Alameda Firefighters Association PAC 460Recipient Committee
Campaign Statement
Cover Page
Type or print in ink.
(Government Code Sections 84200-84216.5) Stot•ry covm P"iod
from \ \ o:r
through cS ~t\~ . v .• SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
D Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
O Recall
{Also Complete Part 5)
'1s<r'°General Purpose Committee ~)3' Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
D Ballot Measure Committee 0 Primarily Formed 0 Controlled 0 Sponsored
(Also Complete Part 6)
O Primarily Formed Candidate/
Officeholder Committee
{Also Complete Part 7)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ~11x~~v~ ~ot~ ~~~~~
CITY I\ fj[ATE ZIP CODE ~k U\ qL\~b)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
AREA CODE/PHONE
5\ \)-~-q l \f\
AREA CODE/PHONE
Date of election if applicabl .
(Month, Day, Year) ·
2. Type of Statement:
...Y Preelectio~ .st~te~ent .
~Semi-annual Statement
D· Termination Statement ,. I D Amendment (Explain below)
Treasurer(s)
STATE eA-
0· Quarterly Statement . I D Special Odd-Year Report
COVER PAGE
0 Supplemental Preelection
Statement -Attach Form 495
ZIP CODE AREA CODE/Pt,_ <E C\4~0\ 5LO·~C\!1~'
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge
herein and in the attached schedules is true and complete.
Executed on 1\:so l \)~ By ------:7"'"""=~==:-:-:-==1~:-:------Date
.,
Executed on I
Date
Executed on Date
Executed on Date
By
By
By
" Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candida~e, State Measure Proponent
Signature of Controlling Officeholder, Candidate. State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Type or print in ink. Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Contributions Received
1. Monetary Contributions ... .... ................. .. ..... .. .......... Schedule A, Line 3
2. Loans Received ..... ......... ........................................ Schedule B, Line 7
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
\'-tqDog_
$ 0
$ Lt-\:°\ 0 ()_11 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 .................................... 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
'.. 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 1s $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED........................... ScheduleB, Part2 $
, I Cash Equivalents and Outstanding Debts
18. Cash Equivalents........................................ See instructions on reverse $
19. Outstanding bebts ................ :·:.::.' ... AddLine2+Line9inColumnBabove $
Q5
\ \ I ~u\ :i:s.
$
$
$
$
$
$
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
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
SUMMARY PAGE
~~CALIFORNIA 460
FORM
Page ;:}-of _5-
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)
__}__}~-··· $
__}__} __ $
__}__} __ $
__}__} __ $
__;____; __ $
$
*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 Type or print in ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounded
to whole dollars. Statement covers period
from \ l\\03. CALIFORNIA 460
. FORM
SEE INSTRUCTIONS ON REVERSE through u)t>O\D~=· Page ·3_ of 5-.
NAME OF FILER
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITIEE, ALSO ENTER l.D. NUMBER)
Schedule A Summary
1. Amount received this period-.contributions of $100ormore.
CODE*
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
0COM
DOTH
OPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
SUBTOTAL$
AMOUNT
RECEIVED THIS
. PERIOD
(lncl.ude all Scre9yle j\;subtol;?ls,) ......... '. ....... : ......... , ......... r ................................................................... $ ------
2. Amountreceived this period 1 ~unitemized contributions of less than $100 ............................................. $ _\~y~q~· _Q_~_· __
3. Total monetary contributions received this period. d:l
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ _~\_4..._)_,_.\Q.__-__
LO, NUMBER
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.11 -DEC. 31)
*Contributor Codes
IND-Individual
PER ELECTION
TO DATE
(IF REQUIRED)
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
DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
~J5\M~R~~~r
c4or~~(LUl
Support D Oppose
D Support 0 Oppose
D Support D Oppose
Type or print in ink.
Amounts may be rounded
to whole dollars.
D Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
through
AMOUNT THIS
PERIOD
SUBTOTAL $ \()0~ ~
SCHEDULED
Page -=!--of .5.
l.D. NUMBER
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.1 ·DEC.31)
PER ELECTION
TO DATE
(IF REQUIRED)
Schedule D Summary ,., . r'\r'iT\01-'.
1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) .............................................. $ --"-lU\J\J.::::.....:c...=..__·· __ _
2. Unitemized contributions andindepe~dent expend.itures made this period of under $100 .................................. ~ ................................... : ............... $ ---~--
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the S~mmary Page.) .............. TOTAL $ \ () G{J ~
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULEE ScheduleE
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from \ l \ \,~ ··· · • CALIFORNIA 460
FORM
~ 1
through (J b~\Q3.-SEE INSTRUCTIONS ON REVERSE Page-5_ of 5
NAME OF FILER 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. MBR member communications 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 PEf petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PH'.) phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse trave 1 1! .. loc;Jging, and meals
\ID independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO 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
(IF COMMITTEE, ALSO ENTER l.D. NUMBER)
~~~~l~Y\~l°*Ld.t-l~q
~~~ -C\~'2.b1
CODE OR
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL$
\c;)i\ I \t~
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ ___ :J,.__._,\'----
2. Unitemized payments made .this period of under $100 .......................................................................................................................................... $ --~<:t .... · ;~-
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ........................... ~ ................................................... $ ___ Qj,,._"'"'_,_·~--t ~1 i,l\5 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ --'-"'""·-12='__,_\_.__ __
FPPC Form 460 (June/01}
FPPC Toll-Free Helpline: 866/ASK-FPPC