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Alameda Firefighters Association PAC 460Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Stateme11t covers period J) I I 0 1 " from 1 I \../ L../ , I through 1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 7. O Officeholder, Candidate D Primarily Formed Candidate/ Controlled Committee Officeholder Committee (Also Complete Part 4.) D Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete Part 5.) 3. Committee Information COMMITTEE NAME (\l \ ' \ 1~·-".11 t '\ -r\!V . ::.. llf'I, f~J j \-1I1,/1 I (Also Complete Pai 6.) ~ General Purpose Committee ~Sponsored \I\)~ Broad Based Date of election if applicable:! (Month, Day, Year) City 2. Type of Statement: D Pre-election Statement J.'2'.k Semi-annual Statement D Termination Statement D Amendment (Explain below) Treasurer(s) NAME OF TREASURER =:}'' /V1 \ ~-, L.Ji '!!~I MAiLING ADDRESS For Official Use Only D Quarterly Statement D Special Odd-Year Report D Supplemen1al Pre-election Statement -Attach Form 495 STREET ADDRESS (NO ~.O. BOX) · CITY ZIP CODE AREA CODE/PHONE f1 'l~-,.,..,..:~ I'~ l r. 1 /J 1 • 1 -1 t, ,. i-··· :''(• \ I STATE ~ !:'~ _,~r~~·L'~J~·n:.....:..1~'Ll'+.:-2':....+....:::::l;;;;....:-~;~~~~~·_!__'::__..f-.L.:-~~-J..-f-..1..L..~-----1-J""-~,__,_ CITY , STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTA T TR SURER, IF ANY _.;_~\_. \:.....i.f4.-=- 1 ', ..?...:.l~-'-1 \ _c:.__;t!.::.L.;/}h:...._·\_. ...;__~(l ·__;~_1 _ __; 6 1:_'--_r t....:....~-~_c_.:._; i_--='=>"-"--J o=-· · ·_····...;.,/;..)-;.;.)~~ -?i/ c/; __ c:-=·.::.::::.l 0 -=G.~-,l\.:;__1.l:::::.r;__<-:_: _.-= ·····-=r......1t~3·uAc...::~=-=-·~ ~...wt~:i.'-..!.. 'f\-i..· _____ _ MAILING ADDRESS (IF DIFFERENT) NO. ANO STREET OR P.O. BOX MAILING ADDRESS \, CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS .' /{ ZIP CODE ('\ L\ {j, Li \, "\'' AREA CODE/PHONE FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of California Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not Included In this consolidated statement that are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITIEE NAME LO.NUMBER NAME OF TREASURER CONTROLLED COMMITIEE? DYES D NO COMMITIEE 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 LETIER 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 DISTRICT NO. IF ANY 6. Primarily Formed Committee ust mimes of otticehotder(sJ or candidate(sJ for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT on 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 7. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my know~edge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of 91itornia that theffo;eg.oi]'s true and correct. ·1 / -) • ...--- DATE Executed on By DATE Executed on By DATE Executed on By DATE SIGNATURE OF TREASURER OR SSIS TANT TREASURER SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. STATE MEASURE PROPONENT 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 ,. L, Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received .................................................................. . Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines 1 + 2 Non monetary Contributions............................................... Schedule c. Line 3 o. 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 + 1 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F. Line 3 10. Non monetary Adjustment ....................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines a+ 9 + 10 Current Cash Statement 12. Beginning Cash Balance................................ Previous Summary Page. Line 16 1 3. 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 .............. AddLlnes 12+ 13+ 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARAN!EES RECEIVED................... Schedule B, Part 1, Column (bJ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse $ $ $ Column A TOTAL THIS PERIOD (FROM ATIACHED SCHEDULES) ... -'\.-! ~"'\ i:...- Column B* TOTAL PREVIOUS PERIOD (SEE NOTE BELOW) Column C i <.. ')( ,,,,, l: .d I \L) -, $----------,~I ---r+ J • ·-1 ( ,+, ")_ . I ') ,,,::' $---------- "(Sz l) b,~'\)fµ .. ·~~;._ $ _______ _ $ _________ _ $ _________ ~ $ _________ ~ •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). C-.-__ summary for Candidates in Both Jum~ and November Elections 1 /1 through 6130 7/1 to Date 20. Contributions Received ............ $ _____ _ 21. Expenditures $ _________ _ Made .................. $ _____ _ 19. Outstanding Debts................................... Add Line 2 +Line 9 in Column c above $ _________ _ FPPC Form 460 (8/99) For Technical Assistance: 916'322-5660 Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITIEE, ALSO ENTER l.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DINO f1j.COM DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH AMOUNT RECEIVED THIS PERIOD SUBTOTAL$ Schedule A Summary 1. Amount received this period -contributions of $100 or more. (Include all Schedule A subtotals.) .....................................................................................................•. $ ______ _ l . ~ h (,_) 2-2. 2. Amount received this period -unitemized contributions of less than $100 ......................................... $ _ ~' J_ .;_ -I .. 3. Total monetary contributions received this period. j <.~ ··7 I~ ~~} (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ --~/+-'-~--~l_ .. _-_ l.D. NUMBER , "'(" ·r ( CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) \/ -· ~ CUMULATIVE TO DATE OTHER (IF APPLICABLE) ·contributor Codes IND-Individual COM -Recipient Committee OTH-Other FPPC Form 460 (8/99) For Technical Assistance: 9161322-5660 Schedule E Payments Made Type or print In ink. SCHEDULE E SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from _~\+/__.._,I 1-/_C_?t' ..... __ CALIFORNIA 460 FORM Page£of_i_ l.D.NUMBER 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 consuitants CTB contribution (explain nonmonetary)* eve civic donations FND fundraising events IND Independent expenditure supporting/opposing others (explain)* I 1 -r campaign literature and mailings , meetings and appearances NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) ::\"..~ rl\,L s R dd u.Ji 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 ~A fV',-u/J), RFD returned contributions SAL campaign workers salaries TEL t. v. or cable airtime and production costs TAC 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 /.. !'· .. /J,)fr-;1' fr,: ,J . ~ ,, -fil I ') (/ 1 i M.-1 .,,., t':f,;__. 5 ' ·l...f :) 1) u ~ .) 0 I #"'"" ......._ -_,,. ·, .. "il 5vq,fc;d ( 0 ,h,"' ~'·lit u.,.. !7 x j'bfr)l-D~f\!V\I \ c. L+I 01 i~j :;,t_(:, \ *Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ f) \ Schedule E Summary '7 (/ 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ __ . _) ~"'----- 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).) ....................................................... $ ____ -=""'_ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL$_. ~j ~i_. ~K~c:_-_c.·_ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 ' Scher;f ule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED . ;:S;-)~; ~ ! FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Attach additional information on appropriately labeled continuation sheets. Schedule I Summary Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period DESCRIPTION OF RECEIPT SUBTOTAL$ 1. Increases to cash of $100 or more this period ........................................................................................................... $ _____ _ 2. Unitemized increases to cash under $100 this period .............................. : ................................................................ $ --''-'1c.-'-...ci,...c,,\___,__ 3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) ................................. $ _____ _ 4. ~~t~lm~~~:gne~o~~~n~~~t_~.~.~--t·~-·~-~~-~--~~~~-.~~~'.~~: .. ~~~~-·~·i·~·~-~ .. ~.' .. ~:.~~~ .. ~." .. ~~~.~~-~~~~ .. ~.~.~--~~-~~~······· TOTAL $ _. ), ·d") SCHEDULE I CALIFORNIA 460 FORM f_. I ,-i Page _'(_//_' _ of l.D.NUMBER £- AMOUNT OF INCREASE TO CASH FPPC Form 460 (8/99) For Technical Assistance: 916i322-5660