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Alamedans for Fair Rent Control 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE from Statement covers period 7/1/2017 through UMW! fOlge 12/31/2017 Date of election if applicable: (Month, Day, Year) JAN 1 1 2018 CITY OF ALAMEEA CITY CLERK'S OFF CE COVER PAGE ° 46 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. El Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee [1.1 Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) 3. Committee Information COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Alamedans for Fair Rent Control STREET ADDRESS (NO P.O. BOX) CITY Alameda Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1389877 STATE ZIP CODE CA 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY Alameda 'OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge he informatio certify under penalty of perjury under the laws of the State of California that the foregoing is Treasurer Signature of Controlling Officeholder, CanClidate, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 ■11171■L 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 TREASURER COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY COMMITTEE NAME CONTROLLED COMMITTEE? NAME OF TREASURER COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY Ili YES LI NO STATE ZIP CODE AREA CODE/PHONE I.D. NUMBER CONTROLLED COMMITTEE? El YES 111 NO STATE ZIP CODE AREA CODE/PHONE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA FORM Page 2 of 5 El SUPPORT El 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 officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD El la Piga Attach continuation sheets if necessary • SUPPORT El OPPOSE LI SUPPORT El OPPOSE • SUPPORT E] OPPOSE El SUPPORT • OPPOSE FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alamedans for Fair Rent Control Contributions Received 1 Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions 5. TOTAL CONTRIBUTIONS RECEIVED Schedule A, Line 3 $ Schedule B, Line 3 Add Lines 1 + 2 $ Schedule C, Line 3 Add Lines 3 + 4 Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11. TOTAL EXPENDITURES MADE Schedule E, Line 4 Schedule H, Line 3 Add Lines 6 + 7 $ Schedule F, Line 3 Schedule C, Line 3 Add Lines 8 + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash 15. Cash Payments 16. ENDING CASH BALANCE Previous Summary Page, Line 16 Column A, Line 3 above Schedule 1, Line 4 Column A, Line 8 above Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents 19. Outstanding Debts See instructions on reverse $ Add Line 2 + Line 9 in Column B above $ Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 187.00 $ 187.00 $ 187.00 $ 511.34 187.00 324.34 Statement covers period 7/1/2017 from through SUMMARY PAGE CALIFORNIA 460 FORM 12/31/2017 3 Page of I.D. NUMBER 1389877 5 Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 600.00 600.00 600.00 1■111■111■IL 20. Contributions Received 21. Expenditures Made 1/1 through 6/30 7/1 to Date 11.11110100 Expenditure Limit Summary for State 1646.30 Candidates 1646.30 1646.30 1911110111■■■■[. 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). 22. Cumulative Expenditures Made* (If 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alamedans for Fair Rent Control Amounts may be rounded to whole dollars. ~111111111111~■1121- Statement covers perod from through 7/1/2017 12/31/2017 SCHEDULE E CALIFORNIA Ann 4 Page /.o.moMasn 1389877 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 fi|ing/ba||mfeeo fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAMEANDADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) MBR MTG OFC PET PHO POL poo 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 mm RFD SAL TEL TRC TRS TSF VOT WEB of 5 radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, |vdning, and meals staff/spouse travel, |vdoing, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) CODE * Payments that are contributions or independent expenditures must also be summarized on Schedule D. OR DESCRIPTION OF PAYMENT SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (lnclude all Schedule E subtotals.) � 2. Unitemized payments made this period of under $100 � 3. Total interest paid this period on Ioans. (Enter amount from Schedule B. Part 1. Column (a)j s 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 187.00 187.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alamedans for Fair Rent Control FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Mary Jacak Alameda, A t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 1 ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) Seismic Accessories (a) ... - ._...... W._,.. (b } . ............. OUTSTANDING AMOUNT BALANCE RECEIVED THIS BEGINNING THIS PERIOD PERIOD 54.00 Statement covers period 7/1/2017 from through 12/31/2017 (c) AMOUNT PAID OUTSTANDING BALANCE AT OR FORGIVEN. OF THIS THIS PERIOD * PERIOD ❑ PAID IZ FORGIVEN S 54.00 0 PAID ❑ FORGIVEN ❑ PAID ❑ FORGIVEN SUBTOTALS $ $ Schedule B Summary 1. Loans received this period $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. S DATE DUE DATE DUE DATE DUE 5x.00 �a no n (May be a negative number) INTEREST PAID THIS PERIOD RATE RATE 5 RATE S (Enter (e) on Schedule E, Line 3) SCHEDULE B - PART 1 CALIFORNIA is FORM Page 5 of I.D. NUMBER 5 1389877 — .._— ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE DATE INCURRED DATE INCURRED 5 DATE INCURRED CALENDAR YEAR $ 54.00 PER ELECTION ** CALENDAR YEAR S PER ELECTION** CALENDAR YEAR 5 PER ELECTION ** tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov