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McKereghan 460Recipient Committee Campaign Statement Cover Page from Statement covers period 10/23/2016 SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: Ail committees— Complete Parts 1, 2, 3, and 4. 12/31/2016 fki Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) 0 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) Anne McKereghan for AUSD School Board 2016 I.D. NUMBER 1382672 324 Kitty Hawk Road # 304 CITY Alameda STATE CA ZIP CODE 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE AREA CODE/PHONE 510-629-0280 ZIP CODE AREA CODE/PHONE OPTIONAL: FAX! E-MAIL ADDRESS Anne@Anne4AlamedaSchools.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and contained herein and in the attached schedules is true and complete. 1 ;;;;n1hte Officer of Sponsor 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 COVER PAGE - PART 2 CALIFORNIA 41 FORM `Tv 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE Anne McKereghan OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Alameda Unified School District Trustee (NO. AND STREET) CITY STATE ZIP 324 Kitty Hawk Road #304 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? COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOAC) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY ❑ YES ❑ NO CONTROLLED COMMITTEE? ❑ YES ❑ NO STATE ZIP CODE AREA CODE /PHONE NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ 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 CandidatelOfficeholder 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 ❑ 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 Anne McKereghan for AUSD School Board 2016 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 $ Expenditures Made 6. Payments Made Schedule E, Line 4 $ 7. Loans Made Schedule 11, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 /, 5(9 . c7° 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 Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Statement covers period 10/23/2016 from through Column B CALENDAR YEAR TOTAL TO DATE 1,519,c24 $ 5, 777, 40 Current Cash Statement 12. Beginning Cash Balance Previous Summery 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, L(ne 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. LS/4..2'D 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 $ /, 5'9. -k) a. 44.60 $ 5T,r77. Cie) 5;777, $1° - 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). 12/31/2016 SUMMARY PAGE CALIFORNIA Ann FORM Page I.D. NUMBER 1382672 of Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made 1/1 through 6130 7/1 to Date Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (It Subject to Voluntary Expenditure limit) Date of Election Total to Date (mm/dd/yy) / *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 Anne McKereghan for AUSD School Board 2016 DATE RECEIVED 1'7°3/4 lt/2g//6 Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * JeS 4-ivA/ RicHRetis, gime, ER SCH 414 6 ?,4H 1?IZ.Ly- CWAM wrIND • COM OTH • PTY D scc FOND IDCOM OTH E l PTY • SCC 1ND COM El OTH D PTY scc • IND El COM OTH PTY D scc D IND COM OTH • Pre 11SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 3p- , WEA cre 3-Ec.F - EMPLeyell REill-rt)4 56-7.F -e-Aikazoy4-73, Atartbic. SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all 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 aica . et, its (co . crp ten. Cy .YOD. 61) SCHEDULE A CALIFORNIA 4 ft 614) FORM Page I.D. NUMBER 1382672 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) g MD.° Di:041.U.Ut ata of 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 (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 Anne McKereghan for AUSD School Board 2016 Amounts may be rounded to whole dollars. Statement covers period 10/23/2016 from SCHEDULE E CALIFORNIA 460 FORM 12/31/2016 through Page of I.D. NUMBER 1382672 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) 1E/2 WEBs7ele ST 4441157)11, CA 9.€716 0 I tifeert.synt4 / /401(64 WAy HeN1-0 PARk C,4 940ar ,X0E112P41.- /SW, 0/9K AL4mebA 91-5©/ 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 P4T677 CH" PR T * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) RAD RFD SAL TEL TRC TRS TSF VOT WEB 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) DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL $ o3 63 2. Unitemized payments made this period of under $100 $ 89. Zo 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 $ 4.6-/ 9. 2 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov