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Tam 460Recipient Committee Campaign Statement Cover Page fype or print In Ink. Date Stamp (Government Code Sections 84200-84216.5) Statement covers period from ___ 0_1_13_11_0_7 __ SEE INSTRUCTIONS ON REVERSE through ___ 0_61_3_01_0_7 __ 1. Type of Recipient Committee: All Commltteea -complete Parts 1, 2, 3, and 4. 12! Officeholder, Candidate Controlled Committee O State Candidate Election Committee 0 Recall (Also Complete Part 5) 0 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 Pait 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Pait n 1.D. NUMBER 1267167 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Friends for Lena Tam STREET ADDRESS (NO P.O. BOX) Alameda STATE ZIP CODE CA 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Alameda OPTIONAL: FAX I E·MAIL ADDRESS 4. Verification STATE CA ZIP CODE 94501 AREA CODE/PHONE 510-287-1240 AREA CODE/PHONE I Date of election If appllcab (Month, Day, Year) 11/08/06 2. Type of Statement: D Preelection Statement 12! Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) O Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS STATE STATE 0 Quarterly Statement O Special Odd-Year Report 0 Supplemental Preelectlon Statement -Attach Form 495 ZIP CODE AREA CODE/PHONE ZIP CODE AREA CODE/PHONE I have used all reasonable dlllgence 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. I certify under penalty of perjury under the laws of the 5'tate of California that the foregoing Is true and correct. l)! ...../ '(,/' Executed on () 3: ""Z.4--O1= By ~ Executed on Data Executed on Executed on Date 11---Z4 -()1- Date By By By Signature Of Controulng omceholcler, Candidate, Sta ta Moasura Proponent or Reaponalblo omcer of Sponsor State Measure Proponent FPPC Fonn 460 (January/Oii) FPPC Toll·Fre1 Helpline: 868/ASK·FPPC (81181275·3772) State of C11llfornl11 Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print In Ink. Amounts m111y be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITIEE, Al.SO ENTER 1.0. NUMBER) CODE ;, IF AN INDIVIDUAL, ENTER OCCUPATION AND l:MPLOYER (IF SELF·EMPLOYED, ENTER NAME PF BUSINESS) 3/5/2007 Albert Wang, M.D. Fremont, CA 94539 Schedule A Summary lil!IND DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO OCOM DOTH OPTY oscc Physician SUBTOTAL$ SCHEDULE A Statement covers period CALIFORNIA 461"\ from ___ 0_11_3_11_0_7 __ _ FORM \.I through ___ 0_61_3_01_0_7 __ Page 2. of 5 AMOUNT RECEIVED THIS PERIOD $100.00 l.D. NUMBER 1267167 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 ·DEC. 31) PER ELECTION TO DATE (IF REQUIRED) *CPntrlbutPr Codes IND-Individual 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) ........................................................................................................ $ ____ 1 o_o_.o_o COM -Recipient Committee (Pther than PTY Pr SCC) OTH -Other (e.g., business entity) PTY -Political Party 2. Amount received th is period -unitemized monetary contributions of less than $100 ............................. $ _______ o 3. Total monetary contributions received this period. SCC-Small CPntributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ____ 1_0_0._o_o FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK·FPPC (8661275-3772} fype or print In Ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. CALIFORNIA 46A FORM \I Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Column A TOTAi. THIS PERIOD Contributions Received (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ......... ... .. ...... . .... .. ...... ..... . .. .. Schedule A, Lino 3 $ 100.00 2. Loans Received ...................................................... ScheduleB,Llne3 0 3. SUBTOTAL CASH CONTRIBUTIONS ................. ........ Add Unes 1 + 2 $ 0 4. Nonmonetary Contributions ...... .... .. .......... ...... .. .... .. Schedule c, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 100.00 Expenditures Made 6. Payments Made .. ... .. .. ... .. .. .... .. .. . .. . .. .. ... .. .. . .. .. .. .. .. .. .. . Schedule ££, Lina 4 $ 746.87 7. Loans Made............................................................. Schedule H, Une 3 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 0 10. Nonmonetary Adjustment ............................. ; ............ ScheduleC,Line3 0 11. TOTAL EXPENDITURES MADE ................................ Add Unes 8 + 9 + 10 $ 746.87 Current Cash Statement 12. Beginning Cash Balance....................... Previous Summary Page, Line 16 $ (1,970.34) 13. Cash Receipts ................................................... Column A, Une3ebov11 100.00 14. Miscellaneous Increases to Cash........................... Schedule 1, Lina 4 0.00 15. Cash Payments .................................................. Column A, Une Bebovo 746.87 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ (2,617.21) If this Is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ... .. ..... .. .. ........ ..... Schedule e, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents........................................ See Instructions on revenie $ 0 19. Outstanding Debts .. . .. .. .. .. .. .. .. .. .. .. .. Add Une 2 + Une 9 in Column 8 above $ (2617.21) from ___ 0_1_13_1_10_7 __ _ through ___ 0_61_3_01_0_7 __ Pag~ __ 3_ of 5 Columns CALENDAR YEAR TOT,aj_TOOATE $ 100.00 0 $ 0 0 $ 100.00 $ 746.87 0 $ 0 0 $ 746.87 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 flied for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (If any). 1.0. NUMBER 1267167 Calendar Year Summary for Candidates Running In Both the State Primary and General Elections 1/1 through 5/30 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 Umltl Date of Election Total to Date (mm/dd/yy) __J__J __ $ __J__J __ $ •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) Recipient Committee Campaign Statement Cover Page -Part 2 Type or print In Ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Lena Tam OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Alameda City Council RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE Alameda, CA 94501 ZIP Related Committees Not Included In this Statement: List any commttteH not Included In this statement that are controlled by you or are primarily fanned to receive contr1butlons or make expendltu'8$ on behalf of your candidacy. COMMITTEE NAME 1.D. NUMBER NAME OF TREASURER CONTROLLED COMMIITEE? DYES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 1.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page __:±__ of _...5..___ 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT 0 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 Llat m1mea or omceholder(s) or candldate(s) for which this committee Is prlmar//y fanned. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE Attach continuation sheets If neceaaary FPPC Form 460 (January/05) FPPC Toll·Free Helpllne: 886/ASK·FPPC (888/278·3772) State of Callfornla SCHEDULEE ScheduleE Payments Made Type or print In Ink. Amounts may be rounded to whole dollara. Statement covers period CALIFORNIA 4e.n FORM UU from ___ 0_1_13_1_1_07 __ _ SEE INSTRUCTIONS ON REVERSE through __ 0_6_13_0_10_7 __ Page __ 5_ of _5_ NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. l.D.NUMBER 1267167 Cl\IP campaign paraphemallafmlsc. M8R membercommunlcatlons 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 FE1" 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 Fl\O fundraislng events POL polling and survey research TRS staff/spouse travel, lodging, and meals N) independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatefsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Kansan Chu for Good Government FPPC #1293089 Campaign Contribution 2530 Berryessa Road PMB823 CTB $100.00 San Jose CA 95132 Postmaster, Alameda Main Post Office Post Office Box Annual fee P.O. Box 1130 OFC $62.00 Alameda, CA 94501 City of Alameda Candidate's Ballot Statement 2263 Santa Clara Ave, Rm 380 FIL $584.87 Alameda, Ca 94501 "' Payments that are contributions or Independent expenditures must 1111110 be summarized on Schedule D. SUBTOTAL$ Schedule E Summary $746.87 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ ------ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ ______ o 0 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column (e).) ............................................................................... $ ------ $746.87 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/OS) FPPC Toll·Free Helpline: 8661ASK-FPPC (8661275-3772)