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Rich 460ReGipient Committee Campaign Statement Cover Page Type or print in ink. (Government Code Sections 84200-84216.5) Statement covers period from -"""''~C7'---_2.._2_-_o_<o __ _ SEE INSTRUCTIONS ON REVERSE through _l~-->~l_-O_']~--- 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee O State Candidate Election Committee 0 Recall (Also Complete Pait 5) ~ General Purpose Committee 0 Sponsored 0 Small Contributor Committee O Political Party/Central Committee 3. Committee Information O Ballot Measure Committee 0 Primarily Formed 0 Controlled 0 Sponsored (Also Complete Pait 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Pait 7) 1.D. NUMBER COMMITTEE NAME (OR CANDIDATE"$ NAME IF NO COMMITTEE) STREET ADDRESS (NO P.O. BOX) S-s b (1.lz s+ ree.t CITY STATE ZIP CODE A~ct""'-edc..... CA-'i'-150( AREA CODE/PHONE (Ste>) '&th-l-f?t;i.,_ MAILING ADDRESS (IF DIFFERENT) NO. ANO STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification Date of election if a (Month, Day, Y, Cl OF ALAMEDA For Official Use Only CITY CLERK'S OFFICE ~~~~~~~~~~ 2. Type of Statement: 0 Preelection Statement 0 Quarterly Statement 0 Semi-annual Statement 0 Special Odd-Year Report 0 Termination Statement 0 Supplemental Preelection 0 Amendment (Explain below) Statement -Attach Form 495 Treasurer(s) NAME OF TREASURER MAILING ADDRESS 2. l 't I A ( C\.""'" ~c,Q~ Ave._. CITY ZIP CODE Alo.VVLeJc-4A 4 ¥50 t NAME OF ASSISTANT TREASURER, IF ANY AREA CODE/PHONE {s-10)33 7-'1<f£1> MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E·MAIL ADDRESS Executed on ------,Da,,,_te ______ _ BY------...,,..--~----..,-_,..__,.-------------~ Signature of Controlling Officeholder, Candidate, Slate Measure Proponent Executed on ------,Dat,,,- 9 -------BY-------=-------------.,._--..,,.--------~ Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Junef01) FPPC Toll-Free Helpline: 866fASK·FPPC Stallll nf l'.111lfnrnl• Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE riL' OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF AP PUCA c,· '[ mt2ic< 6; Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT 0 OPPOSE RESIDENTIAUBUSINESS DRESS (NO. AND STREET) ~ R amc.,60\1 u ?J010J) Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 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 . NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY l.D. NUMBER CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE l.D. NUMBER CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed 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 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Form 460 {June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received Column A TOTAL THIS PERIOD 1. Monetary Contributions ........... .................. .............. Schedule A, Line 3 $ "™m""'¢~=• 2. Loans Received ............................ .......................... Schedule 8, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 4. Nonmonetary Contributions .................................... Schedule c, Line 3 TOTAL CONTRIBUTIONS RECEIVED ................. : ......... Add Lines 3 + 4 $ Expenditures Made 6. Payments Made ..................... ...... ...................... ...... Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+ 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3 10. Non monetary Adjustment .......................................... Schedule c, Line 3 11. TOTALEXPENDITURESMADE ................................ AddLines8+9+ 10 $ Current Cash Statement 12. Beginning Cash Balance ........ ·:....... ...... Previous Summary Page, Line 16 $ 1733.D( 13. Cash Receipts ................... ........... ..................... Column A, Line 3 above . Miscellaneous Increases to Cash........................... Schedule 1, Line 4 15. Cash Payments . . . .. . .. . ..... .. . . .. . ... .. . . .. .. .. .. . .. . ... . . .. .. . Column A, Line B above 1 6. ENDING CASH BALANCE .......... Add Lines 12 + 1 s + 14, then subtract Line 1 s $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, Part 2 $ DJ.IA I Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................... .. ........... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column 8 above $ from l O-:J.. ;?,-c;b through __ 1-_-,-=-)_l-_0_7 __ _ Page of __ _ $ $ $ $ $ $ Columns CALENDAR YEAR TOTAL TO DATE 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). l.D. NUMBER ;i_.qoS-tO 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 $ ____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) __;__; __ $ __) $ ___} $ ____;__; __ $ ____/ $ ____/ $ *Since January 1 , 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC.Toll-Free Helpline: 866/ASK·FPPC ScneduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULEE Statement covers period CALIFORNIA 461"\ FORM U from--------- through --------Page ___ of __ _ l.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. QIP campaign paraphernalia/misc. CNS campaign consultants era contribution (explain nonmonetary)* eve civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense T campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER l.D. NUMBER) MBR membercommunications MTG meetings and appearances OFe office expenses PEr petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PAT print ads CODE OR RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID .A. l ~l/IAeJOA. SV\11\_ tJ~eN P~T Qu.a.v-+ev-k 5 e_ AJ... g2s-.cro . f>ayments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ g2s-;,xo Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ S'2S°,llD 2. Unitemized payments made this period of under $100 ·······'·································································································································· $ _.,..._..E-=----~ 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 $ ~2_s::. DD FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC