HomeMy WebLinkAboutForm 460 - Andrew McCullough for City Council 2015 (2019-12-31)Recipient Committee
Campaign Statement
Cover Page
Statement covers period
from 7/1/19
SEE INSTRUCTIONS ON REVERSE I through 12/31/19
1. Type of Recipient Committee: All committees — complete Parts 1, 2, 3, and 4.
Q Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
❑ Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee Information I.D. NUMBER
1339798
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
McCullough for City Council 2015
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
San Rafael CA 94901
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/ E-MAIL ADDRESS
0
Date of election if
(Month, Day,
000
0
COVER PAGE
1 of 4
JAN 31 2020 I For Official Use Only
2. Type of Statement:
❑ Preelection Statement
50 Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
OFFIC
❑ Quarterly Statement
❑ Special Odd -Year Report
Treasurer(s)
NAME OF TREASURER
Andrew McCullough
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
San Rafael CA 94901
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAILADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best 91hy 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 tp&Zand correct. _
Executed on 1/31/20
Dale
Executed on 1/31/20
Date
Executed on
Date
Executed on
Date
By
or
By
or
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, 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
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 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 AREACODE/PHONE
mmeivm aJtej:nv_i:4wa
Page 2 of 4
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
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 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded
to whole dollars.
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Andrew McCullough
SUMMARY PAGE
Statement covers period
from 7/1/19
through 12/31/19 Page 3 of 4
Column B
CALENDAR YEAR
TOTAL TO DATE
0
0
0
0
0
Expenditures Made
To calculate Column B,
Column A
Contributions Received
6. Payments Made................................................................
TOTAL THIS PERIOD
0 $
0
(FROM ATTACHED SCHEDULES)
Schedule H, Line 3
0
0
1. Monetary Contributions...................................................
Schedule A, Line 3
$ $
0
9. Accrued Expenses (Unpaid Bills) ..........................................
0
2. Loans Received................................................................
schedule B, Line 3
10. Nonmonetary Adjustment.........................................................
Schedule c, Line 3
0
0
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 + 2
$ $
0
0
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
0
5. TOTAL CONTRIBUTIONS RECEIVED....................................Add
Lines 3+4
$ $
SUMMARY PAGE
Statement covers period
from 7/1/19
through 12/31/19 Page 3 of 4
Column B
CALENDAR YEAR
TOTAL TO DATE
0
0
0
0
0
Expenditures Made
To calculate Column B,
0
6. Payments Made................................................................
Schedule E, Line 4 $
0 $
0
7. Loans Made.......................................................................
Schedule H, Line 3
0
0
8. SUBTOTAL CASH PAYMENTS ..........................................
Add Lines 6+7 $
0 $
0
9. Accrued Expenses (Unpaid Bills) ..........................................
Schedule F Line 3
0
0
10. Nonmonetary Adjustment.........................................................
Schedule c, Line 3
0
0
11. TOTAL EXPENDITURES MADE ........................................
Add Lines 8 + 9 + 10 $
0 $
0
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 1, Line 4
15. Cash Payments......................................................... Column A, Line 8above
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 ................................ Schedule B, 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 $
2852.84
To calculate Column B,
0
add amounts in Column
A to the corresponding
amounts from Column B
0
0
of your last report. Some
amounts in Column A may
2802.84
be negative figures that
should be subtracted from
previous period amounts. If
this is the first report being
0
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
/1nnn n
any).
LOUL.O•t I
0
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"
(U Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
� t $
If $
'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
WE OF FILER
Andrew McCullough
Amounts may be rounded
to whole dollars.
�Yy71�11�A�e
Statement covers period CALIFORNIA
from 7/1/19 FORM
through 12/31/19 Page 4 of 4
I.D. NUMBER
1339798
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)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 50
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 $
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov