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Firefighters 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 64216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period 7/01/2012 from through 9/30/2012 Date of election if app (Month, Day, Year) 11/6/2012 • le: CITY OF ALAME A CITY CLERK'S OFFIC ate Sta OCT -1 COVER PAGE CALIFOf HA FQR'"�`,. P:Page 1 of 7 For Official Use Only 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee O State Candidate Election Committee Q Recall (Also Complete Part 5) ® General Purpose Committee Q Sponsored Q Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee Q Controlled Q Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: 121 Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) 0 Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 3. Committee Information 11.D. NUMBER 890076 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Alameda Firefighters Association Political Action Committee STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE CA ZIP CODE AREA CODE /PHONE 94501 510 337 -2220 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE OPTIONAL: FAX / E -MAIL ADDRESS ZIP CODE AREA CODE /PHONE 4. Verification 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Sig nature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlkng Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (86612754772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Firefighters Association Political Action Committee Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 7/01/2012 from through 9/30/2012 1 Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions 5. TOTALCONTRIBUTIONS RECEIVED Schedule A, Line 3 Schedule 8, Line 3 Add Lines 1 + 2 Schedule C, Line 3 Add Lines 3 + 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 Bills) Schedule F, Line 3 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 C rrent Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash 15. Cash Payments 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 Schedule 1, Line 4 Column A, Line 8 above Column A TOTAL THIS PERIOD (FROMATTACHED SCHEDULES) 8,479.64 0 8,479.64 0 8,479.64 2,200 0 2,200 0 0 2,200 55,091.18 8479.64 0 2,200 61,370.82 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ ■11710.1.11110i Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ $ Column B CALENDAR YEAR TOTALTO DATE 19,295.48 0 19,295.48 0 19,295.48 6,700 0 6,700 0 0 6,700 SUMMARY PAGE CALIFORNIA FORM Page I.D. NUMBER 890076 2 of 7 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections • 20. Contributions Received $ 21. Expenditures Made 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). 1/1 through 6/30 $ =1111119101111{1.11..171 7/1 to Date Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (ff 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 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ONJ REVERSE NAME OF FILER Alameda Firefighter Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 7/01/2012 from through 9/30/2012 SCHEDULE A 3 7 Page of I.D. NUMBER 890076 DATE RECEIVED 7/1-9/30/ 12 7/29/2012 7/29/2012 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I. NUMBER) CODE * Local 689 Menmber hip Alameda Police Officers Association Alameda , CA 94501 Fire Manager Association Alameda, CAQ4501 IND UuOm 00TH OPTY Uacc U|wO Ocow oTn UPTY []ocC []|wo []uow Q5oTH OPTY []acc []|No []CnM OTH PTY []Goc []Iwo []com 0 OTH []PTY []acc IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD 5,479.64 2500 500 SUBTOTALS 847964 | Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedute 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 $ 8479.64 U 8479.64 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 16,295.48 2500 500 PER ELECTION TO DATE (IF REQUIRED) *Contributor Code |wo—muwuum CoM—Recipient committee (other than PTY or SCC) oTn— Other (e.o, business entity) PTv — pvmmaParty SCC —Small Contributor Committee FPPC Form 460 (January/05) Fppo Toll-Free mypnne:000msK-Fppo(800m7s-377u Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Aameda Firefighters Association PoUtica! Action Committee Type or prin in ink. Amounts may be rounded to whole dollars. DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUM8ER OR LETTER AND JURISDICTION, OR COMMITTEE Greg Jones For Hayward City CouncU 2012 7/26/2012 FPPC# 1345574 9/19/2012 9/19/2012 0 Support 0 Oppose Marilyn Anhoraft For Alameda City Council 2012 FPPC# 1350030 0 Support 0 Oppose Stewart Chen For Alameda City Council 2012 FPPC# 1349155 0 Support 0 Oppose TYPE OF PAYMENT gjNmnetary Contribution [] Nonmonetary Contribution O Independent Expenditure O Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure O Monetary Contribution [] Nonmonetary Contribution O Independent Expenditure Statement covers period 7/01/2012 from through 9/30/2012 SCHEDULED of 7 DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATwmDATE CALENDAR YEAR wN., - osomv 500 500 500 500 500 500 SUBTOTAL $ 1500 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) � 2. Unitemized contributions and independent expenditures made this period of under $100 � 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ PER ELECTION TO DATE OF REQUIRED) 2700 0 2700 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER Alameda Firefighters Association Political Action Committee - .101111.11 DATE 9/19/2012 9/19/2012 9/19/2012 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Jeff Cambra For Alameda City Council 2012 FPPC # 1349146 O Support 0 Oppose Alameda County Democratic Committee FPPC# 1268039 0 Support 0 Oppose Committee to Protect Contra Costa Fire and Emergency Services FPPC# 1345377 O Support 0 Oppose O Support 0 Oppose Type or print in ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT Vi Monetary Contribution O Nonmonetary Contribution 0 Independent Expenditure WI Monetary Contribution o Nonmonetary Contribution O Independent Expenditure 0 Monetary Contribution o Nonmonetary Contribution O Independent Expenditure O Monetary Contribution o Nonmonetary Contribution O Independent Expenditure DESCRIPTION (IF REQUIRED) Statement covers period 7/01/2012 from througt 9/30/2012 SCHEDULED CONT. CALIFORNIA FORM 5 Page of I.D. NUMBER 890076 7 AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 500 500 500 500 200 200 SUBTOTAL $ 1200 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Firefighters Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 7/01/2012 from through 9/30/2012 SCHEDULEE Page 6 of I.D. NUMBER 890076 7 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 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 MBR MTG OFC PET PHO POL POS PRO FRT 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 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Californians For A Cure Prop 29 FPPC# 1322759 Sacramento, CA95814 Greg Jones For Hayward City Council 2012 FPPC# 1345574 Hayward, CA 94541 Marilyn Ashcraft For Alameda City Council 2012 FPPC# 1350030 Alameda, CA 94501 CODE RFD CTB CTB OR DESCRIPTION OF PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID <500> 500 500 SUTOTAL$ 500 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 $ 2,200 0 0 2,200 FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Firefighters Association Political Action Committee CODES: GIMP CNS CTB CVC FL FND LEG UT Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 7/01/2012 from through 9/30/2012 SCHEDULE E (CONT.) CAL 'c Page 7 I.D. NUMBER 890076 of 7 0 If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 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 MBR MTG OFC PET PI-10 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 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) NAME AND ADDRESS OF PAYEE (IF CGMMITTEE, ALSO ENTER I.D. NUMBER) Stewart Chen For Alameda City Council 2012 FPPC# 1349155 Alameda, CA 94501 Jeff Cambra For Alameda City Council 2012 FPPC# 1349146 Alameda, CA 94501 Alameda County Democratic Committee FPPC# 1268039 Hayward, CA 94545 Committee To Protect Contra Costa Fire and Emergency Services Martinez, CA 94553 FPPC# 1345377 CODE CTB CTB CTB CTB * Payments that are contributions or independent expenditures must also be summarized on Schedule D. OR DESCRIPTION OF PAYMENT SUBTOTAL $ AMOUNT PAID 500 500 500 200 1,700 FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)