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Ezzy Ashcraft 460a r x R ..S=: CO V E R f AG E x& Committee r T r ri T ype o print in Campaign Statement ink. Date to mP S Corer Pa e n: A.W. (Government Code Sections 84200 84216.6) JS Statement covers period Date of election if applicable: �a; 10/1 Mo nth, Day, Year) ,:n Page of from r For Official Use Only SEE INSTRUCTIONS O N REVERSE through 10 11/2110 1. Type of Recipient Committee: All Committees Complete Parts 1, 2, 3, and 4 2. Typ of Statement: Officeholder, Candidate Controlled Committee E] Ballot Measure Committee Preelection Statement Quarterly Statement State Candidate Election Committee Primarily Formed Semi annual Statement Special Odd -Year Report Recall Controlled Termination Statement Supplemental Preelection Pp (Also Complete Part 5) Sponsored Amendment Explain below) Statement Attach Form 495 (Al Complete Part 6) F General Purpose Committee a Sponsored Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party /Central Committee (Also Complete Part 7) 3. Committee information I.D. NUMBER 1329200 Tre {s} COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Marilyn Ezzy Ashcraft for City Council 2010 Lars Hansson MAILING ADDRESS 2504 Santa Clara Avenue STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 903 Grand Street Alameda CA 94501 510 -521 -2343 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Alameda CA 94501 510 -523 -3138 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 1. E-MAIL ADDRESS 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 th information o ined herein and in the attached schedules is true and complete. l certify under penalty of perjury under the laws of the State of California that the foregoing is `true and c ct. w 10/20/10 Executed on By Date 10/20/1 i CM easb r o A tart Tre urer Executed an B Date Signature of Ca ling Officeholder, a Id e, t to Measure Proponent or Respon ble fficer R Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date FPPC Form 460 June101 Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Toil -Free Helpline: 8661ASK -FPPC State of California Rec Committee Type or print in ink. COVER PAGE PART 2 Campaign Statement Cover Page Part 2 Page 2 of 9 6. officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Marilyn Ezzy Ashcraft OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Alameda City Councilmember RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 903 Grand Street, Alameda, CA. 94691 Related Committees Not Included i .this Statement: List a n y 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 CONTROLLED COMMITTEE? YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.Q. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.D. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT M EAS U RE BALLOT NO. OR LETTER JURISDICTION SUPPORT 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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT E] OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK -FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars, NAME OF FILER Marilyn Ezzy Ashcraft for City Council 2010 Contributions Received To calculate Column B, add Column A amounts in Column A to the corresponding amounts Column B from Column B of your last TOTALTHIS PERIOD report. Some amounts in Column A may be negative CALENDAR YEAR 386 figures that should be subtracted from previous (FROM ATTACHED SCHEDULES) period amounts. If this is the first report being filed TOTAL TO DATE 1. Monetary Contributions ..............................w Schedule A, Line 3 28360 48411 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 2 S. 28360 48411 4. Nonmonetary Contributions Schedule c, Line 3 6. TOTAL CONTRIBUTIONS RECEIVED e i...... Add Lines 3 4 28360 48411 Expenditures Made 8. Payments Made Schedule E, Line 4 30021 48026 7. Loans Made. Schedule 1 Line 3 8. SUBTOTAL CASH PAYMENTS..... Add Lines 6 7 30021 48025 9. Accrued Expenses (Unpaid Bills) Schedule F Line 3 16. Nonmoneta Adjustment Schedu C, Line 3 11. TOTAL EXPENDITURES MADE add Lines 8 9 1 0 30021 48025 Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule 1, Line 4 15. Cash Payments Column A Line 8 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 B, Part 2 Cash Equivalents and Outstanding D 18. Cash Equivalents See instructions on reverse 19. Outstanding Debts Add Line 2 Line 9 in Column B above 2047 To calculate Column B, add 28360 amounts in Column A to the corresponding amounts from Column B of your last 30021 report. Some amounts in Column A may be negative 386 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). Statement covers period f ro rn 1 011 110 SUMMARY PAGE through 10/16/10 p 3 of I.D. NUMBER 1329200 Calendar Year Summary for Candidates Running in Both the Stat Primary and General Elections 1/1 through 6130 711 to Date 20. Contributions Received 21. Expenditures Made Expenditure Limit Summary for State Candid 22, Cumulative Expenditures Made* (l# subject to Voluntary Expenditure Limit) Date of Election Total to Date (mrrltddlyy) J 1 ....M.1w 1 "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. 8661ASK -FPPC Schedule A Monetary Contributions Received S E E INSTRU CTIONS ON REVERSE Type or print in ink. Amounts may he rounded to whole dollars. NAME OF FILER Marilyn Ezzy Ashcraft for City Council 2010 Statement covers period f ro rn 1 011110 through 10116/10 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF COMMITTEE, ALSO ENTER E.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE (IF SELF EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 10/02/10 Chris Seiwald, 1201 Sherman St. Alameda, CA. EICO M CFO, Perforce Software 5000 94501 [:]OTH PTY SCC 1013110 Mathias Masem, 700 Paru St. Alameda, CA. NJ IND COM Self Employed. 1000 94501 E] OTH Bay Are Surgery Assoc. Y g Y PTY SCC 10/7/10 Tara Mochizuki, 794 Pacheco St., San W] IND n CoM None 250 Francisco, CA. 94116 OTH PTY ❑SCC 1 0I811 0 Kyle Conner, 337 Laguna Vista, ❑COM AND lm ed, Alameda Self Employed, y 250 Alameda, 10 /121CA. 94501 OTH Theater PTY SCC 10/10/10 Eleanor Ezzy, 2431 Mariner Square Dr. 125, IND F] COM RTD 110 Alameda, CA. 94501 OTH PTY SCC S U BTOTA L 661 Schedule A Summary *Contributor Codes 1. Amount received this period —contributions of $100 or more IND Individual (in all Schedule A subtotals.) 27660 COM Recipient Committee (other than PTY or SCC) 2. Amount received this period un item ized contributions of less than $100. 700 OTH Other PTY Political Party 3. Total monetary contributions received this period 28360 SCC Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL FPPC Form 480 (June /01) FPPC Toll -Free Helpline: 8681ASK -FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period to whole dollars. from through 1411611 Pa e 5 of 9 NAME OF FILER I.D. NUMBER Marilyn Ezzy Ashcraft for Ci Council 2010 1329200 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER (IF C OMMITTEE,ALSO ENTER 1.D. NUMBER) OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 1 0/12/10 Richard Tabor, 1321 Santa Clara Avenue, ®1ND com Self Employed DDS 250 Alameda, CA. 94501 OTH PTY SCC 10/12/10 John Brennan, 711 Grand St., Alameda, CA. AND coM VP HR Advent Software 100 94501 OTH PTY F] SCC 10/12/10 Del Blaylock, 1903 Encinal Avenue, Alameda, EI IND ❑COM Self Employed, Golden 100 CA 94501 OTH Needle Tailorin g PTY SCC 10/12/10 Bladium Sports Fitness Club, 800 west Tower IND COM 1 000 Avenue, Bldg. 40, Alameda, CA. 94501 g OTH PTY El SCC 10/13/10 Philip Jaber, 700 Grand St., Alameda, CA. R IND ❑COM Self Employed 100 94501 E] OTH Versailles Pharmacy Y PTY SCC S UBTOTA L 155❑ Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH Other PTY —Political Party SCC —Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 10/1/10 from throe h 14/16/10 6 g Page of *Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH Other PTY Political Party SCC —Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 8661ASK -FPPC NAME OF FILER I.D. NUMBER Marilyn Ezzy Ashcraft for City Council 2❑1 1329200 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER E.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF EMPLOYED, ENTER NAME PERIOD (IAN. 'I DEC. 31) (IF REQUIRED) O BUSINESS} 14/16/14 Marilyn Ezzy Ashcraft, 903 Grand Street, [MIND ❑COM Self Employed Attorny 19544 32154 Alameda, CA. 94541 OTH PTY ❑SCC IND CoM ❑CTH PTY SCC ❑IND COM E] OTH PTY ❑SCC IND COM OTH PTY SCC ❑IND COM OTH PTY ❑SCC SUBTOTAL t3 AL 1 *Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH Other PTY Political Party SCC —Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule E Type or print in ink. Payments Made Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Marilyn Ezzy Ashcraft for City Council 2010 Statement covers period f ro m 1 011110 through 10/16/10 SCHEDULE E Page 7 of I.D. NUMBER 1329200 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonrnonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET 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 POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Terrence Barnes Walters, 400 Montgomery St, 7th Floor, San Francisco, CA. Congilting Fee 94104 CNS 6000 Terrence Barnes Walters, 400 Montgomery St. 7th Floor, San Francisco, CA. Printing Mailing (See form G). 94104 LIT 14060 Terrence Barnes Walters, 400 Montgomery St. 7th Floor, San Francisco, CA. Printing Mailing (See form G). 94104 LIT 10946 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 30006 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) 30006 2. Unitemized payments made this period of under $100 15 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 30021 FPPC Form 400 (June /01) FPPC Toll -Free Helpline: 866iASK -FPPC Schedule G Typ or print riint in ink. Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of Th is Committee) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Marilyn Ezzy Ashcraft for City Council 2014 Statement covers period from 1011110 through 10/16/10 SCHEDULE Page 8 of I.D. NUMBER 1329200 NAME OF AGENT OR INDEPENDENT CONTRACTOR Terrence Barnes Walters CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CT8 contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET 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 POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain PGS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VQT voter registration LIT campaign literature and mailings PRT print ads IIIIEB information technology costs (internet, e- -mail) Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (1F COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Cornerstone Printing, 220 Montgomery St. Ste 1093, San Francisco, CA. Printing and mailing of two brochures 94104 LIT 0921 Zebra Graphics, Inc 1182 Folsom St., San Francisco, CA. 94103 Pre -press for brochures LIT 920 uSPa, 2700 Campus Drive, San Mateo, CA. 94497 Attach additional information on appropriately labeled continuation sleets. Postage for mailing brochures P�]S 4991 TOTAL` 12832 Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866/ASK-FPPC