Democratic Club 450Recipient Committee
Campaign Statement - Short Form
SEE INSTRUCTIONS ON REVERSE
For use by recipient committees that have not received a
contribution or other receipt that must be itemized, have not
received or made loans, and have no outstanding accrued
expenses.
1. Type of Recipient Committee:
El Ballot Measure Committee
0 Primarily Formed
0 Controlled
0 Sponsored
El Primarily Formed Candidate/
Officeholder Committee
3. Committee Information
COMMITTEE NAME
CITY OF ALAMEDA DEMOCRATIC CLUB
STREET ADDRESS (NO P.O. BOX)
CITY
ALAMEDA
Type or print in ink.
Statement covers period
from
1/1/2017
6/30/2017
through
• General Purpose Committee
0 Sponsored
• Small Contributor Committee
STATE ZIP CODE
CA 94501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P O. BOX
CITY
ALAMEDA
OPTIONAL: FAX / E-MAIL ADDRESS
mike.mcmahon@yahoo.com
STATE ZIP CODE
CA 94501
T 1
.... aimma
I.D NUMBER
275389
AREA CODE/PHONE
(510) 523-2263
AREA CODE/PHONE
Date of election if applicable:
(Month, Day, Year)
'1 1
Date am
JUL 1 8 2017
CITY OF ALAMEDA
CITY CLERK'S OFF CE
SHORT FORM
LIFC RNIA
FO 450
M
1 of 3
For Official Use Only
2. Type of Statement:
El Preelection Statement
• Semi-annual Statement
El Termination Statement
El Amendment (Explain)
(Also check type of statement you are amending)
Treasurer(s)
NAME OF TREASURER
Mike McMahon
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
El Quarterly Statement
El Special Odd-Year Report
El Supplemental Preelection
Statement - Attach Form 495
STATE ZIP CODE AREA CODE/PHONE
CA 94501 (510) 523-2263
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer: mike.mcmahon@yahoo.com
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete.
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 7 / 1 8 / 2 0 1 7
Executed on
Executed on
Executed on
2168073-0
DATE
DATE
DATE
DATE
By
By
By
By
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
SIGNATURE OF CONTROLLING OFRCENOLDER, CANDIDATE, STATE MEASURE PROPONENT
SIGNATURE DECONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
I certify
FPPC Form 450 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Recipient Committee
Campaign Statement
Summary Page
NAME OF COMMITTEE
CITY OF ALAMEDA DEMOCRATIC CLUB
MMEMEMELIMM MMULIM mmma..
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
1/1/2017
from
through
6/30/2017
SHORT FORM
CALIFORNIA
450
FORM
Page 2 of 3
I.D. NUMBER
1275389
Expenditures Made
1. Expenditures of $100 or more made this period
2. Expenditures under $100 made this period (Not itemized.)
3. SUBTOTAL EXPENDITURES MADE THIS PERIOD Add Lines 1 + 2
4. Nonmonetary Adjustment From Line 8 Below
5. Total expenditures made from previous statement Previous Summary Page, Line 6
(If this is the first statement for the calendar year, enter zero.)
6. TOTAL EXPENDITURES MADE TO DATE Add Lines 3 + 4 + 5
Contributions Received
7. Monetary contributions received this period
8. Non-monetary contributions received this period
9. Total contributions received from previous statement Previous Summary Page, Line 10
(If this is the first statement for the calendar year, enter zero.)
10. TOTAL CONTRIBUTIONS RECEIVED TO DATE Add Lines 7 8 + 9
Current Cash Statement
11. Beginning cash balance
12. Cash receipts this period
13. Miscellaneous increases to cash
14. Cash expenditures this period
15. ENDING CASH BALANCE THIS PERIOD Add Lines 11 + 12 + 13, then subtract Line 14
Previous Summary Page, Line 15
Line 7 above
Line 3 above
2168073-0
$50.00
$0.00
$50.00
$0.00
$0.00
$50.00
$0.00
$0.00
$0.00
$ 0. 00
$275.59
$0.00
$0.01
$50.00
$225.60
FPPC Form 450 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (886/275.3772)
Recipient Committee
Campaign Statement - Short Form
SEE INSTRUCTIONS ON REVERSE
NAME OF COMMITTEE
CITY OF ALAMEDA DEMOCRATIC CLUB
Type or print in ink.
Amounts may be rounded
to whole dollars.
5. Payments Made (If more space is needed, use additional copies of this page for continuation sheets.)
DATE'
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
1/13/2017 State
1500 11th St
Sacramento, CA 95814
DESCRIPTION OF PAYMENT
Annual Filing Fee
* Required only for payments which are contributions or independent expenditures.
2168073-0
Statement covers period
1/1/2017
from
through
NAME OF CANDIDATE AND OFFICE OR
NAME OF BALLOT MEASURE AND
BALLOT NUMBER OR LETTER
AND JURISDICTION
El Support
El Contribution
Support
El Contribution
El Oppose
El Ind, Exp.
El Oppose
Ind. Exp.
0 Support LI Oppose
El Contribution [1] Ind, Exp.
SUBTOTAL $
6/30/2017
AMOUNT
THIS PERIOD
$50.00
SHORT FORM
CALIFORNIA 450
FORM
Page -3-- of 3
I.D. NUMBER
1275389
CUMULATIVE
AMOUNTS TO DATE"
Calendar Year
$50.00
Other
Calendar Year
Other
Calendar Year
Other
MUNWOWOM,
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FPPC Form 45D (January/05)
FPPC Toll-Free Helpline: B66/ASK-FPPC (866/275,,3772)