 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) * Payments that are contributions or independent expenditures must also be SUBTOTALS $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)...... 0 $ 3,657.60 $ 2,907.60 $ 750.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.).................................................................................................. ................. INCURRED TOTALS $ ............................ PAID TOTALS $ 3,657.60 2,907.60 750.00 NET $ May be a negative number FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC a b c d NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD !ALSO REPORT ON E) OF THIS PERIOD PMCohen Public Affairs P.O. Box 150268 CNS 0 2,672.00 2,172.00 500.00 San Rafael, CA 94915-0268 four waters media, inc. 3093 Lassen St. CNS 0 985.60 735.60 250.00 West Sacramento, CA 95691 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)...... 0 $ 3,657.60 $ 2,907.60 $ 750.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.).................................................................................................. ................. INCURRED TOTALS $ ............................ PAID TOTALS $ 3,657.60 2,907.60 750.00 NET $ May be a negative number FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC