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Alamedans for Fair Rent Control 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE from Statement covers period 10/23/2016 through 12/31/2016 Date of election if applicable: (Month, Day, Year) 11/8/2016 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: El 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 O Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Alamedans for Fair Rent Control STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE CA II.D. NUMBER ZIP CODE AREA CODE/PHONE 94502 510-523-5048 AREA CODE/PHONE 510-523-5048 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY Alameda OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE CA 94501 LI Date Stamp 6 COVER PAGE CALIFORNIA A Pag Afi JAN 0 9 NV CITY OF ALAMEDA Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Treasurer(s) NAME OF TREASURER Mary Jacak MAILING ADDRESS CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS of a 'Official Use Only O Quarterly Statement O Special Odd-Year Report STATE ZIP CODE CA 94501 STATE ZIP CODE 11■1■191■111 MO= AREA CODE/PHONE 510-522-8208 AREA CODE/PHONE 4. Verification 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 is true and Treasurer Signature of Controlling Officeholder, Candidate, State 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 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESSADDRESS (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 COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY CONTROLLED COMMITTEE? ❑ YES ❑ NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE /PHONE I.D. NUMBER CONTROLLED COMMITTEE? STATE ZIP CODE ❑ YES ❑ NO AREA CODE /PHONE NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA FORM ❑ 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 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 ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT El 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 Alamedans For Fair Rent Control Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions 5. TOTAL CONTRIBUTIONS RECEIVED • Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11. TOTAL EXPENDITURES MADE Amounts may be rounded to whole dollars. Schedule A, Line 3 Schedule 8, Line 3 Add Lines 1 + 2 Schedule C, Line 3 Add Lines 3 +4 Schedule E, Line 4 Schedule H, Line 3 Add Lines 6 + 7 Schedule F, Line 3 Schedule C, Line 3 Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash 15. Cash Payments Previous Summary Page, Line 16 Column A, Line 3 above Schedule 1, Line 4 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 8 above Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1867 835 2702 2702 $ 13074 13074 11743 2702 13074 1371 0 Statement covers period 10/23/2016 from through Column B CALENDAR YEAR TOTAL TO DATE 39511 835 40346 300 40646 12/31/2016 SUMMARY PAGE CALIFORNIA 460 FORM Page of S 3 I.D. NUMBER V5 9 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 Expenditure Limit Summary for State 38975 Candidates 300 39275 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). 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 NAME OF FILER Alamedans For Fair Rent Control DATE RECEIVED Amounts may be rounded to whole dollars. FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR or�MmnTs�^�nc�s ��wmw�n DE * IF AN INDIVIDUAL, ENTE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, EWTER NAME OF BUSINESS) SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (lnclude alt 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.) TOTAL $ Statement covers period 10/23/2016 from through 12/31/2016 AMOUNT RECEIVED THIS PERIOD SCHEDULE A cALIFoRNIA 460 FORM Page " of uzwuMasn CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes |wm—Individual 1100 COM — Recipient Committee (other than PTY or SCC 767 OTH — Other (e.g., business entity) PTY — Political Party son — smoncomnuvto,ovmmiooe 1867 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER DATE RECEIVED , Alamedans For Fair Rent Control Amounts may be rounded to whole dollars. FULL NAME STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * Mason Management OMM, Inc. 10/27/2018 Alameda, CA 94501 10/27/2016 Janice Mason Alameda, CA 94501 Sandra Imannura 10/27/2016 Agness, OR 97406 11/2/2016 11/7/2016 KemGutleban Alameda, Ca 94501 Frank Valenzuela Alameda, CA 94501 *Contributor Codes IND — Individual COM — Recipien Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Pv|hicm|Porty aoo — ama||Comnuumrovmmidoo OINo Ocom Wij Om UPTY LJsoc 0|wo O oOm []oTH O PTY []aoC 0|wo Onom []oTH OPTY []scc [�|wo []cnw []oTH O PTY []sco 0|wo O c0m []oTH OPTY []sco IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Owner Mason Management Retired Retired Self-Employed No separate business entity Statement covers period from 10/23/2016 through SCHEDULE A (CONT.) CALIFORNIA 460 FORM - 12/31/2018 of Page I.D. NUMBER 1389877 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 250.00 250.00 250.00 250.00 250.00 250.00 150.00 150.00 200.00 200.00 SUBTOTAL $ 1100.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alamedans For Fair Rent Control FULL NAME, STREETADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) I 0 IND 0 COM D OTH Mary Jacak Alameda, CA 94501 PTY 0 SCC 1-0 IND 0 COM 0 OTH 0 PTY 0 SCC ID IND 0 COM 0 OTH PTY D scc Schedule B Summary Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Self-Employed Seismic Accessories (a) (I)) OUTSTANDING AMOUNT BALANCE RECEIVED THIS BEGINNING THIS PERIOD PERIOD SUBTOTALS $ S S 835 835 $ Statement covers period 10/23/2016 from through (c) AMOUNT PAID OR FORGIVEN THIS PERIOD* 0 PAID El FORGIVEN PAID 0 FORGIVEN Ei PAID 0 FORGIVEN S 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 $ $ 12/31/2016 OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD DATE DUE 835 DATE DUE DATE DUE 0$ Rqc R35 (May be a negative number) le) INTEREST PAID THIS PERIOD 9/0 RATE oh RATE RATE (Enter (e) on Schedule E, Line 3) SCHEDULE B - PART 1 CALIFORNIA 460 FORM Page _ of 2/ I.D. NUMBER '13 (41 ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR 5 DATE INCURRED DATE INCURRED PER ELECTION** CALENDAR YEAR $ 1048 PER ELECTION** CALENDAR YEAR $ DATE INCURRED 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 E Payments Made SEE NSTRUCTIONS ON REVERSE NAME OF FILER Alamedans For Fair Rent Control CODES: CMP CNS CTB CVC FIL FND IND LEG LIT Amounts may be rounded to whole dollars. Statement covers period 10/23/2016 from SCHEDULE E 0 460 12/31/2016 through Page of 525 ■■108111 If one of the following codes accurately describes the payment, you may enter the code. [thanwise, describe the payment. campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate fihing/ballot fees fundraising events independent experiditure supporting/opposirig others (explain)* legal defense campaign literature and maihings • NAMEANDADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Akido Printing San Leandro, CA 94577 Handle with Care San Leandro, CA 94577 Alameda Sun Alameda, CA 94501 MBR MTG OFC PET PI-10 POL poa 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 Tar VOT WEB I.D. NUMBER 3-PC8-3C; 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 betw en committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) CODE OR DESCRIPTION OF PAYMENT LIT POS PRT * Payments tha are contribution or independent expenditures mus also be summarized on Schedule D. NON 1011111911110. AMOUNT PAID 1881.67 5638.64 4293.25 SUBTOTAL $ 11813.56 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 $ 13074 13074 FPpc Form w60(J^n/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alamedans For Fair Rent Control 1111■1■1 Amounts may be rounded to whole dollars. Statement covers period 10/23/2016 12/31/2016 from through SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page 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) Alameda Journal Alameda, CA 94501 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 PRT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. I.D. NUMBER RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime 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) DESCRIPTION OF PAYMENT AMOUNT PAID 1260.00 SUBTOTAL $ 1260 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov