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Committee to Save Open Space in Alameda 460~ecipient Committee \,;ampaign Statement Cover Page Type or print in ink. (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 4. Date of election if applica (Month, Day, Year) ------rty Clerk's Offi e of __ _ For Official Use Only EJ Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee ~ Ballot Measure Committee 0 Primarily Formed 2. Type of Statement: 0 Preelection Statement 0 Semi-annual Statement 0 Termination Statement 0 Quarterly Statement 0 Recall (Also Comp/sis Part 5) 0 Controlled 0 Sponsored 0 Special Odd-Year Report 0 Supplemental Preeleclion (Also Comp/sis Part 6) 0 Amendment (Explain below) Statement -Attach Form 495 :J General Purpose Committee 0 Sponsored 0 Small Contributor Committee O Political Party/Central Committee 3. Committee Information. O Primarily Formed Candidate/ Officeholder Committee (Also Comp/eta Part 7) l.D. NUMBER Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) . NAME Orr~ ~ ~~. ~. J ~ ~ \//! . )O?ILING~S '~ ~~J~tYfiVt, ~~~~ 2:1/-tf~_, CA~~ STREET ADDRESS (NO P.O. BOX) ~ ,/f CITY ~~ <~ CODE/PHONE 21/-([~~~ ~ ~-(J,A-·;!'~(i?J/ CITY 5/~5~o;:;;;:;y NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX ,..,M,.,.A"'1L""1N""G,....,.A'='D-=-D-=-R"'Es""s:---------------------------- ';ITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification 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 perjury under the laws of the State of California that the foregoing i r e and correct. Executed on d~ ( ' /t/ZI L/ Date I Executed on ------Dat.,..,..e ______ _ Executed on ------,Dale,,..,-------- . Executed on _____ ...,,.. ______ _ Date By __ ,,,,_-,..__,.,,,.....,.....,,..-,,.,,,.....,.-,..,......,,_-,,.,-.,,,_...,..,---,,._---==--...,..,.....,,,,,,.--_,.,,,..---~ Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor BY------,,.,--,--..,.,,__.,,...,,,._,,.,,,_,....,.,.....,,,.....,,.._..,...,,,.-,. __ .,..__------~ Signature of Controlling Officeholder, Candidate, State Measure Proponent BY-------------------------------Signatura of ConlrollingOfficeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC c ....... -· "'-11•--1- Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALJBUSINESS ADDRESS (NO. AND STREET) CITY STAlE ZIP 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 l.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE ~OMMITTEE NAME l.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee 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. Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll.free Helpline: 866/ASK-FPPC State of California Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement cover!> period from -~'-""':::::..;::-C../--'---"-/~Zffd=-.;... CALIFORNIA 460 ... FORM SEE INSTRUCTIONS ON REVERSE Contributions Received Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions . .. ... .. .. . . . . . ... .. . .. . . . . ... . . .. . .. . . . . . . Schedule A, Line 3 $ 0 2. Loans Received ............................ .......................... Schedule B, Line 7 3UBTOTAL 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 $ 0 7. Loans Made . ........ ... . ..... ... ... . ... .. . . . . . . . .. .. . . . . . . . . . . .. . . . . . . .. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... ScheduleC, Line3 11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $ Current Cash Statement 1 leginning Cash Balance ....................... Previous Summary Page, Lin{! 16 $ a 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ............... ............ Schedule I, Line 4 15. Cash Payments ... ... . .. .... .. .. . . .. .. .. . ...... .. .. . .. ... .. .. .. . . Column A, Line B above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13+ 14, thensubtracrune 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 +Line 9 in Column B above $ $ $ $ $ $ $ Columns CALENDAR YEAR TOTAL TO DATE To calculate Column .8, add amounts in Column A to the corresponding amounts from Column 8 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). Page ___ of __ _ 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 Limit) Date of Election Total to Date (mm/dd/yy) __)__} __ $ __J $ __J $ __)__} __ $ __/ $ __/ $ *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