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