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DeHaan 460Recipient Committee · ·Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. JAN 3 1 2005 Statement covers period from _/ tJ-r--/ 2_/-+-"/t'f'--#-£ __ r, Date of election if applic (Month, Day, Year) CITY OF AlAMEDA_t:::---"'.:""~-----:::-:--1 TY CLERK'S QFFI For Official Use Only SEE INSTRUCTIONS ON REVERSE through t1J /.,.3J /ttff I 7 1. Type of Recipient Committee: All Committees -complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete PB115) IEf General Purpose Committee 0 Sponsored Q{small Contributor Committee 0 Political Party/Central Committee 3. Committee lnformatio1' D· Ballot Measure Committee 0 Primarily Formed 0 Controlled 0 Sponsored {Also Complete Part 6) D Primarily Formed Candidate/ Officeholder Committee {Also Complete Part 7) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) {5;tJ)523-33/2 CITY STATE ZIP CODE AREA CODE/PHONE 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 2. Type of Statement: D Preelection Statement 0 Quarterly Statement 0 Semi-annual Statement D Special Odd-Year Report D Termination Statement D Supplemental Preelection D Amendment (Explain below) Statement -Attach Form 495 Treasurer(s) NAME OF TREASURER :333!/ Sa14mlk Ld!le CITY /1A 12 tut dtf!tidll NAME OF ASSISTANT TREASURER, IF ANY /3Af 7Jagtc 11 llr!b · /litJIJttda tJ/f f.z:i11 07t J528-:.?.7a CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS I have used all reasonable diligence 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. certify under penalty of pe~ury under the laws of the State of California that the foregoi g is true and correct. · Executed on t.Jbl'Jil/l/fL~I'; of&£ By ..., ;;;:;::;::;;;;;:-~========~- Executed on _____ ,,.Data ______ _ . Executed on _____ .,.Date.,....,,..· -----FPPC Form 460 (Juna/01) FPPC Toll-Free Helpllno: 866/ASK·FPPC Sahl of callfomla Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. COVER PAGE-PART 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE~£~jOR f!/.fo(l~~L~TION AND DISTRICT NUMBER IF APPLICABLE) 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME . NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY l.D. NUMBER CONTROLLED COMMITIEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE l.D. NUMBER CONTROLLED COMMITIEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LEITER 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 Committee List names of officeholder(s) or candidate(s) tor which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD, ~PPORT ])LJuq dtfltttu'V (!;tf q ~~tlfib I I 0 OPPOSE NAME OF'C5FFICEHOLDER 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 necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866.IASK-FPPC 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 from 1q1~11~!/ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE Contributions Received 1. Monetary Contributions . . . ... . .. .. . . . . .. .. .. ... . . .. . . . .. . . . . . . .. . . Schedule A, Line 3 $ " Loans Received ...................................................... Schedule B, Line 7 ..:i. SUBTOTAL CASH CONTRIBUTIONS .................. ....... Add Lines 1 + 2 $ 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 7 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+ 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 $ r:urrent Cash Statement ..;. 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 8 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. 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 + Une 9 in Column B above $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) j/ i/l/7; .?II :it tJtJ t, tf O 21;3i//, 18 i 1J./3,.J7 73-15' through t) / '3/ 'J5 Page 3 of $ $ $ $ $ $ Columns CALENDAR YEAR TOTALTODATE /{), /pl)/; ,9g z f)tJtf,tJtJ 11,,533,22 ff 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). l.D. NUMBER /:?if?tJ~ Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 20. Contributions Received $ ----- 21. Expenditures Made $ ____ _ 7/1 to Date I /.31/J. $ I~ t15''7,3t $ c2~ 3'1tl 13f Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If 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 .Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAMEOFFll£R DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER l.D. NUMBER) J'.fak Seaa/z;r J)ca ,k/Vd& , '2r/1Jf o12 J/.?/ :Tc:;n~ ~/'C'ff S.ttcrtt/Jft!'~/ t:A 'ffj'~~- i /) }J? /di/ Sa1Jd/t!' SU/t!t-/75672/ !tJ)J~fal/ ....215 E/JL'?'unler~ / ~ J/Jt:!'I"/ J'f 1~ IJ./dt/ /..:J.53 /JJtiZd. 0¥/ed Fl'/l/l)( ~//~ 11/f/l)I/ !6ZZ ma /a 'r/t/C/ / ~/ 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) lBfND DCOM DOTH tJA Jlt:tfeJem/lJr DPTY DSCC [BfND DCOM /fea/ft:Jr DOTH DPTY {(mk!IJ/J/d) oscc [id{ND tht2i/'md/P / 0COM easr &lfJ m11vt'1:s1. DOTH DPTY cf ;f e1n Pt!'.ffmed DSCC t:~. 'I CS' 1 []31No 1J1rec/zf l"'1 DCOM ///~.:7ferJ'lrcel DOTH DPTY DSCC .Btt5//1ess' A.ssx" @IND t)ttJ11er1 0COM . DOTH lf1Ja5 'T/?J"?&l(j DPTY oscc Statement covers period from /tJ-~/-tJ.!/ through /-,3/-LJ.£ 1.D. NUMBER I ft!,/; ?9'~ AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) ~~-di~ I t:J O', t1t'/ 2tJtf,tfv /~tJ,tJt? 2 tt:J ,tJ() SUBTOTAL$ / /(}cJJt/tJ Schedule A Summary 1. Amount received this period -contributions of $100 or more. (lnclu.de all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period-unitemized contributions of less than $1 oo ............................................. $ 3. Total monetary contributions received this period. (Add lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .•..........•.......... TOTAL $ l;l~tJ 10t/ S'/7-31/ lj 41/7~.3f *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 Type or print in Ink. · Sc~hedule B -Part 1 Le.ans Received Amounts may be rounded to whole dollars. Statement covers period from f tJ/a2/fa~ I SEE: INSTRUCTIONS ON REVERSE NAME OF FILER through ~/(;/.1:f~ IF AN INDIVIDUAL, ENTER a (b) (c) (d) IFULL NAME, STREET ADDRESS ANO ZIP CODE OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING OF LENDER BALANCE RECEIVED THIS BALANCE AT (IFCOMMIITEE. ALSO ENTER 1.0. NUMBER) (IF SELF·EMPLOYED, ENTER BEGINNING THIS OR FORGIVEN CLOSE OF THIS NAME OF BUSINESS) RI D PERIOD THIS PERIOD* E f)1Jtfj/tJ.f tmd Ga1i tle#t'JM, QPAID / .3 '.5"' l>ttjjftJn Are· . $ tr $65Jt:J,,Jtf ;fef1red; QFORGIVEN 1 _/,Y $1'5dt/,~~ Jr /Vttf; :ZttJ.5" tuf'1ND $ , $ 0COM 0 OTH 0 PTY O sec DATE DUE J)1141/1j ttnd 6a1/ deJlaan QPAID f(~l1rd .Jr $ ..!iJtJ ,~CJ ~ '51!}[-kll A-re;, . QFOAGIVEN / .:52JI $ . ff $ -SJ;J,;}tJ s ,¥ J/pf!;2tft'6 t(E'IND 0COM DOTH 0 PTY O sec DATE DUE QPAID $ ___ _ 0 FORGIVEN to IND 0 COM 0 OTH 0 PTY 0 sec DATE DUE = SUBTOTALS $ 2~~ ,J~ $ .-8" Schedule B Summary 1. Loans received this period .................................................................................................................... $ 2 /t?~~,, e:Pi:' (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ · .fr (Total Column (c) plus loans under$100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ E:nter the net here and on the Summary Page, Column A, Line 2. ;t,, t'~tJ,. '11) (May be a negative number) (e) INTEREST PAID THIS PERIOD ff % RATE $ _g ,,tr % RATE $ ff __ % RATE (Enter (e) on Schedule E, Line 3) SCHEDULE B ·PART 1 CALIFORNIA 460 FORM Page 5 ofL l.D. NUMBER /;l ti> ?fl.:r I ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR slz6?t1.-&I!} $ I ~ttJ PEA ELECTION** $ ___ _ CALENDAR YEAR s...5ftf,,~t) $ S&J..0d PER ELECTION .. CALENDAR YEAR $ ___ ,._ $ ___ _ PER ELECTION** $----DATE INCURRED •Amounts forgiven or paid by another party also must be reported on Schedule A. •• If required. ('t"C.::mtributor Codes ~· -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 SchoouleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from /t) /-» / tJ/J ~, through t:J//r&JIJ r , SCHIEDULEE CALIFORNIA 4 FORM • I Page~ofJ_ l.D.NUMBER /~~drff'-5" CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Ov'P campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)' eve civic donations 9L candidate filing/ballot fees ·JD fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) !f/ameda J'tm MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHJ phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRf print ads CODE OR P!