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Cambra 460 AmendmentRecipient Committee Campaign Statement Cover Page (Government Code Sections V42oo'mu1an) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period 7/1/12 from through 9/30/12 Date of election if appli (Month, Day, Year) 11/6/12 COVER PAGE 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: IZ Officeholder, Carididate Controlled Committee 0 State Candidate Election Committee (JRecall (Also Complete Part 5) [] General Purpose Committee LJ Sponsored (J Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information O Primarily Formed Ballot Measure Committee (JControlled {} Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) |/.o.woMesx { 1349146 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jeff Cambra for City Council 2012 STREET ADDRESS (NO P0, BOX) CnY Alameda MAILING ADDRESS (IF DIFFERENT) NO. AND co, San Leandro OPTIONAL. mx/s'wm/^ooncnn |indajperry@hobnaiicom 4. Verification STATE ZIP CODE AREA CODE/PHONE CA 94501 (510) 220-1040 STREET OR PO BOX STATE ZIP CODE CA 94578 AREA CODE/PHONE (510) 258-7787 CITY OF ALAMEDA C |TY CLERK'S OFF}(`r-- • Preelection Statement • Semi-annual Statement O Termination Statement (Also file a Form 410 Termination) • Amendment (Explain below) Correction of employer/occupation -page 4 Michaei Williams ge For Official Use Only O Quarterly Statement [] Special Odd-Year Report LJ Supplemental Preelection Statement Attach Form 495 Treasurer(s) NAME OF TREASURER Linda Perry MAILING ADDRESS CITY STATE ZIP CODE San Leandro CA 94578 NAME OF ASSISTANT I HEASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE (510) 258-7787 AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the Officer *Sponsor Signature of Controlling Officeholde Candidate, Stale Measure Prcporient Signature 0/ Ceruralling Off ceholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) pppc Toll-Free xo/vxno:ooexox'pppc(oomxr5-3no) State of California Schedule SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jeff Carnbra for City Council 2012 DATE RECEIVED 8/3/12 9/11/12 9/11/12 9/21/12 Type or print In Ink. Amounts may be rounded m whole dollars. FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIRUTCJR CONTRIBUTOR (IF COMMIT TEE, ^LBn ENTER W.wuMbEH) CODF * Gayle A. Thomas Alameda, CA 94501 Michael J. Williams Alameda, CA045Ui Peg W. Cambra Oakland, CA 94619 QmnaldCambna San Ramon, C894583 Tower Apartrnents Trust Account Walnut Creek, CA 94596 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SEI.F-EMPI. (DYED, ENTER NAME OF BUSINESS) Fire Captain City 0)' Alameda Fire Department Fire Captain City of Alameda Fire Department Retired N/A Property Manager Self-emp|oyed Statement covers period 7/1/12 from through - AMOUNT RECEIVED THIS PERIOD 500.00 500.00 750.00 500.00 SUBTOTALS 2500.00 Schedule A Summary I. Amountxzceivedthiopohod — dumizedmonetaryconthhutionm. (Include all Schedule ^umumtam./---.----.—.-----.-----.—.—~----.-----.$ 2. Arnount received this period — uniteniized niorietary coritributions of Iess than $100 ............................. $ 3, Total monetary contributions received this period. (Add Lines 1 artd 2. Enter here and on the Sumrnary Page, Coltimn A, Line 1.) TOTAL $ 718.00 6268.00 9/30/12 SCHEDULE CALIFORNIA ' Alan FORM Page 4 [3 of ID. NUMBER 1349146 CUMULATIVE rnDATE CALENDAR YEAR 500.00 500.00 250.00 750.00 500.00 PER ELECTION IODATE (IF REQUIRED) *Contributor Codes' |wo—Individual Cow —Recipient Committee (other thuii PTY or SCC) orn— Other (eu.. business entity) PTY — Political Party Soo—amm| Contributor Committee FPPC Form 460 (January/05)