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)