Democratic Club 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
10/23/2016
from
12/31/2016
through
1. Type of Recipient Committee: All Committees - Complete Parts 1,2,3, and 4.
El Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
General Purpose Committee
0 Sponsored
0 Small Contributor Committee
• Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
CITY OF ALAMEDA DEMOCRATIC CLUB
STREET ADDRESS (NO P.O. BOX)
CITY
ALAMEDA
STATE
CA
Lil Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Part 6)
1:1 Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1275389
ZIP CODE AREA CODE/PHONE
94501 (510) 523-2263
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
ALAMEDA
OPTIONAL: FAX / E-MAIL ADDRESS
mike .mcmahon@yahoo com
STATE ZIP CODE AREA CODE/PHONE
CA 94501
664
Date of election if applicable:
(Month, Day, Year)
11/8/0216
2. Type of Statement:
El Preelection Statement
• Semi-annual Statement
1:1 Termination Statement
(Also file a Form 410 Termination)
Li Amendment (Explain below)
Date Stamp
JAN 2 3 201
COVER PAGE
mosTootoveilp
Page 1 of
CITY OF ALAMEDA For Official Use Only
CITY CLERK'S OFFICE
Treasurer(s)
NAME OF TREASURER
Mike McMahon
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
Quarterly Statement
ID Special Odd-Year Report
II Supplemental Preelection
Statement - Attach Form 495
STATE ZIP CODE AREA CODE/PHONE
CA 94501 (510) 523-2263
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer: mike .mcmahon@yahoo .com
444.1.1,1rn ■■ Meau,16.1
4. Verification
1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my
"
Signature of Controlling Officeholder, Candidate, Stale Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Candidate, State Measure Proponent
I certify
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
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)
RESIDENTIAUBUSINESS 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 primarby formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY
COMMITTEE NAME
I.D. NUMBER
CONTROLLED COMMITTEE?
El YES LINO
STATE ZIP CODE AREA CODE/PHONE
NAME OF TREASURER
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY
I.D. NUMBER
CONTROLLED COMMITTEE?
0 YES 0 NO
STATE ZIP CODE AREA CODE/PHONE
MaMmmr.es..MmaMwaMumueaaiM
2118902-0
Type or print in ink.
COVER PAGE - PART 2
CALIFORNIA;.*:
FORM
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
El SUPPORT
El 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
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
Attach continuation sheets if necessary
0 SUPPORT
0 OPPOSE
El SUPPORT
LI OPPOSE
0 SUPPORT
0 OPPOSE
0 SUPPORT
El OPPOSE
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CITY OF ALAMEDA DEMOCRATIC CLUB
Type or print in ink.
Amounts may be rounded
to whole dollars.
BVSIEIBVLmmaammmmomummeumummomamaimmww...mimymsmammeaam.arm
Column A Column B
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE
1 Monetary Contributions Schedule A, Line 3
2. Loans Received Schedule 8, 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
7. Loans Made
Schedule E, Line 4
Schedule hl, 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
$0.09
$0.00
$0.09
$0.00
$0.09
$0.00
$0.00
$0.00
$0.00
$0.00
11. TOTAL EXPENDITURES MADE .............. ...... ....... Add Lines 8 + 9 + 10 $0 . 00
ISSIHMLmm...mmLmmmmummimmmmm
Current Cash Statement
12. Beginning Cash Balance
13. Cash Receipts
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.
Previous Summary Page, Line 16
Column A, Line 3 above
$275.50
$0.09
$0.00
$0.00
$275.59
17. LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $0•00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse
19. Outstanding Debts Add Line 2 + Line 9 in Column 8 above
2118902-0
80.00
80.00
$8,358.09
$0.00
$8,358.09
$0.00
$8,358.09
mu6.11.1.m.
$8,404.00
$0.00
$8,404.00
$0.00
$0.00
$8,404.00
To calculate Column B, add
amounts in Column A to the
corresponding amount
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
ram Lines 2,7, and 9 (if
any).
Statement covers period
10/23/2016
from
through
12/31/2016
SUMMARY PAGE
Page 3
1.0. NUMBER
1275389
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30
20. Contributions
Received
21. Expenditures
Made
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(I) Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
7/1 to Date
Total to Date
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC ToII-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CITY OF ALAMEDA DEMOCRATIC CLUB
Type or print in ink.
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER
RECEIVED (IF COMMITTEE, ALSO ENTER ID, NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Lil IND
El COM
LI OTH
El PTY
LJ SCC
▪ IND
LI COM
LI OTH
PTY
LI SCC
111 IND
LJ COM
LI OTH
El PTY
• scc
111 IND
Lil COM
OTH
El pry
El scc
O IND
O COM
• OTH
p-r(
• scc
SUBTOTAL $
Statement covers period
10/23/2016
from
SCHEDULE A
CALIFORNIA A
FORM ' &WV
12/31/2016
through Page
AMOUNT CUMULATIVE TO DATE
RECEIVED THIS CALENDAR YEAR
PERIOD (JAN. 1 - DEC. 31)
Schedule A Summary
1. Amount received this period - itemized monetary contributions.
(Include all Schedule A subtotals.) $0.00
2. Amount received this period - unitemized monetary contributions of less than $100 $ 0 .09
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $0.09
2118902-0
I.D. NUMBER
1275389
PER ELECTION
TO DATE
(IF REQUIRED)
*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 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)