Alameda Firefighters Association PAC 460Recipient Committee
Campaign Statement
Cover Page
Type or print in ink.
(Government COde Sections 84200-84216.5)
State overs period
from f i 0 S--
SEE INSTRUCTIONS ON REVERSE through la I So I o~
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
D Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
% General Purpose Committee ~Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information.
D Ballot Measure Committee
0 Primarily Formed
0 Controlled
0 Sponsored
{Also Complete Part 6)
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
l.D. NUr!lf 0 0{ (p
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
kL-~~ltr OLt "r IC.fl-L-
Ft<Z.eFlq~l2-S /tSSOC.
A<:.Tr DN l.oM IVI I~
STREET ADDRESS (NO P.O. BOX)
p ,
ZIP CODE AREA CODE/PHONE
Date of election if applic
(Month, Day, Year) AUG 2 5 2005
ITY OF ALAMEDA
--------.c TY CLERK'S OFFIC
For Official Use Only
2. Type of Statement:
D Preelection Statement
~Semi-annual Statement
D Termination Statement
D Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
S"TB./la
MAILING ADDRESS
lJ.-S~y
ZIP CODE
ft-L4-rt1 E°bA-· 1 ( 4: 9'/S-V/
MAILING ADDRESS (IF DIFFERENT) NO. AND STR~ET OR P.O. BOX
371) 3-S7-~CJ-.
sr
CITY STATE ZIP CODE AREA CODE/PHONE ZIP CODE AREA CODE/PHONE
A=l.dt141 GEDA-Ctr. 9-t'sol
OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of
..----/
Executed on 06°'
Executed on
Date
Executed on
Date
. Executed on
Date
By
By
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of CSllfomla
Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars. Statement\°ovf rs period
from } ~ \ l D~ CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. M9netary Contributions ................................ ,,......... Schedule A, Line 3 $
2. Loans Received ............................... ....................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $
Nonmonetary Contributions.................................... Schedule c, Line 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. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) .......................... ~ .... Schedule F. Line 3
1 O. Non monetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines B + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance ......... '. ............. Previous Summary Page, Line 16 $
3. Cash Receipts ................. .................................. Column A, Line 3 above
14. Miscellaneous Increases to Cash .... ....................... Schedule 1, 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 /n Column B above $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES) t 37/. .;i,s-
-{;;-
through -"'"'-"-"'J_O-'-O_S-__ Page of 3
$
$
$
$
$
$
Columns
CALENDAR YEAR
TOTAL TO DATE
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your fast
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).
l.D. NUMBER
'1 C)67(p
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 7/1 to Date
20. Contributions
Received $ -----$ ____ _
21. Expenditures
Made, $ ____ _ $ ____ _
Expenditure limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(II Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
____/ $
____/ $
___}____/ __ $
___}___} __ $
___} $
____/ $
*Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column 8.
FPPC Form 460 (June/01)
FPPC.Toll-Free Helpline: 866/ASK-FPPC
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
ffz.Af··~)A-F!f2£Pl4~S II Ssoc.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IFCOMMITTEE.ALSOENTERl.D.NUMBER) CODE *
Schedule A Summary
1. Amount received this period -contributions of $100 or more.
DINO
~OM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
QIND
DCOM
DOTH
DPTY
DSCC
DINO
OCOM
DOTH
OPTY
DSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
.(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
SUBTOTAL$
AMOUNT
RECEIVED THIS
PERIOD
(Include all Schedule A subtotals.) ........................................................................................................ $ _____ _
2. Amount received this period-unitemized contributions of less than $100 ............................................. $ -------
3. Total monetary contributions received this period. / 3 7: ...¢5'::
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $-"''-----'-/-'ii,__"'--
Page _g__ of L
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 ·DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
*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
PAC DETAIL REPORT 1/05 -6/05
1/1/2005 Through 6/30/2005
8/24/2005 Page 1
Date Account Num Description Memo Category Cir Amount
i-03 mbr
1/14/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS PAC Fund .. . 4PAC/i-03 mbr R 116.25
1/28/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS PAC Fund $1 .... 4PAC/i-03 mbr R 116.25
2111/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS PAC Fund ... 4PAC/i-03 mbr R 116.25
2/25/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS PAC Fund ... 4PAC/i-03 mbr R 113.75
3/11/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS PAC Fund $1 .... 4PAC/i-03 mbr R 113.75
3/25/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS PAC Fund $1 .... 4PAC/i-03 mbr R 113.75
4/8/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS PAC Fund $1 .... 4PAC/i-03 mbr R 113.75
4/22/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS PAC fund 1.25 * ... 4PAC/i-03 mbr R 113.75
5/6/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS pac fund 91 ... 4PAC/i-03 mbr R 113.75
5/20/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS pacfund 91 ... 4PAC/i-03 mbr R 113.75
6/4/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS PAC FUND 9 .. .4PAC/i-03 mbr R 113.75
6/17/2005 900005-08 ... DEP S DEPOSIT PAYCHECKS PAC FUND 90 ... 4PAC/i-03 mbr R 112.50
TOT AL i-03 mbr 1,371.25
OVERALL TOTAL 1,371.25
~