McMahon 460Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
from
Statement covers period
through /.2
7 ok'
Date of election if applicable:
(Month, Day, Year)
1. Type of Recipient Committee: An Committees—Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Pert 5)
0 General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
O Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Pert 6)
0 Primarily Formed Candidate/
Officeholder Committee
(Also Complete Pat 7)
I I.D. NUMBER
I.27- 1(
COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE)
rviiKc 4/6"7741-/) 1.20 o11.:011
c cry t'7' IL-
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE
/ c C7-f$6 (1
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
OPTIONAL: FAX / E-MAILADDRESS
AREA CODE/PHONE
-2-263
STATE ZIP CODE AREA CODE/PHONE
LI
ate Srp
1 20ili
COVER PAGE
•
Cf'41-FIOFORNIRNIA 46
a
CITY OF ALAMEDA
CITY CLERK'S OFPOF
Preelection Statement
Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
1911010
MAILING ADDRESS
CITY
of
For Official Use Only
O Quarterly Statement
O Special Odd-Year Report
/
STATE
ZIP CODE AREA CODE/PHONE
tA ilvr) ‘-'71`e5L.)1 (/3/ 1/4) 6-2-3 -2/-63
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX / E-MAILADDRESS
STATE ZIP CODE
AREA CODE/PHONE
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 and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing
Officer of Sponsor
Executed on By
By
Date
Date
Date
Executed on By
Executed on By
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
1111
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE
(/ ill C/77 4 1-ievA)
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
C-iTh( ft 019 (7-0/<7,
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
fli--m'4 cf r (62 (
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 STREETADDRESS (NO P.O. BCX)
CITY STATE ZIP CODE AREA CODE/PHONE
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
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
COVER PAGE - PART 2
CALIFORNIA A
FORM
0 SUPPORT
LJ 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
Attach continuation sheets if necessary
0 SUPPORT
El OPPOSE
0 SUPPORT
O 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
in /7( ((-- niC .17 ,/q /,/d/4.) r-7)
Contributions Received
1. Monetary Contributions Schedule A, Line 3
2. Loans Received Schedule B, 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
111■1011■11
$
0
Amounts may be rounded
to whole dollars.
Statement covers period
/0 /-7.. -3/26K
from
through
7--1/ 7/ 7M- 2L)
Column A Column B Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
SUMMARY PAGE
C,AL10FoRmRNIA
F
Page
I.D. NUMBER
ofLf
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
C.) $ /7/9
$
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 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.
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
7o3 $
)7 Pi
/ 7/z/
7O'd
I •712V
0
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 $
1/1 through 6/30 7/1 to Date
$
21. Expenditures
Made
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 E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
Statement covers period
from / 0/2 3 /2 6'1/4
through / /2-0 /20Y.‘
177
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 COMMITTEE, ALSO ENTER I.D. NUMBER)
/o of6rsT
T Cri ) 670450/
1. /; 147 go c 1-7
44_0/-79r 2_2/ L qs-c)
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
cr
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE E
dAtIEC04141„„
FORM
Page of
I.D. NUMBER
322
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
a) at,
cfily)101116,-(0
AMOUNT PAID
t■i-r -03)
SUBTOTAL $ 170
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) /70E5
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 $
/70S
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov