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Firefighters 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE COVER PAGE CALIFORNIA A 6f1 °it' 41 FORM Statement covers period from 7/1/2016 through 9/24/2016 • Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. El Officeholder, Candidate Controlled Committee [11 Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Pert 5) 0 Sponsored (Also Complete Part 6) 0 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) SZI General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMFTEE) I.D. NUMBER 890076 Date of election if applicable (Month, Day, Year) Official Use Only 2. Type of Statement: X Preelection Statement El Semi-annual Statement 0 Termination Statement (Also file a Form 410 Termination) CI Amendment (Explain below) [11 Quarterly Statement CI Special Odd-Year Report Alameda Firefighters Association Political Action Committee STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE ZIP CODE Ca 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification STATE ZIP CODE AREA CODE/PHONE (510)337-2220 AREA CODE/PHONE Treasurer(s) NAME OF TREASURER William Klump MAILING ADDRESS CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE Ca 94501 AREA CODE/PHONE (510)337-2220 OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the best of my kn certify under penalty of perjury under the laws of the State of California that the foregoin Signature of Controlling Officeholder, Candidate, State Measur roponent 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@fppc.ca.gov (866/275-3772) Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Firefighters Association Political Action Committee Amounts may be rounded to whole dollars. Sta ment covers period 7/1/2016 from SUMMARY PAGE CALIFORNIA 460 FORM through 9/24/1016 Page of I.D. NUMBER 890076 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) 8337.88 0 8337.88 0 8337.88 Expenditures Made 6. Payments Made. Schedule E, Line 4 $ 7. Loans Made 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 + 9 + 10 $ 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. Column B CALENDAR YEAR TOTAL TO DATE 29134.20 0 29134.20 0 29134.20 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 $ 11469.30 $ 0 11469.30 0 0 11469.30 31981.42 0 31981.42 0 0 31981.42 28930.98 8337.88 0 11469.30 25799.56 17. LOAN GUARANTEES RECEIVED Schedule B, Part 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 $ 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 NAME OF FILER Amounts may be rounded to whole dollars. Alameda Firefighters Association Political Action Committee DATE RECEIVED 7/1-9/24 FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * Statement covers period from 7/1/2016 9/24/1016 through SCHEDULE A CALIFORNIA AIR n FORM Page IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYER ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD I.D. N 8900 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) UMBER 76 PER ELECTION TO DATE (IF REQUIRED) Local 689 Membership Alameda, Ca. 94501 IND 0 COM 00TH 0 PTY ▪ SCC 8337.88 29134.20 0 IND 0 COM 00TH PTY SCC 0 IND O COM 00TH PTY 0 SCC 0 IND COM 00TH PTY SCC 0 IND 0 COM 00TH PTY SCC Schedule A Summary SUBTOTAL $ 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 $ 8337.88 $ 0 8337.88 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) 0TH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fouc.ca.eov Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Alameda Firefighters Association Political Action Committee DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT State from through ment covers period 7/1/2016 9/24/1016 SCHEDULE D CALIFORNIA 460 FORM Page i of DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD I.D. NUMBER 890076 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 9/15/2016 ACDCC Concord, Ca 94518 FPPC#747153 O Support 0 Oppose O Monetary Contribution O Nonmonetary Contribution O Independent Expenditure 750.00 750.00 9/15/2016 Gray Harris for Alameda School Board 2016 Alameda, Ca. 94501 O Support 0 Oppose O Monetary Contribution O Nonmonetary Contribution O Independent Expenditure 590.00 590.00 9/21/2016 Gray Harris for Alameda School Board 2016 Alameda, Ca. 94501 O Support 0 Oppose O Monetary Contribution • Nonmonetary Contribution O Independent Expenditure Food and drink 333.63 923.63 11/1/2016 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) 2. Unitemized contributions and independent expenditures made this period of under $100 1673.63 0 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.).... ...... TOTAL $ 1673.63 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Alameda Firefighters Association Political Action Committee Statement covers period from through 7/1/2016 9/24/1016 SCHEDULE E CALIFORNIA 460 FORM Page I.D. NUMBER 890076 of b CODES: If one of the following codes accurately describes th CMP 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 (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER ID. NUMBER) e payment, you may enter the code 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 . Otherwise, describe the payment. CODE OR RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries tv. 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) DESCRIPTION OF PAYMENT AMOUNT PAID The Lew Edwards Group Oakland, Ca. 94620 CNS 5000 Mua Oakland, Ca. 94612 MTG Visa 800.37 ACDCC Concord, Ca. 94518 FND 750 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $100 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 $ 6550.37 10474.00 995.30 0 11469.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period 7/1/2016 9/24/1016 from through SCHEDULE E (CONT.) CALIFORNIA F0 FORM 460 Alameda Firefighters Association Political Action Committee CODES: If one of the following codes accurately describes CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Page tor I.D. NUMBER 890076 the payment, you may enter the code. 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 CODE OR Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID Gray Harris for Alameda School Board 2016 Alameda, Ca. 94501 CTB 590 Gray Harris for Alameda School Board 2016 Alameda, Ca. 94501 CTB Food and drink for Fund raiser 333.63 Ben Kim Alameda, Ca. 95401 CNS 3000 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3923.63 FPPC Form 4-60 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772)