Alameda Firefighters Association PAC 460Recipient Committee
Campaign Statement
Cover Page
Type or print in ink. Date Stamp
(Government Code Sections 84200-84216.5)
State en covers period
from f ~
SEE INSTRUCTIONS ON REVERSE through \d-\ 0 \ \ ~
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
0 Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
0 Recall
(Also Complete Pait 5)
"ro/'General Purpose Committee ~%sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee lnformatio"
O Ballot Measure Committee
0 Primarily Formed
0 Controlled
0 Sponsored
(Also Complete Pait 6)
O Primarily Formed Candidate/
Officeholder Committee
{Also Complete Pait 7)
C~ ft,~:~~~)\~E 11\5S~lJ\\ Yo~ ~tst\ e,o~
STREET ADDRESS _(NO P.O. B~X) .. A I • I
Y,;6 ~CJ ffi Zl~;~b\ AREA CODE/PHONE
5\D ·S.:l~./~\ U1
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E·MAIL ADDRESS
4. Verification
Date
Date of election if applic
(Month, Day, Year)
2.
reelection Statement
emi-annual Statement
0 ermination Statement
O Amendment (Explain below)
Treasurer(s)
N~E OF TREASURER
K\tti, 2D\'¥\blcJ:-
SURER, IF ANY
MAILING ADDRESS ~ \u W\\tiuX\
c~
OPTIONAL: FAX I E·MAIL ADDRESS
STATE tA
For Official Use Only
O Quarterly Statement
0 Special Odd-Year Report
0 Supplemental Preelection
Statement -Attach Form 495
ZIP CODE q455
ZIP CODE ~L\501 AREA CODE/PHO~Et;(/' 5W·3U_l\ .. q1,~
Executed on Date BY~~,,,_..,.......,,,,....,....,,,._,,,,,,_,...,..,--::,.-.,,.,..,.....,,,,..,...,.,..-~.,,,.-~-.-~--..,,.,.-=,_.,.'"""'"""=.,,.,-~~ Signature of Controlling Officeholder. Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on Dale
. Executed on Dale
BY~~~~~~....,.~~.,..,..~ ...... ...,,.,.~~~~ ...... ~~ ........................................ ~~---...... ~ Signature of Controlling Officeholder, Candidate, State Measure Proponent
BY~~~ ...... ~~..,.,..-..~..,.,,..~.,,,._..,..,.,.....,....,..,..__.....,,..,.......,,..._..,.,..._~,,_.,..,...,..,..~~---.,..,...,..,..~ Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
State of Cmllfornla
Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars. Statemrt covers period
from ::} \ l D,3 CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions ... . ... .. . . . . . . ... . . . . . . . . ... ... . . . . . .. .. . . Schedule A, Line 3 $
2. Loans Received ...................................................... Schedule B, Line 7
SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $
4. Nonmonetary Contributions.................................... Schedule c, Une 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 .................................... AddLines6+7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Une 3
10. Nonmonetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $
Current Cash Statement
2. Beginning Cash Balance ......... :............. Previous Summary Page, Line 16 $
13. Cash Receipts ....... ......... .. ... ... .. . . .. ... .. ... .. .. .... .. . .. Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule t, Line 4
15. Cash Payments .................................................. Column A, Line B above
16. ENDINGCASHBAU\NCE .......... 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 Une 2 + une 9 in Column B above $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
\5c:tf?
t '5DOCJ.Q_
\SDQC9.
through ld..'3\ Lo.3. Page _J__ of~
Columns
CALENDAR YEAR
TOTAL TO DATE
$ 01qqD00-
{Z2_
$ Qq~Doo
('JS"
$ ~qqD~
$
$
$
To calculate Column .8, add
amounts in Column A to the
corresponding amounts
from Column 8 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).
l.D. NUMBER
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 Umit)
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 Type or print in ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounded
to whole dollars. Statem n covers period CALIFORNIA 460
FORM from .:j-l 0..3
SEE INSTRUCTIONS ON REVERSE through 1 al? I \ D~ Page ~ of _:j____
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IFCOMMITTEE,ALSOENTERl.O.NUMBER) CODE *
Schedule A Summary
· 1 . Amount received this period -contributions of $100 or more.
DINO
DCOM
DOTH
OPTY
DSCC
DINO
QCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY oscc
DINO
DCOM
DOTH
OPTY
DSCC
DINO
DCOM
DOTH
0PTY
DSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
. (IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
SUBTOTAL$
AMOUNT
RECEIVED THIS
PERIOD
(Include all Schedule A subtotals.) ........................................................................................................ $ ___ __,,.=--
2. Amount received this period -unitemized contributions of less than $1 oo ............................................. $ __ l__.?..__._Q .... O ..... to_ ..... __
3. Total monetary contributions received this period. \ =' N"\0l-
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ _~.td__UJ~~--
l.D.NUMBER
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.
ScheduleD
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
Type or print in ink.
Amounts may be rounded
to whole dollars.
TYPE OF PAYMENT
h Mt .. •"-; tltl ~ 1, 1f ~ ~C.c\riX-Y•~ o ki' Monetary WUVJ1Ui \~ ~~Contribution ~ \1'\ r r' h }..,. toun.ti.l D Non~on~tary \ v vv• v ~ Contnbut1on
Support 0 Oppose
0 Support 0 Oppose
0 Support 0 Oppose
O. Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Non monetary
Contribution
D Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
SCHEDULED
Statement covers period
CALIFORNIA 460
FORM from Jl I} 03
through lal ~ \ l \) 3. Page _:1_ of __:\_
AMOUNT THIS
PERIOD
¢
l.D. NUMBER
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
SUBTOTAL$
Schedule D Summary
1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) .............................................. $ __ _.cQ~,__ __
rz5 2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... $ _____ _
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL $ __ tf"""'"'·-· __ _
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC