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Tam 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84290- 84216.5) Type or print in ink. Statement covers period from 01/01/2012 Date of election if applicable: (Month, Day, Year) COVER PAGE SEE INSTRUCTIONS ON REVERSE through 06/302012 11/02/2010 CITY CLER IS O FFICE 1. Type of Recipient Commlittee: All Committees Complete Parts 1, 2, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure Preelection Statement Quarterly Statement State Candidate Election Committee Committee Semi annual Statement Special Odd -Year Report Recall Controlled (Also Comp Part 5) 0 Sponsored Sponsored Termination Statement Preelection (Also Complete Part Also file a Farm 419 Termination} Statement Attach Form 495 General Purpose Committee Amendment (Explain below) Sponsored Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Part /C entral Committee (Also Complete Part 7) 3. Committee information I.D. NUMBER Treasurer(s) 1 267167 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER. TAM FOR COUNCIL 2010 Benjamin T. Reyes, 11 MAILING ADDRESS Confidential (Cal. Vehicle Code Section 1080.4) STREET ADDRESS (NO P.U. BOX) CITY STATE ZIP CODE AREA CODE/PHONE , CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Alameda CA 94501 510 747:4722 MAILING ADDRESS IF DIFFERENT No. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE /PHONE Alameda CA 94501 OPTIONAL: FAX I E -MAIL ADDRESS OPTIONAL: FAX 1 E -MAIL ADDRESS btr2esq @gmail.com 4. 'Verification have used all reasonable diligence in preparing and reviewing this statement and to the best of my:knowledge:th e. information:contained herein acid in :the attached schedules Js true.and corn plete l certif under penalty of perjury under.the laws of the State of California that the foregoing Is true and correct: 07/30/20 Executed on By Signa r of Treasurer or Usistant Treasurer Executed on g Date Executed on Date Executed on Date Y Signature of Controllin fficeholder; C idate, State Measure Proponent or Responsible Officer of Sponsor By t ignature of Controlling Officeholaer, Candidate, State Measure Proponent By FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Type or print in ink. COVER PAGE PART 2 Recipient Committee Campaign Statement Comer Page Part 2 4-- Page of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Lena Tam OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER .JURISDICTION SUPPORT OPPOSE City of Alameda City Council Member RESIDENTIALIBUSINESS ADDRESS (NO, AND STREET) CITY STATE ZIP Alameda CA 9450 Identify the controlling officeholder, candidate, or state measure proponent, if any, NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO, IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER 7. Primarily Formed Candidate /Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s) or candidate(s) for which this committee is primarily formed. F YES NO COMMITTEE ADDRESS STREETADDRESS (NO P.Q. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE COMMITTEE NAME I.D, NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD YES [1 NO F] SUPPORT OPPOSE.... COMMITTEE ADDRESS STREET ADDRESS ENO P. BOx) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 450 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275 -3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary 'age to whole dollars, SEE INSTRUCTIONS ON REVERSE NAME OF FILER TAM FOR COUNCIL 2610 Statement covers period from 01/41/2612 through SUMMARY PAGE 06/30/2012 page 3 of 4 I.D. NUMBER 1267167 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 613D 7/1 to Date Contributions R Column A Column B Expenditure Limit Summary for State 6. Payments Made... Schedule E Line 4 TOTALTHIS PERIOD CALENDARYEAR 44,867.11 Candidates (FROM ATTACHED SCHEDULES) TQTALTO DATE 1. Monetary Contributions Schedule A, Line 3: 6 40,442.30 2. Loans Received Schedule B, Line 3 44,867.11 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 2 0 44 4. Nonmonetary Contributions.. Schedule C, Line 3 0 0 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 4 0 4067.11 20. Contributions Received 21. Expenditures Made Expenditures Made Expenditure Limit Summary for State 6. Payments Made... Schedule E Line 4 0 44,867.11 Candidates 7. Loans Made Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS Add Lines 6 7 0 44,867.11 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C, Line 3 0 6 (mmlddlyy) 11. TOTAL.E xPEN D ITU RES MADE Add Line 1 J Current Cash .Staternent 1 12, Beginning Cash Balance Previous Summary Page, Line 16 0 To calculate Column B, add 13. Cash. Receipts Column A Line 3 above 0 amounts in Column A to the 14. Miscellaneous Increases to Cash Schedule 1 Line 4 0 corresponding amounts from Column B of your. last *Amounts In this section may be di fferent from amounts :reported in Column B. 15. Cash Payments Column A, Line 8 above 6 report. Some amounts in C ol umn A may be negative 16. ENDING: CASH: BALANCE Ad Lines 12 13. +.14 then subtract Ltne 15; figur :ghat: should be subtracted fr om re�ious this rs a termrn n 1f ust b z at a statement Line 16 m e z P am ounts. lf� this is the first r d.. e ort been -ftl e 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 4 for this calendar year, only carry over the amounts Cash E uivalents and t�uitstandln g Debts fr©m L ines 2, 7, and 9 cif 18 Cash P uivalents S t t 0 any). q ee ins ruc ions on reverse 19. Outstanding Debts Add Line 2 Line 9 in Column S above 4,421.81 FPPC Form 460 January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276••3772) Schedule B Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/201 through 06/30/2012 NAME OF FILER TAM FOR COUNCIL 2014 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D, NUMBER) Lena Tam , Alameda, CA 94501 t[V? IND COM OTH PTY SCC IF AN INDIVIDUAL, ENTER ta] OUTSTANDING (b) AMOUNT (c) (d) OUTSTANDING OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS AMOUNT PAID BALANCE AT (IF SELF D, ENTER BEGINNING THIS PERIOD OR FORGIVEN CLOSE OF THIS NAME OF BUSINESS) PERIOD CALENDAR YEAR THIS PERIOD PERIOD Engineer PAID EBMUD FORGIVEN 49424.51 RATE PER ELECTION t El IND COM OTH PTY SCC FORGIVEN 4,42 0 DATE INCURRED DATE DUE SUBTOTALS DATE DUE PAID FORGIVEN t❑ IND CO M OTH PTY SCC ta] INTEREST PAID THIS PERIOD 4 RATE °Ia RATE SCHEDULE B PART 1 4 4 Page of I.D. NUMBER PAID 1 267167 (f� X93 ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN To DATE CALENDAR YEAR 8,873.34 PER ELECTION 10/2910 DATE INCURRED CALENDAR YEAR PER ELECTION DATE DUE DATE INCURRED 'Amounts forgiven or paid by another party also must be reported on Schedule A. r* If required. FPPC Form 460 (January /86) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) PAID CALENDAR YEAR FORGIVEN RATE PER ELECTION t El IND COM OTH PTY SCC DATE INCURRED DATE DUE SUBTOTALS 4,424.51 S C h e d u 1 e B S u m m a ry (Eater (e) on Schedule E, Line 3) 1. Loans received this period 0 (Total Colu nn plus unitemlzed loans.of l ess than $1.00.) tContributor Codes 2 Loans a d or fer ierj th;l s erg o d p g p IND Individual o Iei ierf rn p o rrrlttee Teta l C olumn (c )plus loans under $1.44 old or for /Wen. p 9 ar: �vt her than PTY SC�} include loans aid b a third art that are also itemized on Schedule A. p Y party other (e. b usin ess e ntity} ..PTY Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) :.NET 0 SCC -Small Contribut Committee Enterthe net here and on the Summary Page Column A, Line 2. (May be a negative number) 'Amounts forgiven or paid by another party also must be reported on Schedule A. r* If required. FPPC Form 460 (January /86) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)