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Williams 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 1090466 SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: All Committees Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part 5) General Purpose Committee (l) Sponsored o Small Contributor Committee O Political Party/Central Committee Statement covers period from through 01/01/2016 CITY OF ALAMED.k For Official Use Only 06/30/2016 11/08/2016 CITY CLERK'S OFFICE amp Date of election if applicabl,k (Month, Day, Year) )UL. 28 2016 Page COVER PAGE CALIFORNIA 460 FORM of 10 Complete Parts 1, 2, 3, and 4. Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) [1] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information 11D, NUMBER 1384281 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jennifer Williams for 2016Alameda Unified School District Board STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Alameda CA 94502 (415)269-0900. MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS bassjenn@aol.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 correct. AREA CODE/PHONE 2. Type of Statement: E l Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) 0 Amendment (Explain below) Treasurer(s) NAME OF TREASURER Susan Reyes MAILING ADDRESS CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS ssjreyes@comcast.net 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 STATE ZIP CODE CA 94501 STATE ZIP CODE AREA CODE/PHONE (510)882-4536 AREA CODE/PHONE 111■111■11■11 Executed on Executed on Executed on Executed on 07/26/2016 Dale 07/26/2016 Date Date Date By By By By Susan Reyes - / 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@fppc.ca.gov (866/275-3772) www.fppc.ca.pi0v Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Jennifer Williams OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Alameda Unified School District Board Mb: City Of Alameda RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Alameda CA 94502. 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 COMMITTEEADDRESS CITY COMMITTEE NAME CONTROLLED COMMITTEE? 0 YES 11 NO STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES LI NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY 11110■16611 STATE ZIP CODE AREA CODE/PHONE. BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA: 460 FORM Page 2 of 10 O SUPPORT O 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 Attach continuation sheets if necessary •101111■8.■■■■■■■■• ■1■11■11111. Ej SUPPORT [I OPPOSE 0 SUPPORT O OPPOSE 0 SUPPORT O OPPOSE O SUPPORT O OPPOSE FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fPuc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board Contributions Received Amounts may be rounded to whole dollars. 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 $ Expenditures Made 6. Payments Made 7. Loans Made Schedule E, Line 4 Schedule H, Line 3 Add Lines 6 + 7 Schedule F, Line 3 Schedule C, Line 3 Add Lines 8 + 9 + 10 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11. TOTAL EXPENDITURES MADE Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule I, Line 4 15. Cash Payments Column A, Line 8 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ $ 17. LOAN GUARANTEES RECEIVED Schedule B, Pad 2 $ • Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 8,649.00 0.00 8,649.00 0.00 8,649.00 2,733.23 0.00 2,733.23 $ 0.00 0.00 2,733.23 $ 0.00 8,649.00 0.00 2,733.23 5,915.77 0.00 0.00 0.00 Statement covers period from through 01/01/2016 06/30/2016 SUMMARY PAGE CALIFORNIA 460 FORM Page 3 of 10 I.D. NUMBER 1384281 Column B - Calendar Year Summary for Candidates CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and ; General Elections 8,649.00 0.00 8,649.00 0.00 8,649.00 2,733.23 0.00 2,733.23 0.00 0.00 2,733.23 20. Contributions Received 21. Expenditures Made 1/1 through 6/30 • 7/1 to Date 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 To calculate Column B, add amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts from Column B of your last = reported in Column B. 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). 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 NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board °---------------�� DATE RECEIVED Amounts may be rounded to whole dollars. FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE,ALSOENTER ID. NUMBER) CODE * 04/01/2016 Jim Franz Alameda, CA 94501 04/01/2016 Mark Sorensen Alameda, CA 94501 04/08/2016 oak Bhalla Alameda, CA 94502 04/08/2016 Catherine Bierwith Alameda, CA 94502 04/08/2016 Robert Bierwith Alameda, CA 94502 IND 0 COM UOTH UPTY LJ3CC IND OCOM UOTH UPTY LJGCC IND OCOM OTH UPTY []ooc IND OCOM UOTH UPTY LJsoC IND OCOM OTH UPTY LJaoC El IF AN INDIVIDUAL, ENTER oucueATIowAwoEmpLoYsn (IF SELF-EMPLOYED, ENTE NAME orevo/wsnS) Coordinator City of Alameda Executive Director Alameda Chamber of Commerce Marketing Self Employed - Rak Bhalla Realtor Alain Pinel Manufacturing Berkeley Forge SUBTOTAL$ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) � 2. Amount received this period — unitemized monetary contributions of less than $100 � 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ Statement covers period from 01/01/2016 through 06/30/2016 AMOUNT RECEIVED THIS PERIOD 200.00 300.00 1,000.00 1,000.00 1,000.00 8,400.00 249.00 8,649.00 SCHEDULE A CALIFORNIA Ann Page 4 of 10 /.uwomosn 1384281 mUMmLATIvmDATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 200.00 G2016 $200.00 300.00 G2016 $300.00 1,000.00 1,000.00 G2016 $1'000.00 1,000.00 G2016 $1,000.00 *Contributor Codes IND — Individual oom— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) pTv — Po|iticm|Portv sCC— Small Contributor Committee pmPC Form wm(Janmo6) pPpo Advice: adviop@f (866/275-3772) vmww.fppcza.nov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Amounts may be rounded Statement covers period to whole dollars. Jennifer Williams for 2016Alameda Unified School District Board DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * 04/10/2016 Island City Entertainment Alameda, CA 94501 04/10/2016 Renee Nichols Alameda, CA 94501 05/05/2016 Douglas Biggs Alameda, CA 94501 05/05/2016 Queerly Elementary Alameda, CA 94501 05/22/2016 Patrick Burton Alameda, CA 94501 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 0 IND 0 COM OTH ▪ PTY El SCC IF AN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) IND Office Manager 000M Funding Circle Li OTH DPTY EISCC IND 0 COM OTH PTY El SCC 0 IND 0 COM OTH ▪ PTY El scc IND 0 COM ▪ OTH PTY El SCC Executive Director Alameda Point Collaborative Attorney San Francisco Superior Court SUBTOTAL $ from through 01/01/2016 06/30/2016 SCHEDULE A (CONT.) CALIFORNIA A an FORM milr %.0 Page 5 I.D. NUMBER 1384281 AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC. 31) 100.00 100.00 300.00 200.00 250.00 of 10 PER ELECTION TO DATE (IF REQUIRED) 100.00 G2016 100.00 G2016 300.00 G2016 200.00 G2016 250.00 G2016 $100.00 $100.00 $300.00 $200.00 $250.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Amounts may be rounded Statement covers period to whole dollars. Jennifer Williams for 2016Alameda Unified School District Board DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * 05/23/2016 Dick Berman IND Alameda, CA 94502 ['Com OTH El PTY SCC 05/24/2016 Carrie Wasson RIND OCOM Alameda, CA 94502 OTH PTY El SCC 05/27/2016 laurel Arroyo BIND Alameda, CA 94501 com OTH PTY LI SCC 05/27/2016 Sharon Smith-Mauney BIND Alameda, CA 94502 OCOM E] OTH Lil PTY SCC 05/31/2016 Michael Weiss IND Oakland, CA 94618 OCOM OTH 111 PTY LI SCC *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Sales The Berman Company Clinical Psychologisst Self Employed/Carrie Wasson Lawyer Alameda County Consultant Self Employed/Sharon Smith-Mauney Attorney City & County of San Francisco from through 01/01/2016 06/30/2016 SCHEDULE A (CONT.) CALIFORNIA A an FORM Page 6 of 10 ID. NUMBER 1384281 AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC. 31) 500.00 100.00 250.00 100.00 100.00 SUBTOTAL $ 1,050.00 PER ELECTION TO DATE (IF REQUIRED) 500.00 G2016 100.00 G2016 250.00 G2016 100.00 G2016 100.00 G2016 $500.00 $100.00 $250.00 $100.00 $100.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) wwwippc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Amounts may be rounded to whole dollars. Jennifer Williams for 2016Alameda Unified School District Board DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * RECEIVED 06/17/2016 1 Lisa Lucheta South San Francisco, CA 94080 06/26/2016 Jonathan Soglin Alameda, CA 94501 06/29/2016 Sharon Aldrich Sparks, NV 89431 06/29/2016 Barbara Fitch South San Francisco, CA 94080 06/29/2016 KPTP Realty, Inc Sacramento, CA 95814 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee IND 0 COM ▪ OTH PTY SCC IND O COM OTH PTY Lil SCC IND El COM OTH LI PTY SCC IND ▪ COM LI OTH LI PTY LI SCC 0 IND 0 COM OTH ▪ PTY LI SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Principal Torani Executive Director First District Appellate Project Customer Service RJB Management Co Retired Retired Statement covers period from 01/01/2016 through 06/30/2016 SCHEDULE A (CONT.) CALIFORNIA A ail FORM Page 7 of 10 I.D. NUMBER 1384281 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 1,500.00 100.00 100.00 100.00 500.00 SUBTOTAL $ 2,300.00 1,500.00 G2016 $1,500.00 100.00 G2016 100.00 G2016 100.00 G2016 500.00 G2016 $100.00 $100.00 $100.00 $500.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Amounts may be rounded Statement covers period to whole dollars. Jennifer Williams for 2016Alameda Unified School District Board DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * 06/29/2016 Mary Martin San Diego, CA 92117 06/29/2016 Alice Obot Santa Clara, CA 95050 06/29/2016 Lorin Wolf Altadena, CA 91001 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee IND ▪ COM ▪ OTH PTY LI SCC IND O COM OTH PTY Lil SCC IND COM OTH ▪ PTY LI SCC 0 IND O COM ▪ OTH PTY Eli SCC 0 IND 0 COM ▪ OTH ▪ PTY SCC from 01/01/2016 SCHEDULE A (CONT.) CALIFORNIA A a fi FORM through 06/30/2016 Page 8 of 10 ID. NUMBER 1384281 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Retired Retired Receptionist Patsons Press, Santa Clara National Director of Operations AETNA 250.00 100.00 250.00 SUBTOTALS 600.00 250.00 G2016 100.00 G2016 250.00 G2016 $250.00 $100.00 $250.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fopc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dohlars. Jennifer Williams for 2016Alameda Unified School District Board Statement covers period from through 01/01/2016 06/30/2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. GNP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot *aeo fundraising events independent expenditure supporting/opposing others (explain)" legal defense campaign literature and mailings Office Office Max Alameda, CA 94501 Pacific Printing San Jose, CA 95110 Office Office Max Alameda, CA 94501 NAMEANDADDRESS OF PAYEE (IF COMMITrEE, ALSO ENTER ID. NUMBER) MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research poxtage, delivery and messenger services professional services (|oga|, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE CALIFORNIA Agn FORM ""I'lhow Page of 10 Luwmwasn 1384281 radio airtime and production costs returned contributions campaign workers' salaries Lx or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, |odging, and meals transfer between committees of the same candidate/sponsor voter registration nformation technology costs (internet, e-mail) CODE OR DESCRIPTION OF PAYMENT OFC OFC Remittance Envelopes OFC * Payments tha are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 37.55 391.50 20.76 SUBTOTALS 449.81 Scilleclube E Summary 1. Jtemized payments made this period. (Include all Schedule E subtotals.) � 2. Unitemized payments made this period of under $1 00 � 3. Total interest paid this period on loans. (Enter amount from Sdiedule 13, 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 $ 2,344.42 388.81 0.00 2,733.23 FPPC Form 460 (Jan/20 6) rppo Toll-Free *o|pxno:mnswSK-FpPo(8sxm7s-37ro) ,mwwJnno.ca.nov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Statement covers period from 01/01/2016 through 06/30/2016 CMP CNS CTB CVC FIL FND ND LEG LIT campaign paraphernalia /misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing /ballot fees fundraising events independent expenditure supporting /opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Office Depot Office Max Alameda, CA 94501 Stage Presence Oakland, CA 94611 Carmen Klube Alameda, CA 94502 Stage Presence Oakland, CA 94611 Pacific Printing San Jose, CA 95110 MBR MTG OFC PET 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 (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE E (CONT.) CALIFORNIA FORM 460 Page to I.D. NUMBER 1384281 of 10 radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff /spouse travel, lodging, and meals transfer between committees of the same candidate /sponsor voter registration information technology costs (internet, e-mail) CODE OR DESCRIPTION OF PAYMENT OFC PRO WEB PRO LIT Flyer * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ AMOUNT PAID 64.61 700.00 680.00 350.00 100.00 1,894.61 FPPC Form 460 (Jan /2016) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)