Daysog 460Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
from
te Sta n ,r
il)
COVER PAGE
CALIFORNIA A
460
FORM
Statement covers period Date of election if applicL
T '44'•
September 25, 2016 (Month, Day, Year) OC 2 7 2016
Pa
October 27, 2016
through
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
O Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Part 5)
O General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
0 Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Part 6)
k Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Daysog4CounciI2016
I.D. NUMBER
1352188
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
Alameda Ca 94501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
OPTIONAL: FAX/ E-MAIL ADDRESS
tony_daysog@alum.berkeley.edu
4. Verification
STATE
AREA CODE/PHONE
ZIP CODE AREA CODE/PHONE
November 8, 2016 (JTY OF ALAMEDA
CM/
2. Type of Statement:
Preelection Statement
O Semi-annual Statement
O Termination Statement
(Also file a Form 410 Termination)
O Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Tony Daysog
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX/ E-MAIL ADDRESS
of
For Official Use Only
O Quarterly Statement
O Special Odd-Year Report
STATE ZIP CODE
Ca 94501
STATE ZIP CODE
AREA CODE/PHONE
AREA CODE/PHONE
I have used all reasonable diligence in preparing and reviewing this statement and to the best of.myt-rio edge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of Califomia that the
Officer of Sponsor
By
By
Signature of Controlling Officeholder, Candidate, Slate 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
ONMIttiall
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Tony Daysog
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Alameda City Council
RESIDENTIAIJBUSINESS 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 El 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 0 NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF BALLOT MEASURE
BALLOT NO. OR LI i ER
JURISDICTION
COVER PAGE - PART 2
CALIFORNIA Aiftn
FORM —r
Page of
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 ORCANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Attach continuation sheets if necessary
O SUPPORT
0 OPPOSE
0 SUPPORT
0 OPPOSE
O SUPPORT
o
OPPOSE
O SUPPORT
O OPPOSE
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
NAME OF FILER
Tony Daysog
Contributions Received
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
1, Monetary Contributions Schedule A, Line 3 $
2. Loans Received Schedule 13, 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 $
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.
MRSIS■1
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 6 above $
3,463
1,775
5,238
$
5,538
1,775 $
1,775 $
Statement covers period
September 25, 2016
from
through
October 27, 2016
SUMMARY PAGE
CALIFORNIA 460
FORM
Page
I.D. NUMBER
1352188
of
Column B - Calendar Year Summary for Candidates
CALENDAR YEAR
TOTAL TO DATE Running in Both the State Primary and
General Elections
1/1 through 6/30 711 to Date
3,662
7448.61
11,110.61
11,110.61
7,448.61
7,448.61
1,775 7,448.61
199.00
5,538
0
2,075
3,463
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).
20. Contributions
Received $ $ 11,110.61
21. Expenditures
Made 0 $ 7,748.61
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
11 / 8 / 20
Total to Date
7,748.61
*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
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE opCONTRIBUTOR
(IF COMMITTEE, ALSO ENTER W. NUMBER)
Lynn Anders, Alameda,
10/20C2010 Ca 94501
Pat Gannon, Alameda, Ca
10/26/2016 94502
Reyla Graber, Alameda,
10/26/2016 Ca 94501
James Hager, Alameda, Ca
10/26/2016 94502
Jeptha Boone, Alamada,
10/24/2016 Ca 94501
Amounts may be rounded
to whole dollars.
CONTRIBUTOR
CODE *
E/mo
OCOM
Umm
UPTY
LJSco
El/wo
now
OTH
UPTY
[]occ
12/mo
[]umm
Om*
OPTY
[]ocC
RI/wo
0 COM
0 OTH
OPTY
[]aoo
|wo
El oow
Umn
Oprr
[]ocn
Statement covers period
September 25, 2016
from
through
October 27,2018
IF AN INDIVIDUAL, ENTER AMOUNT
OCCUPATION AND EMPLOYER RECEIVED THIS
(IF $ELF-EMPLOYED. ENTER NAME PERIOD
OF BUSINESS)
self-employed \
residential real estate
retired
retired
retired
retired
SuaTolAL$
Schedule A Summary
1. Amount received this period - itemized monetary contributions.
(Include all Schedule Aaubbota|u.) �
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 arid on the Summary Page, Column A, Line 1.) TOTAL $
250.00
500.00
800.00
1000.00
100
2,650
SCHEDULE A
CALIFORNIA 460
FORM
Page
I.D. NUMBER
1352188
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
250.00
500.00
800.00
1000
100
of
PER ELECTION
TO DATE
(IF REQUIRED)
`Contributor Codes
IND — Individua
4,875 cow - nocipion Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
GCC - SmoxContriUvm,oummiuee
5,238
FPPC Form 460 (Jan/2016
FPPC Advice advice@fppc.ca.gov (866/275-3772
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
1HM
DATE
RECEIVED
Amounts may be rounded
to whole dollars.
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE. ALSO ENTER W. NUMBER) CODE *
Angela Boone
James Davis, Ca 94502
10/17/2016
Marie Kane, Alameda, Ca
10/26/2016 94502
Tony Daysog, Alameda, Ca
9-29-2016 94501
Tony Daysog, Alameda, Ca 94501
10/13/2016
*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
E IND
0 COM
O OTH
PTY
scc
Ej IND
D COM
0 OTH
o PTY
D scc
El IND
0 COM
o
OTH
PTY
SCC
R IND
COM
0 OTH
O Fr(
scc
IND
▪ COM
0 OTH
PTY
SCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
retired
retired
Statement covers period
September 25, 2016
from
SCHEDULE A (CONT.)
CALIFORNIA
October 27, 2016
through Page
I.D. NUMBER
1352188
AMOUNT CUMULATIVE TO DATE
RECEIVED THIS CALENDAR YEAR
PERIOD (JAN. 1 - DEC. 31)
100
100
250
urban planner, Applied
Development Economics 950
urban planner, Applied
Development Economics 825
SUBTOTAL $ 2,225
of
PER ELECTION
TO DATE
(IF REQUIRED)
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
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Tony Daysog,
Alameda, Ca
1- El IND 0 COM 0 0-r1-1 0 PTY 0 SCC
1- 0 IND 0 COM 0 OTH 0 PTY SCC
1-0 IND 0 COM 0 OTH D PTY SCC
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-E),IPLOYED, ENTER
NAME OF BUSINESS)
urban planner, Applied
Development Economics
(a)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
$ 5,673.61
$
(13)
AMOUNT
RECEIVED
PERIOD
5
1,775
SUBTOTALS $ 7,448.61 $
Statement covers period
from September 25, 2016
through
(c)
OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERIOD
SCHEDULE B - PART 1
60
CALIFORNIA 4
FORM
October 27, 2016 Page
I.D. NUMBER
1352188
(d)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD *
0 PAID
$
0 FORGIVEN
0
0 s 7.448.61
0 PAID
$
El FORGIVEN
$
0 PAID
$
0 FORGIVEN
$
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.
NET $
*Amounts forgiven or paid by another party also must be reported on Schedule A.
— If required.
5
DATE DUE
DATE DUE
DATE DUE
INTEREST ORIGINAL
PAID THIS AMOUNT OF
PERIOD LOAN
3.5 0/
RATE
DATE INCURRED
RATE
DATE INCURRED
$
RATE
DATE INCURRED
$ $
1 77
n
1 77F
(May be a negative number)
(Enter (e) on
Schedule E, Line 3)
of
(9)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
PER ELECTION"
CALENDAR YEAR
PER ELECTION**
CALENDAR YEAR
$
PER ELECTION"
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 B — Part 2
Loan Guarantors
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
FULL NAME,
STREET ADDRESS AND
ZIP CODE OF GUARANTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER
CONTRIBUTOR OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER
NAME OF BUSINESS)
CODE
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ scc
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ scc
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Statement covers period
September 25, 2016
from
through
LOAN
LENDER
DATE
LENDER
DATE
LENDER
DATE
LENDER
DATE
October 27, 2016
SUBTOTAL $
AMOUNT
GUARANTEED
THIS PERIOD
SCHEDULE B - PART 2
CALIFORNIA
FORM
Page
I.D. NUMBER
1352188
CUMULATIVE
TO DATE
CALENDAR YEAR
PER ELECTION
(IF REQUIRED)
CALENDAR YEAR
PER ELECTION
(IF REQUIRED)
CALENDAR YEAR
PER ELECTION
(IF REQUIRED)
CALENDAR YEAR
PER ELECTION
(IF REQUIRED)
Inter on
Summary Page.
