HomeMy WebLinkAboutForm 460- Andrew McCullough for City Council 2015 (2022-12-31)Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Stlilrl
ent covers period
from AS=/22
through
12/31/22
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
m 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
3. Committee Information
COMMITTEE NAME (OR
McCullough for City Council 2015
❑ Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Pail 7)
I.D. NUMBER
1339798
STREET ADDRESS (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 AREACODE/PHONE
OPTIONAL: FAX/ E-MAIL ADDRESS
COVER PAGE
FORM
Date of election if appli f , �, -�� �;1, 3 ge 1 of 3
(Month, Day, Year) I /t' I I ? For Official Use Only
CLERK'S OFFIC
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
W1 Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Andrew McCullough
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/ E-MAILADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement
of l reasurer or Assistant Treasurer
Executed on
1/31/23
Date
Executed on
Date
Executed on
Date
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)
.........IV— __ ..,...
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
RESIDENTIAL/BUSINESS 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 AREA CODE/PHONE
COVER PAGE - PART 2
Page 2 of 3
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 Listnames 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 SUMMARY PAGE
to whole dollars.
Summa PaStatement covers period • -
Page from 7/1/22 1 FORM
460 •'
SEE INSTRUCTIONS ON REVERSE
through 12/31/22 Page 3 of 3
NAME OF FILER
I.D. NUMBER
Andrew McCullough
1339798
Calendar Year Summary for Candidates
Contributions Received
TOTALlulmn Roo
cColumnBR
Running in Both the State Primary and
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
General Elections
1. Monetary Contributions ........... ................................
:....... Schedule A, Line 3
$ 0
$
0
1/1 through 6/30 7/1 to Date
0
0
2. Loans Received................................................................
Schedule S, Line 3
0
0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$
$
Received $ $ —.
0
0
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
21. Expenditures
0
0
Made $ — $ -
5. TOTAL CONTRIBUTIONS RECEIVED.. ..............
................Add Lines 3 + 4
$
$
Expenditures Made
6. Payments Made................................................................ Schedule E, Line 4 $ 0
7. Loans Made ................. .. Schedule H, Line 3 0
8. SUBTOTAL CASH PAYMENTS....... ............:................... Add Lines 6+7 $ 0
9. Accrued Expenses (Unpaid Bills .............. Schedule F, Line 3 0
10. Nonmonetary Adjustment........................................................ Schedule C, Line 3 0
11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 0
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 2752.84
13. Cash Receipts ...................................... .... ...... ........... Column A, Line 3 above 0
14. Miscellaneous Increases to Cash ................................ Schedule 1, Line 4 0
15. Cash Payments Column A, Line 8 above 0
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 2752.84
if this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 2752.84
Cash Equivalents and Outstanding Debts
18. Cash Equivalents .................................. 2752.84
......................:....:........ See instructions on reverse $
19. Outstanding Debts .... .............. .... _..... Add Line 2+Line 9 in Column B above $ 0
$ 0
0
$ 0
0
0
$ 0
To calculate Column B,
add amounts in Column
Ato the corresponding
amounts from Column B
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 9 (if
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
IJ $
*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