Firefighters 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
JIMI=iMSAMIN
Type or print in ink.
Statement covers period
10/01/2012
from
through
10/20/2012
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)
Vj General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
[I] Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Part 6)
Ej Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
Date Stamp
COVER PAGE
CALIFORNIA 460
0RM
Date of election If applicabl
(Month, Day, Year)
T
25
11/6/2012 CflY OF ALAME A
2. Type of Statement:
VI Preelection Statement
LI Semi-annual Statement
[El Termination Statement
(Also file a Form 410 Termination)
El Amendment (Explain below)
I.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 ZIP CODE
CA 94501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
OPTIONAL: FAX / E-MAIL ADDRESS
STATE ZIP CODE
AREA CODE/PHONE
510 337-2220
AREA CODE/PHONE
6
Official Use Only
0 Quarterly Statement
111 Special Odd-Year Report
El Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
Steve Menger
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the
Signature of Controlling Officeholder, Candidate State Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate. State Measure Proponent
Sgnature 07 Controlling Officeholder, Candidate, State Measure Proponent
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
Alameda Firefighters Association Political Action Committee
Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
10/01/2012
from
through
10/20/2012
SUMMARY PAGE
CALIFORNIA 460
FORM
Page 2 of
I.D. NUMBER
890076
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
Add Lines 3 + 4
5. TOTAL CONTRIBUTIONS RECEIVED
$
Column A Column B
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
112.50
0
112.50
0
112.50
$
CALENDAR YEAR
TOTAL TO DATE
Expenditures Made
6. Payments Made
7. Loans Made
Schedule E, Line 4 $
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 $
Current Cash Statement
12. Beginning Cash Balance Previous Summary 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, 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.
20,128.86
0
20.128.86
0
0
20,128.86
61,370.82
112.50
0
20.128.86
41,354.46
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18, Cash Equivalents
19. Outstanding Debts Add Line 2 + Line 9 in Column B above
See instructions on reverse
$
$
19,407.98
0
19,407.98
0
19,407.98
26,828.86
0
26,828.86
0
0
26,828.86
6
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
21. Expenditures
Made
To calculate Column 8, 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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
J /
/ / $
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 (8661275-3772)
Schedule A
Monetary Contributions Received
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
10/01/2012
from
through
10/20/2012
SCHEDULE A
CALIFORNIA 460
FORM
3 6
Page of
/.o.wuMesn
890076
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
RECEIVED CODE *
Local 689 Membership
10/12/2012
[W] mm
UCOM
UoTH
OPTY
[]Oon
[]|wo
[]ooM
UOTH
OPTY
[]acc
[]|ND
OcoM
[]oTH
OPTY
Oeon
[]|mo
Ooom
[]OTH
[]prY
OSCC
LJ|wo
OoOM
[]oTH
OPTY
[]Gco
IF AN INDIVIDUAL, ENTER
OCCUFATION AND EMPLOYER
(IF SELF.EMFLOYED ENTER NAM
OF BUSINESS)
SUBTOTAL $
Schedule A Summary
1 Amount received this period — temized monetary contributions.
(Include all Schedule A subtotals.) �
2. Amount received this period — unitemized monetary contributions of less than $100 �
3. Tota monetary contributions received this period.
(Add Lines 1 and 2, Enter here and on the Summary Page, Column A, Line 1.) TOTAL $
AMOUNT
RECEIVED THIS
PERIOD
112.50
112.50
112.50
U
112.50
CUMULATwroDATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
16,407.98
PER ELECTION
TO DATE
(IF REQUIRED)
*Contributor Codes
IND — Individual
CoM— Recipient Committee
(other than P1Y or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
pPpo Toll-Free muplm0000wSK-pPpo(uumors-3rr2)
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Aiameda Firefighters AssociaUon Political Action Committee
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
City of Aiameda Democratic Club California
10/02/2012
PAC #1275380
10/05/2012
10/05/2012
O Support 0 Oppose
Marilyn Ashcraft - FPPC# 1350030
Stewart Chen - FPPC # 1349155
Jeff Cambra - FPPC # 1349146
- continued next box down -
O Support 0 Oppose
Jordan Battani, J. Michae McCormick -
Alameda Hospitai Board
Barbara Kahn, Jon Murphy, Trish Spencer
- Alameda Unified School Board
O Support
0 Oppose
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers perlod
10/01/2012
from
through
10/20/2012
TYPE OF PAYMENT
O monetary
Contribution
[] Nonmonetary
Contribution
[] Independent
Expenditure
El Monetary
Contribution
[] Nonmonetary
Contribution
O Independent
Expenditure
El Monetary
Contribution
[]
Nonmonetary
Contribution
[]
Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
Door hangers and mali
drops supporting all listed
AMOUNT THIS
PERIOD
SCHEDULED
CAl..IFORNIA 460
FORM
4
Page of
/awuMosR
890076
•,- -•-',�
CUMULATIVE TO DATE
CALENDAR YEAR
3283.69 3283.69
15,845.17 15,845.17
SUBTOTAL $ 19.128.86
Schedule Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) �
2. Unihwmized contributions and independent expenditures made this period of under $1UO .................. —....... —.......... ........... ................. $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2, Do not enter on the Summary Page.) „.. ....... . TOTAL $
6
PER ELECTION
TO DATE
(IF REQUIRED)
20,128.86
0
20,128.86
FPPC Form 460 (January/05
rppc Toll-Free *upmo:n000AuK-Fppc(8omzr»ur/z)
Schedule D
(Continuation Sheet)
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
NAME OF FILER
Alameda Firefighters Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
10/01/2012
from
through
DATE
NAME OF CANDIDATE. OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
No on 32
10/06/2012 ID# 1340076
W6 Support 0 Oppose
O Support 0 Oppose
O Support 0 Oppose
O Support 0 Oppose
TYPE OF PAYMENT
Monetary
Contribution
o Nonmonetary
Contribution
O Independent
Expenditure
0 Monetary
Contribution
Nonmonetary
Contribution
Independent
Expenditure
- - -
O Monetary
Contribution
o Nonmonetary
Contribution
O Independent
Expenditure
El Monetary
Contribution
o Nonmonetary
Contribution
El Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
10/20/2012
AMOUNT THIS
PERIOD
SCHEDULED CONT
CALIFORNIA Ann
FORM
5
Page
1,D, NUMBER
890076
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
1000 1000
SUBTOTAL $ 1000
of
6
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
10/01/2012
from
through
10/20/2012
SCHEDULE E
CALIFORNIA ARA
FORM
Page 6 of
I.D. NUMBER
890076
6
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
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
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
VVEB
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)
NO on 32 - FPPC# 1340076
Sacramento, CA 95814
City of Alameda Democratic Club California PAC
Alameda, CA 94501
Firefighters Print & Design
Sacramento, CA 95833
CODE
CTB
LIT
LIT
OR DESCRIPTION OF PAYMENT
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
AMOUNT PAID
1,000
3,283.69
15,845.17
SUBTOTAL$ 20,128.86
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 $
20,128.86
0
0
20,128.86
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)