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HomeMy WebLinkAboutForm 460 - Damon Connolly for City Council 2015 (2014-06-12) TerminationRecipient Committee Campaign Statement CoverPage (Government Code Sections 84200-84216.5) Type or print in ink. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Damon Connolly for City Council 2015 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applicabi (Month, Day, Year) I Date Stamp Page of For Official Use Only 2. Type of Statement: F� Preelection Statement E] Quarterly Statement 2 Semi-annual Statement � Special Odd -Year Report J0 Termination Statement F -I Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 E] 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 / 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 i rmation contained herein and in the attached schedules is true and complete. I certify under penalty of perjury un r e laws the State of California that the foregoing is true and correct. Executed on By Da Signa AoTre urero0AsS*-1'Pt*t as er a 07 1 L Executed on By CrAte Signature of Controlling Offic6holder, Candidate, State Measure Proponent or Rtnsible Officer of Sponsor Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Pn3ponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/AS1 -FPPC (866/275-3772) State of California • a s • a�♦ CALIFORNIA FORS 46AU 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 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 F-1 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) Primarily6. Formed Ballot Measure Committee NAME OF BALLOT • BALLOT NO. OR LETTER JURISDICTION F� 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 Farmed 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 E] OPPOSE ul l y Z> Ixr c Ir c... ut- Attach continuation sheets if necessary FPPC Form 60 (January/05 FPPC Toll-FreeHelpline: 866/ASI1 -FPPC (8661275-3772) State of California A**& t;ampaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 01/01/2014 from through 06/12/2014 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Damon M. Connolly 1299779 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 12 6.00 $ 126.00 0.00 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS......................... Add Lines I + 2 $ 126.00 $ 126.00 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 + 4 $ 126.00 $ 126.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line 4 $ 130.00 $ 130.00 Candidates 7. Loans Made ............................................................. Schedule H, Line 3 0.00 0.00 130.00 130.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 +7 $ $ (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 Cr Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 130.00 $ 130.00 $ $ Current Cash Statement 12. Beginning Cash Balance....................... Previous Summary Page, Line 16 $ 4.00 To calculate Column B, add 13. Cash Receipts................................................... Column A, Line 3 above 126-00 amounts in Column A to the 0.00 corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 from Column B of your last reported in Column B. 15. Cash Payments.................................................. Column A, Line 8 above 130.00 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 0-00 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 $ 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 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 Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 01/01/2014 4bo;� from FORM SEE INSTRUCTIONS ON REVERSE through 06/12/2014 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I DEC. 31) (IF REQUIRED) OF BUSINESS) IND RCOM R OTH [:] PTY RSCC R IND [:] Com ROTH E] PTY RSCC RIND EICOM [:] OTH R PTY RSCC RIND RCOM E] OTH E] PTY El SCC E:] IND DCOM ROTH Ej PTY SCC . . . . . . .... .... SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. 0.00 (include all Schedule A subtotals.) .......................................... ............................................................. $ 2. Amount received this period — uniternized 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 $ 126.00 EM *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772) Schedule E Payments Made NAME OF FILER Damon M. Connolly Type or print in ink. Amounts may be rounded to whole dollars. jq��11 11 1111 � 1 IN I MOTO =-I MEW Statement covers period from 01/01/2014 through 06/12/2014 . III -• I.D.NUMBER 1299779 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 DESCRIPTION OF PAYMENT AMOUNT PAID Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 0.00 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 130-00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ..................... ....... TOTAL $ 130.00 FPPC Form 460 (January/05) FPPC ToH-Free Helpline: 866/ASK-FPPC (866/275-3772)