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Sullwold 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE 1■181111021■Veti_... a 1. Type of Recipient Committee: Type or print in ink. Statement covers period 01/01/14 from through 06/30/14 All Committees — Complete Parts 1, 2, 3, and 4. k Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (A(so Complete Part 5) General Purpose Committee O Sponsored o Small Contributor Committee o Political Party/Central Committee 3. Committee Information 1 1349912 Treasurer(s) Ballot Measure Committee o Primarily Formed O Controlled O Sponsored (Also Complete Part 6) [1] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER Date of election if applicable: - (Month, Day, Year) ii CITY OF ALAMEDA 11/04/14 CITY CLERK'S OFFICE Datt JUL 3 2014 COVER PAGE 460 2(i01102 FORM 2. Type of Statement: El Preelection Statement [k] Semi-annual Statement • Termination Statement LI Amendment (Explain below) COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE CA ZIP CODE 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE OPTIONAL: FAX / E-MAIL ADDRESS jcs@jane4council.com 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and corre AREA CODE/PHONE 510-864-7026 ZIP CODE AREA CODE/PHONE NAME OF TREASURER Robert T. Sullwold MAILING ADDRESS CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY Jane Sullwold MAILING ADDRESS CITY Alameda OPTIONAL: FAX / E-MAIL ADDRESS jcs@jane4council.com of 4 For Official Use Only O Quarterly Statement O Special Odd-Year Report O Supplemental Preelection Statement - Attach Form 495 STATE ZIP CODE CA 94501 STATE ZIP CODE CA 94501 AREA CODE/PHONE 510-864-7016 AREA CODE/PHONE 510-864-7026 Executed on Executed on Executed on Executed on July 30, 2014 Date July 30, 2014 Date Dale Date By By By By Signature of Controlling OI6ceh9td8FjCandidate, State MOasure Proponent or Responsible Officer of Sponsor Signature of Can [ling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jane Sullwold OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, Alameda, CA RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Alameda, CA 94501 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 I.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 COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 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 COVER PAGE - PART 2 CALIFORNIA 460 FORM 4 Page 2 of 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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Attach continuation sheets if necessary IffISSZIA O SUPPORT O OPPOSE O SUPPORT OPPOSE O SUPPORT O OPPOSE Ei SUPPORT O OPPOSE FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jane SuIIwoId for City Council 2014 Contributions Received 1. Monetary Contributions Schedule A, Line 3 2. Loans Received Schedule B, Line o O. SUBTOTAL CASH CONTRIBUTIONS Add Lines /+o 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines o+* Expenditures Made 6. Payments Made Schedule E, Lino 4 7. Loans Made Schedule H, Line 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) Schedule * Line o 10. Nonmonetary Adjustment Schedule C, Line o 11. TOTAL EXPENDITURES MADE Add Lines o~v~m Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 13. Cash Receipts Column A, Line 3 abovo 14. Miscellaneous Increases to Cash Schedule ( Line 4 15. Cash Payments Column A, Line 8 above 16. ENDING CASH BAL.ANCE Add Line 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. Type or print in ink. Amounts may be rounded to whole dollars. 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ -__�� Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions w,reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column 8 above Statement covers period 01/01/14 from through Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 0.00 0.00 0.00 0.00 0.00 60.00 0.00 0.00 0.00 0.00 0.00 0.00 5829.96 0.00 0.00 60.00 5769.96 MAL 0.00 0.00 � � 0.00 0.00 0.00 0.00 0.00 60.00 0.00 0.00 0.00 0.00 0.00 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your lasi 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). 06/30/14 SUMMARY PAGE CALIFORNIA Ann 3 Page of /.D.wuwasn 1349912 4 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 20. Contributions Received 21. Expenditures Made � � 7/1 to Date Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election / Total to Date *SirIce January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jane Sullwold for City Council 2014 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 01/01/14 from through 06/30/14 CODES: If one of the following codes accurately describes the peymont, you may enter the code. Othenmise, describe the payment. C1VP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)" civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explainy legal defense campaign literature and mailings ��������'����������������'����^~11116111 NAME AND ADDRESS OF PAYEE (IF C0MMITrEE, ALSO ENTER ID. NUMBER) MBR MTG OFC FET PHO POL pOS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (|oga|, accounting) print ads CODE w0 RFD SAL TEL TRS TSF VOT WEB FORM CALIFORNI 4 Page /o.wuwasn 1349912 of SCHEDULE E 4 radio airtime and production costs returned contributions campaign workers' salaries tx or cable airtime and production costs candidate travel, |odging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Payments made this period of $1 00 or more. (Include all Schedule E subtotais.) � 2. Unhemizod payments made this period of under $1O0 � 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) � 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ AMOUNT PAID 60.00 60.00 FPPC Form 460 (June/01)