Democratic Club 450Recipient Committee
Campaign Statement - Short Form
SEE INSTRUCTIONS ON REVERSE
For use by recipient committees that have not received a
contribution or other receipt that must be itemized, have not
received or made loans, and have no outstanding accrued
expenses.
Type or print in ink.
SHORT FORM
Statement covers period
7/1/2016
from
9/24/2016
through
Date of election if applicable:
(Month, Day, Year)
11/8/2016
CALIFORNIA 450
FORM
Page 1
of —3—
For Official Use Only
1. Type of Recipient Committee:
Ballot Measure Committee
o Primarily Formed
o Controlled
o Sponsored
El Primarily Formed Candidate/
Officeholder Committee
General Purpose Committee
o Sponsored
0 Small Contributor Committee
2. Type of Statement:
• Preelection Statement 0 Quarterly Statement
O Semi-annual Statement 0 Special Odd-Year Report
0 Termination Statement 0 Supplemental Preelection
Statement - Attach Form 495
0 Amendment (Expla(n)
(Also check type of statement you are amending)
3. Committee Information
10. NUMBER
1275389 Treasurer(s)
NAME OF TREASURER
COMMITTEE NAME
CITY OF ALAMEDA DEMOCRATIC CLUB Mike McMahon
CITY STATE ZIP CODE AREA CODE/PHONE
Alameda CA 94501 (510) 523-2263
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
ALA14EDA CA 94501 (510) 523-2263
MAIUNG ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAIUNG ADDRESS
P 0 BOX 2723
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
ALAMEDA CA 94501
OPTIONAL FAX / E-MAIL ADDRESS
OPTIONAL FAX E-MAIL ADDRESS
mike.mcmahon@yahoo.com Treasurer: mike.mcmahon@yahoo.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 is true and complete. 1 certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 9 / 2 9 /201 5 By
DATE
Executed on By
DATE 51.411IIRC OF CONTROLLINO OFFICEHOLDER CAN01.7 E, STATE MEASURE PROPONENT OR RESPOWdetE0MCCI3 OF S-F.5017
Executed on By
DATE
Executed on By
DATE
SIONATURE Of TAW VRER OP ASSISTANT TWASURER
SIGNARME OF CONLPOLLING OFFICENOLDER. CANDIDATE. STATE ME...PROPONENT
3785-0
SIGNATURE OF =MOWN° OFFICEHOLDER. CAWIENTE. STATE MEASURE PROPONENT
FPPC Form 455 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Recipient Committee
Campaign Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
SHORT FORM
Statement covers period
7/1/2016
from
through
9/24/2016
CALIFORNIA clic 0
FORM
Page 2 of
NAME OF COMMITTEE
CITY OF ALAMEDA DEMOCRATIC CLUB
I.D. NUMBER
1275389
Expenditures Made
1. Expenditures of $100 or more made this period
2. Expenditures under $100 made this period (Not (temized.)
3. SUBTOTAL EXPENDITURES MADE THIS PERIOD Add Lines 1 + 2
4. Nonmonetary Adjustment
From Line 8 Below
5. Total expenditures made from previous statement ..................... . . ....... .... . .................. Previous Summary Page, Line 6
(If this is the first statement for the calendar year, enter zero.)
6. TOTAL EXPENDITURES MADE TO DATE ... ........ ....... .... ... .......... .......... ...... ....... Addlines3+4 +5
$0.00
$0.00
$0.00
$0.00
$0.00
90.00
Contributions Received
7. Monetary contributions received this period .... ............... ..................................
8. Non-monetary contributions received this period
9. Total contributions received from previous statement
(If this is the first statement for the calendar year, enter zero.)
Previous Summary Page, Line 10
10. TOTAL CONTRIBUTIONS RECEIVED TO DATE
Add Lines 7 + 8 + 9
$0.00
$0.00
90.00
$0.00
Current Cash Statement
11. Beginning cash balance
12. Cash receipts this period
Previous Summary Page, Line 55
Line 7 above
13. Miscellaneous increases to cash
14. Cash expenditures this period Line 3 above.
15. ENDING CASH BALANCE THIS PERIOD Add Lines 11 + 12 +13. Men subtract Line 14
3785-0
9321.50
$0.00
$0.02
$0.00
$321.52
FPPC Form 450 (January/05)
FPPC ToIl-Free 866/ASK-FPPC (5561275-3772)
Recipient Committee
Campaign Statement - Short Form
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
SHORT FORM
covers period
7/1/2016
om
through
9/24/2016
CALIFORNIA 450
FORM
Page 3 of 3
NAME OF COMMITTEE
CITY OF ALAMEDA DEMOCRATIC CLUB
I.D. NUMBER
1275389
5. Payments Made Of more space is needed, use additional copies ofthis page for continuation sheets.)
DATE*
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE. ALSO ENTER I.0: NUMBER)
DESCRIPTION OF PAY
NAME OF CANDIDATE AND OFFICE OR
NAME OF BALLOT MEASURE AND AMOUNT
BALLOT NUMBER OR LETTER THIS PERIOD
AND JURISDICTION
Support ❑ Oppose
0 Contribution ❑ Ind. Exp.
❑ Support
❑ Oppose?
Contribution ❑ Ind. Exp.
0 'Support ❑ Oppose
0 Contribution ❑ Ind. Exp.
SUBTOTAL
CUMULATIVE
AMOUNTS TO DATE'
Calendar Year
Other
Calendar Year
Other
Calendar Year
Other
* Required only for payments which are contributions or independent expenditures.
FPPC. Form 450 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866(275.3772)
3785-0