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Alameda Fire Fighters Associartion PAC 460Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. 1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 7. D Officeholder, Candidate D Primarily Formed Candidate/ Controlled Committee Officeholder Committee (Also Complete Part 4.) ~ Ballot Measure Committee O Primarily Formed O Controlled 0 Sponsored (Also Complete Part 5.) 3. Committee Information COMMITIEE NAME STREET ADDRESS (NO P.O. BOX) \!._, \ (\ ~ITY CITY OPTIONAL: FAX I E·MAIL ADDRESS (Also Complete Part 6.) r§l General Purpose Committee ~Sponsored O Broad Based STATE ZIPCODE AREA CODE/PHONE COVER PAGE CALIFORNIA 460 FORM ifAN 3 1 2001 of __;;;;_b_ Date of election if applicable: (Month, Day, Year) Ci 2. Type of Statement: D Pre-election Statement ~emi-annual Statement O Termination Statement O Amendment (Explain below) Treasurer(s) NAME OF TREASURER ::3. M~ E lJ\vAJ10 J MAILING ADDRESS CITY r-A?J. t ,-fl NAME OF ASSIST TREASURER, IF ANY G . x kA L'.Ql!IJ Page _ _.__ For Official Use Only D Quarterly Statement D Special Odd-Year Report D Supplemental Pre-election Statement -Attach Form 495 STATE ZIPCODE AREA CODE/PHONE qyr-c;lr CITY STATE ZIPCODE AREACODE/PHONE S71u0 h t:Arvog,D, QA 1~~-~1 C:!t>-Y~J-"'37c;1/ OPTIONAL: FAX/E·MAILADDRESS / FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Stale of C~lifornia Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. COVER PAGE-P.ART2 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not Included In this con sol/dated statement that are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME LO.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION D SUPPORT D OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 6. Primarily Formed Committee List names of officeholder(s) or candldate{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 Attach contmuation sheets if necessafY 7. Verification I have used all reasonable diligence in preparing and reviewing this statement and Executed ark: J ~ J 0 ~ V / DATE Executed on ___________ _ DATE Executed on ___________ _ DATE Executed on ___________ _ DATE // SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE SURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR BY~-------------~--------------------~ SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT BY~-------------~--------------------~ SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of California Type or print in ink. Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER I A . P. Contributions Received Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULYS) l~~o g__ 1. Monetary Contributions...................................................... Schedule A, Line 3 $--..:......""--"'-_.:_---- ($( (9t' 1 s-0r 1 2. Loans Received................................................................... Schedule 8, Line 7 SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 2 $----1.--'---"';......;::'------ & ')' l-7 0 0 .~ 4. Non monetary Contributions............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ _ ___,--'--''------ IS~tJD vo ___. Expenditures Made 6. Payments Made.................................................................... Schedule £, Line 4 $ _ __.:_~__i..~::..__ ___ _ '()_ I )bO 00 --7. Loans Made .. . ... .. ... .. . .... ... ...... . .... .... ................................. ..... Schedule H. Line 7 8. SUBTOTAL CASH PAYMENTS .................. :............................. Add Lines 6 + 7 $ _ _...._-"--=..::_---- 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F. Line 3 ex R @--J 5=DD 10. Non monetary Adjustment ....................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines B + 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 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 8, Part 1, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse $~--------~ 19. Outstanding Debts ................................... Add Line 2 +Line 9 In Column C above $ ________ ~ Statement covers period from 7/) /60 through / )i /} / / 0 U I • Page ._;j of b D b Column B* Column C TOTAL PREVIOUS PERIOD TOTAL TO DATE (COLUMNS A + 8) ~ 3/3~ $ (SEE NOTE BELO~ ~ $ I <)j t-, -.'Q $ ) ) } ~ 'b!j___ ls-~~ R ~- $ --- $ 3) 3 !u ~ bi, A z; I S-1 lo $ $ I J q o.~ $ 102 [~ ~· I & 2 {~ bb $ ---~ l) 9 t'"D $ ~ ~ ~ lb1<f. oO $ $ L 2 ~ ti!l- *From previous statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received ............ $ ------ 21. Expenditures Made .................. $ ------ FPPC Form 460 (8199) For Technical Assistance: 9161322·5660 SchedureA Monetary Contributions Received Type or print In ink. Amounts may be rounded to whole dollars. ,-~Sf.rte;E~~;ftt;;ric~----·ll!lllll-SC'11EDULE A 1 Stateme t covers period from -~--'-+--=-.;;;.Q __ _ SEE INSTRUCTIONS ON REVERSE through ri/11/bb NAME OF FILER DATE RECEIVED FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER l.D. NUMBER) CODE * Schedule A Summary 1. Amount received this period -contributions of $100 or more. DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) SUBTOTAL$ AMOUNT RECEIVED THIS PERIOD (Include all Schedule A subtotals.) ....................................................................................................... $ _____ _ '' r~n o~ 2. Amount received this period -unitemized contributions of less than $100 ......................................... $ ..L~L -· I 3. Total monetary contributions received this period. ~ JJ-. ;-, I -. t../l/ (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ..........•........ TOTAL$ -'-fl-')"--'-""'-=O'--- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) ·contributor Codas IND-Individual COM -Recipient Committee OTH-Other FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statemen covers period from ---+--+-'--+-.Q_, _D __ SCHEDULEE CALIFORNIA 4a. 0 FORM U Page )~ of~ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)" eve civic donations F"'f1 fundraising events independent expenditure supporting/opposing others (explain)* LI 1 campaign literature and mailings MTG meetings and appearances NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER l.D. NUMBER) P\ \ D t. "'\, z-1c Ac.--~C\,\AJ l\ \ \J ~ °f' h'.\)i\ \ l'vl r y ~by' ~ (}\ l 0"\;0~; l h \ \)'N\1~\vS }s: co I lvtu:, ~ \, Y'-l b 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) PAT printads RAD radio airtime and production costs CODE OR LfB t1 f) L1!3 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. RFD returned contributions SAL campaign workers salaries TEL t. v. or cable airtime and production costs ! TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID '° l'.? ·~bO _/ fJ' (/ )~ bO ___./ -oo ea ~ SUBTOTAL$ I ~D<P_y_ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ __ l_<~~-0_· _D_ f:;O 2. Unitemized payments made this period of under $100 ........................................................................................................................................ $ _____ _ 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule 8, Part 2, Column (d).) ....................................................... $ -----..,.,.,.. l 'r"<A 0 VJ!!_. 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL$ _ Lu FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITIEE, ALSO ENTER 1.0. NUMBER) Attach additional information on appropriately labeled continuation sheets. Schedule I Summary Type or print in ink. Amounts may be rounded to whole dollars. DESCRIPTION OF RECEIPT SUBTOTAL$ 1. Increases to cash of $100 or more this period ............................................................................................. : ............. $ _____ _ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ __ 1~-..... J,_.__/ __ 3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) ................................. $ _____ _ 4. ~~t~lm~~~~~ne~o~~~n~~~t~.~-~ .. t.~.-~.~~.~ .. ~~'.~ .. :.~~'.~~: .. ~~~~ .. ~.i·~-~.~ .. ~.' .. ~'..~~~ .. ~." .. ~~~~~.~~~~ .. ~.~.~ .. ~~-~~~······· TOTAL $ ~2~·~-d~_} __ SCHEDULE I CALIFORNIA 4 t::t O FORM U Page ----""---of£ LO.NUMBER AMOUNT OF INCREASE TO CASH FPPC Form 460 (8/99) For Technical Assistance: 916J322-5660