Ballena Village 461Major Donor and
Independent Expenditure Committee
Campaign Statement
(Government Code sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
from
Type or print in ink.
Statement covers period
07/01/2017
through 12/31/2017
Date u, election ifapplicable:
(Month, Day, Year)
1. Name and Address o Filer
NAME OF FILER
Ballena Village
RESIDENTIAL OR MAILING ADDRESS
CITY
(NO. AND STREET)
STATE
ZIP CODE
Walnut czeek, CA 94596
RESPONSIBLE OFFICER AREA CODE/DAYTJME PHONE
(If filer is other than
Uoro \/
2. Nature and Interests of Filer (Complete each applicable section.)
Lil A FILER WHO SAN INDIVIDUAL MUST LIST THE NAME, ADDRESS, AND BUSINESS INTERESTS
OF EMPLOYER OR, IF SELF-EMPLOYED, THE NAME, ADDRESS, AND NATURE OF THE BUSINESS
NAME OF EMPLOYER/BUSINESS BUSINESS INTERESTS
ADDRESS OF EMPLOYER/BUSINESS
A FILER THAT ISA BUSINESS ENTITY MUST DESCRIBE THE BUSINESS ACTIVITY IN WHICH IT IS
ENGAGED
Apartment Building
A FILER THAT IS AN ASSOCIATION MUST PROVIDE A SPECIFIC DESCRIPTION OF ITS INTERESTS
Fi A FILER THAT IS NOT AN INDIVIDUAL, BUSINESS ENTITY, OR ASSOCIATION MUST DESCRIBE THE
COMMON ECONOMIC INTEREST OF THE GROUP OR ENTITY
Amendment (Explain):
06/05/2018
MAJOR DONOR AND INDEPENDENT EXPENDITURE
COMMITTEE STATEMENT
la Ef
JAN - - 2g1"
CITY OF ALAMEDA
OITY CLERK'S OFF CE
of 2
For Official Use Only
3. Summary
(Amounts may be rounded to whole dollars.)
1. Expenditures and contributions
(including loans) of $100 or more
made this period. (Part 5.)
2. Unitemized expenditures and
contributions (including loans) under
$100 made this period.
3. Total expenditures and contributions
made this period. (Add Lines 1 +2j ...... _SUBTC3TAL
4. Total expenditures and contributions
made from prior statement. (Enter
amount from Line 5 of last statement
filed. If this is the first statement for
the calendar year, enter zero.)
5. Total expenditures and contributions
(including loans) made since
January 1 of the current calendar year.
(Add Lines 3 + 4.) TOTAL $
�
�
35,672.00
0.00
ss's/2.no
3s's7z.no
71,344.00
4. Verification
1 have used all reasonable diligence in preparing this statement. | have
reviewed the statement and to the best of my knowledge the information
contained herein is true and complete. | certify under penalty of perjury under
the laws of the State of California that the foregoing is true and correct.
Executed on
By
' 4wEQTf--DR
DONOR OR 13A-1,40A-
RESPONSIBLE
OFFICER IF OTHER THAN AN INDIVIDUAL
461 (March/2011)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Major Donor and
Independent Expenditure Committee
Campaign Statement
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Ballena Village
Type or print in ink.
Amounts may be rounded
to whole dollars.
MAJOR DONOR AND INDEPENDENT EXPENDITURE
COMMITTEE STATEMENT
Statement covers period
from
07/01/2017
12/31/2017
through
5. Contributions (Including Loans, Forgiveness of Loans, and Loan Guarantees) and Expenditures Made
(If more space is needed, use additional copies of this page for continuation sheets.)
DATE
08/21/2017
NAME, STREET ADDRESS, CITY, STATE AND ZIP CODE
OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Alamedans in Charge - A Coalition of Rental
Monetary
Property Owners, Homeowners, Businesses and
Tenants for Fair and Affordable Housing (81397136) Contribution
0 Loan
ElNon-Monetary
Contribution
Oakland, CA 94618 0 Independent
Expenditure
DESCRIPTION OF
TYPE OF PAYMENT PAYMENT
(IF OTHER THAN MONETARY
CONTRIBUTION OR LOAN)
Eli Monetary
Contribution
ElLoan
ElNon-Monetary
Contribution
El Independent
Expenditure
nMonetary
Contribution
ElLoan
ElNon-Monetary
Contribution
El Independent
Expenditure
El Monetary
Contribution
ElLoan
ElNon-Monetary
Contribution
0 Independent
Expenditure
CALIFORNIA 461
FORM
Page 2 of 2
CANDIDATE AND OFFICE, CUMULATIVE AMOUNT
MEASURE AND JURISDICTION, AMOUNT THIS RELATED TO THIS
OR COMMITTEE PERIOD CANDIDATE, MEASURE,
Ordinance Amending
Municipal Code Concerning
Rent Increases And
Stabilization, Eviction
Limitations And
Relocation Assistance
JReferendum) • TBD
uity or Alameda, LA
1
Support Ei Oppose
Support Oppose
0 Support 11 Oppose
fl Support El Oppose
SUBTOTAL $
OR COMMITTEE
35,672.00 85,176.00
35,672.06
FPPC Form 461 (March/2011)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)