Line 17 only.
of
BALANCE
OUTSTANDING
TO DATE
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
DATE
RECEIVED
FULL NAME, STREETADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER LD. NUMBER)
Amounts may be rounded
to whole dotlars.
Statement covers period
September 25, 2016
from
through "^=���''^"'" Page
uzNUMBER
1352188
SCHEDULE C
CALIFORNIA Ann
FORM .-111.110F1hir
CONTRIBUTOR �m«/wmwo»A� ENTER DESCRIPTION OF
* oocupmIowAND EMPLOYER
CODE SELF-EMPLOYED, 0000nonosm//osa
'�Msn,ou��ma
O|wo
OCOM
UOTH
El PTY
LJaoo
[]|wo
OCnw
[]OT*
0 PTY
0 SCC
[]|wo
OCOM
0 OTH
0 PTY
[]sno
[]|wo
OooM
[]orH
0 PTY
[]aco
Attach additiona informatfon on appropriately Iabeled continuation sheets. SUBTOTAL $
Schedule C Summary
1. Amount received this period - itemized nonmnnetarycontributions.
(Include all Schedule Cnubbzta|oj �
2. Amount received this period - unitemized nonmonetary contributions of less than $100 �
3. Total nonmorietary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $
AMOUNT/
FAIR MARKET
VALUE
CUMULATIVE TO
DATE
CALENDAR YEAR
of
PER ELECTION
TO DATE
(IF REQUIRED)
*Contributor Codes
|wo — muwmum
COM — Recipien Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY - Political Party
snc — emonconmoutorcommittnv
FPPC Form 460 (Jan/2016)
FPPC Advice advice@fppc.ca.gov (866/275-3772)
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LEI 1 ER AND JURISDICTION,
OR COMMITTEE
El Support El Oppose
El Support ID Oppose
El Support ID Oppose
Amounts may be rounded
to whole dollars.
311.1071■7111111691WW.10111=
TYPE OF PAYMENT
O Monetary
Contribution
O Nonmonetary
Contribution
O Independent
Expenditure
O Monetary
Contribution
O Nonmonetary
Contribution
o Independent
Expenditure
O Monetary
Contribution
o Nonmonetary
Contribution
O Independent
Expenditure
Statement covers period
from September 25, 2016
SCHEDULE D
CALIFORNIA 460
FORM
through October 27, 2016 page
I.D. NUMBER
1352188
DESCRIPTION
(IF REQUIRED)
SUBTOTAL $
AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
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.. $
of
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule D
(Continuation Sheet)
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
NAME OF FILER
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LE! 1ER AND JURISDICTION,
OR COMMITTEE
El Support 0 Oppose
El Support 0 Oppose
0 Support 0 Oppose
0 Support 0 Oppose
Amounts may be rounded SCHEDULE D CONT.
to whole dollars.
TYPE OF PAYMENT
0 Monetary
Contribution
o Nonmonetary
Contribution
O Independent
Expenditure
O Monetary
Contribution
o Nonmonetary
Contribution
O Independent
Expenditure
O Monetary
Contribution
O Nonmonetary
Contribution
O Independent
Expenditure
O Monetary
Contribution
O Nonmonetary
Contribution
O Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
SUBTOTAL $
Statement covers period
from September 25, 2016
CALIFORNIA 4An
FORM
October 27, 2016
through Page
I.D. NUMBER
1352188
AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
of
PER ELECTION
TO DATE
(IF REQUIRED)
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.
Statement covers perio
from September 25, 2016
October 27 2016
through Page
ID. NUMBER
1352188
SCHEDULE E
CALIFORNIA Ag
CODES: If one of the following codes accurately describes the payment, you may enter the code. Othenwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
ompaignparaphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
nonmuatemmg/»anut fees
fundraising events
independent expenditure supporting/opposing others (expIain)
legal defense
campaign literature and mailings
NAME AND ADDRESS OF PAYEE
OF COMMITTEE, ALSO ENTER I.D. NUMBER)
Alameda Sun
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 rnessenger services
professional services (legal, accounting)
print ads
CODE
PRT
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
of
radio airtime and production costs
retumed contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
stafffspouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)
OR DESCRIPTION OF PAYMENT
inserts
Office Depo printing
PRT
* Payment that are contributions or independent expenditures must also be surnmarized on Schedule D.
AMOUNT PAID
1,375
400
SUBTOTAL $ 1,775
Schedule E Summary
1. Itemized payments made this period (Include afl Schedule E subtotals.) �
2. Unitemized payments made ths period of under $100 �
3. Total interest paid ths perind 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 $
1,775
0
0
1,775
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
Statement covers period
from September 25, 2016
SCHEDULE E (CONT.)
CALIFORNIA Agirl
FORM
through October 27, 2016
Page
Tony Daysog
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 events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF PAYEE
IF COMMITIEE, 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 services
professional services (legal, accounting)
print ads
CODE OR
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
I.D. NUMBER
1352188
of
radio airtime and production costs
retumed 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)
DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Tony Daysog
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 CREDITOR
(IF COMMITTEE, ALSO ENTER LO. NUMBER)
* that are contributions or independent expenditures must also be
summarized on Schedule D.
Amounts may be rounded
to whole dollars.
the payment, you may enter the code.
MBR member communications
MTG meetings and appearances
OFC office expenses •
PET petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
Statement covers period
from September 25, 2016
October 27, 2016
through
Otherwise, describe the payment.
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE F
CALIFORNIA 460
FORM
of
radio airtime and production costs
returned contributions
campaign workers salaries
t.v. or cable airtime and production costs
candiciate 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)
(a) (b) (c)
CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
(ALSO REPORT ON E) OF THIS PERIOD
OF THIS PERIOD
SUBTOTALS $
Schedule F Summary
1. Tota 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. (lnclude alt Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payment on accrued expenses under Si 00.)
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 auvice@, (866/275-3772)
Schedule F
(Continuation Sheet)
Accrued Expenses (Unpaid Bills)
NAME OF FILER
Tony Daysog
Amounts may be rounded
to whole dollars.
Statement covers period
from September 25, 2016
through October 27, 2016
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 events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
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
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
SUBTOTALS $
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE F (CONT.)
CALIFORNIA 460
FORM
Page
I.D. NUMBER
1352188
of
radio airtime and production costs
retumed 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 (intemet, e-mail)
(b)
AMOUNT INCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Tony Daysog
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Amounts may be rounded
to whole dollars.
CODES: If one of the following codes accurately describes the payment, you may enter the code.
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
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.
1 111,11'1
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE
Statement covers period
from September 25, 2016
through October 27, 2016
Otherwise,
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE G
CALIFORNIA! Agn
FORM
Page
I.D. NUMBER
1352188
of
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
Attach additional information on appropriately labeled continuation sheets.
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.
AMOUNT PAID
TOTAL* $
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
NAME OF FILER
Tony Daysog
Amounts may be rounded
to whole dollars.
ENTER
FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, to)
OUTSTANDING
OCCUPATION AND EMPLOYER
OF RECIPIENT BALANCE
OF COMMITTEE, ALSO EN !EH I.D. NU (IF SELF-EMPLOYED, ENTER NUMBER) )IF THIS
NAME OF BUSINESS) PERIOD
*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.
(b)
AMOUNT
LOANED THIS
PERIOD
SUBTOTALS $
Statement covers period
September 25, 2016
from
SCHEDULE H
CALIFORNIA 460
FORM
October 27, 2016
through Page
LO. NUMBER
1352188
() (d)
G
OUTSTANDING
REPAYMENT OR BALANCE AT
FORGIVENESS CLOSE OF THIS
THIS PERIOD* PERIOD
0 PAID
0 FORGIVEN
CI PAID
o
FORGIVEN
DATE DUE
(e)
INTEREST
RECEIVED
RATE
of
(f) (9)
ORIGINAL CUMULATIVE
AMOUNT OF LOANS
LOAN TO DATE
• CALENDAR YEAR
PER ELECTION**
5
DATE INCURRED
CALENDAR YEAR
5
RATE
PER ELECTION**
DATE DUE DATE INCURRED
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.) NET $
(Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negatace number)
s
(Enter (e) on
Schedule I, Line 3)
*If Required
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule 1
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Tony Daysog
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
Amounts may be rounded
to whole dollars,
Statement covers period
from September 25, 2016
SCHEDULE I
CALIFORNIA AA fl
FORM
October 27, 2016
through Page
DESCRIPTION OF RECEIPT
I.D. NUMBER
1352188
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule I 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 miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) TOTAL $
of
AMOUNT OF
INCREASE TO CASH
FPPC Form 460 (Jan/Z016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov