Action Alameda PACRecipient Committee
Campaign Statement
Cover Page
Type or print in ink. Date Stamp
(Government Code Sections 84200-84216.5)
Statement covers period
from ___ 0_3_1_01_1_07 __ _
SEE INSTRUCTIONS ON REVERSE h h 12/31/07 t roug ----------
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
D Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
hZI General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
D Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Part 6)
Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
l.D. NUMBER
1295196
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Action Alameda PAC
STREET ADDRESS (NO P.O. BOX)
CITY
Alameda
STATE
CA
ZIP CODE
94501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
Alameda
OPTIONAL: FAX I E-MAIL ADDRESS
info@actionalameda.com
4. Verification
STATE ZIP CODE
CA 94501
AREA CODE/PHONE
510-673-0998
AREA CODE/PHONE
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my
under penalty of perjury under the laws of the State of California that the foregoing is true and .
Executed on __ _,/.....,_t:::;Z..;..2-+f.,,;tO~-----, Date
Date of election if applicabl
(Month, Day, Year)
IL
CIPf OF ALAME
,n-v r1 i:::r:i!ee::c
2. Type of Statement:
0 Preelection Statement
l;zJ Semi-annual Statement
0 Termination Statement
(Also file a Form 410 Termination)
0 Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
David Howard
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
n/a
MAILING ADDRESS
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
STATE
CA
STATE
D Quarterly Statement
0 Special Odd-Year Report
D Supplemental Preelection
Statement -Attach Form 495
ZIP CODE AREA GOOF/PHONE
94501 51 0-673-0998
ZIP CODE AREA CODE/PHONE
o ledge the information contained herein and in the attached schedules is true and complete. I certify
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on
Date
Executed on
Date
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 450 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA 4a. A
FORM UU
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions ........ .. . .. . . . . . . . . .. ........ ... ....... .. Schedule A, Line 3 $ 1911.24
2. Loans Received ........ .. ..... .. . . .. . .. . . . . .... .......... .. .. ... . .. .. Schedule B, Line 3 **0.00
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 1911.24
4. Nonmonetary Contributions.................................... Schedule c, Line 3 65.03
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add unes 3 + 4 $ 1976.27
Expenditures Made
6. Payments Made . .......... ... . .. ... ... ... .. . . . . . . . . . . . . . . . .. ... . . . .. .. Schedule E, Line 4 $ 1903.37
7. Loans Made............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines s + 7 $ 1903.37
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3
10. Non monetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ AddLines a+ 9 + 10 $ 1903.37
Current Cash Statement
12. Beginning Cash Balance ....................... PreviousSummaryPage,Line16 $ **0.00
13. Cash Receipts .............. ... . . . . . . . . .. . . . . . . . . .. . . . ... .. ...... Column A, Line 3 above 1911.24
14. Miscellaneous Increases to Cash........................... Schedule I, Line 4 **0.00
15. Cash Payments.................................................. Column A, Line B above 1903.37
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 1s $ 7.87
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 $
from ___ 0_3_10_1_10_7 __ _
through ___ 1_2_13_1_10_7 __ _ Page k of-3--
ColumnB
CALENDAR YEAR
TOTAL TO DATE
$ 1911.24
**0.00
$ 1911.24
65.03
$ 1976.27
$ 1903.37
$ 1903.37
$ 1903.37
To calculate Column B, add
amounts in Column A to 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).
l.D. NUMBER
1295196
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
{If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
__)__) __
__)__) __
Total to Date
$ _____ _
$ _____ _
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER 1.D. NUMBER)
10/15/03
David Howard
03/01/07
Patricia Bail
Marlene Kerr
04/04/07
Arthur and Gretchen Lipow
5/14/07
Action Alameda FPPC#1289967
08102107
Schedule A Summary
Type or print in ink.
Amounts may be rounded
to whole dollars.
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
CODE* OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
1!ZJ IND
DCOM self-employed
DOTH entrepreneur
DPTY
DSCC
IZJIND
DCOM Retired
DOTH
DPTY
DSCC
i;z]IND
DCOM Retired
DOTH
DPTY
DSCC
l!ZJ IND
DCOM Retired
DOTH
DPTY
DSCC
DINO
l!Z)COM N/A
DOTH
DPTY
oscc
SCHEDULE A
Statement covers period CALIFORNIA 4e. n
from ___ 0_3_1_0_11_0_7 __ _ FORM U\I
through ___ 1_2_1_3_11_0_7 __ Page _3 ____ of 'f
AMOUNT
RECEIVED THIS
PERIOD
235
150
100
200
746.24
l.D. NUMBER
1295196
CUMULATIVE TO DATE PER ELECTION
CALENDAR YEAR TO DATE
(JAN. 1 -DEC. 31) (IF REQUIRED)
235
150
100
200
746.24
*Contributor Codes
IND-Individual 1. Amount received this period -itemized monetary contributions.
(Include all Schedule A subtotals.) ........................................................................................................ $ ____ 14_3_1_.2_4 COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party 2. Amount received this period -unitemized monetary contributions of less than $100 ............................. $ _____ 4_8_0_.o_o
SCC -Small Contributor Committee 3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ____ 1_9_1 _1._2_4
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
SeHEDULEE ScheduleE
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars. from ___ 0_3_10_1_1_0_7 __ _
Statement covers period CALIFORNIA 4 e I'\
FORM U\.I
SEE INSTRUCTIONS ON REVERSE th h 12/31/07 roug --------PageLotL
NAME OF FILER l.D. NUMBER
1295196
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Clv'P campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
eTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
UT campaign literature and mailings PRT print ads VVEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Gretchen Lipow
LIT 198.06
Thomson Traffic Engineers, Inc.
PRO 950.00
·-
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1148.06
Schedule E Summary
1148.06 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ _____ _
755.31 2. Unitemized payments made this period ofunder$100 .......................................................................................................................................... $ ______ _
**0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e}.) ............................................................................... $ -------
1903.37 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ _____ _
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)