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Ezzy Ashcraft 460Recipient Committee Campaign Statement Cover Page (Government Code Section e4200-84216.5) 1110381 SEE NSTRUCTIONS ON REVERSE Statement covers period from 10/23/2016 through 12/31/2016 .~�� 1. Type of Recipient Committee: All Committee — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: Date Stam Date of election if applicable: Th (Month, Day, Year) . 11/08/2016 Officeholder, Candidate Contro ed Committee {}State Candidate Election Committee O Recall (41so Comp!ete Par 5) General Purpose Committee • Sponsored L) Small Contributor Committee {} Political Party/Central Committee 3. Committee Information Primarily Formed Ballot Measure Committee (JControlled 0 Sponsored (AIso Complete Part 6) Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) ID. NUMBER zasoosn COMMIUEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Marilyn Ezzy Ashcraf t for City Council 2016 STREET ADDRESS (NO P0. BOX) CITY STATE zasoosn ZIP CODE Alameda CA 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX CITY STATE OPTIONAL: FAX / E-MAIL ADDRESS oojce'eomcomcaot ."et ZIP CODE AREA CODE/PHONE e10>882'4536 AREA CODE/PHONE - ' b� � 3 GITY OF AL'I',1::E DA COVER PAGE CALIFORNIA A FORM • Preelection Statement O Semi-annual Statement LJ Termination Statement (AIso file a Form 4)0 Termination) LJ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Susan Reyes MAILING ADDRESS CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS ssjreyes@comcast.net For Official Use Only Quarterly Statement O Special Odd-Year Report LJ Supplemental Preelection Statement - Attach Form 495 STATE ZIP CODE CA s^so1 STATE ZIP CODE AREA CODE/PHONE (510)882-4536 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. |oortify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on Executed on Executed on Executed on www.netfile.com 01/29/2017 Date 01/29/2017 Date Date Date By By By By Susan Reyes Marilyn Signature Signature of Controlling Officeholder. Candidate, State Measure Proponent Sigriature 01 Cor6roIIng Otliceholder, Candidate, Slate Measure Proponent rppu Form 4ao(Janoom) pppo Advice: uuw:u@,w,cua.ynv(8omer5-3rru wwm,ppv.«a.on" 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 Marilyn Ezzy Ashcraft OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member City of Alameda City Council Member: City of Al ameda RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Alameda CA 94501 Related Committees Not Included in this Statement: Listanycommittees 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 STREETADDRESS (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? ❑ YES ❑ NO www.netfile.com STATE ZIP CODE AREA CODE /PHONE NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA 460X, FORM U Page 2 of 10 ❑ 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 El 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 Marilyn Ezzy Ashcraft for City Council 2016 Contributions Received Amounts may be rounded to whole dollars. 1. Monetary Contributions Schedule 4, Line 3 $ 2. Loans Received Schedule B, Line z 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1~u $ 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines a+ 4 $ 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 Bilis) Schedule F, Line 3 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 79 Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line m 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule Line 15. Cash Payments Column A, Line 8 above 16. ENDING CASH BALANCE Add Lines /o~n~/4, then subtract Line ,s If fhis 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 www.netfile.com Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1'z4o.so � 15,000.00 16'149.99 � 0.00 16.149.99 $ ' ~-- 26'618.21 $ 0.00 26'618.21 m 0.00 0.00 26'618.21 $ 11,162.48 16,149.99 0.00 26,618.21 694.26 « »» 15,000.00 Statement covers period from through Column B CALENDAR YEAR TOTAL TO DATE 31,774.99 15,000.00 46,774.99 ^z3.m 47,188.69 49,064.98 0.00 49,064.98 0.00 413.70 49,478.68 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your Iast report. Some amounts n Column A may be negative figures that should be subtracted from previous period amounts. If this is the tirst report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 10/23/2016 12/31/2016 SUMMARY PAGE CALIFORNIA 460 FORM Page 3 of 10 I.D. NUMBER 1350030 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received s 21. Expenditures Made � Expenditure Limit Summary for State / Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/20 6) rppo Advice: amxoe@rppn.vo.en,(osoors-3nz) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Marilyn Ezzy Ashcraft for City Council 2016 DATE RECEIVED Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ILL NUMBER) CODE * 10/24/2016 Jonathan Bair onxl"uu, CA 94612 10/24/2016 Benjamin Reyes II Alameda, CA 94501 10/2*/2016 Helen Sause Alameda, CA 94501 11/04/2016 Judith Boyette Alameda, CA 94502 11/04/2016 Gregory McConnell oa:zaou, CA 94612 mm OCOM Umm UPTY LJaco IND OCOM UOm UPTY LJonC IND OCOM UOTH UPTY LJsoo IND OCOM Umm UPTY LJnoo IND OCOM UOTH UPTY LJsco IF AN INDIVIDUAL, ENTER occupmIow*mosmpLnvsn (IF SELF.EMPLOYED, ENTER NAME OF BUSINESS) Public Relations Kaiser Permanente Lawyer Meyers Nave Retired Retired Attorney Hanson Bridgett LLP Executive/Consultant McConnell Group auuTOTAL* 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. Tot l 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 from 10/23/2016 through 12/31/2016 AMOUNT RECEIVED THIS PERIOD SCHEDULE A CALIFORNIA 460 FORM Page 4 1.11). NUMBER 1350030 CUMULATIVE roDATE CALENDAR YEAR (JAN. 1 - DEC. 31) of 10 PER ELECTION TO DATE (IF REQUIRED) 50.00 100.00 G2016 $100.00 100.00 100.00 100.00 500.00 850.00 950.00 199.99 1,149.99 200.00 G2016 $200.00 350.00 G2016 $350.00 550.00 G2016 $550.00 1,000.00 G2016 $1,000.00 *Contributor Codes IND— Individual COM — Recipient Committe (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party scn— Small Contributor Committee rppo Form wm(Jan/201o) rppn Advice: nuwoe@,m,�ca.yov(800/2r5-3rrc) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Marilyn Ezzy Ashcraft for City Council 2016 DATE RECEIVED Amounts may be rounded to whole dollars. II , FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * 11/08/2016 Mathias Masem Alameda, CA 94501 IND COM OTH PTY SCC IND OCOM El OTH LJ PTY OSCC IND 1:] COM OTH PTY OSCC 11] IND EJ COM DOTH PTY SCC 1=I IND LI COM OTH PTY SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Physician Self Statement covers period from through 10/23/2016 12/31/2016 SCHEDULE A (CONT.) CALIFORNIA FORM 460 Page 5 I.D. NUMBER 1350030 of 10 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 100.00 SUBTOTAL $ 100.00 *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 www.netfile.com 1,600.00 G2016 $1,600.00 Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Marilyn Ezzy Ashcraft for City Council 2016 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Marilyn Ezzy Ashcraft Alameda, CA 94501 1-1M IND D COM D OTH 9 PTY Marilyn Ezzy Ashcraft Alameda, CA 94501 9 scc to IND 9 COM 9 OTH 9 PTY 9 SCC tO IND 9 COM 9 OTH 9 PTY 9 SCC Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Arbitrator Better Business Bureau Arbitrator Better Business Bureau Statement covers period from through (a) (6) (c) OUTSTANDING BALANCE RECEIVED THIS OR FORGIVEN BEGINNING THIS AMOUNT AMOUNT PAID PERIOD THIS PERIOD* PERIOD 0.00 0.00 10,000.00 5,000.00 SUBTOTALS $ 15, 000 .00 $ OPAD OFORGIVEN 0.00 10/23/2016 12/31/2016 NI OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST PAID THIS PERIOD 10,000.00 0 RATE 0.00 12/31/2026 DATE DUE OPAID 0.00 9 FORGIVEN 0.00 PAID 9 FORGIVEN Schedule B Summary 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 $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) Enter the net here and on the Summary Page, Column A, Line 2. ["Amounts forgiven or paid by another party also must be reported on Schedule A. `* If required. www.netfile.com o.00$ 5,000.00 12/31/2026 DATE DUE DATE DUE is, 00o .00$ 15,000.00 0.00 NET $ 15,000.00 (May he a negative number) SCHEDULE B - PART 1 CALIFORNIA AAn FORM ""Ir Page 6 I.D. NUMBER of 10 1350030 Is) ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR $ 10,000.00 $ 15,000.00 PER ELECTION** 0.00 12/23/2016 002016 15,000.00 DATE INCURRED 0 RATE RATE $ 5,000.00 CALENDAR YEAR $ 15,000.00 PER ELECTION ** 0.00 12/30/2016 02016 15,000 00 DATE INCURRED DATE INCURRED 0.00 (Enter (e) on Schedule E, Line 3) CALENDAR YEAR $ 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 INSTRUCTIONS ON REVERSE NAME OF FILER Marilyn oz,v Ashcraft for City Council 2016 Amounts may be rounded to whole dollars. Statement covers period from through 10/23/2016 12/31/2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. mNP CNS CTB CVC FIL FND IND LEG LIT campaign 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 PayPal San Jose, CA 95131 PayPal San Jose, CA 95131 PayPal San Jose, CA 95131 MBR MTG OFC FET PHO POL ros PRO PRT NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER .0. NUMBER) member communications meetings and appearances office expenses petition circulating phone banks polling and survey research voumne, delivery and messenger services professional services (|eyo|, accounting) print ads CODE OFC OFC OFC RAD RFD SAL TEL TRC TRS Tar VOT WEB SCHEDULE E CALIFORNIA 460 FORM Page , of 10 I.D. NUMBER 1350030 radio airtime and production costs returned contributions campaign workers' salaries t.x or cable airtime and production costs candidate Iravel, lodging, and meals xtaff/a»puxovnvn|. |ouyinu, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 34.82 24.20 8.45 aUBTOTAL$ 67.47 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) � 2. Unitemized payments made this period of under $1 00 � 3. Total interest paid this period on Ioans. (Enter amount from Schedule B, Part 1, Column (e).) � 4. Total payments made this period. (Add Lines 1.2. and 8. Enter here and on the Summary Page, Column A. Line Oj TOTAL $ www.netfVouoon 26,618.21 0.00 0.00 26,618.21 FPPC Form wm(Jan/201«) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Marilyn Ezzy Ashcraft for City Council 2016 Amounts may be rounded to whole dollars. Statement covers period from 10/23/2016 through 12/31/2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, OX/P campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings 01■11■11 NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER ID. NUMBER) Mikko Design Alameda, CA 94501 Mikko Design Alameda, CA 94501 The Next Generation Oakland, CA 94612 Californians Vote Green (ID# 1323171) Long Beach, CA 90802 PayPal San Jose, CA 95131 MBR MTG OFC Fhl PHO POL POS PRO PRI 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 LIT LIT LIT LIT OFC * Payments that are contributions or independent expenditures must also be summarized on Schedule D. www.netfile.com describe the payment. SCHEDULE E (CONT.) CALIFORNIA FO FORM 460 Page 8 I.D. NUMBER 1350030 of 10 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 VvEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL $ 588.66 588.66 646.78 573.18 21.20 2,418.48 FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Marilyn Ezzy Ashcraft for City Council 2016 Amounts may be rounded to whole dollars. ■1131■11 Statement covers period from 10/23/2016 through 12/31/2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, CIVP CNS CTB CVC FIL FND IND LEG UT 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) Susan Reyes Alameda, CA 94501 NationBuilder Los Angeles, CA 90071 NationBuilder Los Angeles, CA 90071 California Secretary of State Sacramento, CA 95814 Pacific Print Resources Emeryville, CA 94608 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 . PRO WEB WEB FIL LIT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. www.netfile.com RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE E (CONT.) CALIFORNIA Ann FORM Page 9 I.D. NUMBER 1350030 of 10 describe the payment. 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 $ 975.00 29.00 29.00 50.00 4,724.79 5,807.79 FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov CALIFORNIA 460� FORM - Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Marilyn Ezzy Ashcraft for City Council 2016 Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the paymant, you may enter the code. oVF' CNS CTB CVC FIL FND IND LEG LIT campaign campaign consultants contribution (explain nonmonetary)* civic donations candidate fihing/baliot fees fundraising events independent unure supporting/opposing others (explain)* legal defense campaign literature and mailings • NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER uzwvmacR) Pacific Print Resources Emeryville, CA 94608 Pacific Print Resources Emeryville, CA 94608 The Next Generation Oakland, CA 94612 The Next Generation Oakland, CA 94612 The Next Generation Oakland, CA 94612 MBR MTG OFC FET PHO POL POS PRO PRT member communications meetings and appearances office ex nu petition circulating phone banks polling and survey research postooe, delivery and messenger services professional services (|euo|, accounting) print ads CODE LIT LIT CNS CNS CNS * Payments that are contributions or independent expenditures must also be summarized on Schedule D. www.netfile.com Statement covers period from 10/23/2016 SCHEDULE E (CONT.) through 12/31/2016 page 10 of 10 laNUMBER 1350030 Othenwiso, describe the payment RAD radio airtime and production cmsto RFD returned contributions SAL campaign workers' salaries TEL tx or cable airtime and production costs TRC candidate travel, lodging, d meals TRS staff/spouse travel, |uueino, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registra on WEB information technology costs (internet, e-mail) 11■1■110■111101 OR DESCRIPTION OF PAYMENT AMOUNT PAID 6,026.48 930.00 83 .56 2,000.00 SUBTOTAL $ 18'324.47 FPPC Form 460 (Jan/2016) pppu Toll-Free xa/pxno:uomAaK-Fppc(8omero-3rra www.fppc.ca.gov