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Hettich 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period 1/1/2016 from 6/30/2016 through ate 5 COVER PAGE IkLiFORNIA 460 FORM Date of election if applicable: (Month, Day, Year) JUL 28 2016 CITY OF ALAMECA 11/8/2016 CITY CLERK'S OFF CE For Official Use Only 1. Type of Recipient Committee: All Committees — Complete Parts 1,2 3, and 4. Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Pad 5) El General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee O Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: El Preelection Statement • Semi-annual Statement 0 Termination Statement (Also file a Form 410 Termination) O Amendment (Explain below) El Quarterly Statement 10 Special Odd-Year Report Committee Information .D. NUMBER 1386003 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Matt Hettich for School Board 2016 STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE ZIP CODE Ca 94502 AREA CODE/PHONE 7144739273 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Po Box 1750 CITY Alameda STATE ZIP CODE Ca 94501 AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS matthettich4schoolboard@gmail.com Treasurer(s) NAME OF TREASURER Matt Hettich MAILING ADDRESS CITY Alameda STATE ZIP CODE Ca 94501 AREA CODE/PHONE 7144739273 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification !have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowled certify under penalty of perjury under the laws of the State of California that the foregoing is true and co ec 7/9/2016 Executed on Date 7/9/2016 Executed on Executed on Executed on Date Date Date By By By By he information contained herein and in the attached schedules is true and complete. I Signature of Controll Offi Assistant Treasurer eholder, andidate, 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 (Jan/2016) FPPC Advice: advice@fonc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 460 CALIFORNIA FORM Page of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Matt Hettich OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Alameda Unified School District, Board of Education 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? El YES Lil NO COMMITTEE ADDRESS STREET ADDRESS (NO RO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES Li NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE BALLOT NO. OR LETTER JURISDICTION SUPPORT El 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 Candidate/Officeholder 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 El SUPPORT OPPOSE LI SUPPORT LI OPPOSE El SUPPORT OPPOSE Ei SUPPORT El OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period 1/1/2016 from 6/30/2016 through CALIFORNIA A III,. lr1 i+191111.) FORM Page of NAME OF FILER Matt Hettich ID. NUMBER 1386003 Contributions Received 1. Monetary Contributions Schedule A, Line 3 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS... ........ . . . Add Lines 1 + 2 4. Nonmonetary Contributions.. Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ $ $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 4349.00 0 4349.00 0 4349.00 $ Column B CALENDAR YEAR TOTAL TO DATE 4349.00 0 4349.00 0 4349.00 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made 1/1 through 6/30 7/1 to Date Expenditures Made 6. Payments Made 7. Loans Made Schedule E, Line 4 Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + + 10 276.13 0 276.13 0 0 276.13 276.13 0 276.13 0 0 276.13 Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash 15. Cash Payments 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. Previous Summary Page, Line 16 Column A, Line 3 above Schedule I, Line 4 Column A, Line 8 above 0 4349.00 0 276.13 4072.87 17. LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line 9 in Column 8 above $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole doflars. SCHEDULE A Statement covers period 1/1/2016 from 6/30/2016 through Page of 460 FORM NAME OF FILER Matt Hettich DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER NUMBER) CONTRIBUTOR CODE * FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD /.uwuMasn 1386003 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 DEC. 31) PER ELECTIO TO DATE (IF REQUIRED) 6/28/2016 Unity PAC, Alameda Labor Council FPPC#1284190 []|Mo com UOTH UPTY OSCC 4200.00 4200.00 []|wo OCOM uOTH uPTY O8CC SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule Aoubtota|ej � 2. Amount received this period — unitemized monetary contributions of Iess than $100 � 3. Total monetary contributions received this period (Add Lines 1 and 2. Enter here and on the Summary Poga, Column A, Line 1 ) TOTAL $ 4200.00 99.00 4299.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party 8cC— Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-37 2) °"°°`"",'"Q"" Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period 1/1/2016 from 6/30/2016 through SCHEDULE E CALIFORNIA 460 Page of NAME OF FILER Matt Hettich CODES: CMP CNS CTB CVC FIL FND IND LEG LIT If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations ndidate fili kot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAMEANDADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) MBR MTG OFC PET PHO POL PVa PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB I.owmmasR 1386003 radio airtim nd production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, |udging, and meals transfer between committees ofthe same candidate/sponsor voter registration information technology costs (internet, e-mail) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pacific Printing San Jose Ca. A5118 CMP Remittance forms 250.13 * Payments tha are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 250.13 1. Itemized payments made this period. (Include all Schedule E subtotals.) � 26.00 2. Unitemized payments made this period of under $1 00 � 3. Total interest paid this period on loaris. (Enter amount from Schedule B, Part 1, Column (e).) � 276.13 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .--.----TOTAL$ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov