Pavletic for Alameda City Council 460. t\~eipient Committee
Campaign Statement
Cover Page
Type or print in ink.
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from ()C -r; 2 0 .. 2 CT{) 2-
f)G" t. · 3 I~ 2trt> Z.
through ---------
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. • Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee
0 Recall
(Also Comp/eta Part 5)
0 General Purpose Committee 0 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)
D Primarily Formed Candidate/
Officeholder Committee
(Also Comp/ate Part 7)
1.D. NUMBER
COMMITIEE NAME (OR CANDIDATE'S NAME fF NO COMMITIEE)
STREET ADDRESS (NO P.O. BOX)
.3 Do W Cou.R\
CITY
At-AMEbf\
STATE ZIP CODE ql{so l AREA CODE/PHONE
$ (D, ?"ZZ· i;25 ( CA'
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
Executed on
Date of election If applicnble:
(Month, Day, Yeatity Page / of b Cl erk' s Office 1---F-o-r 0-,,-,c-ial-U-se_O_n_ly-
;./65-05 ·2t>t12.
2. Type of Statement:
D Preelection Statement D Quarterly Statement • Semi-annual Statement D Special Odd-Year Report
D Termination Statement D Supplemental Preelectlon
D Amendment (Explain below) Statement -Attach Form 495
Treasurer(s)
NAME OF TREASURER
NG:Rr.57A RA:Mo.5
MAILING ADDRESS
-
STATE ZIP CODE AREA CODE/PHONI c4 C[t/6t>/
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONl
OPTIONAL: FAX I E;·MAIL ADDRESS
Executed on -----""Da"'"te,--------BY------~-_,.,,,....,...,..~,,,....,...,.,.-.,,__,..,.,......,.,...,....,.,...-......,,...--.,--------Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on _____ ,,..
08
_
19
_____ _ By _____ __,,,,_..,.,__,.,,,....,..,,,.....,,,.,....,....,.,._,,_..,,..,.,....,,,...,...,.,,____,,...--.,..-------s;gnature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01
FPPC Toll-Free Hefpllne: 866/ASK·FPPC
~f:1ft'I nf ~ttflfnrnt11
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print In Ink.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
-J ti D /v\4 5 C , f'A-V L 13'1 :t:.C
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
c r!Y CoUJ...l ct L 1 A.e:..A A ~A
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
:( At.-A11aJA Ci{ Gfl/5'o I
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 l.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES D NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME l.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES D NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6; Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION D SUPPORT
D OPPOSE
Identify the contr~lllnu officeholder, candidate, or state measure proponent, if an
NAME OF OFFICEHOLDt;R, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
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
I D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
I D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
D OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (June/O
FPPC Toll·Free Helpllne: 866/ASK·FPP
State of Callfornl
Type or print In Ink. SUMMARYPA1 Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA 46
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER ~ \fj_ ~;r
l-'"1 ~I 1 v ~'/?: /flAM.&:04-
Contributions Received
1. Monetary Contributions ....... .............. .......... .... ...... .. Schedule A. Line 3 $
2. Loans Received ...................................................... Schedule 8, Line 7
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 7·
8. SUBTOTALCASHPAYMENTS .................................... Addlines6+7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3
10. Nonmonetary 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 $
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 1s $
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 B above $
Column ft.
TOTAL THIS PERIOD
{FROM ATTACHED SCHEDULES)
7D.06
t7ql{.tJ$ =~ <t&tf.1!/~
0. "O
/j'/~fof,7<(}
3,5?~.Z.5
I o.o-o
0,t)O
from {5Cr;. 2o -:2.txJZ.,.
) $
$
$
$
$
$
through
ColumnB
CALENDAR YEAR
TOTAL TO DATE
2t ~? 2.1&0
Z, 7qift7g
·~{ff<:&G, 7g
Ch.CO
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column s·'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 o.ver the amounts
from Lines 2, 7, and 9 (if
any).
l/z:;;C,.. '3 { -2()02-Page 3 (o of __ _
l.D. NUMBER
I 0<.. '-! 59 to 1
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 Limit)
Date of Election
(mm/dd/yy)
~---1
__} __ _,
__/ __ _,
__/ __ _,
Total to 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 Type or print in ink. SCHEOUL _ Monetary Contributions Received Amounts may be rounded
to whole dollars. Statement covers period
from ocr-20-2.aoz_ CALIFORNIA 46
FORM
SEE INSTRUCTIONS ON REVERSE through !JGC ·3 /-2.CJt3Z--Page l/ of _Q
NAME OF FIL.ER ~ v /,,.rt'// G
DATE
RECEIVED
FULL. NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITIEE, ALSO ENTER l.D. NUMBER) CODE *
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
oscc
DINO
DCOM
DOTH
DPTY
DSCC
DINO
0COM
DOTH
OPTY. oscc
IF AN INDIVIDUAL., ENTER
OCCUPATION AND EMPLOYER
.(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
SUBTOTAL$
AMOUNT
RECEIVED THIS
PERIOD
Schedule A Summary
· 1. ~:~~~! ~~~~~~d~:=~e;~b~~~~~t~.~.~i~.~~.~'..~.~.~.~.~~.~~~~: ................................................................. $ J6
2. Amount received this period -unitemized contributions of less than $100 ....................................... : ..... $ ___ 7_o_._C5D_
3. Total monetary contributions received this period. 7 {:) . D()
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ _____ _
l.D. NUMBER
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
·contributor Codes
IND-Individual
PER ELECTION
TO DATE
(IF REQUIRED)
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
Type or print In ink. SCHEDULE B • PAA Schedule B -Part 1
Loans Received
Amounts may be rounded
to whole dollars.
Statement covers period CALIFORNIA 46
FORM from ~<_o-.2oo2.-
SEE INSTRUCTIONS ON REVERSE Pl£-3/-2.o6Z 5 /_, through Page___ of _V __
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
f6 IV\, PA. c1i t?Tlc;,,
t. IND 0 COM 0 OTH 0 PTY 0 sec
ft!> M PA Vt.Pl IC.
tg IND 0 COM 0 OTH 0 PTY 0 sec
to IND 0 COM 0 OTH 0 PTY 0 sec
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYEO, ENTER
NAME OF BUSINESS)
C otJ.5ULTktJI;
13/<.bWAJ f ('.'.;
{;8,ttl5fALT~f'
/3Pi61NA1 t( '1dJ
a (b) (c) (d) OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING BALANCE RECEIVED THIS BALANCE AT
BEGINNING THIS OR FORGIVEN CLOSE OF THIS
I PERIOD THIS PERIOD •
0PAID ·{) 1 1 0-ao.,.oo / C>. $
-l!lllFORGIVEN
$ ___ _ $ Ire-co
DATE DUE
0PAID 0 ·o·,., ~ 7Cft/. 7g . ' $
Mj FORGIVEN 0 /,1'1'f, 1fj
DATE DUE
0PAID
$
0 FORGIVEN
D,l\TEDUE
SUBTOTALS$ ~71'f•7f6 $ '?;79i/.J! $
Schedule 8 Summary
1. Loans received this period .................................................................................................................... $
(Total Column (b) plus unitemized loans less than $100.)
2. Loans paid or forgiven this period ......................................................................................................... $
/~ 791/. 7'6
217qt/. 78
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.) . -, I lrtfl> • rYD
3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ _ _,__ ___ _
S C (May be a negative number) Enter the net here and on the ummary Page, olumn A, Line 2.
t Contributor Codes
IND-Individual COM -Recipient Committee (other than PTY or SCC) · OTH -Other PTY -Political Party SCC-Small Contributor Committee
$
(e)
INTEREST
PAID THIS
PERIOD
6 __ %
RATE
0 __ %
RATE
__ %
RATE
(Enter (e) on
Schedule E, Line 3)
l.D. NUMBER
(f)
ORIGINAL
AMOUNT OF
LOAN
DATE INCURRED
1;11'176' $ __ _
DATE INCURRED
(g)
CUMULATIVI
CONTRIBUTIC
TO DATE
CALENDAR YEI
PER ELECTIOt
CALENDAR YEP
PER ELECTIO~
CALENDAR YEA
PER ELECTION
•Amounts forgiven or paid b
another party also must be
reported on Schedule A.
•• If required.
FPPC Form 460 (June/01
FPPC Toll-Free Helpline: 866/ASK-FPPC
sC-neduleE
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 0 ct= :;? O /)..oo'Z.
through ,])a:/-3/-.2()/)Z-
SCHEOI
CALIFORNIA 4
FORM
Page~ of~
NAME OF FILER l.D. NUMBER PA111..~/(_ FcJI< /frt.AME?DA-Cl"TY Co-it/I.JC/ L-
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CfVP campaign paraphernalia/misc. MBA membercommunications 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 Pl-0 phone banks TAC 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/spar
LEG legal defense PAO professional services (iegal, accounting) VOT voter registration
UT campaign literature and mailings PAT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
J-{-.PMA-1 L-/-X/ 3oq t..p; >k N e Le?l'i.c;;:J...tn;-ST.
C,¥1 P +I (,J'..J rVl+l l-1 NG-3 I I{;/?:,, 5
HA'/WA-RO
C--r-r'/ 0-F kt-A/ll\"et:>4 F;c;_ C;tli P,.0,-16-1--.I 5"1-/'r"r'eM sv r PK1 IJTI AJ rr-
;Al Nov-C>t::;i -'2f!OZ. 'El-~ CnoAJ 3C::,(,0~
.:54-MPt:E. -Bkt.-t-e> I
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3 1 53{), 2
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 3 1 53<J, Z5
2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 4 {)' (J 0
OJJO 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ ------
31 s 70. z.5 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/Of
FPPC Toll-Free Helpline: 866/ASK·FPPC