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Williams 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 1140438 SEE INSTRUCTIONS ON REVERSE Statement covers period from through 01/01/2017 06/30/2017 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 124 Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) General Purpose Committee o Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information rat COVER PAGE AL1FOF 460 t-ORL Date of election if applicable: (Month, Day, Year) JUL 2 Page 1 of 5 CITY OF ALAMEGAAofficial Use only CITY CLERK'S OFFICE Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) El Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: 0 Preelection Statement Semi-annual Statement El Termination Statement (Also file a Form 410 Termination) Elj Amendment (Explain below) 12/ Quarterly Statement El Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 I.D. NUMBER 1384281 COMMITTEE NAME (OR CAND)DATE'S NAME IF NO COMMITTEE) Jennifer Williams for Alameda Unified School District Board O. BOX) 22 Shannon Circle CITY STATE ZIP CODE Alameda CA 94502 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE OPTIONAL: FAX / E-MAIL ADDRESS bassnj enn@aol . com ZIP CODE 2020 AREA CODE/PHONE (415)269-0900, AREA CODE/PHONE 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 and.in the attached schedules is true and complete, I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Treasurer(s) NAME OF TREASURER Angela Ramirez Holmes CITY Pleasanton NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE CA 94566 STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS (925)264-8164 / alliancecampaignstrategies@gmail.com AREA CODE/PHONE (925)264-8164 AREA CODE/PHONE: Executed on Executed on Executed on Executed on www.neffile.com 07/11/2017 Date 07/15/2017 Date Date Dale By Angela Ramirez Signature of Controlling Officeholder, Candidate, State Measure Proponent • FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE- PART2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee BM- NAME OF OFFICEHOLDER OR CANDIDATE Jennifer Williams OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Trustee: City of Alameda Unified School District RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Alameda CA 94502 Related Committees Not Included in this Statement: List any committees 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 BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION Lil SUPPORT [11 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 NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s) or candidate(s) for which this committee is primarily formed. LIIYES LNO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) SUPPORT Ei OPPOSE 3ITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 11 SUPPORT n OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT I=1 OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT YES El NO OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.nov .^; Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Jennifer Williams for Alameda Unified School District Board 2020 Contributions Received Monetary Contributions Schedule A Line 3 Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ...... . ...... .......... Add Lines 1 + 2 4. Nonmonetary Contributions ..... ......... . ............. Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED 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 $ Statement covers period from through 01/01/2017 06/30/2017 SUMMARY PAGE CAL1FOIRNIA 46()' FORM Page 3 of I.D. NUMBER 1384281 Column A Column B TOTALTHIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 1/1 through 6/30 7/1 to Date rrent Cash Statement iz. Beginning Cash Balance Previous Summary Page, Line 16 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule I, 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. 412.39 0.00 412.39 0.00 0.00 412.39 1,749.68 0.00 0.00 412.39 1,337.29 412.39 0.00 412.39 0.00 0.00 412.39 17. LOAN GUARANTEES RECEIVED Schedule 8, Part 2 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column 8 above $ 0.00 0.00 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (It Subject to Voluntary Expenditure Limit) Date of Election (mmIddiyy) / Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275.3772) www.fppc.casiov Schedule E Payments Made SEE INSTRUCTIONS ONJ REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Jennifer Williams for Alameda Unified School District Board 2020 CODES: If one of the following codes accurately describes CUP CNS IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate fi|inQ/baUc4feeo fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings Statement covers period from through 01/01/2017 06/30/2017 SCHEDULE E Page 4 of s la NUMBER 1384281 the payment, you may enter the code. Otherwise, d MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research pommUo, delivery and messenger services professional services (legal, accounting) print ads NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Susan o PO Box 1293 Alam=ua, CA 94501 14455 North Hayden Road Suite 219 Scottsdale, AZ 85260 .55 Road Suite 219 ,tteuale, AZ 85260 RAD RFD SAL TEL TRC TRS TSF VOT WEB escribe the radio airtime and production costs returned contributions campaign workers' salaries tx or cable airtime and production costs candidate travel, |odg|ng, and meals staff/spouse travel, |odginQ, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) CODE OR DESCRIPTION OF PAYMENT PRO WEB WEB * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemzed payments made this period. (Include al! Schedue 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 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ AMOUNT PAID 150.00 32.34 20.17 202.51 412.39 0.00 0.00 412.39 FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) ,m^mvinvc.ca.nuv Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jennifer Williams for Alameda Unified School District Board 2020 e payment, you may, enter the code. Otherwise, CODES: If one of the following codes accurately describes th CIVP CNS CTB ( -0-VC ? D 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 Statement covers period frorr 01/01/2017 through 06/30/2017 SCHEDULE E (CONT.) Page 5 of I.D. NUMBER 1384281 5 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 WEB 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) NAME AND ADDRESS OF PAYEE IF COMMITTEE, ALSO ENTER I.D. NUMBER) 14455 North Hayden Road Suite 219 Scottsdale, AZ 85260 LLC 1811 Santa Rita Road, #224 Pleasanton, CA 94566 CODE OR DESCRIPTION OF PAYMENT WEB PRO * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ AMOUNT PAID 59.88 150.00 209.88 FPPC Form 460 (Jan/2016) FPPC Toll-Free Help line: 866/ASK-FPPC (866/275-3772)