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Hettich 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period 9/30/2016 from 10/27/2016 through 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party /Central Committee El Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) Date of election if applicable: (Month, Day, Year) 11/8/2016 2. Type of Statement: IN Preelection Statement I: Semi- annual Statement ❑ Termination Statement (Also file a Form 410 Termination) El Amendment (Explain below) CALIFORNIA 4n FORM Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report 3. Committee Information I.D. NUMBER 1386003 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Matt Hettich for School Board 2016 Alameda STATE ZIP CODE Ca 94502 AREA CODE /PHONE 7144739273 Alameda STATE ZIP CODE Ca 94501 AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS matthettich4schoolboard@g ail.com Treasurer(s) NAME OF TREASURER Matt Hettich 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 knowle certify under penalty of perjury under the laws of the State of California that the foregoing is true and 10/27/2016 Executed on Executed on Date Executed on Date Executed on Date Date 10/27/2016 By By By By contained herein and in the attached schedules is true and complete. I Assistant Treasure Signature of Controlling andida e, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, Slate Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice @fpac.ca.sov (866/275 -3772) Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 CALIFORNIA 460 Page of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE 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? 111 YES El 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? El YES LI NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 11 SUPPORT Li 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 El SUPPORT El OPPOSE 111 SUPPORT El OPPOSE El SUPPORT El OPPOSE LI SUPPORT LI 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 9/30/2016 from 10/27/2016 through CALIFORNIA 460 FORM Page of NAME OF FILER Matt Hettich I.D. NUMBER 1386003 Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions. 5. TOTAL CONTRIBUTIONS RECEIVED Schedule A, Line 3 Schedule B, Line 3 .... . Add Lines 1 + 2 Schedule C, Line 3 Add Lines 3 + 4 $ 3720.60 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1420.77 0 1420.77 2299.88 Column B CALENDAR YEAR TOTAL TO DATE 8747.77 0 8747.77 2671.13 11418.90 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 3461.57 $ 0 3461.57 $ 0 0 3461.57 5345.07 0 5345.07 0 0 5345.07 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 1, 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. 5719.63 1420.77 3461.57 3678.83 $ 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 INSTRUCTONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers perio 9/30/2016 from 10/27/2016 through SCHEDULE A CALIFORNIA 4A0 Page of NAME OF FILER Matt Hettich DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EM ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD N UMBER 1386 CUMULATIVE CALENDAR YEAR (JAN. 1 - DEC. 31) 003 PER ELECTION TO DATE (IF REQUIRED) 10/17/2016 PoHtical Action for Classified Employees of California School Employees Small Contributor Committee |O#7S1128555 Sacramento, Ca. 95814 []|No COM OTH ▪ PTY LJGCC 1300 1300 []|No OCOM UOTH UPTY OCC []|No OCOM LOTH PTY []aon El IND ▪ COM U OTH UPTY SCC []|NO OCOM U OTH E] PTY USCC SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule AsubtDta|a] � 2. Amount received this period — unitemized monetary contributions of less than $100 � 3. Total monetary contributions received this period. (Add LJnes 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 1300.00 120.77 1420.77 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party OCC— Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) ""°""`""''�"~"' Schedule C Non00onetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period 9/30/2016 from 10/27/2016 through SCHEDULE C CALIFORNIA A FORM Page of NAME OF FILER Matt Hettich FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER .0. NUMBER) CONTRIBUTOR CODE * /p*w INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF 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 Ca. 94501 O|ND com UOTH OPTY L]OCC Misc. Campaign Materials & Phone Banking 489.06 860.31 1O/O4/2O1E AEA PAC FPPC# 1326421 2027 Alameda Ca. 94501 []|NO com UOTH UPTY []GCC Misc. Campaign Materials & Phone Banking 1442.95 2303.26 AEA PAC FPPC# 1326421 2027 Alameda Co. 94501 []|ND COm UOTH UPTY []GCC Misc. Campaign Materials & Phone Banking 367.87 2671.13 []|ND Ocom LJOTH UPTY OSCC Aftach additional information on appropriately appropriately Iabeled continuation sheets. SUBTOTAL $ 2299.88 Schedule C Summary 1. Amount received this perbd — itemized nonmonetary contributions. (lnclude all Schedule C subtotals.) � 2. Amount received this period — unitemized nonmonetary contributions of less 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 $ 2299.88 0 2299.88 *Contributor Codes |wo—Individual COM — Recipient Committee (ather than PTY or SCC) OTH — Other (e , business entity) PTY — Political Party GCC — Smal|ContribumrCnmmittee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whote dollars. SCHEDULE E Statement covers period 9/30/2016 from 10/27/2016 through Page of CALIFORNIA 460 FORM NAME OF FILER Matt Hettich I.uwuMBER 1386003 CODES: If one of the foliowing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC F|L FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate fiUng/ba||mfees fundraising events independent expenditure supportingfopposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1 0. NUMBER) MBR MTG OFC PET PHO POL POG PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (tegal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries Lv. 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pacific Printing San Jose Ca. 95110 CMP Door Hangers 789.53 Pacific Printing San Jose Ca. AG11O CMP Walk Flyer 1069.29 Alameda Sun Alameda Ca. 94501 PRT News Paper Ad 495 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2353.82 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 $ 3461.57 3461.57 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole doltars. SCHEDULE E (CONT.) Statement covorx po o n u 9/30/2016 from 10/27/2016 CALIFORNIA AIR n FORM —11'w‘F through Page of NAME OF HLER Matt Hettich /,o.wmmasp 1386003 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 Ua/misc campaign consultants contribution (explain nonmonetary)* civic donations oandidatofi|iog/uoUot fees fundraising events independent expenditure supporting/opposing others (explainy legal defense campaign iterature 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 RAD RFD SAL TEL TRC TRS Tor 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 l, lod transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTE, ALSO ENTER LD, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Larry Levine's Election Diegest Torrence, Ca 90501 Lit Election Mailer 390 Pacific Printing San Jose Ca. 95110 CMP Walk Flyer 517.75 Cal Sal Torrance, Ca. 0O5O1 LIT Election Mailer 200 * Payments that are contributions or independent expenditures must also be summarized on Sc edule D. SUBTOTAL $ 1107.75 FPPC Form 460 (Jan/2016) FPPC Advice: advice@f pc.ca.gov (866/275-3772)