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HomeMy WebLinkAboutForm 460 - Damon Connolly for City Council 2011 (2011-10-22)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 09/25/11 through 10/22/11 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee r-1 Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Pail 7) 3. Committee Information I.D.NUMBER 1 1299779 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Damon Connolly for City Council 2011 STREET ADDRESS (NO P.O. BOX) 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 CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date of election If applicable: (Month, Day, Year) COVER PAGE Page — I of I For Official Use Only 11/08/11 2. Type of Statement: Mv Preelection Statement 0 Quarterly Statement ❑ Semi-annual Statement 0 Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ 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 I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledg a o By informatioV.,pntained herein and in the attached schedules is true and complete. I certify under penalty of perjury unde; the la f the State of California that the foregoing is true and correct j Executed on w7o tvreot­rreasure taut urar Executed on By MA Executed Signature of Controlling Cfficeholder, Candidate, State Measure Prop y t or Respormixe Officer of Sponsor Executed on By Data Signature of 0arrtmlfing Officeholder, Candidate, State Measure Prcpanent Executed on CateBy Signature of Contr{Wing 0ifficehoider, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 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 ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 CODEIPHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page — of I BALLOT NO. OR LETTERI JURISDICTION I ❑ 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 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 480 (January/05) FPPC Toll -Free Helpline: 888/ASK-FPPC (8881275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Statement covers period- CALIFONIA 460 Amounts may be rounded Summary Page to whole dollars. 09/25111 FOR fromM 10/22/11 ------- 7�' Page ' SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER I.D.NLIMBER Damon M. Connolly 1299779 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD SCHEDULES) CALENDAR YEAR TOTALTODATE Running In Both the State Primary and (FROMATTACHED General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 9709.00. $ 70547.00 0.00 0.00 1/1 through 6/30 711 to Date 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 $ 9709. 00 $ 70547.00 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 2246.00 6296.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 11955.00. $ 76843.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line 4 $ --- 5202.00 $ 23984.00 Candidates 7. Loans Made .... ........................................................ Schedule H, Line 3 0.00 0.00 5202.00 23984.00 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 C, Line 3 2246.00 6296.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ 7448.00 $ 30280.00 $ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 42092.00 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 9709.00 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 1, Line 4 from Column B of your last reported in Column B. 15. Cash Payments .................................................. Column A, Line 8 above 5202.00 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 46599.00 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, ands (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ...... _ ................. ........ See instructions on reverse $ 0.00 any), 19. Outstanding Debts ................... AddLine 2 + Line 9in Columr B above $ 0�00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A Type or print in ink. SCHEDULE A Moneta Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA� from 09/25/11 . (5' through 10/22111 Page SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAMESTREET 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-EMPLovED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) James P. McHugh ❑IND ❑COM50.00 Attorney/ 09/25/11 ❑ OTH Legal Aid of the 225.00 ❑ PTY Bluegrass ❑ SCC North Ba Labor Council, AFL-CIO, ID #744444 ❑IND (� coM 09/30(11 M OTH 500.00 800.00 n a Rosa, J ❑ PTY ❑ ScC Building Trades Council, PAC ID #900667 ❑IND COM 10/04/11 F-]OTH 250.00 550.00 e > ❑ PTY ❑ SCC Edward O'Neill ZINDAttorney/ 10/04/11 I' MOTH Davis Wright Tremaine, 150.00 30Q00 01 ❑ PTY LLC ❑ SCC Democratic Central Committee of Marin, ❑IND 10/04/11 1 Ecom ❑ OTH 100.00 100.00 San Ratael, CA 949 M PTY I ❑ SCG f SUBTOTAL $ 1050.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. $ 9550.00 (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 $ 159.00 W= ............................. *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contr butor Committee FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 666/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 09/25/11 460 from FOR M Page - through 10/22/11 of� NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR S ANDI.D. DOCODE CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, NUMBER) * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Steven Schoonover BIND Attorney/ 10/05/11 [3Com Self-employed 75.00 175.00 San Rafael, CA 94901 E] OTH ❑ PTY ❑ SCC Timothy R. Curry BIND Attorney/ 10/06/11 []Com Jones Day 250.00 750.00 an Francisco, CA 94121 ❑OTH ❑ PTY ❑ SCC Rhea Valtierra ❑r IND Retired 10/06/11 ❑CoM 200.00 200.00 San Rafael, CA 1 ❑OTH ❑ PTY ❑ SCC California Real Estate PAC, ID #890106 ❑IND 10/06/11M" Com 1000.00 1000.00 Los Angeles, CA 0 ❑OTH ❑ PTY ❑ SCC SEIU Local 1021 Candidate PAC, ID #1296948 ❑IND 10/07/11fif E CoM 1500.00 1500.00 Sacramento, ❑ OTH ❑ PTY ❑SCC 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 3025.00 1 1 FPPC Form 460 (JanuarylO5) FPPC Toil -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA to whole dollars. 09/25/11FORM � • ' from Page (�' through 10/22/11 _of NAME OF FILER I.D. NUMBER Darvon 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 (E COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Maureen Machanich (]IND CPA/ 10/13/11 7coM 70TH Resources Global 250.00 250.00 I alley, CA 94941 7 PTY 7SCc Robert Towler QIND Retired 10/13/11 ICOM 100.00 500.00 S94903 70TH 7 PTY 7 SCC Michelle Barni FIND Paralegal/ 10/13/11 El COM Reed Smith 50.00 50.00 an Quentin, CA 94964 70TH ❑ PTY 7 SCC Bob Jackson BIND Program Director/ 10/13/11 "' 7CoM Canal Alliance 50.00 50.00 San Francisco, CA 94118 70TH 7 PTY 7 SCC Sushma D. Ta for ZIND ( CEO/ 10/15/11 I 70TH Center Point, Inc. 500.00 500.00 an Rafael, CA 94901 70TH ❑ PTY 7 SCC SUBTOTAL $ 950.00 '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 A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period 0CALIFORNIA to whole dollars. 09/25/11 460 from FORM _� 10/22/11 through page of t 61 NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE, S AND ZIP DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED EFcoMMIT .o.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Christopher D. Sullivan FIND Attorney/ 10/15/11 EICOM Trepel Greenfield 150.00 650.00 CA 01 � PTY Sullivan & Draa LLP ❑ SCC Preston McCoy RIND Retired 10/15/11 ❑coM 20.00 70.00 San Rafael, CA 94901 ❑OTH ❑ PTY ❑ SCC Kevin James RIND Teacher/ 10/15/11 MCO Albany USD 35.00 35.00 E]OTBe [J PTY ❑ SCC Alan C. Mendelson BIND Attorney/ 10/15/11 EICOM Latham & Watkins LLP 50.00 50.00 Atherton, 7 ❑ OTHE] PTY ❑ SCC Marjorie Goodman CjIND Legislative Liaison/ 10/15/11 4 ❑COM Hanson Bridgett LLP 100.00 100.00 Nova o, ❑OTH ❑ PTY []SCC 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC' OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 355.00 FPPG Form 464 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPG (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 09/25111 CALIFORNIA from FORM 6�yy Page through 10/22/11 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, nLsoENTERi.D.NUMBER) CODE QF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Matthew White BIND Attorney/ 10/15/11 QCOM ❑ OTH Monty White LLP 50.00 200.00 San Rafael, CA 9 01 ❑ PTY ❑ SCC J. Dietrich Stroeh (BIND Civil Engineer/ 10115/11 ❑CoM CSW/Stuber-Stroeh 100.00 200.00 o E] OTH Engineering Group ❑ PTY ❑ SCC Robert R. Reyff Q IND Attorney/ 10/15/11 ❑COM CA Dept. of Justice 250.00 400.00 San a ae , ❑ OTH ❑ PTY ❑ SCC Andrew Perry BIND Sales/ 10/17/11 F-1 COM Gridiron Systems, Inc. 100.00 100.00 San Ra ae CM101 F-1 OTH , ❑ PTY ❑ SCC Karen Nygren ZIND Retired j 10/17/11 �, F� Com 20.00 80.00 ron, ❑ OTH ❑ PTY ❑ SCC *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 520.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. 09/25/11 - from e Page 10/22/11 through ____!_ of �— NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAMESTREET 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 LD. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Loren A. Kertz CJ IND Financial Consultant/ 10/17/11 F�Com Charles Schwab 100.00 100.00 n a a 03 ❑ OTH ❑ PTY ❑ SCC Victoria Sievers BIND Retired 10/18/11 CO 50.00 135.00 01 D F-1 PTY 0 Scc Brendan J. Fogarty [BIND Attorney/ 10/18/11 ' EI LHB Pacific Law Partners 50.00 175.00 Gr 04 OTH ❑ PTY ❑ SCC Susan Shapiro FjIND Retired 10/18/11 } El 20.00 45.00 anRafael, 4903 O PTY ❑ SCC Shirley Fischer BIND Retired 10/18/11 �cOM 25.00 50.1000 an"„ Rafael, CA 94903 ❑ OTH ❑PTY ❑ SCC `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) P TY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 245.00 I FPPC Form 460 (January105) FPPC Toil -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA to whole dollars. 09125111 FORM ' from Page of� through 10/22/11 NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR STREETS AND ZIPD. CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED COMMITTEE, NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Joel Freid ZIND Attorney/ 10118/11 EICOM ❑ OTH East Bay MUD 30.00 40.00 ❑ PTY ❑ SCC Karen Ellingboe FIND CFO/ 10/18/11 [:]Com West, Inc. 100.00 100.00 arespur, ., 939 [_]0TH ❑ PTY ❑ SCC James Budish 7IND Insurance Broker/ 10118/11 Doom Budish Insurance 50.00 150.00 I valley, ❑ PTY Services DSCC Leonard A. Rifkind RIND Attorney/ 10/19/11 FICO Rifkind Law Group 100.00 150.00 ptar, 939 F-10Cj PTY ❑ SCc James P.�OH4 ZIND Attorney/ 10/19/11 [3Com Legal Aid of the 50.00 225.00 Cincinnat 7 PTY Bluegrass ❑ ScC *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 330.00 FPPC Form 464 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period �. to whole dollars. 09/25/11 - fell from s CI 10/22/11 through Page t of NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 Dye A ZIP CODE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR STREET CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED iIF COMMITTEE, ALSO ENTER GODS * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Mery W. Hubert BIND Retired 10/19/11 ❑Com E] OTH 50.00 50.00 San Rafael, CA M01 ❑ PTY ❑ SCC John H. McCoy BIND Retired 10/19/11 IN ❑ com 50.00 100.00 Ton" Rafael, L ❑OTH ❑ PTY ❑ SCC Avard Walker ZIND Retired 10/19/11 1 summsomffiffillillaw❑COM 35.00 35.00 ana ae ,A 9490 ❑OTH ❑ PTY ❑ SCC Bricklayers & Allied Craftworkers Local 3, ❑IND 10/19/11 7 CO 100.00 100.00 "LeanMdro,CA 94577 ❑ PTY ❑ ScC Sheetmetal Workers' Intl. Assoc. Local 104 ❑IND 10/20/11 ECOM 500.00 500.00 ❑ OTH a uma, 94952 CA El PTY ❑ scc *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 735.00 , FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (666/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 09/25/11 CALIFORNIA 460 from FORM Page i_a_ 10/22/11 through Of I III 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 0F COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF -EMPLOYEE), ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) Allison A. Davis BIND Attorney/ 10/20/11FJCom Davis Wright Tremaine 100.00 100.00 an Francisco, A 4 110 E]OTH PTY E] LLP EISCC Kent Lindsa FIND Attorney/ 10/20/11 ❑Com Jones Day 100.00 100.00 Mill Valley, �CA94 1 ❑OTH❑ PTY ❑ SCC Richard A. Fraites ZIND Admiinistrative Assistant/ 10/20/11 m""70 1111, i'moonft- E]COM Marin Bd. of Supervisors 50.00 50.00 Novato, 7MA M49 DOTH � PTY El SCC Laurie K. Holljes BIND VP, Research & 10/20111 OCOM Publishing/Newgent, Inc. 20.00 20.00 San a ae, 7 OTH 7 PTY ❑ SCC James B. McKinley Z IND Retired 10/20/11F-1COM MOW 50.00 100.00 10"Offalfal-Melp,CA 94903 ❑ OTE ❑PTY ❑ SCC *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity: PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 320.00 FPPC Form 460 (January(05) FPIPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. 09/25/11 FORM 46001 from � Page of�. through 10/22/11 NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAMESTREET 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 COMMMEE, ALSO ENTER LD, NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Mark J. Rice FIND Attorney/ 10/20/11 ❑COM ❑OTH Self-employed 100.00 100.00 San Anselmo, 0 ❑ PTY ❑ SCC Tony Hidalgo CI IND Bartender/ 10/21/11EIcOM Banchero's 20.00 40.00 San Leandro, C 78 MOTH ❑PTY ❑ SCC Ross Dreyer MIND Attorney/ 10/21/11❑COM qt'a1r1VspPuqr,NC1Mh4939 Google 50.00 150.00 ❑OTH ❑ PTY ❑ SCC Gary Anspach ZIND Tax Preparer/ 10/21/11 , ' ❑COM Anspach Financial 100.00 200.00 an a ae , 1 ❑OTH ❑ PTY Services ❑SCC Fan Tan Smith MIND Business Owner/ 10/21/11 � CoM Fan Tan & Co., Inc. 100.00 j 150.00 an afael, CA 94% ❑oTH M PTY ❑ SCC 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contnbutor Committee SUBTOTAL$ 370.00 FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 866iASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period aCALIFORNIA to whole dollars. 09/25/11FORM / • from Page 10/22/11 through Of - NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE ND FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR DEO CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OFcoMMiTrEE,ALSO .o.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Deborah Breiner Grund BIND Attorney/ 10/21/11 F-1 COM ❑ OTH Self-employed 100.00 100.00 ' 4901 ❑ PTY ❑ SCC Mary Jane Burke (BIND Superintendent/ 10/21/11❑coM Marin County Office of 50.00 50.00 ova o, CA 94947 ❑DTH Education ❑ PTY ❑ SCC Graeme E. Sh are ❑ iND Attorney/ 10122!11 El COM Hyundai Motor America 50.00 100.00 Los Angeles, CA 90005 ❑OTH ❑ PTY ❑ SCC Charles M. Louderback RIND Attorney/ 10/22/11 ❑coM Ongaro Burtt & 250.00 500.00 San afael, CA 94901 ❑OTH Louderback LLP ❑ PTY ❑ SCC Tas Ravinan to richa ❑IND Business Owner/ 10/22/11O CO Savory Orient Restaurant 50.00 100.00 Ic mond, CA 94801 ❑ PTY ❑ SCC "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 500.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period —111111111 Aft A%= to whole dollars. 09125!11 CALIFORNIA , 40ul from <,% � 10/22/11 through 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 PF COMMITTEE, ALSO ENTER ,O. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Joseph D. Martino ZIND Retired 10/22/11 ❑COM ❑ OTH 100.00 200.00 ❑ PTY ❑ SCC Bertoli's Auto Body Shop ❑IND 10/22/11 El COM 50.00 50.00 San Ra ael, CA 94901 DOTH ❑ PTY ❑ SCC Marin Professional Firefighters PAC ID #930791 ❑IND 10/22/11 Fl COM 1000.00 2500.00 a o; CA 95814 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 1150.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline; 866/ASK-FPPC (866/275-3772) Schedule C Type or print in ink. SCHEDULE C Nonmoneta Contributions Received Hmotow may of ars.rounded ry to whole dollars.CALIFORNIA Statement covers period from 09/25/11 FORM i ' through 10/22/11 SEE INSTRUCTIONS ON REVERSE Page _' _ of NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO ` DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR QF COMMITTEE, ALSO ENTER LD, NUMBER} CODE * IIF SELF-EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 -DEC 31 ) (IF REQUIRED} San Rafael Firefighters PAC,ID #891308 � oM Campaign Mailer 10/22/11 999 Fifth Avenue 2246.00 3,746.00 San Rafael, CA 94901 MOTH ❑ PTY ❑ SCC []IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 2246.00 i Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)................................................................................................ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ............... 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .............. *Contributor Codes 2246.00 IND—Individual $ COM — Recipient Committee (other than PTY or SCC) 0.00 OTH — Other (e.g., business entity) $ PTY — Political Party TOTAL $ 2246.00 SCC — Small Contributor Committee FPPC Form 460 (January/OS) FPPC Tall -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Type or print in ink. Statement covers period Payments Made Amounts may be rounded �/ to whole dollars. from 09/25/11 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Damon M. Connolly through 10/22!11 Page _..L_ of —L--4- I.D. NUMBER 1299779 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW 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 ND 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) Ideal Stationers Sa afael, CA 94903 CODE OR HE DESCRIPTION OF PAYMENT AMOUNT PAID Fed Ex Office Photocopies me 111111, LIT 174.00 an afael, CA 94903 United State Postal Service POS 616.00 San afael, CA 94901 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 849.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 5202.00 2. Unitemized payments made this period of under $100 .................... .............,...,... $ 0.00 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 $ 5202.00 FPPC Form 460 (January/05) FPPC Tall -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON NAME OF FILER Damon M. Connolly Type or print In ink. Amounts may be rounded to whole dollars. SCHEDULE E(CONT) Statement covers period CALIFORNIA from 09/25/11 FORM 10/22/11 1 3 through Page of 1 I.D. NUMBER 1299779 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 IVTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL tv. 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 PAYEECODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER LEL NUMBER) I I Mikko Desi n 0 Alameda, CA 94501 ra mr-mo •,.1 Pacific Print Resources ingoomim Emeryville, CA 94608 Pacific Print Resources qWWjWj%NW Emeryville, CA 94608 The Next Generation 10-magwanannowo Oakland, CA 94612 LIT LIT LIT CNS 643.00 179.00 347.00 375.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3544.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/25/11 SCHEDULE E (CONT) through 10/22/11 SEE INSTRUCTIONS ON REVERSE g Page' of 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/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 PAYEEI CODE OR DESCRIPTION OF PAYMENT ( AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) The Next Generation Oakland, CA 94612 Pacific Sun an Rafael, CA 94901 OFC uffl ffim 75.00 15.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $09.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)