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Home My WebLink AboutForm 460 - Andrew McCullough for City Council 2015 (2017-12-31)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 7/1/17 through 12/31/17 1. Type of Recipient Committee: All Committees -Complete Parts 1,2,3 , and 4 . ~ Officeholder, Candidate Controlled Committee D Primarily Formed Ballot Measure Committee o State Candidate Election Committee o Recall (Also Complete Part 5) D General Purpose Committee o Sponsored o Small Contributor Committee o Political Party!C entral Committee 3. Committee Information COMMITTEE NA ME (OR McCullough for City Council 2015 STREET ADDRESS (NO P.O. BOX) CITY San Rafael o Controlled o Sponsored (Also Complete Part 6) D Primarily Formed Candidate! Officeholder Committee (Atso Complete Part 7) 1.0 . NUMBER 1339798 STATE ZIP CODE CA 94901 AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX C ITY 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 certify under penalty of perjury under the laws of the State of California that the f oregoina is Date of election if appll<JIbl e (Month, Day, Year) 2. Type of Statement: D Preelection Statement Iii1 Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Andrew McCullough MAILING ADDRESS CliY San Rafael NAME OF ASSISTANT TREASURER. IF ANY MAI LIN G ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS D Quarterly Statement D Special Odd-Year Report STATE ZIP CODE CA 94901 STATE ZIP CODE AREA CdDEIPHONE A RE A CODEIPHONE my knowledge the information contained herein and in the attached schedules is true and complete . and correc t. Exe cuted on 1/22/18 Date By t e::::> -c~q . _'_'h. _____ u Executed on 1/22/18 Date Executed on Oet~ Exe cuted on Date By( _7 ~1.1 ~' ~rr __ .... _~'-", ... ~ ... ~_ •. _;.~ _______ ... _______ • __ ..... ____ " .... _ .... _____ Ir> ____ . __ By S ignature of Contro lling Officeholder, Candid ate , State Measure Proponent By Sig nature of Controll ing Offi ceholder, Candidate , State Measure Proponent 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 RESIDENTI AUBUSI NESS 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. COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PH ON E COMMITTEE NAME I.D . NUMBER NAME OF TREASURER CONTROLLED CO MM ITTEE ? DYES o NO COMMITTEE ADDRE SS STREET ADDRESS (NO P.O. BOX) CITY STAT E Z IP CODE AREA CODE/PHONE COVER PAGE -PART 2 SgUiYJ.ldiZL&» • C 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO . OR LETTER 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 SEE 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, Line 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 MADE ........................................ 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 I, 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. 17. LOAN GUARANTEES RECEiVED ................................ ScheduleB, 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 $ $ $ $ $ Amounts may be rounded to whole dollars. ColumnA TOTAL THIS PERIOD (FROM ATIACHED SCHEDULES) o o o o o 50 o o o o 50 2952.84 o o 50 2902.84 o 2902.84 o SUMMARY PAGE Statement covers period CAUFORNIA 460 FORM from 7/1/17 through 12/31/17 3 4 Page of __ _ $ $ $ $ $ $ Column B CALENDAR YEAR TOTAL TO DATE To calculate Column B. add amounts in Column o o o o o o o 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 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). 1.0. NUMBER 1339798 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $----$---- 21. Expenditures Made $ ____ _ $----- Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) ---.1---.1 __ ---.1---.1 __ 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 (866/275-3772) www.fppc.ca .gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAM E O F FILER Andrew McCullough Amounts may be rounded to whole dollars. Statement covers period from 7/1/17 through 12/31/17 SCHEDULE E CALIFORNIA 460 FORM Page _4 __ of 4 to. NUMBER 1339798 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ba"ot fees fund raising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF cOMMlnEE. ALSO ENTER 1.0 . NUMBER) Secretary of State MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE OR FIL * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID 50 SUBTOTAL $ 50 50 .... $----- 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule 8, 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 $ 50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov