Alameda Education Assication 450Recipient Committee
Campaign Statement — Short Form
SEE INSTRUCTIONS ON REVERSE
For use by recipient committees that have not received a
contribution or other receipt that must be itemized, have not
received or made loans, and have no outstanding accrued
expenses.
1. Type of Recipient Committee:
D Ballot Measure Committee
O Primarily Formed
O Controlled
O Sponsored
Primarily Formed Candidate/
Officeholder Committee
IMI■1•■•••■
3. Committee Information
Type or print in Ink.
Statement covers period
from January 1, 2015
te Stam
Date of election if applica e: JUL 27 2015
(Month, Day, Year)
CITY OF ALAMEDA
through July 31, 2015 Gay CLERK'S OFFICE
CAl_IFORNIA 450
FORM
gl General Purpose Committee
O Sponsored
O Small Contributor Committee
ID. NUMBER
1326421
COMMITTEE NAME
ALAMEDA EDUCATION ASSOCIATION POLITICAL ACTION
COMMITTEE OR AEA PAC
STREET ADDRESS (NO P.O. BOX)
CITY
ALAMEDA
STATE ZIP CODE AREA CODE/PHONE
CA 94501 510-521-3034
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
OPTIONAL: FAX / E-MAIL ADDRESS
aeactanea@sbc9lobal.net
4. Verification
I have used all reasonable diligence in preparing and reviewing this s
under penalty of perjury under the laws of the State of California that
7-62 0-15"
STATE ZIP CODE AREA CODE/PHONE
Executed on
Executed on
Executed on
Executed on
DATE
DATE
DATE
DATE
By
By
By
By
2. Type of Statement:
O Pre-election Statement
• Semi-annual Statement
O Termination Statement
O Amendment (Explain)
(Also check type of statement you are amending)
Treasurer(s)
NAME OF TREASURER
Scott Mathieson
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
Audrey Hyman
MAILING ADDRESS
CITY
Alameda
OPTIONAL: FAX / E-MAIL ADDRESS
SHORT FORM
age 1 of
For Official Use Only
0 Quarterly Statement
O Special Odd-year Report
O Supplemental Pre-election
Statement - Attach Form 495
STATE ZIP CODE
CA 94501
STATE ZIP CODE
CA 94502
AREA CODE/PHONE
510-523-5852
AREA CODE/PHONE
510-749-1308
MII1111■1■1
IF SIGNATUFK OF TREASURER OR ASSISTANT 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 450 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
Recipient Committee
Campaign Statement
Summary Page
NAME OF COMMITTEE
Type or print in ink.
Amounts may be rounded
to whole dollars.
from
Statement covers period
January 1, 2015
through
July 31, 2015
CALIFORNIA
SHORT FORM
450
FORM
Page of
I.D. NUMBER
1326421
Expenditures Made
1. Expenditures of $100 or more made this period
2. Expenditures under $100 made this period (Not itemized.)
3. SUBTOTAL EXPENDITURES MADE THIS PERIOD Add Lines 1 +2 $
4. Nonmonetary Adjustment From Line 8 Below
5. Total expenditures made from previous statement Previous Summary Page, Line 6 $
(If this is the first statement for the calendar year, enter zero.)
6. TOTAL EXPENDITURES MADE TO DATE
Add Lines 3 + 4 + 5 $
Contributions Received
7. Monetary contributions received this period
8. Non-monetary contributions received this period
9. Total contributions received from previous statement
(If this is the first statement for the calendar year, enter zero.)
10. TOTAL CONTRIBUTIONS RECEIVED TO DATE Add Lines 7+ 8 + 9 $
Current Cash Statement
11. Beginning cash balance Previous Summary Page, Line 15 $
12. Cash receipts this period Line 7 above
13. Miscellaneous increases to cash
14. Cash expenditures this period Line 3 above
15. ENDING CASH BALANCE THIS PERIOD Add Lines 11 + 12 + 13, then subtract Line 14
Previous Summary Page, Line 10 $
500.00
96.80
596.80
0
596.80
75.00
2305.49
75.00
1783.69
FPPC Form 450 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Recipient Committee
Campaign Statement — Short Form
SEE INSTRUCTIONS ON REVERSE
NAME OF COMMITTEE
Type or print in ink.
Amounts may be rounded
to whole dollars.
5. Payments Made (If more space is needed, use additional copies of this page for continuation sheets.)
DATE*
1/5/15
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
Terris, Barnes & Walters
San Francisco, CA 94104
DESCRIPTION OF PAYMENT
Postcards
* Required only for payments which are contributions or independent expenditures.
Statement covers period
from January 1, 2015
through
July 31, 2015
NAME OF CANDIDATE AND OFFICE OR
NAME OF BALLOT MEASURE AND
BALLOT NUMBER OR LETTER
AND JURISDICTION
SHORT FORM
CALIFORNIA 450
FORM
AMOUNT
THIS PERIOD
Page
3 of
I.D. NUMBER
1326421
Karen Monroe
248 3rd Street, #724 $5-0606
Oakland, CA 94607
g Support 0 Oppose
E] Contribution 0 Ind. Exp.
O Support 0 Oppose
O Contribution 0 Ind. Exp.
O Support 0 Oppose
O Contribution 0 Ind. Exp.
SUBTOTAL 5-0 6, 001
CUMULATIVE
AMOUNTS TO DATE*
$
$
$
$
Calendar Year
Other
Calendar Year
Other
Calendar Year
Other
FPPC Form 450 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)