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Tam 460 AmendmentRecipient Committee Campaign Statement COVERPAGE Type or print in ink Date Stamp Cover Page (Government Code Sections 84200 84216.5) n 4 Statement covers period Date of election if applica age of 7j0 1201 (Month, Day, Year) p� For official Use only qw SEE INSTRUCTIONS ON REVERSE 9/30/2010 through 11102/2010 1. Type of Recipient Committee All Committees Complete Parts 1, 2, 3, and 4 2. Type of Statement: V Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure Preelection Statement Quarterl Statement 0 State Candidate Election Committee Committee Semi- annual Statement Special odd -Year Report 0 Recall 0 Controlled Termination Statement Sup Preelection (Also Complete Part 5) 0 Sponsored Also fife a Form 410 Termination Statement Attach Form 495 General Purpose Committee (A1so Complete Fart 6) Amendment (Explain below) Q Sponsored Primarily Formed Candidate/ Amends Form 460 Filed on 10/612010 to correct contribution error 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also Complete Part 7) per explanation on page 4 3. Committee information I. NUMBE NUMBS R Treasurer(s) 1 D. COMMITTEE NAME (OR CANDIDATE'S NAME IF No COMMITTEE) NAME OF TREASURER Tam for Council 2010 Benjamin T. Reyes 11, Esq. MAILING ADDRESS 1520 Central Avenue STREET ADDRESS (NO P.D. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 2816 Waterton St. Alameda CA 94501 510- 759 -3236 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Alameda CA 94501 510747 -4722 MAILING ADDRESS (IF DIFFERENT) No. AND STREET OR P.O. BOX ENTAILING ADDRESS P.O. Box 1130 CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODEIPHONE Alameda CA 94501 OPTIONAL: FAX i E -MAIL ADDRESS OPTIONAL: FAX 1 E-MAIL ADDRESS lena.tam@gmaii.com btr2esq@gmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. 1 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 1 017120 a Executed on By Date Signat of Tre u r o ss'rsta asurer 01712 Executed on By 4 Date Signature of Controlling Officeholder, Candidate, St to Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 January /05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275 -3772) State of California Type or print in ink. COVER PAGE PART 2 Recipient Cony m ittee 1 A Campaign Statemer t Cover Page Part 2 Page 2 of 4 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Lena Tam OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City of Alameda City Council Member RESIDENTIAUBUSI NESS ADDRESS (NO. AND STREET) CITY STATE ZIP 281 Waterton S t. Ala CA 94501 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 STREETADDRESS (NO P.Q. 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 6. Primarily Formed Ballot Leasure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION SUPPORT F� 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 CandidatelOfficeholder 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 (January/05) FPPC Toll -Free Helpline: 8051ASK -FPPC (866/275 -3772) State of California Campaign Disclosure Statement Type or print in Ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 710112010 through 913012010 SUMMARY PAGE 1 NAME OF FILER 6. Payments Made Schedule B', Line 4 7. Loans Made I.D. NUMBER Tam for Council 2010 Add Lines 6 T 9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3 16. Nonmonetary Adjustment 1267167 Contributio Received Add Lines 8 9 10 Column A Column B Calendar Year Summary for Candidates for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A, Line 3 1 5,833.91 23,778.30 2. Loans Received Schedule B, Line 3 0.00 0.00 1f1 through 6130 7I1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS A dd L 1 2 1 5,833.91 23 20. Contributions Received 4. Nonmonetary Contributions Schedule C Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 4 15 23,778.34 Made Expenditures Made 17 6. Payments Made Schedule B', Line 4 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 T 9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3 16. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 9 10 15,854.11 17 0.60 0.06 15,854.11 17,866.43 0.00 0.00 0.00 0.60 15.854.11 15,854.11 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 8 above 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 5 To calculate Column B, add 15833.91 amounts in Column A to the corresponding amounts from Column B of your last 0. 00 15,8 54.11 report. Some amounts in Column A may be negative 5,911.87 figures that should be subtracted from previous period amounts. If this is the first report being filed 0.00 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 (mmiddlvv) J *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpliine: 866 /ASK -FPPC (866/275 -3772) DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION To DATE RECEIVED CODE (IF SELF EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF EUSINESS) IND E] IND Alameda Firefighters Association IAFF Local El 9125/2010 689, FPPC 890076 listed on page 11 of 15 of DTH Form 460 dated 1 0/5/2010 was incorrectly PTY SCC IND E] IND listed as contributed on 91251'10. Check was dated 10/1 /2010 and deposited on 10/12010. DTH E] PTY SCC IND Amount will be reported on next filing. This CoM amended 460 form shows in the amount 0TH of $2,500.00. PTY SCC ❑IND COM DTH PTY SCC IND CUM OTH PTY SCC SUBTOTAL Schedule A Summary 1. Amount received this period itemized monetary contributions. (Include all Schedule A subtotals.) 14,051.00 2. Amount received this period unitemized monetary contributions of less than $100 11782.91 3. Total monetary contributions received this period. 15 833 91 Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL y g FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)