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Hettich 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period 6/30/2016 from 9/30/2016 through 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. MI Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) El General Purpose Committee o Sponsored O Small Contributor Committee O Political Party/Central Committee LI Primarily Formed Ballot Measure Committee O Controlled O Sponsored (A(so Complete Part 6) El Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) te Stamp COVER PAGE CALIFORNIA 460 FORM 4r• Date of election if applica (Month, Day, Ye/) 11/8/2016 2. Type of Statement: El Preelection Statement 12 Semi-annual Statement IE Termination Statement (Also file a Form 410 Termination) E] Amendment (Explain below) For Official Use Only O Quarterly Statement E Special Odd-Year Report 3. Committee Information I.D. NUMBER 1386003 COMMITTEE NAME (OR CANDIDATE'S 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 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 I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informa o c,ntained 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 correc 9/30/2016 Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@foDc.ca.gov (866/275-37721 Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 CALIFORNIA 460 FORM Page 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? 0 YES NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES ENO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE BALLOT NO, OR LETTER JURISDICTION 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 0 SUPPORT 0 OPPOSE O SUPPORT EI OPPOSE 0 SUPPORT 0 OPPOSE O SUPPORT O 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 6/30/2016 from 9/30/2016 through CALIFORNIA 4.60 FORM Page NAME OF FILER Matt Hettich I.D. 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) 2978.00 0 2978.00 0 2978.00 $ Column B CALENDAR YEAR TOTAL TO DATE 7327.00 0 7327.00 0 7327.00 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 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 1607.37 0 1607.37 0 0 1607.37 $ 1883.50 0 1883.50 0 0 1883.50 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. 4349.00 2978.00 0 1607.37 5719.63 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 Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period 6/30/2016 from 9/30/2016 through CALIFORNIA 460 FORM Page NAME OF FILER Matt Hettich DATE RECEIVED FULL NAME, STREETADDRESSAND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF- pm, ER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD /.D.mumasn 1386003 CUMULATVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 7/23/2016 Marlyo[yRinrdan Carmichael, Ca. 95608 g|wo OCOM ▪ OTH ▪ PTY Soc Retired 200.00 200.00 7/25/2016 Patricia God love Sacramento Ca. 95825 g|wo O COM UOTH PTY scc Retired 100.00 100.00 7/25/2016 Thom McDanial Houston Tx. 77007 |wo O COM uOTH UPTY LJSCC TWU Vice President, Transport Workers Union of America 100.00 100.00 8/8/2016 Sam Wilkins Walnut Creek Ca. 94597 Flight Attendan Southwest Airlines 100.00 100.00 8/27/2016 Audrey Stone Nacogdoches Tx 75965 g |wo O COM UOTH UPTY LJSCC Flight Attendant, Southwest Airlines 150.00 150.00 SUBTOTAL $ 650.00 Schedule A Summary 1. Amount received this period — itemized monetary contrbutions. (Include all Schedule A subtotals.) � 828.00 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions receved this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 2150.00 2978.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — OmaUCunthbutnrCommittoe FPPC Form 460 (Jan/2016) FPPC Advice: advice@f pc.ca.gov (866/275-3772) mtAl""f""~ Cl� Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period 6/30/2016 from 9/30/2016 through CALF1::I Pt FORM RRNI 460_ Page of NAME OF FILER Matt Hettich DATE RECEIVED 9/21/2016 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD I.D. NU MBER 03 13860 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) United Food & Commercial Workers Local 5 PAC FPPC# 1294035 San Jose Ca. 95113 0 IND ▪ COM ▪ OTH PTY El SCC 500.00 500.00 9/21/2016 Transport Workers Union Political Contributions Committee EEC # C00008268 Washington D.C. 20001 0 IND COM ▪ OTH PTY SCC 1000.00 1000.00 El IND 0 COM OTH El PTY El SCC El IND COM El OTH El PTY El SCC 0 IND El COM ▪ OTH LI PTY LIiscc SUBTOTAL $ 1500.00 *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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Nonmonetary Contributions Received SEE NSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period 6/30/2016 from 9/30/2016 through SCHEDULE C FORM Page CP Matt Hettich DATE RECEIVED 9/13/2016 FULL NAME, STREETADDRESSAND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER LO. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE I,D. NUMBER 1386003 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) AEA PAC FPPC# 1326421 Alameda Ca. 94501 Misc. Cam n Materials & Phone Banking 371.25 371.25 []|ND OCOM U0H El PTY UGCC []|ND OcOm UOTH PTY OGCC []|ND OCOM U0TH UPTY LJGCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals,) � 2. Amount received this period — unitemized nonmonetary contributions of less than $100 0 3. Total nonmonetary contributions received this period. 371� 25 (Add Lines 1 and 2' Enter here and on the Summary Page, Column A. Lines 4 and 10j... TOTAL $ 371.25 *Contributor Codes |No—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party GCC— Small Contributor Committee 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 Amounts may be rounded to whole dollars. SCHEDULE E NAME OF FLER Matt Hettich Statement covers period 6/30/2016 from 9/30/2016 CALIFORNIA Ag,n FORM --11r.160 through Page y / Dwuwasn 1386003 CODES: If one of the following codes accurately describes the poyment, you may enter the code. CMP CNS C0 CVC FIL FND IND LEG LIT campaign paraphernalia/misc campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure expenditure supporting/opposing others (explain) legal defense campaign literature and mailings NAMEANDADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER La NUMBER) MBR MTG OFC PET PHO POL POa 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 Otherwise, describe the payment. RAD RFD SAL TEL TRC TRS Tar 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) OR DESCRIPTION OF PAYMENT AMOUNT PAID Pacific Printing San Jose Ca. 95110 CMP Remittance forms 250.13 Office Max CMP Printing & return address stamp 147.81 Office Max CMP Printing voter data 228.37 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 626.31 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).) 1607.37 4. Total payments made this pmi (Add Line 6.) TOTAL $ 1560.37 47.00 FPPC Form 460 (Jan/2016 FPPC Advice advic,@f pcca.guv(aoo/a7s-377z) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dohlars. SCHEDULE E (CONT.) Statement covers period 6/30/2016 rom 9/30/2016 through cALIFoRNIA 460 FORM Page NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)" civic donations candidate filing/ballot fees fundraising independent expenditure supportingfopposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. 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 postage, delivery and messenger serv(ces professional servlces (legal, accounting) print ads CODE RAD RFD SAL TEL TRC TRS Tap VOT WEB I.ummwBER 1386003 radio airtim nd production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, d meals staff/spouse tra | lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT AMOUNT PAID ZaoGn|dsUen518 Alameda Ca. 94502 CMP Photo shoot 200 Pacific Printing San Jose Ca. 95110 CMP Yard signs 734.06 * Payments that are contributions or independent expenditures must also be summarized ori Schedule D. SUBTOTAL $ 934.06 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772)