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HomeMy WebLinkAboutForm 460 - Andrew McCullough for City Council 2015 (2017-06-30)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from _____ 1_1_1/_1_7 __ _ 6/30/17 ~rough ________________ __ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. III Officeholder. Candidate Controlled Committee o Primarily Formed Ballot Measure Committee o State Candidate Election Committee o Recall (Also Complete PIIIt S) o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee 3. Committee Information o Controlled o Sponsored (Aiso Complete Plitt 6) o Primarily Formed Candidate/ Officeholder Committee (Aiso Complete Plitt 7) IF NO COMMITIEE) McCullough for City Council 2015 STREET AODRESS (NO P.O. BOX) CITY San Rafael STATE ZIP CODE CA 94901 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE OPTIONAL: FAX J E-MAILAODRESS 4. Verification AREA CODEIPHONE AREA CODE/PHONE JUl 3 1 2017 Date of election if applic:cjt,le: (Month, Day, Year) 2. Type of Statement: o Preelection Statement Ql Semi-annual Statement o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) Treasurer(s) NAME OF TREASURER Andrew McCullough MAILING ADDRESS CITY San Rafael NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS o Quarterly Statement o Special Odd-Year Report STATE ZIP CODE CA 94901 STATE ZIP CODE AREA CODE/PHONE AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the best a my knowledge the information contained herein and in the attached schedules is true and complete. certify under penalty of perjury under the laws of the State of California that the foregoing is;l( and correct. ,/"'---J Executed on ______ 7_1""2".8,..../1_7 ____ _ Dale Executed on 7/28/17 Dale Executed on Dale Execuled on Dale V~ (/ By _______ ~~ __ ~~~~~~~~~~~~~~~~------Signalure of Conlrolhng OfficehOlder. Candidate . Slale Measure Proponent By------~S~lg=n~al~ure~o~t~Co=n~lro~lh~ng~OWfft~ICe~hO~ld~.~~~Ca=n~did~a~te'.S~ta~~~M~c~Ds~ur~en.Pro~p=o~ne~nl~----- FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Andrew McCullough OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) San Rafael City Councilmember RESIDENTIAUBUSINESS ADDRESS (NO . AND STREET) CITY STATE ZIP San Rafael CA 94901 Related Committees Not Included in this Statement: Listanycommittees 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. COMMITIEE NAME 1.0 . NUMBER NAME OF TREASURER CONTROLLED COMMITIEE? D YES o NO COMMITIEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITIEE NAME 1.0 . NUMBER NAME OF TREASURER CONTROLLED COMMITIEE? DYES ONO COMMITIEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE -PART 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETIER JURISDICTION o SUPPORT o 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 o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca,gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page S'EE INSTRUCTIONS ON REVERSE NAME OF FILER Andrew McCullough Contributions Received 1. Monetary Contributions ................................................... Schedule A, Line 3 2. Loans Received ................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 ... 2 4. Nonmonetary Contributions............................................ Schedule C, Line 3 $ $ 5 . TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3'" 4 $ Expenditures Made 6. Payments Made................................................................ Schedule E, Lme 4 $ 7. Loans Made................................................. ...................... Schedule H, Line 3 8. SUBTOTAL CASH PAyMENTS .......................................... Add Lines 6'" 7 $ 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F. Line 3 10. Nonmonetary Adjustment... ...................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MAD E. ....................................... 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. M iscellaneous Increases to Cash .................................. Schedule I, Line 4 15. Cash Payments ......................................................... Column A, Line B above 16. ENDING CASH BAlANCE .................. Add Lines 12'" 13'" 14, then subtract Lme 15 $ If this is a tennination statement, Une 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. Outstand i ng Debts .............................. Add Lme 2 ... Lme 9 m Column B above $ Amounts may be rounded to whole dollars. ColumnA TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) o a a o o o o a o o o 2952 a o o 2952 a o a SUMMARY PAGE Statement covers period CALIFORNIA 460 FORM from ____ 1_1_1/_1_7 __ _ 3 3 6/30/17 through ________ _ Page ___ of __ _ $ $ $ $ $ s Column B CALENDAR YEAR TOTAL TO DATE To calculate Column B. add amounts in Column o o o o o o a o o o o A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures Ihat should be subtracted from previous period amounts. If th is is the first report being filed for this calendar year, only carry over the amounts from Unes 2, 7, and 9 (if any). 1.0. NUMBER 1339798 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 711 to Date 20. Contributions Received $ ____ _ $----- 21. Expenditures Made $ ____ _ $----- Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made· (Ir Subject to Voluntary Expendltu", Umi!) Date of Election (mm/ddlyy) Total to Date $----- $----- -Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3172) www.fppc.ca.gov