<T lid 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/s1ponso1 VOT voter registration WEB information technology costs (internet, e-mail) - DESCRIPTION OF PAYMENT AMOUNTP. AID /;.2tftJ,, f/a1Jdled Jt/tlfl ta!'~ JJ1a1//1f J'err/a 2;3'1t, Pl353 Jv1c~'5 8Jnt., 111 ma1/1Jy ... ) . ~17 . lflameda Jbu111al Pf?.T Ads ;t);ZJ. * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ (.,J ~//, 3 / Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ , 1 L 71/ 33 • 3 7 . fr 2. Unitemized payments made this period of under $1 oo .......................................................................................................................................... $ ----'--- ff 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ ----- 4. Total pay~ents made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ ~ 7 f3.;3J FPPC Form 460 (Junie/01) FPPC Toll·Free Helpline: 866/ASK-IFPPC Sche,dule E Type or print in Ink. SCHEDULE E (CONT.I · {Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM Page_L otL 1.0.NUMBER Gail , UaM1 l:Ztft,ff,j' CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OvP campaign paraphernalia/misc. MBA membercommunications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB 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 " independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidateJsponsor _a legal defense PFO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PAT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS Of PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) /)'j/jt} . tf t't:~ t~ lrac/erJZJt:~ ..Smar/-$ F"/M// Sa#wt:t.51, FIJO #tJme Pi!ft!f 1 l(tJse11iJlam Cel/ar..s t/Jris _6rtt!!_. ~ . /_!/ 1/12 :5e~tf1n; CtJm_mtJ/J/ utfj (){ /Hame~ !; rr:y ?Jeri{ ?f<T *Payments that are contributions or independent expenditures must also be summarized on Schedule D. E /ecllt>n .lJt13 wrt!/ --a; 11$~1/~ /JemtJcra:ftc, ~fer5 Cf!t1 ice 0.?5) l?e/ttl;lted4v ~ . v (;~,) 17£tJt:J CtJ/5 J/tJ le!' 6a1de &&a) Ca!td1da:fe ..J'fa:lemtfm' #11771~ f/ed/tJa..5/amjJ/e,/iU!ttr ;p,z ~~, Lf1~t/f• FPPC Form 460 (June/01) FPPC Toll.free Helpline: 866/ASK-FPPC ·s·chedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER &a~/ dtlftltl41 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from /t!J/.2//~J/ f I through tJ//J/ J d £ ~/ SCHEDULEF CALIFORNIA 460 FORM Page_%__ of_J__ l.D.NUMBER I ;t/;&. tj f.7' CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. QJP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations FIL candidate filing/ballot fees '\ID fundraising events J) independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign.literature and mailings NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER l.D. NUMBER) £JCut 6ttZ(Jh~ . /925 (!)~ntlf!le~ 45ZJI * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule F Summary MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PFO professional services (legal, accounting) PAT print ads CODE OR (a) OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD Git '31811· 11 SUBTOTALS$ 8 3/7 "f ( 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) (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD 91 '3t71 ! I fr ~,1317 ,// I 11 $ 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 3 / 3 1 7. // accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ _ 2 ' !~~~=~c~~~:Sx:se~;;~ gg~r t~~~~~~u~ tgt~~l~~:e~i;~:~~~~:~t~~~~~c~~e~u=!~:~~!~r in~;~~~o~~ ..................... , ........... PAID TOTALS $ ___ g-___ _ 3 · ~~~~=~~~~~;:~=~=: ~~~~~~.~~~e ~'.;~~-~'.~~.~.: .. ~.~:~~.~~-~.~.i~~~~.~.~~ .. ~~~~ .. ~~.~ ................................................................................ NET$ :3; 3 / 7 • l { May be a negative number FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC