Alameda Firefighters Association PAC 460COVER PAGE Recipient Committee
Campaign Statement
Cover Page
Type or print in ink. Date Stamp
CALIFORNIA 461'\
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
D Officeholder, Candidate Controlled Committee D Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
0 Recall 0 Controlled
(AtsoCompletePart5J O Sponsored
-(Also Complete Part 6)
eneral Purpose Committee
Sponsored D Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
CA:: ZIP CODE . 0\. '!\f:b\ AREA CODE/PHONE
SlD,-s:xl ~ \Oq
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX 1 E-MAIL ADDRESS
4. Verification
Page of 3
FORM \I ILE
Date of election if
(Month, Day,
2. Type of Statement:
reelection Statement
emi-annual Statement
ermination Statement
(Also file a Form 410 Termination)
D Amendment (Explain below)
For Official Use Only
D Quarterly Statement
D Special Odd-Year Report
0 Supplemental Preelection
Statement -Attach Form 495
ZIP CODE I qqsn AREA CODE/PHONE
S\O=';.QJ :'1 t Ci
STATE Z)}l\0~1DtJ."\ 1. M vl•-n.JV
AREA CODE/PHONE ,
5LD-~Hatl ~q:p.t~
· he attached schedules is true and complete. I certify I have used all reasonable diligence in preparing and reviewing this statement and to the best of
under penalty of perjury unde[ the laws of the State of California that the foregoing is true and correct.
Executed on J\;?ll\13: By _ __;.~~~~~~~~----Date
Executed on _____ _,
03
,...,..te _____ _
Executedon _ _,,..,._,..,.._~Date,,_,...--...--...-...--
Exec~edon .... -...-...-...-...~Date,_,..--...-...-...-...---
By ___ ,,,_..&~•,__-;.,,....,...,,.....,,,,,...,....,..,....,,..-,,.~.,,,,..,...,.,---,,..--.,.-.,---.,,.,-.,,,,,,-.,,.,,..----
signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
By .... .,.,....,.,...,..,...,.,.....,._.,.,....,.,..._,,..,.__,.__,,.,.,...,._--....,..,..-...-....,.,_-....,._-...-...-...--...-...----
signature of Controlling Officeholder, Candidate, Sta ta Measure Proponent
BY----...-...-...-....,,,-...,........,,,,.-.,...,,,....,=-.,...,..,..-,,_.,.,..,....,,,...,....,.,__..,,,.._....,. ____ .,.,..._.,.,... __
Signature of Controlling Officeholder, Candidate, Stale Measure Proponent
FPPC Form 460 (January/OS)
FPPC Toll·Free Helpline: 866/ASK·FPPC (8661275-3772)
State of California
Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars. Stat ment covers period CALIFORNIA 461"\
SEE INSTRUCTIONS ON REVERSE
Contributions Received
1. Monetary Contributions .. .. . . . . . . .. .. . .. . . . . . . . .. . . .. .. . . . .. .. . . . . Schedule A, Line 3
2. Loans Received . . . .. . .. .. . . . . .. . . . . .. .. . . . . . . . . . .. .. . .. . . . . . . . . . .. . . . Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + z
4. Nonmonetary Contributions.................................... Schedule c, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4
Expenditures Made
6. Payments Made . .. . ... .. ... . . .. . . . . . . . . .. . . . .. .. . .. . .. .. . . .. .. . . . . .. .. Schedule E, Line 4 $
7. Loans Made . .. .. .. .. ... .. .. .. . . .. .. .. .. . . .. .. .. .. . . .. .. .. .. . .. .. .. .. .. .. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3
10. Nonmonetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $
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 a 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.
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
4 \ ".1-~. i-=1--
S\i5t;. 3~
CCi--
q::, 5:0.. . ' CJ
from \ \ \ \)":\-FORM U
through (,\·so\ 01--Page 1 of 3
$
$
$
$
$
$
Columns
CALENDAR YEAR
TOTAL TO DATE
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
l.D. NUMBER
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 Umlt)
Date of Election
(mm/dd/yy)
___J___J __
___j___J __
Total to Date
$ _____ _
$ _____ _
*Amounts in this section may be different from amounts
reported in Column B.
--------------------------------------1 the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents........................................ See instructions on reverse $
19. Outstanding Debts......................... Add Line2+ Line 9 in Column B above $
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITIEE, ALSO ENTER l.D. NUMBER) CODE *
Schedule A Summary
DINO
~~
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
OCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
OPTY
DSCC
SUBTOTAL$
SCHEDULE A
Stat\ment covers period
from L\ \\Qi--CALIFORNIA 4c I'\
FORM UU
through it \·~ol CJ i-Page .3.. of 3
AMOUNT
RECEIVED THIS
PERIOD
l.D. NUMBER
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1. ~:~~~! ~~~~~:d~I: ~~~~~o~~~:~'.~~~·~·~·~·~.~~.:.~~~~~'.~~~~~~.~.' ............................................................ $ Z) \ :+i · )3
*Contributor Codes
IND-Individual
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 ............................. $ -------
3. Total monetary contributions received this period. SCC-Small Contributor Committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 5 \~ 0?J
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)