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Tam 460III M - ��`' [�, ■ 1 Y ! m ec a tCo fee p Calmpaign.Statemant Cover Page (Government Code Sections 84200-84216.5) O■ r■ 3& T or print in ink. Date Stamp COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) TAM FOR COUNCIL 2014 STREET ADDRESS (NO P.O. BOX) Statement covers period CITY STATE ZIP CODE AREA CODE /PHONE Alameda CA 94501 51 747 4722 MAILING ADDRESS (IF DIFFERENT) No. AND STREET OR P.O. BOX P0 Box 1130 CITY STATE ZIP CODE AREA CODE/PHONE Alameda CA 94501 OPTIONAL: FAX 1 E -MAIL ADDRESS lena.tam@gmail.com Treasurer(s) NAME OF TREASURER Benjamin T. Reyes 11 MAILING ADDRESS Confidential (Cal. Vehicle COde Section 1808.4 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX 1 E -MAIL ADDRESS btr2esq@gmail.com 4. Verification 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on By �,-� Date Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed an By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8561275 -3772) State of California � s a. Officeholder or Candidate Controlled Committee Type or print in ink. COVF -.PART 2 . NAME OF OFFICEHOLDER OR CANDIDATE Lena Tam OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City of Alameda City Council Member RESIDENTIAUBUSINESS ADDRESS (NOD AND STREET) CITY STATE ZIP Alameda CA 94501 Related Committees Not Included in this. Statement: List an y committees not included in this statement that are. controlled by y ou 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 F] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. 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. Primarily Formed. Ballot Measure Committee NAME OF BALLOT MEASURE 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 Candidate /Off i ceholder . 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 ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT []OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Farm 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) 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 TAM FOR COUNCIL 2010 Contributions Received Statement covers period Column A TOTALTHiSPERIOD (PROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 3 $ 2. Loans Received ....................... ............................... Schedule B, Line 3 12/3112010 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 12,213.34 $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 1 2,213.34 $ SUMMARY PAGE Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonrnonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 + 10 $ 14,301.47 $ 44,064.64 0 0 14,301-47 $ 44, 064.64 0 0 0 0 14, 301.47 $ 44, 064.64 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. 2,089-13 12,213.34 14,301.47 1.00 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). 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ .................. ...................................................... . . . . ......... . .. . Cash Equivalents and outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ 8,873.34 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) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (868/275 -3772) Statement covers period ®- 10/17/2010 from through 12/3112010 Page 3 of I.D. NUMBER 1267167 Column Calendar Year Summary for Candidates CALENDAR YEAR TCaTAI_TC7 DATE .y ■ Running in Both the State Primary and General Elections 35,191.:30 81873.34 111 through 6130 711 to Date 44, 064.64 20. Contributions Received $ $ 0 21. Expenditures 44,064,64 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonrnonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 + 10 $ 14,301.47 $ 44,064.64 0 0 14,301-47 $ 44, 064.64 0 0 0 0 14, 301.47 $ 44, 064.64 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. 2,089-13 12,213.34 14,301.47 1.00 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). 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ .................. ...................................................... . . . . ......... . .. . Cash Equivalents and outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ 8,873.34 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) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (868/275 -3772) Schedule A Type or print in ink. Amounts may be rounded M onetary C ontr i bu t ions e:'""e to whole dollars. Statement coders period from 10/17/2010 SCHEDULE A SEE INSTRUCTIONS ON REVERSE through 1213112010 Page 4 of NAME OF FILER I.D. NUMBER TAM FOR COUNCIL 2010 1257157 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I. 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 (I F REQUIRED) OF BUS(NESS) 01221 D Kristine A. Deb bona ❑cOl� Kaiser/Nurse 1 00.00 [[ 0TH F] PTY ❑SCC ❑ IND 10/25/10 I B EW Local 595 ® COM FPPC 1273532 990.00 Bank of the West ❑ 0TH Dublin, CA 94558 -3004 ❑ PTY ❑ SCC ;Z IND /0 /25110 Yui Hay Lee ❑ CoM Architect/YHLA 500.00 ❑0TH ❑ PTY ❑ SCC ®IND , 10/25/10 Phong La [I CoM Attorney/Self 250.00 ❑ 0TH ❑ PTY ❑ SCC Stanley Kiang ®IND ❑ CoM VP/Or of 10/26/1 ❑0TH Chinese American 200.00 ❑ PTY ❑ SCC S JIBTOTALr 1 p 9 50.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtota .......... r .................. ... r .... .......... ........ .. ...... $ 3,2aQroo 2. Amount received this period uniternized monetary contributions of less than $100 ............................. $ 3. Total monetary Contributions received this period, (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 140.00 `Contributor Codes IND — Individual CUM — Recipient Committee (other than PTY or SCC) CTH — Other e.g., business entity) PTY — Political Party SCC -- Small Contributor Committee FPPC Form! 460 (Januaryl05) FPPC Toll - Free Helpline: 866/ASK-FPPC (8661276 -3772) Schedule A Continuation Sheet Type or print in ink. SCI~IEDULE A (CONT.) M onetary Contributions Received A mounts may be rounded Statement comers period e s to whole dollars. 10/17/2010 v from through 12/31I2010 P age of NAME OF FILER I.D. NUMBER TAM FOR COUNCIL 2010 1267107 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULAT {VETO DATE CALENDAR YEAR PER ELECTION To DATE RECEIVED CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31 (IF REQUIRED) OF BUSINESS) ❑ IND U FCW local 5 PAC ®GC�M FPPC I D #1294035 10123110 � [:] OTH 250.00 ❑ PTY ❑ SCC Arnold G. Fong ®IND []COM Lake 10/29110 734 Palmera Court, Alameda CA 94501 ❑ OTH Pharmacy /Pharmacist 300.00 ❑ PTY ❑ SCC Alice Lai- Bitker for Supervisor ❑ IND ®COO FPPC No. #123 -3503; 11102/10 E] OTH 510 749 --1524 } 500.00 Alameda, Ca 94501 ❑ PTY ❑ SCC Carole Gerdes ®IND ❑CCM Alameda Physician 12122110 ❑ OTH 200.00 ❑ PTY ❑ SCC ❑IND CDM OTH ❑ PTY ❑ SCC u�TOTAL. . . . ................... .. . ...... ..... . . . . .. . . .... ... ... ... ................ ...... ................ .................................... . .... ........................................... ......... .. .................................................................................... . .......... . . .............. ................ ......................................... ...... . . . . . . .......... .. . ............... . .. . .............. - ----------- - -------- 12� 0. 00 .. .. ....... ............ ..... .. ......... . .... .. ..... . . `Contributor Codes IND -- Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY -- Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Tall -Free Helpline: 866/ASK-FPPC (8661276 -3772) (Total Column (b) plus unitemized loans of less than $100.) tContri Codes 0 2. Loans paid or forgiven this period ................... . ........ . ............................................. ............................... $ COM Recipient Committee (Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC) (include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity) PTY -- Political Party 3. Net p eriod. change this Subtract Line 2 from Line 1.) ................................ ............................... NET $ . g p � } $,$73 34 SCC. —Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) Amounts forgiven or paid by another party also must be reported on Schedule A. * if required. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Type or print in ink. SCHEDULE 13- PART 1 Schedule "-"' Pa Amounts may be rounded Statement covers period Loans Received to whole dollars. 10/17/2010 _ a from 12 /31/24 1 ❑ 0 SEE INSTRUCTIONS ON REVERSE th rou g h Page 9 of NAME OF FILER I.D. NUMBER TAM FOR COUNCIL 2010 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL ENTER f OUTSTANDING. (b) AMOUNT (c) AMOUNTPAID (d) OUTSTANDING (e) INTEREST €� ORIGINAL (9) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF S ELF PLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS DR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS {IF CC7MMITTEE,ALSOENTER I.D,NUMBER} NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAN To DATE Lena Tam Engineer ❑ PAID CALENDAR YEAR EBMUD $ ❑ 0 % $ $ Alameda CA 94501 ❑ FORGIVEN RATE PERELECTICN ** 8 8,873.34 $ $ $ $ $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION ** tE] IND E] COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALEN DAR YEAR ❑ FORGIVEN RATE PER ELECTION[ ** to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ (Enter (e) on Schedule B Summary Schedule E, Line 3) 1. Loans received this period ....................... .............................................................. ............................... $ (Total Column (b) plus unitemized loans of less than $100.) tContri Codes 0 2. Loans paid or forgiven this period ................... . ........ . ............................................. ............................... $ COM Recipient Committee (Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC) (include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity) PTY -- Political Party 3. Net p eriod. change this Subtract Line 2 from Line 1.) ................................ ............................... NET $ . g p � } $,$73 34 SCC. —Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) Amounts forgiven or paid by another party also must be reported on Schedule A. * if required. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER TAM FOR COUNCIL 2010 Statement covers period froom 10/1712010 through 12/31/2010 CODES: If one of the following codes accurately describes the payment, you may enter the code. otherwise, describe the payment. Page 7 of I.D. NUMBER SCHEDULEE CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CN5 campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* CFC 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 FIND 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 Alameda Sun Advertisement Ca 94501 PRT 454.50 KTSF 26 Lincoln Broadcasting TV Commercial Ca 94005 TEL 23677.50 Em Two Technologies http: / /www.WinningCalls.com Robocalls 866 -609 -1585 x708 (toll free) 303- 952 -5752 x708 (local call) PHO 26T47 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,399.47 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 141301.47 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. ........ TOTAL $ 14,301.47 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) I Schedule E (Continuation Sleet) Payments trade SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER TAM FOR COUNCIL 2010 Statement covers period 10/17/2010 fro m through 12/31/2010 SCHEDULE E (CONT.) Page 8 of I.D. NUMBER 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 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)* 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 CODE 0R DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) HWC Mailing Service Campaign Mailer CA 94577 POS 4 Alliance Campaign Strategies Ca 94550 925 --264- 8164" Kenji Lui Production CA 94545 Otaez Alameda CA 94501 Cedric Cheng Design CA 94524 CNS TEL Consulting - Database and Design TV Commercial Refreshments MTG Election Night Party Website Design and Update WEB 1,475.00 750.00 575.00 365.00 I *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 8,002.00 FPPC Form 460 (January105) FPPC Tall -Free Helpline: 866/ASK-FPPC (86612753772) SChedu e E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER TAM FOR COUNCIL 2010 SCHEDULE E (CONT.) 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 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 PCL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* PUS 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) FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 - -3772) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 22900.00