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Harris 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Date Stamp Statement covers period 9/25/16 Date of election if applicable: (Month, Day, Year) 10/22/16 through 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. LJ Officeholder, Candidate Controlled Committee El Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee O Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Pad 6) O General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information 62 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1383636 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Gray Harris for Alameda School Board 2016 STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE 510.552.6521 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX same 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 b certify under penalty of perjury under the laws of the State of California that the foregoi Executed on I LP 1 ate Executed on V) 1.0 - Date Executed on Date Executed on Date By By By By 11/8/16 COVER PAGE AL,FoRNidt, 40 'PO Pa of ° OCT 2 6 201C CITY OF ALAMEDA 0 ficial Use Only 2. Type of Statement: st of my knowle 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 COMMITTEE ADDRESS CITY CONTROLLED COMMITTEE? ❑ YES ❑ NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 6. Primarily Formed Ballot Measure Committee COVER PAGE - PART 2 NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ 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 Gray Harris OFFICE SOUGHT OR HELD Alameda School Board 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 O SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ 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 9/25/16 from 10/22/16 through CALIFORNIA 460 FORM Page NAME OF FILER Gray Harris for Alameda School Board 2016 I.D. NUMBER 1383636 Contributions Received 1. Monetary Contributions 2. Loans Received 3. 4. Schedule A, Line 3 Schedule 8, Line 3 SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 Nonmonetary Contributions. Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) $ 0 6,247 2,300 8,547 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 6,247 $ Schedule E, Line 4 $ Schedule H, Line 3 Add Lines 6 + 7 $ Schedule F, Line 3 10. Nonmonetary Adjustment... . Schedule C, Line 3 11, TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 17,779 0 17,779 $ 0 0 17,779 Column B CALENDAR YEAR TOTAL TO DATE 25,375 0 25,375 3,261 28,636 25,347 0 25,347 0 0 25,347 Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash 15. Cash Payments. 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. Previous Summary Page, Line 16 Column A, Line 3 above Schedule 1, Line 4 Column A, Line 8 above 17. LOAN GUARANTEES RECEIVED 13,254 6,247 0 17,779 1,722 Schedule 8, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents 19. Outstanding Debts See instructions on reverse $ 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). 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 13,254 $ 7,568 $ 7/1 to Date 15,382 17,779 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Lim(t) 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 Gray Harris for Alameda School Board 2016 9/30/16 10/4/16 9/24/16 Amounts may be rounded to whole dollars. Statement covers perio 9/25/16 from 10/22/16 through SCHEDULE A CALIFORNIA 460 FORM Page m'| FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER LD. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD uzmu 13836 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) MBER 36 PER ELECTION TO DATE (IF REQUIRED) UA Local 342 PAC Fund Concord CA 94518 890268 Rosemary Louissant Alex Clemens Jennifer Taggert 250 99 99 99 250 10/10/16 Mark Sorenson Alameda, CA 94501 El IND OCOM UOTH Uprf LJSoo 150 150 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule Aaubtotalo) � 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 $ SUBTOTAL $ /991 *Contributor Codes |wo—Individual COM — Re Committee (other than PTY ar SCC) OTI1 — Other (e.g., business entity) prr — pontica|porty occ — emonounmumo,uommioou FPPC Form 460 (Jan/2016 FPPC Advice: advice@f pc.ca.gov (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from 9/25/16 through 10/22/16 SCHEDULE A (CONT.) CALFORNIA FORM Gray Harris for Alameda School Board 2016 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) AMOUNT RECEIVED THIS PERIOD Page CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 10/5/16 East Bay Women's Political Caucus Oakland, CA 94610 1376109 ❑ IND ▪ COM ❑ OTH ❑ PTY ❑ scc 250 250 10/17/16 Political Action for Classified Employees of CSEA 761128 Sacramento CA 95814 ❑ IND 0 COM ❑ OTH ❑ PTY ❑scc 1300 1300 10/17/16 Rob Bonta for Assembly 2016 Sacramaneto CA 95815 1373426 ❑ IND COM ❑ OTH ❑ PTY ❑ scc 1000 2000 10/10/16 Operating Engineers Local 3 Alameda CA 94501 891396 ❑ IND coM ❑ OTH ❑ PTY ❑ scc 1500 1500 10/10/16 United Firefighters of Los Angeles City Los Angeles, CA 90026 746194 ❑ IND Qi COM El OTH ❑ PTY ❑ SCC 1500 1500 SUBTOTAL$ '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 B — Pa 1 Loans Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 9/25/16 through 10/22/16 SCHEDULE B - PART 1 CALIFORNIA 4 FOR. Page of.1 NAME OF FILER Gray Harris for Alameda 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) (b) OUTSTANDING AMOUNT BALANCE RECEIVED THIS BEGINNING THIS PERIOD PERIOD (c) AMOUNT PAID OR FORGIVEN THIS PERIOD* (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST PAID THIS PERIOD I.D. NUMBER 1383636 (f) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID ❑ FORGIVEN DATE DUE RATE DATE INCURRED $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 0 PAID ❑ FORGIVEN DATE DUE oh RATE DATE INCURRED CALENDAR YEAR PER ELECTION** $ CALENDAR YEAR PER ELECTION ** t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID ❑ FORGIVEN DATE DUE RATE DATE INCURRED CALENDAR YEAR $ PER ELECTION" SUBTOTALS $ 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 ), ....... .........,.....,.. 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. $ $ ....... NET $ (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor 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 INSTRUCTIONS ON REVERSE NAME OF FILER Gray Harris for Alameda School Board 2016 DATE RECEIVED Amounts may be rounded to whole dollars. Statement covers period from 9/25/16 through 10/22/16 SCHEDULE C CALIFORNIA° Ain n FOlM> Page 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) DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) 10/13/16 Alameda Education Association Alameda CA 94501 1326421 ❑IND COM ❑ OTH ❑ PTY ❑scc 2300 2671 ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ •.a,(�O Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals) $ 2-300 2. Amount received this period — unitemized nonmonetary contributions of Tess than $100 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ $ *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 D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 9/25/16 through 10/22/16 SCHEDULE D CALIFORNIA 460 FORM Page ta of 1_4_ NAME OF FILER Gray Harris for Alameda School Board 2016 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD I.D. NUMBER 1383636 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC, 31) PER ELECTION TO DATE (IF REQUIRED) O Support 0 Oppose O Monetary Contribution O Nonmonetary Contribution O Independent Expenditure O Support 0 Oppose O Monetary Contribution O Nonmonetary Contribution O Independent Expenditure O Support 0 Oppose O Monetary Contribution • Nonmonetary Contribution O Independent Expenditure SUBTOTAL $ 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 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL $ 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 Gray Harris for Alameda School Board 2016 CODES: CMP CNS CTB :vc FIL FND IND LEG LIT Amounts may be rounded to whole doltars. S atement covers period 9/25/16 from 10/22/16 through If one of the following codes accurately describes the paymont, you may enter he code. Otherwise, describe the payment. campaign ph |ia/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 COMMITTEEALSO ENTER .0, NUMBER) Man 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 RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE E CALIFORNIA AAA C4 Page -_L_w) �_�Z_ /.uwomasn 1383636 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 Signified Media Group Richmond, CA 94805 WEB 4500 Firefighters Print and Design Sacramento CA 95833 LIT 36- Larry Levine's Electio Digest Torrance, CA 90501 LIT 390 * Payments that are contribution or independen expenditures must also be sumniarized 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 $ )-7,-7q [1 3. Total interes paid this period on Ioans. (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 $ 7 ` -�C��� . / // FPPC Form 460 (Jan/2016) rppc Advice: aumce pc.ca.gov (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. NAME OF FILER Gray Harris for Alameda School Board 2016 Statement covers period 9/25/16 10/22/16 through SCHEDULE s(C}wT) CALIFORNIA 441 601) FORM CODES: If one of the foliowing codes accurate \ydescribes the payment, you may enter the code. O henwinn. 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 fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS oF PAYEE (IF COMMITTEE, ALSO ENTER 1.1), 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 rnessenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB uaNUMBER 1383636 radio airtime and production costs returned contributions campaign workers salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and rneals transfer betw en committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Firefighters Print and Design Sacramento, CA 95883 LIT Mail 9,974 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from 9/25/16 10/22/16 through Gray HarrisforAlameda School Board 2016 CODES: CMP CNS CTB CVC FIL FND IND LEG LIT If one of the following codes accurately describes campaign paraph lia/misc. campaign consulta ts contribution (explain nonmonetary)* civic donations candidate filingfballot fees fundraising events ndependent expenditure supportingfopposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER LD. NUMBER) the paymont, you may ente MBR MTG OFC PET PHO POL PO8 PRO PRT the code. Ot 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 DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD SCHEDULE F CAL.IFORNIA AAA U p�*��_— of /.uwumasn 1383636 henwino, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL tv. or cable airtinie 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) (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD * Payments tht are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ $ * Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) INCURRED TOTALS $ PAID TOTALS $ NET $ May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Gray Harris for Alameda School Board 2016 Amounts may be rounded to whole dollars. Statement covers period 9/25/16 from 10/22/16 through SCHEDULE G cALIFoRfsliA 4/6(11 FORIVI Page 12.— of I.D. NUMBER 1383636 NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you 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 MBR MTG OFC PET PHO POL POS PRO PRT may enter the code. Otherwise, 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 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE RAD RFD SAL TEL TRC TRS TSF VOT WEB describe the payment. radio airtime and production costs returned contributions campaign workers' salaries t.v. 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 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule H Loans Made to Others* SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 9/25/16 through 10/22/16 SCHEDULE H CALIFORNIA � T,.�. FORM' Page of NAME OF FILER Gray Harris for Alameda School Board 2016 FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (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 LOANED THIS PERIOD (c) REPAYMENT OR FORGIVENESS THIS PERIOD* (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST RECEIVED I.D. NUMBER 1383636 (f) ORIGINAL AMOUNT OF LOAN 0 PAID 0 FORGIVEN DATE DUE RATE DATE INCURRED (g) CUMULATIVE LOANS TO DATE CALENDAR YEAR PER ELECTION'S 0 PAID ❑ FORGIVEN DATE DUE RATE DATE INCURRED CALENDAR YEAR PER. ELECTION** `Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS Schedule H Summary 1. Loans made this period $ (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans .................................... ............................... .. . (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ....... ............................... (Enter the net here and on the Summary Page, Column A, Line 7.) (Enter (e) on Schedule I, Line 3) t�ET $ (May be a negative number) * *If Required FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Gray Harris for Alameda School Board 2016 DATE RECEIVED Amounts may be rounded to whole dollars. Statement covers period from 9/25/16 10/22/16 through SCHEDULE 1 CALIFORNIA AAn FORM —T`,010 FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additiona! information on appropriately Iabeled continuation sheets. SUBTOTAL $ Schedule 1 Summary 1. Itemized increases to cash this period. 2. Unitemized increases to cash of under $100 this period. 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e) ) 4. Total miscella increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14 ) TOTAL $ FPPC Form 460 (Jan/2016) Fppc Advice: aavice@fppc.ca.00v(mso/ar5-a,rz)