deHaan 460Recipient Committee
Campaign Statement
Cover Page
Type or print In ink.
(Government Code Sections 84200-84216.5)
Statement covers period
from .f t+1J ~ ZOO J
SEE INSTRUCTIONS ON REVERSE through.:1[;p~34 70J
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
D Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
0 Recall
(Also Com pis ts Patt 5)
D General Purpose Committee
0 Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee lnformatio9'
O Ballot Measure Committee
0 Primarily Formed
O Controlled
0 Sponsored
(Also Complsts Patt 6)
O Primarily Formed Candidate/
Officeholder Committee
(Also Comp/sis Part 7)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
UJ/Y/114 1 Tl!:?// rv t?l-tz:;r JJouc; rk,l#J4~
Date of election if app
(Month, Day, Yea
TY OF ALAMEDA
CLERK'S OFFICE
For Official Use Only
2. Type of Statement:
0 Preelection Statement 0 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)
NAME OF TREASURER 61l!C,,
MAILING ADDRES/~(}5 2>.19
sTREET ADDREss (No PJS:..Boxi A .J'! /I" rJ 0~ I 1305 .f}AYIZJ;V r&
AREA CODE/PHONE
~NA~M~E,,...,,.o=F-A~s~s~1s=TA-N~T~T=R~E~A~s-u=RE=R-.-1F---A_N_Y __________________________________ ~
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
1 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 sch"edules is true and complete.
certify under penalty of perjury under the laws of the State of California that the foregoing is true and corr t. ·
Executedon tJ'//!Jl/tJ7 BY--~~~~~---_, l;ff 7
Executed on JJ,1(,r Zu£te WO
Executed on -----.... Dal=-e--------
Executed on ------.... 0a""1a-.------
BY----------=,,--...,.,,._,....,,,_.,,.,,,....,...,,.,-.,,.-~....,,.__,~--=--.,------~ Signature of ConlroUing Officeholder, Candida le, Stale Measure Proponent
BY~----------.--=...,,------..,,...._,..-__,~----------Signalure of ControUing Officeholder, Candida le, Stale Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK•FPPC
State of California
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICE
ER IF APPLICABLE)
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 behalf 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?
0 YES 0 NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LEITER JURISDICTION D SUPPORT
0 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 ot otticeholder{s) or candidate(s) tor
which this committee is primarily formed. ·
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
D SUPPORT
0 OPPOSE
0 SUPPORT
D OPPOSE
0 SUPPORT
0 OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
State of Califomla
Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars. Statement covers period
from S"AtJ j UJo7 CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received Column A
1. Monetary Contributions ... ... .. . .. .... ... .. . ... . .. .... . . .. . . . . .. . . Schedule A, Line 3
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
$ 6 ~ 2. Loans Received ·····································:· .... :.......... Schedule B, Line 7
SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $
4. Nonmonetary Contributions ......... : .......... :............. .. Schedule c, L/ne 3
5. TOTAL CONTRIBUTIONS RECEIVED ................. ; ......... Add Lines 3 + 4 $ ¢
Expenditures Made
6. Payments Made....................................................... Schedule E, Line 4 $
7. Loans Made............................................................. Schedule H. Line 7
8. SUBTOTALCASHPAYMENTS .................................... MdLines6+7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3
10. Non monetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance ....................... PrevlousSummaryPage, Line 16 $
13. Cash Receipts .......... .. ...... ......... ........................ Column A, Line a above
14. Miscellaneous Increases to Cash .. .. .. . ..... ...... .. . . .. .•. Schedule I, Line 4
15. Cash Payments ... ............ ................................... Column A. Line B 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 Debts
18. Cash Equivalents .... .. ..... .. ... ... ... ...... .•. ... ... ... See Instructions on reverse $
19. Outstanding Debts .. ...... ... . ...•.... ..... Add Line 2 +Line 9 In Column B above $
through =-ir.z...:::£5::-....::°1'--0+--''l.=-O..;__:=;f) Page 3 ot3
Columns
$
$
$
$ J
$
$
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).
1.0.NUMBER
5
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 Umlt)
Date of Election Total to Date
(mm/dd/yy)
__} $
__} $
__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