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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