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Forbes & Schaff for School Board 460Recipient Committee Campaign Statement Cover Page Type or print in ink. (Government Code Sections 84200-84216.5) Statement covers period from ___ 1_0_11_7_12_0_0_4 __ SEE INSTRUCTIONS ON REVERSE through __ 1_2_/3_1_12_0_0_4 __ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 00 Officeholder, Candidate Controlled Committee ® State Candidate Election Committee 0 Recall (Also Complete Pa.15) D General Purpose Committee Sponsored Small Contributor Committee Political Party/Central Committee 3. Committee Information D Ballot Measure Committee Primarily Formed Controlled Sponsored (Also Complete Part 6) Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) COMMll l"E:E NAME (OR CANOIDAfE'S NAME IF NO COMMll IEE) Forbes & Schaff for School Board CITY Alameda CITY OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification STATE CA STATE ZIP CODE AREA CODE/PHONE 94501 (510) 749-6790 ZIP CODE AREA CODE/PHONE Date of election if (Month, Day, Y 11/02/2004 Of ALAMEDA CLERK'S OFFiC For Official Use Only 2. Type of Statement: Preelection Statement 00 Semi-annual Statement 00 Termination Statement Amendment (Explain below) Treasurer(s) NAME OF TREASURER CITY Alameda MAILING ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS STATE CA STATE Quarterly Statement Special Odd-Year Report D Supplemental Preelection Statement Attach Form 495 ZIP CODE 94501 ZIP CODE AREA CODE/PHONE 749-6790 AREA CODE/PHONE I 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. certify under penalty of perjury under t11e laws of the State of California that the fore rue and ~t 01/30/2005 Executed on Date Executed on 01/30/2005 Date Executed on 01/30/2005 Date Executed on Date By rer By tor Responsible Officer of Sponsor BY~~~~~~~~~~~~~...,.-.---.~~~~~~~~~~~~~~~ Sigqature of Controlling Officeholder, Candidate, State Measure Proponen: FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee David Forbes and William Schaff NUMBER IF APPLICABLE) Member, Board of Education , Alameda CA 94501 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 LD. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES D NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 6. Ballot Measure Committee Identify the controlling officeholder, candidate, or state measure proponent, if any. 1uc:nu1cuc:r< CANDIDATE, OR PROPONENT 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 D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD lJ SUPPORT D OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Type or print in ink. SUMMARY PAGE Campaign Disclosure Summary Page Amounts may be rounded to whole dollars. Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Forbes & Schaff for School Board Contributions Received 1. Monetary Contributions Schedule A, Linc 3 $ 2. Loans Received Schedule 8, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ 4. 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 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment Schedule F, Line 3 Schedule C, Line 3 11 TOTAL EXPENDITURES MADE ........................... AddLines8+9+1o 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 I, 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 8, 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 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 35,485 (23,000) 0 16,544 0 0 0 1 0 16,544 0 0 0 from ____ 1_ 0 __ 1_17_1_20_0_4 __ through __ 1_21_3_11_2_0_04 __ Page __ 3 __ of ___ 7 __ ColumnB CALENDAR YEAR TOTAL TO DATE $ 38,740 0 $ 360 $ 00 $ 38,740 0 $ 38,740 0 360 $ 100 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). LO NUMBER 1267549 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 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 Limit) Dale of Election (mm/dd/yy) _/_/ __ _/ __ _} __ , Total lo Date $ _____ _ $ _____ _ $ ______ _ $ _____ _ $ _____ _ *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 Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Forbes & Schaff for School Board Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. E~ TER NAM~ OF BUSINESS) (IF COMMITTEE.ALSO ENTER l.D. NUMBER) CODE * 10/21/2004 Fred Patterson Alameda, CA 94501 10/27/2004 Shea Homes & Affiliates Alameda, CA 94501 10/27/2004 Centex Homes & Affiliates Alameda, CA 94501 12/30/2004 David Forbes Alameda, CA 94502 12/30/2004 William Schaff Alameda, CA 94501 Schedule A Summary IKJIND 0COM OIND OCOM IKJOTH OPTY oscc OIND 0COM KJOTH OPTY oscc KJIND OCOM KJIND 0COM Retired General Manager Club Nautique Chief Investment Officer Bay Isle Financial SCHEDULE A covers period from ___ 10_1_17_1._20_0_4 __ through __ 1_2_/_3_1/_2_0_04 __ . 4 7 Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD 250 1,143 857 185 33,000 ID. NUMBER 1267549 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 250 1,143 857 185 33,000 *Contributor Codes IND -Individual PER ELECTION TO DATE (IF REQUIRED) 1. Amount received this period -contributions of $100 or more. (Include all Schedule A subtotals.) ....... $ ____ 3_5_,4_35_ COM Recipient Committee (other than PTY or SCC) OTH Other 2. Amount received this period unitemized contributions of less than $100 ............. . .. ....... $ ____ 5_0_ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ _____ 3 5 _,4_8_5_ PTY -Political Party SCC-Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC 1 Type or print in ink. Statement covers period Schedule B- Loans Received Amounts may be rounded to whole dollars. from __ 1_0_/1_7_12_0_0_4 __ SEE INSTRUCTIONS ON REVERSE th h 12/31 /2004 roug -·-----·-- NAME OF FILER Forbes & Schaff for School Board FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF C0"1MITTEE. ALSO ENTER l.D. NUMBER) William Schaff Alameda, CA 94501 tlil IND o coM D OTH D PTY D sec tlil IND o coM o OTH o PTY o sec IND D COM D OTH D PTY D sec Schedule B Summary IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Chief Investment Officer Bay Isle Financial 1 . Loans received this period . . . . . .. .. . .. . . . .. . . .. . . .. .. .. . .. . ..... (Total Column (b) plus unitemized loans less than $100.) a (b) (c) (d) OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING BALANCE RECEIVED T BALANCEAT BEGINNING THIS HIS OR FORGIVEN CLOSE OF THIS PERIOD PERIOD THIS PERIOD* PERIOD OPAIO 0 [i(j FORGIVEN 23,000 10,000 33,000 n.a. DATE DUE OPAID 0 FORGIVEN DATE DUE OPAID D FORGIVEN DATE DUE .. ........ $ 10,000 2. Loans paid or forgiven this period ........................................................................................................ $ 33,000 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................ ....... ....... .. ........................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (e) INTEREST PAID THIS PERIOD RATE RATE RATE 0 SCHEDULE B -PART 1 Page 5 l.DNUMBER 1267549 (f) ORIGINAL AMOUNT OF LOAN 7 (g) CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR 10,000 0 PER ELECTION** 7/27/2004 0 DATE INCURRED CALENDAR YEAR PER ELECTION** DATE INCURRED CALENDAFi YEAR PER ELECTION** DATE INCURRSD *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ___ 1_0_11_7_/2_0_0_4 __ 12/31/2004 through --------Page 6 l.D. NUMBER Forbes & Schaff for School Board 1267549 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Cf\/P 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)* OFC office expenses SAL campaign workers' salaries eve 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 SCHEDULEE 7 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 AnnR"'~~ OF PAYEE ~~""'" CC, CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Tramutola Company Campaign Consulting CNS 5,000 Oakland, CA 94611 Mark Reilly Mailer design and production P.O. Box 114 LIT 4,408 San Lorenzo, CA 94580 Mark Reilly Postage for mailer P.O. Box 114 POS 2,575 San Lorenzo, CA 94580 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 11,983 Schedule E Summary 16,544 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................................................ $ _____ _ 0 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).). . ... $ ______ o_ 16,544 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ... ........... ...... .. ... TOTAL $ _____ _ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC Schedule E (Continuation _ ..... """""' Payments Made Type or print in ink. SCHEDULE E (CONT) Amounts may be rounded to whole dollars. Statement covers period from ___ 1 _0/_1_7_12_0_0_4 __ 12/31/2004 through _______ _ Page 7 ID. NUMBER Forbes & Schaff for School Board 1267549 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Cf\/P 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)* 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 of __ 7 _ 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 i1nnR~<::c:: CODE (IF ~~ ..... ,, 'CC, ALSO -------------- Statewide Information Systems POL Sacramento, CA 95816 John A. Jensen LIT Oakland, CA 94611 02 Marketing + Design CMP Oakland, CA 94621 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. OR DESCRIPTION OF PAYMENT Lists Self-mailer Lawn signs ~ ··---~ AMOUNT PAID 2,172 530 1,859 ---~-·--- SUBTOTAL$ 4,561 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC