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Home My WebLink AboutForm 460 - Damon Connolly for City Council 2011 (2011-09-24)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE from Type or print In Ink. Statement covers period 07101/11 through 09/24/11 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Q Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) O Sponsored ❑ General Purpose Committee (Also Complete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 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 I E-MAIL ADDRESS Date Stamp COVER PAGE FRe V i_ Date of election if applicable: (Month, Day, Year) ur 3 11/08/11 2. Type of Statement: n-, Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) I Page ...Lof� I For Official Use Only AY ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurers) NAME OF TREASURER Gary Anspach MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE San Rafael CA 94901 ( NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE 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 knows dge the inform contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under t e laws of the State of California that the foregoing is true and ccrrect. Executed on 91a,111 By jDate aofTreas Treasurer Executed on / / /f Date By At— ,.a.ar....:...ni.,,.nra.....�...,�a... Executed on By DateSignature of ContnAN officomkier, Canddate, State Measure proponent Executed an By Data of contrdl€ng Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 66WASK-FPPC (66WZ754772) State of California Recipient Committee Type or print In ink. I COVER PAGE - PART 2 Campaign Statement CA�' i 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 Page �) of 11- 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER( JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 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 Tali -Free Helpline: 8661ASK-FPPC (88812753772) State of Cailfomia Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/11 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE To calculate Column B, add through 09/24/11 page of NAME OF FILER report. Some amounts in reported in Column B. Column A may be negative figures that should be Damon M. Connolly period amounts. If this is the first report being filed I.D. NUMBER for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if 1299779 Contributions Received ColumnA Column B Calendar Year Summary for Candidates FPPC Toll -Free Helpline: 8661ASK-FPPC (666/275-3772) TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) CALENDAR YEAR TOTALTODATE Running in Both the State Primary and 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 11143.00 $ 60838.00 General Elections 2. Loans Received...................................................... Schedule a, Line 3 0.00 0.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 11143.00 $ 60838.00 20. Contributions 4. Nonmonetary Contributions .................................... schedule G Line 3 1700.00 4050.00 Received $ $ 21, Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •.......................... Add tines 3 + 4 $ 12843.00 $ 64888.00 Made $ $ 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 6 + 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 /, 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. 12761.00 $ 0.00 12761.00 $ 0.00 1700.00 14461.00 $ 43710.00 11143.00 0.00 12761.00 42092.00 17. LOAN GUARANTEES RECEIVED ........................... Schedule 6, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ........................ Add Line 2 + Line 9 in Column B above $ 0.00 18782.00 0.00 18782.00 0.00 4050.00 22832.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* IN Subject to voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last *Amounts in this section may be different from amounts report. Some amounts in reported in Column B. 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). FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (666/275-3772) -SChedLile A Type or print in Ink. SCHEDtJt F A monetary toontnputions Keceived ""'" .. may "" `""„"a" to whole dollars. Statement covers period ! i 07!01111 CALIFORNIA . 460 from SEE INSTRUCTIONS ON REVERSE 09/24/11 through l ' Page_ of NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATEFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (.IAN. 1 -OEC. 31) (IF REQUIRED) Peter Martin [I IND Retired 07/05/11 ❑COM ❑ OTH 100.00 200.00 San Rafael, CA 94903 ❑ PTY ❑ scc Betsy Butler for Assembly 2012 ❑IND 07/07/11 pi COM ❑ OTH 500.00 500.00 Los ngeles, CA 900 El PTY FPPC #1334532 ❑ scc 07/08/11 Neil Moran pIND ❑COM Attorney/ San Rafael, CA 9 E] OTH Freitas McCarthy 350.00 550.00 ❑ PTY MacMahon & Keating ❑SCC LLP 07!28/11mm' Shelly Scott nIND Deputy Assessor! Novato, CA 94945 nOTH County of Marin 75.00 75.00 ❑ PTY ❑ SCC Chris Fadeff FIND Development Officer/ 08/10/11 A San Rafael, ❑COM DOTH Sonoma State University35.00 35.00 ❑ SGC SUBTOTAL$ 1060.00 5chedule A Summary 1. Amount received this period — itemized monetary contributions. (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 $ i 11 t tt 11143.00 *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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (886/275-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.) IYioneiQr y V0fiLnOut10f1S meceivea Amounts may be rounded -111111111 Statement covers period - to whole dollars. CALIFORNIA from 07/01/11 FORM • page I;; of C through 09/24/11 NAME OF RILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF•EMPLOYED,ENTER NAME PERIOD {JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Derek Parker pIND Architect/ 08/20/11 ❑COM ❑OTH Self-employed 250.00 250.00 1 uron, UA ❑ PTY ❑ SCC Kathleen Harding RIND Retired 08/22/11 MUNMEM011 PCOM 250.00 500.00 Born a, Ej OTH ❑ PTY ❑ SCC Comcast ❑IND 08/29/11 11111 11111 1 FICO 250.00 250.00 PM ac e p ia, 19 3 E PTY ❑ SCC Sandra Sellinger n, INDnco Urban Forester/ 08130111 Marin ReLeaf 25.00 25.00 San tafael, CA 9 1 ❑OTH PTY ❑ SCC Edward Vor QIND Business Owner/ 09/01/11 [-]CO DustBusterz 100.00 550.00 San Rafael, CA 94901 [] PTY p SCC SUBTOTAL$ 875.00 "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 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.) monezar %ountribuzions Kecelivea Amounts may Dorounded Statement covers period to whole dollars. CALIFORNIA 4 07/01/11 from FORM • gg G�p through 09/24/11 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 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITtEE,ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Brendan Connolly OIND English Teacher/ 09/05/11 El COM ❑ OTH Self-employed 550.00 800.00 MEOW ❑ PTY ❑ SCC Juliette Anthony CIIND Retired 09/05/11 i ❑COM 159.00 334.00 San a ae , C 0 ❑ OTH ❑ PTY []SCC n IND Attorney/ / AttAckeret-Sheron 09/08/11 4I FICO 100.00 100.00 ovatoPCA 94945 ❑ PTY ❑ SCC Chris Dolan E]IND Attorney/ 09/08/11 EIoTH Self-employed 500.00 1000.00 San afae , ❑ PTY ❑ SCC Daniel Burke n, IND Claims Administration/ 09/08/11 nCO Gilardi & Co. 250.00 250.00 San Rafael, CA 01 ❑ PTY ❑ SCC SUBTOTAL$ 1559.00 *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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) IUIi,.,aa�rs t'r.r.l,rith• •i:....., e___:.._ r Type or print in ink. SCHEDULE A (CONT.) •-•-+•••-.--•,� —-•••••..... �Iv 11-0 1'%gW%'W1YCY liouu menlay ua rounaea Statement I II I covers period to whole dollars. CALIFORNIA from 07/01/11 FORM '^^� Page _ L_ of It g through 09124/11 NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER LD.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Macphail Proerties Inc. F1 IND 0S i � San a ae , 1 o�H 100.00 100.00 PTY ❑ SCC Robert Towler ""' OIND Retired 09/09/11 ElCOM 100.00 400.00 San Rafael, CA 9 [3 OTH ❑ PTY []SCC Brendan Fogarty []IND Attorney/ 09/11/11 ', r-1 Com LHB Pacific Law Partners 100.00 225.00 Gr, 04 ❑OTH LLP ❑ PTY ❑ SCC Steve Patterson CjIND Real Estate Investor/ 09/14/11 [3Com Self-employed 100.00 250.00 San Rafael, GIM1 ❑OTH ❑ PTY ❑ SCC Angelo Douvos BIND Retired Teacher 09/15/11NNW ❑ COM an afael, CA 94901 ❑ OTH 100.00 100.00 ❑ PTY F1 SCC SUBTOTAL$ 500.00 "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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in Ink. RA SCHEDULE A (CONT.1 —&-- r" --&—:1_. .i:_ r._ _ _. mw..caW-a. jF wwnulu/uu%J110 rtCVCIVt2U mmounu>;may oerounaeo Statement covers period to whole dollars. CALIFORNIA � • � 46 from 07/01/11 through 09/24/11 Page ofI 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 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) Marin Professional Firefighters PAC ID#930791 F-1 IND 09/16/11 P-1 Com [3 OTH 1000.00 1500.00 Sacramento, CAalow ❑ PTY [3 SCC Janet Held MIND Managing Partner/ 09/16/11 in[3Com Archie Held Studios 50.00 150.00 Nova MDA9aii [3O OTH ❑ SCC Douglas Rattra E]IND Retired 09/16/11 pcOM 100.00 200.00 Sausa Ito, CA 94965aa& 0 PTH ❑ SCC Kenneth W. Philo piND Retired 09/17/11 ❑ Com 100.00 100.00 San a ael, C 4901 ❑OTH O PTY p SCC Ed Meagor pIND Retired 09/17/11 ❑Com 100.00 100.00 Sa , []OTH ❑ PTY ❑ SCC SUBTOTAL$ 1350.00 *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 FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) .*•v..�.a«•Y .+.+..a...+a.uv��a r�c�.crvCu m"ounufmay oerounaeo Statement covers period II ' to whole dollars. a j from 07/01 /11• FORM • through 09/24/11 Pae Ll of 9 NAME OF FI LER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE {IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Stephen P. Johnson MIND Consultant/ 09/17/11 FICO F-1 OTH Conservation Strategy 150.00 200.00 San a ae , 1 � PTY Group [:]SCC Michael Biel MIND Architectural Coatings 09/17/11 PCOM Consultant/ 100.00 100.00 Sa , f-JpPTY Ultimate Coatings ❑SCC Mary Battaglia MIND Retired 09/17/11 ❑coM 100.00 100.00 3 [-]OTH ❑ PTY ❑ SCC Robert Dobrin MIND Marketing Consultant/ 09/19/11 ! ❑COM Self-employed 100.00 250.00 Sa a ae , 3 ❑ OTH ❑ PTY [:]SCC Dorothy L. Breiner MIND Retired 09/20111 ❑ COM San a ae , CA 94901 ❑ OTH 100.00 100.00 ❑ PTY ❑ SCC SUBTOTAL$ 550 00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCG — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 888/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print In ink. ae_.._t....., n_._t..:1..a____ r% _ SCHEDULE (CONT.) I:.vlawr.w..■y vvn�11Yu1,IV170 r%CVCivt:lU ^moums may us rounaeo Statement covers period to whole dollars. CALIFORNIA � from 07/01/11 O . • r M Page of � through 09/24/11 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 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I,D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) OF PERIOD 1 -DEC. 31) (IF REQUIRED) David Jacobson MIND Marketing/ 09/21/11 FICO Sybase 100.00 100.00 San Rafael, CA 94901 ❑ PTY r-1 SCC Jack Robertson MIND Real Estate Developer/ 09/22/11 , ❑COM Lennar Urban 200.00 200.00 San Rafael, CA 94901 M PTH ❑ SCC Gary Phillips MIND CPA/ 09/22/11 r-1 COM DZH Phillips LLP 100.00 100.00 San Rafael, CA 94901 [:] OTH ❑ PTY ❑ SCC Roger E. Roberts MIND Retired 09/22/11 MOTH COM 100.00 250.00 San Rafael, CA 94901 ❑ PTY ❑ SCC Tiffani R. Clarke []IND CEO/ 09/22/11 ❑COM Meritas Wealth 50.00 50.00 San Rafael, CA , 4 01 E] PTH Management ❑ SCC SUBTOTAL$ 550 00 *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 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.) ITIVIICLaly s✓vlILI1UULlU"5 ReGelveo ^mounusMay oerounded Statement covers period to whole dollars. from 07/01/11 • Page of through 09/24/11 NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Robert Gibson Q IND Project Manager/ 09/22/11 —C—AA ❑COM ❑ OTH Stanford Properties 600.00 850.00 San afael, 901 ❑ PTY ❑ SCC Sally Garbarino IND Homemaker/ 09/22/11 NEWFI COM Self 99.00 349.00 San Rafael, CA 94901 � PTH TY ❑ SCC Joseph J. Garbarino (]IND Executive/ 09/22/11 CM O Marin Sanitary Service 300.00 300.00 San a Bel, CA 949 1 ❑OH n PTY ❑ sCC Woodford G. Rowland (, IND Attorney/ 09/22/11 1, logo EICOM Self-employed 100.00 200.00 San Rafael, CA 94901 OTH O PTY ❑ SCC Moni ue Anderson nIND Partner/ 09/22/11 pcOM Downtown San Rafael 100.00 100.00 San Rafael, CA 94901 E] PTY Farmers Market ❑ SCC SUBTOTAL$ 1199.00 *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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In Ink. SCHEDULE A (CONT.) Amounts may be rounded Statement covers period to whole dollars. 07/01/11 from *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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) through 09/24/11 Page 1�_ 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 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUIVIBER) CODE OCCUPATION AND EMPLOYER (F SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. I -DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) Christienne de Tournay Birkhahn FIND Design Professional/ 09/22/11 1 1 0 TOTH Mae �,Wl E]COM [] Self-employed 50.00 50.00 San El PTY EISCG Mary O'Mara F-11IND Executive Director/ 09/22/11 E]COM MarinLink 100.00 200.00 W R aTa"er, Z XT M 1 El OTH El PTY F-1SCC Ralph N. Cole RIND Retired 09/22/11 ncom 100.00 100.00 Sa a ae, Ej OTH -I f PTY FISCC Greg Brockbank [E] IND Attorney/ 09/22/11 Self-employed 100.00 100.00 000 PTY EISCG Fireman's Fund n IND 09/22/11 me EICOM 200.00 200.00 45 n OTH El PTY EISCC SUBTOTAL$ 550.00 *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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.) IYIOneLary l►ontrIDUtlonS Kecelvea Amounts may be rounded Statement covers period to whole dollars. • ' from 07/01/11 e • 11 through 09/24/11 Jam_ Page of NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPD. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE, ALSO ENTER NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Laborers Local 291 PAC, FPPC #911740 ❑IND 09/22/11 1111111 am O COM ❑OTH 250.00 500.00 an a ae , ❑ PTY ❑ SCC Judy Bell OIND Administrative Assistant/ 09/23111 Zuk Financial Group 10.00 20.00 S a ae , IM DCO ❑ PTY ❑ SCC Joann Wisnes (BIND Retired 09/24/11 EICOM 25.00 25.00 01 ❑ OTH ❑ PTY ❑ SCC Raymond Katz [EIND Dentist/ 09/24/11 I "' OCOM Self-employed 50.00 50.00 ' ❑ PTY ❑ SCC Edward Vorous ZIND Business Owner/ 09/24/11 F oCO DustBusterz 200.00 550.00 1 []PTY []SCC SUBTOTALS 535.00 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCG - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.) monetary ontrlputllons Keceivea Amounts may be rounded Statement covers period - to whole dollars. e ' 4 from 07/01!11 � � - • through 09/24/11 Page of NAME OF FILER I.D. NUMBER Damon M. Connolly 1299779 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZII.D. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE, ALSO ENTER NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) James P. McHugh BIND Attorney/ 09/24/11 McoM MOTH Legal Aid of the 50.00 125.00 I - M PTY Bluegrass M SCC Jenny Callaway FIND District Director/ 09/24/11 MCOM Assemblymember Jared 100.00 100.00 ' MOTH Huffman M PTY M SCC Nancy R. Boyce BIND President/ 09/24/11 MarinLink 200.00 300.00 01 F1 OTH M PTY M SCG David I. Brown FjIND Attorney/ 09/24/11 �ooTH County of Marin 50.00 50.00 903 M PTY M SCC San Rafael Firefighters PAC, ID #891308 MIND 09/24/11 E COM 1000.00 1500.00 901 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1400.00 *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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule C Type or print in ink. --------- --_--. -- _ SCHEDULEC Nonmoneta Contributions Received a Amounts dollars. ry to whole dollars.CALIFORNIA Statement covers period from 07/01/11 i FORM , through 09/24/11 IS— SEE INSTRUCTIONS ON REVERSE page of VAME 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 70 DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * ENTER (IF SELF-EOF LOYED,BUSINESS) OF NAME BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 -DEC 31) (IF REQUIRED) Patricia G. Garbarino FIND Businessperson/ Food & Bev/ 09/22/11Mil 11 M� Marin Sanitary Service Fundraising 1700.00 1950.00 an a Sae , 901TH Event r -IM SCC MIND M COM MOTH M PTY M SCC MIND MCOM MOTH M PTY []SCC MIND MCOM MOTH M PTY M SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 1700.00 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 .................................... $ 11 11 M1 3. Total nonmonetary contributions received this period. 1700.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCG) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline. 666/ASK-FPPC (6661275-3772) Sched ule E Payments Made SEE INSTRLICTIONS ON REVERSE NAME OF FILER Damon M. Connolly Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/11 through 09/24/11 Page 4- of I.D. NUMBER 1299779 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalia/misc. NER member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances t;FD returned contributions CTB contribution (explain nonmonetaryr 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 M 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 Echa Schneider wwmmmw Oakland, CA 94612 WEB 550.00 The Next Generation CNS 1500.00 r , The Next Generation WEB 60.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2110.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 0.00 0.00 12761.00 FPPC Form 464 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) • Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Mikko Design SCHEDULE E (CONT.) (Continuation Sheet) Type or print in Ink. Amounts may be rounded Statement covers period CALIFORNIA Payments Made 614.25 to whole dollars. 07/01/11 FORM • Alameda, ,A 94501 LIT from Andrew H aan Database Management San a ae , 09/24/11 400.00 SEE INSTRUCTIONS ON REVERSE through g Page of NAME OF FILER San Rafael, CA 94901 I.D. NUMBER Damon M. Connolly The Next Generation 1299779 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CHIP campaign paraphemalia/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 Mikko Design Alame a, LIT 614.25 Mikko Desi n Alameda, ,A 94501 LIT 614.25 Andrew H aan Database Management San a ae , 400.00 Clerk, City of San Rafael 1400 Fifth Avenue FL San Rafael, CA 94901 764.00 The Next Generation Oa land, FND 51.21 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2444.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 666/ASK-FPPC (8661275-3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Next Generation SCHEDULE E (CONT) (Continuation Sheet) Type or print In Ink. Amounts may be rounded Statement covers periodCALIFORNIA 460 Payments Made Sierra Club Marin Group to whole dollars. 07/01/11 FORM CVC 250.00 from SEE INSTRUCTIONS ON REVERSE Marin Women's PAC 09/24/11w throgh Page of I q NAME OF FILER CTB 100.00 Kentfield, CA 94914 I.D. NUMBER Damon M. Connolly Belaire Displays 1299779 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MR 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 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 PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Next Generation daKlan, L;A 74%1�' CNS 1500.00 Sierra Club Marin Group P.O. Box 3058 CVC 250.00 San Rafael, CA 94912 Marin Women's PAC P.O. Box 113 CTB 100.00 Kentfield, CA 94914 Belaire Displays ic mon ,CMP 1572.00 Print Resources iPacific eryville, CA 94608 LIT 2632.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 6054.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Sch6dule E SCHEDULE E (CONT,) (Continuation Sheet) Type or print in Ink. Amounts may be rounded Statement covers period 11iCALIFORNIA Payments Made to whole dollars. 07/01/11 FORM • from 09/24/11 SEE INSTF ZUCTIONS ON REVERSE throw h 9 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 paraphemalia/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 CVG 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 staffispouse 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 VVM information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Next Generation Oakland, CA 94612 CNS 2000.00 Click and Pled e Broomfield, CO 800 WEB 153.00 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2153,00 FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 666/ASK-FPPC (666/275-3772)