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