David Forbes for School Board 460Recipient Committee
Campaign Statement
Cover Page
Type or print in ink.
(Government Code Sections 84200-84216.5)
Statement covers period
from __ O_ct_o_b_er_1,_2_0_0_2_
SEE INSTRUCTIONS ON REVERSE through _O_ct_o_b_e_r _1 _9:_, 2_0_0_2_
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
00 Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
D 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)
Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
l.D. NUMBER
1246825
COMMITTEE NAMF (OR CANDIDATE'S NAME IF NO COMMITTEE)
David Forbes for School Board
STREET ADDRESS (NO P.O. BOX)
CITY
Alameda
STATE
CA
ZIP CODE
94501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
dforbes@alamedanet.net
STATE ZIP CODE
AREA CODE/PHONE
510 I 523-3513
AREA CODE/PHONE:
Date of election if appli
(Month, Day, Year) OC'i 2 3 2002
2. Type of Statement:
00 Preelection Statement
D Semi-annual Statement
D Termination Statement
D Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Lorre Zuppan
MAILING ADDRESS
2986 Southwood Dr.
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
STATE
CA
STATE
For Official Use Only
D Quarterly Statement
Special Odd-Year Report
D Supplemental Preelection
Statement -Attach Form 495
ZIP CODE AREA CODE/PHONE
94501 510 I 384-2599
ZIP CODE AREA CODE/PHONE
Executed on ------D 8 -10 -------6 Y-------s=;g-n-at-ur_e_or=c-on-tm~ll~in-gO~ffi~1rn_h_o~lde-r~.c-an-d~id~at-e.~S~tat-e~M....,ea-su-ra....,P~ro-~-n-e....,nt-------
Executed on-------------Date By -------S-ig-n-at-ur-e-of_Co_n_tro_ll_ing-O~ffi-rn_h_o_lde-r-, C-an-d-id-at-e,-St-at_e_M-ea-su-re....,P~ro-~-n-e....,nt_______ 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
NAME OF OFFICEHOLDER OR CANDIDATE
David Forbes
OFFICE SOUGHT OR HELD (INCLUD\;: LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Member, Board of Education, Alameda Unified School District
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
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 SIAIE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME 1.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 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 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 D 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 Statement
Summary Page Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA ':la I! lll
SEE INSTRUCTIONS ON REVERSE
N/\ME OF FILER
David Forbes for School Board
Contributions Received
1. Monetary Contributions .......................................... . Schedule A, Line 3 $
2. Loans Received ...................................................... Schedule B, 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) ............................... Schedule F, Line 3
10. Non monetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ g + 10 $
Current Cash Statement
12. Beginning Cash Balance ....................... PreviousSummaryPage,Line16 $
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 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........ ............ ....... Schedule a, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents.......................... ............. See instmctions on reverse $
19. qutstanding Debts......................... Add Line 2 +Line 9 in Column B above $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
940.00
940.00
940.00
1,494.61
1,494.61
1,494.61
118.25
940.00
1,494.61
2,563.64
2,563.64
2,030.00
\ FORM r-tU \ii
; K from __ o_c_to_b_e_r_1_,_2_0_0_2_
$
$
$
$
$
$
through
ColumnB
CALENDAR YEAR
TOTAL TO DATE
2,904.00
2,000.00
4,904.00
321.77
5,225-.77
2,340.36
2,340.36
30.00
321.77
2,692.13
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some ainounts 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).
October 19, 2002 Page __ 3 __ 5 of __ _
l.D. NUMBER
1246825
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 711 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)
__ / __ / __
__ / __ / __
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. SCHEDULE A
Monetary Contributions Received Amounts may be rounded
to whole dollars. Statement covers period CAl..IFORNIA 41>11
, ·FORM from __ O_c_t_ob_e_r_1_,_2_0_0_2_
through October 19, 2002 Page __ 4 _ of __ 5 __ SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
David Forbes for School Board
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
10/10/02
(IF COMMITTEE. ALSO ENTER 1.D. NUMBER)
Nielsen Tam
581 Tarryton Isle
Alameda, CA 94501
Schedule A Summary
1. Amount received this period contributions of $100 or more.
CODE*
\XJ IND
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
Principal
Alameda Unified School
District
100.00
100.00 (Include all Schedule A subtotals.) ........................................................................................................ $ ______ _
$ 840.00 2. Amount received this period -unitemized contributions of less than 100 ............................................. $ ______ _
3. Total monetary contributions received this period. 940.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ______ _
l.D. NUMBER
1246825
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.00
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
SCHEDULEE Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars. from __ O_ct_o_b_e_r_1_:_,_2_0_0_2_
Statement covers period CAl..IFORNIA' 41.:!l"I
FORM UU
SEE INSTRUCTIONS ON REVERSE October 19, 2002 through _______ _ Page __ 5 _ of __ 5_
NAME OF FILER l.D. NUMBER
David Forbes for School Board 1246825
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CfvP 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 F£T 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
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 ADDRESS OF PAYEE
(IF COMMITIEE, ALSO ENTER /.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
---·-
02 Marketing and Design
8201 Edgewater Dr., Ste. 204 CMP 1,484.61 Oakland, CA 94621
-----
... ~
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,484.61
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ ____ 1 _.4_8 _4 _·6 _1 _
10.00 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).) ............................................................................... $ -------
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ ___ 1 _·4 _9 _4 _·6 _1 _
FPPC Form 460 {June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC