Alameda Firefighters Association 460 AMENDMENTRecipient Committee
Campaign Statement
Cover Page
{Government Code Sections 84240. 84215.5}
Type or print in ink. I Date Stamp
STREET ADDRESS (NC7 '.O. PDX
CIT
STATEE ZIP CODE AREA CODE/PHONE
�h qL F�o I
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/ E -MAIL ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
Ck—
OPTIONAL: FAX 1 E -MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge
c d schedules is true and complete. I certify
under penalty of perjury and r the. I ws of the State of California that the foregoing is true and correct.
Executed on B
Date o r r BAs stantTreasur
Executed on B
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
E xecuted on By Date ZI mnolths M nff'nnfrnlSir,n f1F rnhr.Frinr f" .rrl 4-4_ Cl. i R A......,. n.- __L
COVER PAGE
9e of
For Official Use Only
L_j rreeiect>on statement Quarterly Statement
Semi annual. Statement Special Odd -Year Report
Termination Statement Supplemental Preelection
(Also file a Form 410 Termination) Statement Attach Form 495
Amendment (Explain below)
Treasurer(s)
NAME QF REASURER�
MAILING ADDRES
CITY
STATE ZIP CODE AREA CODE /PHONE
NAME OF ASSISTANT TREASU.Ff R, IF ANY
MAILING ADD
r FPPC Form 460 (Januaryloq
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)
State of California
Campai Disclosure Statement
T or pi-int in ink.
..SUMMARY PAGE
Summar Pa
Amounts ma be rounded
to whole dollars.
Z r=
a t covers period
CALIFORNIA 460
from
FORM
U 1 C1
Pa
SEE INSTRUCTIONS ON REVERSE
throu
of
NAME QP FILER
A UL "LAkuMg
I.D. NUMBER
I LV
I V
Contributions Received
Column A
Column B
Ca.l S u m m a r y for Candidates
TOTALTHIS PERIOD
FROM ATTACHED SCHEDULES
CALENDARYEAR
TOTALTO DATE
Runnin in Both the State Primar and
1. Monetar Contributions
General Elections
Schedule A, Line 3
111 throu 6130 711 to Date
2. Loans Received
Schedule B, Line 3
3. SU BTOTAL CAS H CO
Add Lines I 2
20. Contributions
Received
4. Nonmonetar Contributions
Schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 4
Made
Expenditures Made
0 D
Expenditure Limit Summar for State
6. Pa Made
Schedule E, Line 4
Candidates
7. Loans Made
Schedule H, Line 3
45p�
Q- o
22. Cumulative Expenditures Made*
8. SUBTOTAL CAS H PAYMENTS
Add Lines 6 7
(if S ubject bject to Voluntar r Ex penditu re Ll m it)
9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3
Date of Election Total to Date
10. Nonmonetar Adjustment Schedule C, Line 3
(mm/dd/
11. TOTAL EXPENDITURES MADE Lines 8 9 10
s
Current Cash Statement 4
4
12. Be Cash Balance Previous Summa t Pa Line 16
13. Cash Receipts Column A, Line 3 above
14. Miscellaneous Increases to Cash Schedule 1, Line 4
15. Cash Pa I Column A, Line 8 above
Q
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 B, Part 2
Cash E and Outstandin Debts
18. Cash E See instructions on reverse
19. Outstandin Debts Add Line 2 Line 9 in Column B above
To calculate Column B, add
amounts in Column A to the
correspondin amounts
from Column B of y our last
report. Some amounts in
Column A ma be ne
fi that should be
subtracted from previous
period amounts. If this is
the first report bein filed
for this calendar y ear, onl
carr over the amounts
from Lines 2, 7, and 9 (if
an
I
*Amounts in this section ma be different from amounts
reported in Column B.
FPPC Form 460 (Januar
FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)
ScheduleA
ryna or print in ink.
..SCHEDULE A
Mon� Received
may b
to whole dollars.
Statern nt overs pe CALIFORNIA 460'.;
from FORM
throu Pa of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
L Olt
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
C UMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
CODE
I F S ELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 DEC. 31)
(IF REQUIRED)
OF BUSINESS
IND
com
PTY
SCC
F] IND
El cOm
E] OTH
IND
com
F1 OTH
R PTY
F] SCC
nIND
FlCOM
[I OTH
E] PTY
71 SCC
com
OTH
r-1 PTY
ED SCC
ESE=
Schedule A Summar
1. Amount received this period itemized monetary contributions.
U ndudeeUSchedule Aaubhobs|a.)-----.----------------------------''$ 53�51
2. Amount received this period unitemized monetary contributions of less than $100
3. Total monetary contributions received this period. aLlr�� c�)
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL
rppo Form 46m(Jenuarym5)
n"po Toll-Free *elplmo'ouomSm+ppc(800127ua7ra
Schedule V
Summary of Exp
Type or print in ink.
5tateme t cavern period
SCHEDULE D
Supporting /Opposing other
Amounts may be rounded
A
A
Candidates, Measures and Committees
to whole doll ars.
a
from
h
-.5
SEE INSTRUCTIONS ON REVERSE
through
Pa ge
of
NAME OF FILER
I.D. NUMBER
i -Iw�
F -,*b
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT OR
TYPE OF PAYMENT
DESCRIPTION
AMOUNT THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELEC
TO DAT
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
(IF REQ
PERIOD
JAN. 1 -DEC. 31
(IF REQUIRED)
Lo Y\JV ttQ\ M t
Monetary
f R
Contribution
Nonmonetary
I o o v
Contribution
�J
Independent
4& Support Oppose
Expenditure
FPPC Form 460 (January/05)
FPPC Twit -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
SCHEDULE E
Schedule Type or print in ink. Stateme t q overs period
Amounts may be rounded C
Pay ments Made to whole dollars. FOR 4 60
from
SEE INSTRUCTIONS ON REVERSE through Ab Page of
NAME OF FILER I.D. NUMBER
4d rwdlk 1_7 tb A l
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CW
campaign paraphernalia /misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
DFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PEr
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing /ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
PDL
polling and survey research
TR5
staff /spouse travel, lodging, and meals
IND
independent expenditure supporting /opposing others (explain)*
PDS
postage, delivery and messenger services
TSF
transfer. between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VDT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMM [TTEE,ALSO ENTER 1. D. NUMBER} CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Awa&K.- -4
Payments-that are contributions or independent expenditures must also be summarized on Schedule D SUBTOTAL
Schedule E Summary 0j
1. Itemized payments made this period. (Include all Schedule E subtotals.)
2. Unitemized payments made this period of under $100
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 5.) TOTAL
FPPC Form 460 (January /05)
FPPC Toil -Free Helpline: 866/ASK-FPPC (8661275 -3772)