Alameda Education Assocation 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
1. ▪ Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
Type or print in ink.
Statement covers period
January 1, 2016
from
through
June 30, 2016
US=
O Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
o
Recall
(Also Complete Part 5)
O General Purpose Committee
(1) Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
El Primarily Formed Ballot Measure
Committee
0 Controlled
o Sponsored
(Also Complete Part 6)
Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
Date of election if applica
(Month, Day, Year)
e.
AUG 0 1 2016
CITY OF ALAMEDA
CITY CLERK'S OFFICE
GAUFORNIA
COVER PAGE
460'
FORM
•-)
Page of
For Official Use Only
2. Type of Statement:
O Preelection Statement
O Semi-annual Statement
O Termination Statement
(Also file a Form 410 Termination)
O Amendment (Explain below)
0 Quarterly Statement
El Special Odd-Year Report
El Supplemental Preelection
Statement -Attach Form 495
.41■1111.
3. Committee Information
I.D. NUMBER
1326421
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Alameda Education Association Political Action Committee or AEA
PAC
STREET ADDRESS (NO P.O. BOX)
CITY
Alameda
STATE
CA
ZIP CODE AREA CODE/PHONE
94501 510-521-3034
MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX
CITY STATE
OPTIONAL: FAX / E-MAIL ADDRESS
ZIP CODE AREA CODE/PHONE
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
STATE ZIP CODE
ca 94501
STATE ZIP CODE
CA 94501
.14111.4111L,
AREA CODE/PHONE
510 - 523-5852
AREA CODE/PHONE
510-749-1308
4. Verification
1 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
Executed on
Executed on
Executed on
Executed on
-
Date
Date
Date
Date
By
By
By
By
Signatu 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 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Alameda Education Association PoIiticaI Action Committee or AEA PAC
Statement covers period
January 1, 2016
from
through
June 30, 2016
SUMMARY PAGE
CALIFORNIA 460�
FORM
Page oa— of
/.owumosn
1326421
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
210920991100-
Expenditures Made
6. Payments Made Schedule E, Line
7. Loans Made Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS Add Lines o~r
9. Accrued Expenses (Unpaid Bills) Schedule F, Line o
10. Nonmonetary Adjustment Schedule C, Line 3
11. TOTAL EXPENDITURES MADE Add Lines o~o~/o
Column A Column B
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
15,000.00
15,000.00
15,000.00
�
�
�
CALENDAR YEAR
TOTALTO DATE
Current Cash Statement
12. Beginning Cash Balance Previous Summary Page, Line /o �
13. Cash Receipts Column A, Line oabove
14. Miscellaneous Increases to Cash Schedule I, Line 4
15. Cash Payments Column A, Line 8 above
1O. ENDING CASH BALANCE Add Lines /c~m+14, then subtract Line m $
If this is a fermination statement, Line 16 must be zero.
1733.69
15,000.00
16,733.69
17. LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $
Cash Equivalents and Outs anding Debts
18. Cash Equivalents See instructions on reverse $
19. Outstanding Debts Add Line 2 + Line 9 in Column B above $
�
�
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
�
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Co)umn B of your last
report. Some amounts in
Column A may be negative
figures that shou)d 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*
(1(Subject to Voluntary Expenditure Limit)
Date of Electio
/ / �
/ / �
Total to Date
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in inK
Amounts may be rounded
to whole dollars.
Alameda Education Association Political Action Committee or AEA PAC
DATE
RECEIVED
2/4/16
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I,D. NUMBER) CODE *
Alameda Education Asso otion
Alameda CA 94501
0 IND
ZIC0w
O0TH
UPTY
LJSCC
[]|No
OCOM
[]oTH
PTY
[]SCC
[]|No
OCOm
[]OTH
El PTY
[]soo
[]|No
[]COM
[]OTH
PTY
[]aCC
[]|ND
OcOM
[]OTH
OPTY
[]aCc
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IFSELF.EMPLOYED, ENTER NAME
OF BUSINESS)
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
January 1, 2016
from
through
June 30, 2016
AMOUNT
RECEIVED THIS
PERIOD
15,000.00
15,000.00
15,000.00
SCHEDULE A
CALIFORNIA
FORM
Page
I.oNUMBER
1326421
mUMmLATIvroDATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
*Contributor Codes
|wo — |nuividum
omw —Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
GcC —GmoUonnthuutorCommittoe
FPPC Form 460 (January/05)