Sullwold 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
07/01/14
from
through
09/30/14
■IM■ a YA.0
Date of election if licable:
(Month, Day, Year)
CT OF ALAMEDA
CITY CLERK'S OFFICE
11/04/14
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
• Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
O Recall
(Also Complete Part 5)
O General Purpose Committee
O Sponsored
o Small Contributor Committee
o Political Party/Central Committee
3. Committee Information
0 Primarily Formed Ballot Measure
Committee
o
Controlled
0 Sponsored
(Also Complete Part 6)
0 Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1349912
COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE)
Jane Sullwold for City Council 2014
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 STATE
OPTIONAL: FAX / E-MAIL ADDRESS
jcs@janeforcouncil.com
4. Verification
IN•■•■
AREA CODE/PHONE
510-864-7026
ZIP CODE AREA CODE/PHONE
0 Preelection Statement
O Semi-annual Statement
O Termination Statement
(Also file a Form 410 Termination)
O Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Robert T. Sullwold
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
Jane Sullwold
MAILING ADDRESS
CITY
Alameda
OPTIONAL: FAX / E-MAIL ADDRESS
jcs@janeforcouncil.com
COVER PAGE
CALIFORNIA Artn
FORM
1 5
Page of
For Official Use Only
[I] Quarterly Statement
0 Special Odd-Year Report
El Supplemental Preelection
Statement - Attach Form 495
STATE ZIP CODE
CA 94501
STATE ZIP CODE
CA 94501
MIMIZIPMMI
AREA CODE/PHONE
510-864-7026
AREA CODE/PHONE
510-864-7026
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. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
10/06/14
Date Treasurer
10/06/14
Date
Executed on
Executed on
Executed on
Executed on
By
Date
Date
By
By .
By
Signature o
Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Lure of Controlling Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Recipient Committee
Campaign Statement
Cover Page — Part 2
Type or print in ink.
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Jane Sullwold
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council. Alameda, CA
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
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 I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
LI YES [1] NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
CONTROLLED COMMITTEE?
El YES 11 NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
■•■■■ 11!7107111111■
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
COVER PAGE - PART 2
CALIFORNIA A a
FORM "II UP
Page
2 5
of
SUPPORT
El 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 Candidate/Officeholder 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
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Attach continuation sheets if necessary
SUPPORT
OPPOSE
LI SUPPORT
LI OPPOSE
Lil SUPPORT
OPPOSE
El SUPPORT
I] OPPOSE
111■■■■■■■■=0.01111■
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jane Sullwold for City Council 2014
Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
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
7. Loans Made
Schedule E, Line 4
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3
10. Nonmonetary Adjustment Schedule C, Line 3
11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $
$
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
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 15 $
If this is a termination statement, Line 16 must be zero.
11111.lain
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
0.00
0.00
0.00
0.00
0.00
599.00
0.00
599.00
0.00
0.00
599.00
5769.96
0.00
0.00
599.00
5170.96
0.00
■11■111■11¢1,
0.00
0.00
$
Statement covers period
07/01/14
from
through
Column B
CALENDAR YEAR
TOTAL TO DATE
0.00
0.00
0.00
0.00
0.00
599.00
0.00
599.00
0.00
0.00
599.00
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).
09/30/14
SUMMARY PAGE
CALIFORNIA 460
FORM
3
Page of
I.D. NUMBER
1349912
5
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
20. Contributions
1/1 through 6/30 7/1 to Date
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
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jane Sullwold for City Council 2014
DATE
09/04/14
09/04/14
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LE1TER AND JURISDICTION,
OR COMMITTEE
Frank Matarrese for City Council 2014
O Support 0 Oppose
Frank Matarrese for City Council 2014
O Support 0 Oppose
O Support 0 Oppose
Type or print in ink.
Amounts may be rounded
to whole dollars.
TYPE OF PAYMENT
Q1 Monetary
Contribution
[]
Nonmonetary
Contribution
[]
Independent
Expenditure
[]Monetary
Contribution
Nonmonetary
Contribution
[]
Independent
Expenditure
[]Monetary
Contribution
[]
Nonmonetary
Contribution
[]
Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
300 lawn sign stakes
Statement covers period
07/01/14
from
through
09/30/14
AMOUNT THIS
PERIOD
SCHEDULE
CALIFORNIA 460
FORM
of
5
.---- ----~~~.---=~■1101.
CUMULATIVE nzDATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
500.00 500.00
375.00 875.00
SUBTOTAL $ 875.00
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) �
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 $
PER ELECTION
TO DATE
(IF REQUIRED)
875.00
99.00
974.00
FPPC Form 460 (January/05)
rppc Toll-Free *wpline:nasxuSmfppo(aonm7*-377o)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jane Sullwold for City Council 2014
CODES: If one of the following codes accurately
GNP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaignparaphomm|ia/mksc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate fihing/baliot fees
fundraising events
ndependent expenditure supporting/opposing others (e
legal defense
campaign literature and mailings
•
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
07/01/14
from
through
09/30/14
describes the payment, you may enter the code. Otherwise, describe the payment.
xplain)*
NAMEANDADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Frank Matarrese for City Council 2014
MBR
MTG
OFC
FET
P140
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
pnstage, delivery and messenger services
professional services (legal, accounting)
print ads
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE
CALIFORNIA A
FORM
5
Page of
/.uwmwasn
1349912
5
J11111■16■11ii
radio airtime and production costs
returned contributions
campaign workers salaries
tx or cable airtime and production costs
candidate travel, |odUing, and meals
staff/spouse travel, |odQing, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)
CODE OR DESCRIPTION OF PAYMENT
CTB
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
AMOUNT PAID
500.00
SUBTOTAL$ 500.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) �
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 $
500.00
99.00
0.00
599.00
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)