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HomeMy WebLinkAboutForm 460 - Andrew McCullough for City Council 2015 (2018-12-31)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from _____ 7_/_1 /_1_8 __ _ 12/31/18 through _________ _ 1. Type of Recipient Committee: All committees-Complete Parts 1, 2, 3, and 4. Date of election if applicable : (Monlh, Day, Year) 2. Type of Statement: JAN CITY CLERK'S O FICE ~ Officeholder, Candidate Controlled Commillee 0 State Candidate Election Committee D Primarily Formed Ballot Measure Committee D Preelection Statement li2! Semi-annual Statement D Termination Statement D Quarterly Statement 0 Recall 0 Controlled D Special Odd-Year Report (Also Campicto Pad SJ D General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information 0 Sponsored (AIS-O Complete Pa~ 6) D Primarily Formed Candidate/ Officeholder Commillee (Also Comi:lelc Pa~ 7) 1.0. NUMBER 1339798 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) McCullough for City Council 2015 STREET ADDRESS (NO P.O. BOX) CITY San Rafael STATE ZIP CODE CA 94901 MAILING ADDRESS (IF DIFFERENT) ND. ANO STREET OR P.O. BOX CITY STATE ZIP CODE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification AREA CODE/PHONE AREA CODE/PHONE (Also file a Form 410 Termination) D 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/ E-MAIL ADDRESS 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 91· • y 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 true and correct./ • --/-/./-lC-,,<_ Executed on 1128119 By ...,/,,,-',,.... __ __,,,,_~=--1/_{,,,_t __ ,,._·_Z,.,.../r......,.-=----=------,,---,---:------------ 11;;, 19 /-7'.J. /, f//j/Y /J-~ro ol Treasurer or As,istanl Treasurer Executed on-------=--------By ,..,,....,,,,-c,___,"''./ ___ V,,,,",...v_,,,,v_~,,,,-----~-,........,,.... \,.........,../_,,,·....,...-----,,----,.......--------- Oate '= S19nalure of Conuolling Officeholder, Candldalo, Stale Measure Proponent or Responsd.110 Officer of Sponsor Execuled on------=--------Dote E~ccuted on _____ ...,,, 0 ...,at_e ______ _ BY-------;:S,...,g,-na,.,..tu""re""o,.,..IC"'o,-n"°trrn"'li,-ng""'o"'1::-:1,c"'eh:-ca-;-,:ld,-cr-,,Co,,..-nd""id:-a,,-e.-,S"'1a""1e-,~.,..le-as-u-re-;,P:-ro_po_n_cn-:-1------ By ______ =--___ ..,...,,._-=--=,,.....,.....,_...,,....--..,,,..--,..,....--=--------- S1ynillu1u or Controlling Olficcholdcr, Camltdatc. Stalo Measure Proµoncnl 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: 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 1.0 . NUMB ER NAME OF TREASURER CONTROLLED COMMITTEE? DYES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME t.D . NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE 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 LETTER I JURISDICTION I D SUPPORT D OPPOSE I 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 offlceholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 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 S 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F. Line 3 10. Non monetary Adjustment... ...................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE. ....................................... Add Lines B + 9 + 10 S Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page. Line 16 S 13. Cash Receipts ........................................................... Column A. Line 3 above 14. Miscellaneous 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 Line 15 S lftllis is a termination statement, Line 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. Outstanding Debts ............................. AddLine2+Lme9mColumnBabove $ Amounts may be rounded to whole dollars. Column A TOT/IL THIS PERIOD (FROM ATTACHED SCHEDULES) 0 0 0 0 0 50 0 0 0 0 50 2902.84 0 0 50 2852.84 0 2852.84 0 SUMMARY PAGE Statement covers period 7/1/18 from _________ _ CALIFORNIA 460 FORM 3 4 12/31/18 through ________ _ Page ___ of __ _ $ $ Column B CALENDAR YE/\R TOTAL TO DATE 0 0 0 0 $ $ $ $ To calculate Column B. add amounts in Column A to the corresponding amounls from Column B 0 0 0 0 0 0 0 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 g (if any). I.D . NUMBER 1339798 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 7/1 to Dale 20. Contributions Received $ _____ _ $ _____ _ 21. Expenditures Made $ _____ _ $ _____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject lo Volunbry Expenditure LlmllJ Dale of Election (mm/dd/yy) ___J___J __ ___j___j __ Tola! lo Dale $ _____ _ $ _____ _ *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 Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from ____ 7_/1_/_1_8 __ _ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through __ 1_2_/3_1_/1_8 __ Page_4 __ of _4 __ NAME OF FILER Andrew McCullough CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. I.D. NUMBER 1339798 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 l v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging , and meals FND fundra ising 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 belween committees of the same candidate/sponsor LEG legal defense PRO professional services (legal , accounting) VOT voter reg istration LIT campaign literature and mailings PRT print ads WEB 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 Secretary of State FIL 50 • Payments that are contributions o r independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 50 Schedule E Summary 50 1. Itemized payments made this period . (Include all Schedule E subtotals.) ............................................................................................................. $ _____ _ 0 2. Un itemized 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).) ............................................................................. $ _____ _ 50 4. Total payments made this period. (Add Lines 1, 2, and 3 . Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ _____ _ FPPC Form 460 (Jan/2016) FPPC Advice : advice@fppc.ca .gov (866/275-3772) www.fppc.ca.gov