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Pavletic for Alameda City Council 460Recipient Committee Campaign Statement Cover Page Type or print in ink. (Government Code Sections 84200-84216.5) Statement covers period trom Ot:I-O I.~~ l.- SEE INSTRUCTIONS ON REVERSE through ()er: 19 , 2 ooz 1. Type of Recipient Committee: All Committees -Complete Parta 1, 2, 3, and 4. • Otticeholder, Candidate Controlled Committee O State Candidate Election Committee 0 Recall (Also Complete Patt 5) , General Purpose Committee 0 Sponsored 0 Small Contributor Committee O Political Party/Central Committee 3. Committee Information. D Ballot Measure Committee 0 Primarily, Formed O Controlled O Sponsored (Also Comp/ate Part 6) D Primarily Formed Candidate/ Officeholder Committee (Also Comp/ate Patt 7) l.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREET ADDRESS (NO P.O. BOX) . r CITY STATE ALAMet;;A CA ZIP CODE AREA CODE/PHONE q1.u;o 1 q213 .:z.1o.i.3 8'6 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E·MAIL ADDRESS 4. Verification Date of election If appllcab (Month, Day, Year) ty Clerk's Offi For Olficial Use Only 2. Type of Statement: II Preelection Statement D Quarterly Statement D 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 llitR~f.:SA l<AMD5 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE A t,,4~ ~DA c.A 9t/5o I 510. '37. 5711 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E·MAIL ADDRESS Executed on _____ ..,,Date ______ _ BY-----------------------------~ ·Signature ol Conlrolling Olficeholder, Candidate, Slate Measure Proponent Executed on-------------Date FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC StalA nl Callfnrnla Type or print In Ink. Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 71/oMA.S C, PA Vt,,.f;I) c,, OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) c rrY {,oWJC;t l 1 A-t--AMf::'bA RESIDENTIALJBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP ' At--4M~-4 CA qLl6D/ Related Committees Not Included in this Statement: List any committees not included In thi• statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME 1.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES D NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) GITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME l.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES D NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION D 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 otficeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll·Frea Helpline: 866/ASK·FPPC . State of C1111fornl11 1 Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period trom OCT-0/ ... Zot>Z. CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions . . ..... .... ... .... ... .... .... ..... ......... Schedule A. Line 3 $ 2. ans Received ....... ......................... ........ .............. Schedule 8, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines t + 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. Non monetary Adjustment .......................................... Schedule c, Line 3 11. TOTALEXPENDITURESMADE ................................ AddLinesf3+9+ 10 $ r ·rent Cash Statement 12. 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. ENDINGCASHBALANCE .......... Add Lines 12+ 13+ 14, thensubtrac/Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, 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 $ Column A TOTAL THIS PERIOD (FROMATIACHEDSCHEDULES) ) I '2. '2,q . OC> D ID 5'. c;O 6 Jo5.cr6 11 ii '-/, '()O (). 6 0 /1)'3.{)() 1 1 705. "/7 0 C> through rjc (-/Cf "'2 0-0 Z. Page ..3 of $ $ $ $ $ $ Columns CALENDAR YEAR TOTAL TO DATE 2, sz.z.. 0() I 1 e>t:>o. oo 3, '622.. 0-0 6 3 I 8"2'2" f:YO 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). 1.0. NUMBER /'Zti59b9 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* (II Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mrnldd/yy) ___} $ ___} $ ___} $ __j $ ___} $ ___} $ ·~ince January 1, 2001. Amounts in this section may be different from amounts reported in Column 8. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC Type or print in ink. SCHEDULE A Schedule A Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM from {)c.-"F O/r 2-ooZ- through oe-f-/q ... 20-oZ-. Page '-/ of _6_ SEE INSTRUCTIONS ON REVERSE NAME OF Fil.ER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE * oc-r-to-o ocr-H-02. OP~'fli--16' e;:rJG tl.f ~!:, l!>CAL.tl 3 D\"J,-P.l t:.72b P A.t-l t> ~'l r3q b . A'-A M r:::DA CA 94 5o-e.. M 1W . rt e-t..e1'.I J i?'PPeR.sc>-J ~t.-AMfif>A-1 r:. A q L1 '50 \ FtR£trRfat5 ~~ M F='.°U~l) 1D qq2oos ,,0 fi{i,i,~(o,), CA-Cj2g3 5 Bu ... L.. Gcro"DtM'N 'P,o . 5o ' ··tc 7 AL-4Mei>A 1 fA q4? O/ Schedule A Summary DINO 8COM DOTH DPTY DSCC llilll!llND DCOM DOTH DPTY DSCC DINO !ICOM DOTH DPTY DSCC MIND DCOM DOTH DPTY DSCP DINO DCOM DOTH DPTY DSCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER .(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Pu.~ c 1-l ~ 'JJ {s-- ir6~~, LA~l?-eN c.,i;: ~~I<'. SUBTOTAL$ AMOUNT RECEIVED THIS PERIOD 1. ~:~~~! ~f~~~~d~:: ~e;~~~~~~)t~'.~.~•t•i•~•~~-~~•~•~•~•~•~~.~~~~: ................................................................. $ 4 ttJtJtJ I (fO • 2. Amount received this period -unitemized contributions of less than $1 oo ............................................. $ __ Z_2_'f"--,{)()-- 3. Total monetary contributions received this period. I ~ ~ t./ tJ (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ............... ~ ....... TOTAL $ __ 1 ___ ._0_ l.D. NUMBER !2'15ct69 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 4 /5D ,OtJ PER ELECTION TO DATE (IF REQUIRED) ~/(JO.CJD ·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 SCHEDULE 8-PART 1 Schedule B -Part 1 loans Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM from OC/-6/-20-0-Z: SEE INSTRUCTIONS ON REVERSE through {)(!(:, /°t-206 Z Page~ of _G___ NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITIEE, ALSO ENTER l.D. NUMBER) -r'OM.. °fAVl--Etl~ IF AN.INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME Of BUSINESS) . a (b) (c) d OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING BALANCE T S BALANCEAT BEGINNING THIS RECEIVED HI OR FORGIVEN CLOSE 0!= THIS PERIOD THIS PERIOD* 0PAID ; <> -(' AL..AM~A CA <1Y. 5D1 U:>tu'S (,/. t---r'fftiYTj 15i:<<Sw#J .{ CAll>Wcit, -$(,c:&{J .t>o 0 OFORGIVEN :1~0(), OD ' t• IND o coM o OTH o PTY D sec DATE DUE 0PAID D FORGIVEN DATE DUE to IND o coM o OTH o PTY o sec $ ___ _ OPAID $ $ 0FORGIVEN t[1 '"ID D coM D OTH D PTY o sec DATE DUE SUBTOTALS $ D $ Schedule B Summary 1. Loans received this period ••••••..••••••.••••••••••••••••••••••••••••••••••.••••••••••.•...•.••••••••••••••••....••••..•.••••••••..•.••....••• $ (Total Column (b} plus unitemized loans less than $100.) C> 0 2. Loans paid or forgiven this period ......................................................................................................... $ · ______ _ (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 $ 6 Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) t Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other PTY -Political Party SCC-Small Contributor Committee $ • INTEREST PAID THIS PERIOD 0 % RATE (),OD __ % RATE __ '/o RATE (Enler (e) on Schedule E, Line 3) l.D. NUMBER ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE 4 CALENDAR YEAR /,1 tn>o ,()D <1-; _Ak 00 $ $ 1VV"'• ~/3o /0 ;z., PER ELECTION** DATE INCURRED CALENDAR YEAR PER ELECTION,... DATE INCURRED CALENDAR YEAR PER ELECTION•• DATE INCURRED 'Amounts forgiven or paid by another party also must be reported on Schedule A. •• If required. 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 tJ cf:-o {.-2 CYOC., CALIFORNIA 460 FORM from--------- oc:r--IC\ <ZttO-Z... I b through . Page -~--of ---SEE INSTRUCTIONS ON REVERSE NAMEOFFILEA Pk vi~-r /L. ro·R-A-tA-f1f!:?;bA c rry C.OUAJC / L- 1.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. M8R member commu.nications RAD radio airtime and production costs CNS campaign consultants , MTG meetings and appearances RFD returned contributions CT8 contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries cvr civic donations F£T petition circulating TEL t.v. or cable airtime and production costs FIL ,andidate filing/ballot fees PHO phone banks TAC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PR'.> professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads · WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITIEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 4t-4M~'t>A co LlAJI'/ 'RE"6-I :;, IRA' R Voi-~ /oi, atJ / C5PrKL-ttJ D, e 4 '14<cL2' . - * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .:~ ............................................................................................... $ __ /_OS._,_._D_C_ 2. Unitemized payments made this period of under $100 ......................................................................... , ................................................................ $ ---=-6_ . ...:.tr_D;___ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ ___ (}_, _CJ_O __ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ __ 1_6_5_._C>_O_ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC