McKereghan 460 School BoardRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
01/14/2016
from
09/24/2016
through
Date of election if applicable:
(Month, Day, Year)
Nov. 08, 2016
. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
E Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Part 5)
ID General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
LJ Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Part 6)
0 Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1382672
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Anne McKereghan for AUSD School Board 2016
STREET ADDRESS (NO P.O. BOX)
CITY
Alameda
STATE ZIP CODE
CA 94501
AREA CODE/PHONE
510-629-0280
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
anne@anne4alamedaschools.com
Dal -tamp d
C T 05 2016
ITY OF ALAMED
TY CLERK'S OFF!
2. Type of Statement:
11 Preelection Statement
D Semi-annual Statement
O Termination Statement
(Also file a Form 410 Termination)
• Amendment (Explain below)
COVER PAGE
'C.'AL;F°RNIA 460
FORM
of
For Official Use Only
0 Quarterly Statement
Special Odd-Year Report
Treasurer(s)
NAME OF TREASURER
Sarah 5CA .p,424
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
STATE ZIP CODE
CA 94501
AREA CODE/PHONE
510-599-5811
MAILING ADDRESS
CITY
STATE ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX! E-MAIL ADDRESS
4. Verification
1 have used all reasonable diligence in preparing and reviewing this statement and to th
certify under penalty of perjury und r the la s of the State of Califomia that the for o
0 It
Executed on
Executed on
Executed on
Executed on
Date
ate
Date
By
By
of my knowledge the lnformatio onta
of Sponsor
e 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.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
COVER PAGE - PART 2
CALIFORNIA Ann
FORM
Page
of
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Anne McKereghan
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE)
Alameda Unified School District Board
RESIDENTIAUBUSINESS 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
CONTROLLED COMMITTEE?
0 YES 0 NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
0 YES DN0
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LEI I ER
JURISDICTION
0 SUPPORT
0 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 commlttee 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
0 SUPPORT
0 OPPOSE
0 SUPPORT
O OPPOSE
0 SUPPORT
0 OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advlce@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
01/14/2016
from
09/24/2016
through
CALIFORNIA 460
FORM
Page of
NAME OF FILER
Anne McKereghan for AUSD School Board 2016
I.D. NUMBER
1382672
Contributions Received
1. Monetary Contributions
2. Loans Received
3. SUBTOTAL CASH CONTRIBUTIONS
4. Nonmonetary Contributions.. .............. .
5. TOTAL CONTRIBUTIONS RECEIVED
Schedule A, Line 3
Schedule 8, Line 3
............... .............. Add Lines 1 + 2
. . . . ..... ....... Schedule C, Line 3
.Add Lines 3 + 4
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
5,694.00
500.00
6,194.00
6,194.00
Column B
CALENDAR YEAR
TOTAL TO DATE
5,694.00
500.00
6,194.00
6,194.00
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 1-1, Line 3
8. SUBTOTAL CASH PAYMENTS ..... . ...... ..... . . ... ........... Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) Schedule F the 3
10. Nonmonetary Adjustment Schedule C, Line 3
11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $
3,525.99
3,525.99
3,525.99
3,525.99
3,525.99 $ 3,525.99
Current Cash Statement
12. Beginning Cash Balance ................ .... Previous Summary Page, Line 16
13. Cash Receipts ..... ............ . .... . ....... ....................... coiumn 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.
6,194.00
3,525.99
2,668.01
17. LOAN GUARANTEES RECEIVED Schedule Er, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents............... ....... ....... ......... See Instructions on reverse $
. 19. Outstanding Debts Add Line 2 + Line 9 in Column 8 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
01/14/2016
from
through
09/24/2016
CALIFORNIA 460
FORM
Page of
NAME OF FILER
Anne McKereghan for AUSD School Board 2016
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER O. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
I.D. NU
1382
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
MBER
672
PER ELECTION
TO DATE
(IF REQUIRED)
08/29/16
Chris Igo
Alameda, CA 94502
pzi IND
0 COM
o OTH
PTY
SCC
Manager,
BART
$100.00
$100.00
06/08/16
Bill Sonnemon
Alameda, CA 94501
RI IND
0 COM
OTH
0 PTY
• 0 SCC
Retired
100.00
$100.00
06/08/16
Jhanne Duffy
Alameda, CA 94502
2 IND
D com
OOTH
• PTY
SCC
Retired
$200.00
$200.00
08/17/16
Judy Tam
Alameda, CA 94501
RI IND
O COM
OTH
▪ PTY
SCC
Exec. V.P.
ITVC Inc.
$250.00
$250.00
08/29/16
Burny Matthews
Alameda, CA 94501
RI IND
0 COM
OTH
PTY
O SCC
Retired
$200.00
$200.00
SUBTOTAL $
850.00
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.)
4,600.00
1;094100
TOTAL $ 5,694.00
1,4
4
*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 A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/14/2016
SCHEDULE A (CONT.
CALIFORNIA Ann
FORM Ito ur
through 09/24/2016 Page of
Anne McKereghan for AUSD School Board 2016
I.D. NUMBER
382672
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
• OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
08/29/16
Kathy Moehring
Alameda, CA 94501
08/29/16
Julie Hong
Alameda, CA 94502
08/29/16
Sarah Olcts
Alameda, CA 94501
08/29/16
Barbara Kahn
Alameda, CA 94501
08/29/16
John Selbach
Alameda, CA 94501
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTI — Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
ET IND
COM
0 OTH
PTY
o scc
E IND
0 COM
o OTH
o PTY
scc
2 IND
COM
0 OTH
ID Pry
O scc
IND
0 COM
0 OTH
PTY
0 scc
2 IND
O COM
OTH
PTY
o scc
Director,
Alameda Elder
Communities
Homemaker
Enrichment Coordinator,
Alameda Education $100.00 $100.00
Foundation
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.1 - DEC. 31)
$100.00 $100.00
PER ELECTION
TO DATE
(IF REQUIRED)
$100.00 $100.00
Retired
Self-Employed,
Realtor
$100.00
.SUBTOTAL $
500.00
$100.00
$100.00
3406:410q4" "th':14.
41''' 40 '7'164
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 SCHEDULE A (CONT.)
to whole dollars.
Statement covers period
from
01/14/2016
through
09/24/2016
Anne McKereghan for AUSD School Board 2016
DATE
RECEIVED
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.
CALIFORNIA A an
FORM
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
08/29/16
Vicky Sedlack
Alameda, CA 94502
IND
El COM
um
0 Pry
o scc
Exe. Director,
Alameda Education
Foundation
$100.00
$100.00
08/29/16
Sally Kocher Rudloff
Alameda, CA 94501
RI IND
0 COM
0 OTH
D PTY
0 SCC
Self-Employed,
Realtor
$100.00
$100.00
09/23/16
Hadi Natof
Alameda, CA 94501
▪ IND
0 COM
0 OTH
PTY
0 scc
Manager,
Pasta Pelican Restaurant
$100.00
$100.00
09/23/16
Carla Greathouse
Oakland, CA 94602
2 IND
0 COM
OTH
PTY
▪ scc
Teacher,
AUSD
$100.00
$100.00
08/29/16
Bram Briggance
Alameda, CA 94501
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business enti(y)
PTY — Political Party
SCC — Small Contributor Commlttee
▪ IND
0 COM
0 OTH
PTY
SCC
Health Care Consultant,
Kasier
$250.00
$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 SCHEDU EA (CONT.)
to whole dollars.
Statement covers period
from
01/14/2016
through 09/24/2016
Anne McKereghan for AUSD School Board 2016
DATE
RECEIVED
FULL NAME, STREET ADDRESS AN() ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
CALIFORNIA Al 0
FORM
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQU(RED)
08/02/16
Victor Jin
Alameda, CA 94501
fel IND
0 COM
o OTH
0 PT!
SCC
Self-Employed,
Real Estate Broker
$100.00
$100.00
08/12/16
Tricia Thomas
Pleasanton, CA 94566
pi IND
0 COM
0 OTH
El PTY
0 SCC
CEO,
Bay East Association
$100.00
$100.00
08/26/16
Justine Francis
Alameda, CA 94502
El IND
0 COM
0 OTH
PTY
1:1 scc
Self-Employed,
Realtor
$100.00
$100.00
08/26/16
Deborah Rocha
Alameda, CA 94502
Pi IND
0 COM
0 OTH
0 PTY
scc
Retired
$100.00
$100.00
08/27/16
Lauren Zimmerman Cook
Alameda, CA 94501
IND
COM
0 OTH
PTY
SCC
CEO,
AEC
$100.00
$100.00
*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 A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded SCHEDULE A (CONT.)
to whole dollars.
Statement covers period
from 01/14/2016
through 09/24/2016
CALFORNIA
FORM
Page
of
NAME OF FILER
Anne McKereghan for AUSD School Board 2016
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMTITEE, ALSO ENTER ID. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
ID. NU
13826
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
MBER
72
PER ELECTION
TO DATE
(IF REQUIRED)
08/27/16
Soyoung Lee
Alameda, CA 94501
IR) IND
0 COM
▪ OTH
DPP(
LJ scc
Self-Employed,
Realtor
$100.00
$100.00
08/28/16
Andy Currid
Alameda, CA 94501
El IND
O COM
um
PTY
SCC
Engineer,
NVIDIA Corp.
$100.00
$100.00
09/03/16
Kirk Knight
Alameda, CA 94051
10 IND
▪ com
El OTH
LJ ▪ PTY
SCC
Self-Employed,
Realtor
$100.00
$100.00
09/07/16
Jeannie Graham
Alameda, CA 94501
R IND
com
o OTH
PTY
1=ISCC
Bus. Development.
Consultant,
Jeaniously
$100.00
$100.00
09/09/16
Diane Rizzo
Alameda, CA 94502
E IND
o COM
o OTH
PTY
0 SCC
Director,
Girls Inc. of the Island
City
$100.00
SUBTOTAL $ 500.00
$100.00
4it**.it
*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 A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded SCHEDULE A (CONT.)
to whole dollars.
Statement covers period
from 01/14/2016
through
09/24/2016
CALIFORNIA A An
FORM
Page
of
NAME OF FILER
Anne McKereghan for AUSD School Board 2016
DATE
RECEIVED
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. NUMBER
1382672
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
09/16/16
Peter Fletcher
Alameda, CA 94502
10 IND
0 cam
fl OTH
PTY
SCC
Self-Employed,
Real Estate Broker
$100.00
$100.00
09/18/16
Rosemary Reilly
Alameda, CA 94501
RI IND
0 COM
OTH .
0 PTY
o
SCC
Exe. Dir.,
Alameda Meals on
Wheels
$100.00
$100.00
08/27/16
Marie Elaine Robinson
W1IND
0 COM
0 OTH
▪ PTY
▪ SCC
Retired
$150.00
$150.00
07/07/16
Maureen Shandobil
Alameda, CA 94502
10 IND
0 COM
O OTH
PTY
o
SCC
Self-Employed,
Realtor
$200.00
$200.00
08/03/16
Don Sherratt
Alameda, CA 94502
10 IND
0 COM
0 OTH
PTY
scc
Retired
$200.00
$200.00
SUBTOTAL $ $750.00
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
f061,2,r
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
to whole dollars.
S HEDULE A (CONT.)
Statement covers period
from 01/14/2016
CALFORNIA Agn
FORM
through 09/24/2016 Page
Anne McKereghan forAUSD School Board 2016
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
08/10/16
Steve Cressy
Alameda, CA 94501
E IND
LJ COM
El OTH
Fry
'ED scc
Self-Employed,
Realtor
$200.00
$200.00
08/16/16
John Quick
Alameda, CA 94501
IND
IDCOM
1:10TH
PTY
1:1 SCC
Retired
$200.00
$200.00
08/30/16
Joe Ernst
Alameda, CA 9401
IND
El COM
El OTH
PTY
SCC
Seff-Employed,
Real Estate
$200.00
$200.00
08/10/16
William Schaff
Alameda, CA 94501
IND
El COM
El OTH
E.] PTY
SCC
CEO,
Phocas Financial Corp.
$250.00
$250.00
El IND
El COM
OTH
PTY
El scc
SUBTOTAL $ $850.00
iit1=14,44:0":<14
OP' .e'nhrt,r
*Contributor Codes
IND — Individual
COM — Redpient 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 B — Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/14/2016
through 09/24/2016
SCHEDULE B - PART 1
CALIFORNIA 460
FORM
Page
of
NAME OF FILER
Anne McKereghan for AUSD School Board 2016
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER
NAME OF BUSINESS)
(a)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
(b)
AMOUNT
RECEIVED THIS
PERIOD
(c)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD *
OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERIOD
(e)
INTEREST
PAID THIS
PERIOD
I.D. NUMBER
1362672
(q
ORIGINAL
AMOUNT OF
LOAN
(9)
CUMULATIVE
CONTRIBUTIONS
TO DATE
Anne McKereghan
Alameda, CA 94501
t® IND ❑ COM ❑ oTH ❑ PTY ❑ scc
Self - Employed,
Realtor
0
b $500
❑ PAID
0
❑ FORGIVEN
0
500.00
12/29/16
DATE DUE
0 %
RATE
0
500.00
01/14/16
DATE INCURRED
CALENDAR YEAR
$ 500.00
PER ELECTION'
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
❑ PAID
❑ FORGIVEN
$
S
DATE DUE
RATE
DATE INCURRED
CALENDAR YEAR
$
PER ELECTION"
t❑ IND ❑ COM ❑ OTH ❑ P
❑ SCC
SUBTOTALS $
❑ PAID
❑ FORGIVEN
DATE DUE
$
RATE
DATE INCURRED
CALENDAR YEAR
$
PER ELECTION'
$
Schedule B Summary
1. Loans received this period $
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period $
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3.. Net change this period. (Subtract Line 2 from Line 1.) NET $
Enter the net here and on the Summary Page, Column A, Line 2.
"Amounts forgiven or paid by another party also must be reported on Schedule A.
" If required.
500 00
0
5nn nn
(May be a negative number)
(Enter (e) on
Schedule E, Una 3)
1-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 E
Payments Made
• SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Anne McKereghan for AUSD School Board 2016
• Amounts may be rounded
to whole dollars.
Statement covers period
01/14/2016
from
through 09/24/2016
SCHEDULE E
CALIFORNIA A6n
FORM 10
Page
ID. NUMBER
1382672
of
CODES: If one of the following codes accurately describes
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphemalia/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)
the payment, you may enter the code. Otherwise, describe the payment.
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
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
radio airtime and production costs
retumed contributions
campaign workers' salaries
t.v. or cable airlime 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
Island Print Express
Alameda, CA 94501
CMP
3,156.06
* 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 $
3,156.06
369.93
3,525.99
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov