Alameda Firefighters Association PAC 460RecjpiL ..• -_.mmittee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
St:rer covers period
from "'-f \ Q q
through ll l~\ \ Q ~
Date of election if applicable
(Month, Day, Year)
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
D Officeholder. Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
D Ballot Measure Committee
0 Primarily Formed
0 Controlled
D Preelection Statement
1iJ'.' Semi-annual Statement
O~ Termination Statement
FEB -3 2005
CITY OF ALAME A
CITY CLERK'S OF ICE
D Quarterly Statement
D Special Odd-Year Report
D Supplemental Preelection
COVER PAGE
(A/SO Complete Part 5) 0 Sponsored
(Also Complete Part 6) 0 Amendment (Explain below) Statement -Attach Fann 495 ~General Purpose Committee
~Sponsored
O Small Contributor Committee
D Primarily Formed Candidate/
Officeholder Committee
O Political Party/Central Committee (Also Complete Part 7)
3. Committee lnformatio11 1.D. NU~E
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITT~E)
~<4f\ld°'-tl.t~\l~ ~~Qo.hon
~\iliC.cJv i\cl\01\ to~
STREET ADDRESS (NO P.O. BOX)
<STATE ZIP CODE AREA CODE/PHONE
y\\n_m1t1 (&. ~ q '-\.?{) \ .
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
Treasurer(s)
NAME OF TREASURER
~~Zo~
MAILING ADDRESS . l.
,
~ tAATE
AREA CODE/PHONE
S10--=!Uq 4J:tt(
ZIP CODE
l\~l)
OPTIONAL: FAX I E·MAIL ADDRESS
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my
+.-¥-----Date
Executed on ------.Da,...,t_e _____ _
Executed on _____ ...,,Da_
19
________ _
Executed on ------.Da'"'te___, _____ _
By _ ___,,,,_--,,,,_.,....,,,.-,,.~,_....,--=,..-,,..,...,._,,,.__,.,.....-,,,----,,---.,,.,.-=,__~---~ Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
BY-----------------------------------~ SilJlature of Controlling Officeholder. Candidate, State Measure Proponent
BY----------------------------------~ Signature of Controlling Officeholder, Candidate. State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll.free Helpline: 866/ASK-FPPC
Smte of Clllilomla
Type or print in ink. SUMMARY PAGE : Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars. Statement covers period
from ~ \ t\ O'f CALIFORNIA 46 0
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions . . . ... . .. ... . . . ... . .. .. .. .. .. . .. .... .. . .. . . Schedule A, Line a $ \40~.12
.., Loans Received . . ... . . . ... . . ... .. .. .. .. . . . . . . . . .. . . .. .. . .. . .. .. . . . .. . Schedule B, Line 7
d. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
~
$ ~ LtQ-S, 12
4. Nonmonetary Contributions.................................... Schedule c, Line a ~
5. TOTAL CONTRIBUTIONS RECEIVED ................. ; ......... Add Lines a+ 4 $ \!.\-()~.~
Expenditures Made
6. Payments Made ......................... .............................. Schedule £, Line 4 $
7. Loans Made . . .......... .. . .. . .. ... .. . . .. . . .. .. . . . . .. . .. . .. .. ............ Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines a+ 7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line a
10. Nonmonetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines B + 9 + 10 $ <'.oCO°l . C\!!
~urrent Cash Statement
. e... Beginning Cash Balance ......... :............. Previous Summary Page, Line 16 $
13. Cash Receipts ................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ................. .......... Schedule I, Line 4
15. Cash Payments.................................................. Column A, Line 8 above
16. ENDINGCASHBALANCE .......... 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 a, 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 $
through _t;i_l_;;;_~-'--'-\\-=-O=\--L-_ Page of-5_
$
$
$
$
$
$
Columns
CALENDAR YEAR
TOTAL TO DATE
~qo::, 12
To calculate Column 8, 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).
1.0. NUMBER
~qoo=rc,
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*
(ff Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
__; $
__}__} __ $
__} $
__}__} __ $
__} $
__) $
*Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/01)
FPPC.Toll·Free Helpline: 866/ASK·FPPC
:scheduleA Type or print in ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounded
to whole dollars. Statemtnt covers period
from -:+ _\ \o~ CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE through 'a Io\ \ o4 Page 3 of
NAMEOFF11£R
~dJ
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IFCOMMITIEE,ALSOENTERl.D.NUMBER) CODE *
Schedule A Summary
OIND
JacOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
IF AN INDIVIDUAL, ENTER
O.CCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
SUBTOTAL$
AMOUNT
RECEIVED THIS
PERIOD
· 1 . Amount received this period -contributions of $100 or more.
(Include all Schedule A subtotals.) ........................................................................................................ $ _Q!):.=...----
2. Amount received this period -unitemized contributions of less than $100 ............................................. $ _\~1~0..,.)'""'~-----
3. Total monetary contributions received this period. \ Ll o~ ~
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ---''"""\~_,,.!l,.__, __
l.D. NUMBER
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 ·DEC. 31)
001-{o
PER ELECTION
TO DATE
(IF REQUIRED)
*Contributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC) .
OTH-Other
PTY -Political Party
SCC-Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
.· ScheduleD
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETIER AND JURISDICTION,
ORCOMMITIEE
~tl\ittu to fu tt
tio.nL ~llmov L
~Support 0 Oppose
Support 0 Oppose
0 Support 0 Oppose
Schedule D Summary
Type or print in ink.
Amounts may be rounded
to whole dollars.
~D~
TYPE OF PAYMENT
lliJ. Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
tX Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
SCHEDULED
Statement covers period
CALIFORNIA 460
FORM from ~ \t \l)l\-
through \d...l3\ \ ()\..\-Page-!--of 2-
AMOUNT THIS
PERIOD
t 30000\)
l.D. NUMBER
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 ·DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
SUBTOTAL$
[J'\t,or,g..
1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) .............................................. $ ~~c...--.~___,_....._ __
q,-
2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... $ ______ _
f..1'1"\ ,,<i1
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL $ ___,~"'"'uu=-=_u __ _
FPPC Form 460 {June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
ScheduleE
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
trom =th lDY
through tJ..f 7:,\ \<Jf
SCHEDULEE
CALIFORNIA 460
FORM
Page~ of-2_
l.D. NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
OvP campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
eve civic donations
lL candidate filing/ballot fees
.. ND fundraising events
IND independent expenditure supporting/opposing others (explain)*
LEG legal defense
UT campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMITIEE. ALSO ENTER l.D. NUMBER)
S\wL 'f \04ct___
MBA member communications
MTG meetings and appearances
OFC office expenses
PET petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
CODE OR
~\ . , ~A ct'-lbDl ()fC-
.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
TEL t. v. or cable airtime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (internet, e-mail)
DESCRIPTION OF PAYMENT AMOUNT PAID
5qqL\
SUBTOTAL$
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ ---.......---
2. Unitemized payments made this period of under $100 ....... ; .................................................................................................................................. $ __ fP.~q_q __ _
<('5>-3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ _ _...;:=---:i~--
5q ~ 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 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC