HomeMy WebLinkAboutForm 460- Andrew McCullough for City Council 2015 (2023-12-31)Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
COVER PAGE
in 67
at a CALIFORNIA
FORM
Statement covers period Date of election i abl • '3 ? 2024 Page 1 of 3
?/1123 (Month, Da , Year For Official Use Only
from
through 12/31/23
1. Type of Recipient Committee: All Committees —complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Pan 5)
❑ General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMM
McCullough for City Council 2015
❑ Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1339798
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
San Rafael Ca 94901
MAILINGADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
RKS OFFI I J
9
-ga*E2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
Z 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
FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing
Measure Proponent
Executed on BY
Date 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
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)
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
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460 (1an/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Cam al n Disclosure Statement Amounts may f rounded
p g to whole dollars.
Summary Page
Statement covers period
from 7/1/23
SUMMARY PAGE
through 12/31/23
Page 3 of 3
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Andrew McCullough
1339798
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTALTHIS PERIOD
CALENDAR YEAR
Running in Both the State Primary and
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
General Elections
1. Monetary Contributions...................................................
Schedule A, Line 3
$ 0
$ 0
111 through 6130 711 to Date
0
0
2. Loans Received................................................................
Schedule B, Line 3
0
0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1+2
$
$
Received $ $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
0
0
21. Expenditures
0
0
Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines 3+4
$
$
Expenditures Made
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. Non monetary 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
$
2752.84
To calculate Column B,
13. Cash Receipts...........................................................
Column A, Line 3 above
0
add amounts in Column
0
A to the corresponding
14. Miscellaneous Increases to Cash ..................................
Schedule I, Line 4
amounts from Column B
0
of your last report. Some
15. Cash Payments.........................................................
column A, Line a above
amounts in Column A may
16. ENDING CASH BALANCE ..................Add lines 12 + 13 + 14, then subtract Line 15
$
2752.84
be negative figures that
should be subtracted from
If this is a termination statement, Line 16 must be zero.
previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED ................................
Schedule B, Part 2
$
0
filed for this calendar year,
only carry over the amounts
arny) Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................
See instructions on reverse
$
2752.84
19. Outstanding Debts ..............................
Add Line 2+Line 9 in Column B above
$
0
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)
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (1an/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov