deHaan 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Date of election if applica
(Month, Day, Year) JAN 3 1 2007
CITY OF ALAMED
ITV CLERK'S OFFI
For Official Use Only
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
0 Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
0 General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
O Ballot Measure Committee
0 Primarily Formed
0 Controlled
0 Sponsored
(Also Complete Part 6)
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
D Preelection Statement D 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)
CO~EMMt~0NA~MIVECli Gide~~ NAME OF TREASURER 0 r+ I f.,,r-
STREET AD
I O( ; o.~z..3.3;lY
CITY AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS
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.
certify under penalty of pe ·ury nder the laws of the State of California that the foregoing is true and corre
Executed on
Executed on
Dale
Executed on
Dale
Executed on
Date
By.......,.......,,,__.....,......,......,.,,,.......,-_,,,,,.....,....,,._,,.,,....,,....,.,__,,,_....,~_,,,..,...,.,.....___,,,_.......,..,...~~~~~
s;gnature of Controlling Officeholder. Candidate, Slate Measure Proponent
By.......,.......,,,__=-=-.....,.=-~=-=-=-_,....,....,....,..,........,.......,,..,_....,...._,.,..___,,..,__.....,.=-=-=-=-=-=--
s;gnature of Controlling Officeholder. Candidate, Slate Measure Proponent FPPC Form 460 (June/01)
FPPC Toll·Free Helpline: 866/ASK-FPPC
Ctiata -.f l'elll-. .. -1-
~ecipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
5. Officeholder or Candidate Controlled Committee
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 behaff 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?
DYES ONO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE · AREA CODE/PHONE
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT
D 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 Committee List names of officeholder{s) or candidate{s) for
which this committee is primarily formed.
N
UGHTOR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
0 SUPPORT
0 OPPOSE
0 SUPPORT
0 OPPOSE
0 SUPPORT
0 OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK·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
from ::fuq f) UX>f::> CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received Column A
1. Monetary Contributions . ........................ ............ ... ... Schedule A, Line 3 $
2. Loans Received ........... ..... ............. .............. ... ........ Schedule a, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $
4 Non monetary Contributions .......................... .......... Schedule c. Line 3
~. fOTAL CONTRIBUTIONS RECEIVED ................. : ......... Add Lines 3 + 4 $
Expenditures Made
6. Payments Made....................................................... Schedule E, Line 4 $
7. Loans Made............................................................. Schedule H, Line 7
8. SUBTOTALCASHPAYMENTS .................................... Addlines6+7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3
10. Nonmonetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines a +9+ 10 $
Current Cash Statement
12. Beginning Cash Balance....................... Previous Summary Page, Line 16 $
13. Cash Receipts ..................... ..................... ......... Column A, Line 3 above
lliscellaneous Increases to Cash ........................... Schedule I, Line 4
15. Cash Payments.................................................. Column A, Line a 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.
17. LOAN GUARANTEES RECEIVED ........ ................... Schedule a, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... AddLine2+Line9inColumn8above $
through Dei ? I I Z£b 7 Page _3=---ot-3
$
$
$
$
$
$
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 ri60qr5
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)
__J $
__J $
__J $
__J $
__J__J __ $
__J $
*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