Sullwold 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: An committees -
g] Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
(1) Recall
(Also Complete Pad 5)
El General Purpose Committee
O Sponsored
o Small Contributor Committee
o Political Party/Central Committee
3. Committee Information 1349912 Treasurer(s)
Type or print in ink.
Statement covers period
10/01/14
from
through
10/20/14
Complete Parts 1, 2, 3, and 4.
El Ballot Measure Committee
o Primarily Formed
O Controlled
o Sponsored
(Also Complete Part 6)
Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I,D, NUMBER
Date of election if ap
Date Stamp
(Month, Day, Yea
11/04/14
2. Type of Statement:
[g] Preelection Statement
El Semi-annual Statement
O Termination Statement
11 Amendment (Explain below)
COMMITTEE NAME (OR CANDIDATE'S 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 f E-MAIL ADDRESS
jcs@jane4council.com
4. Verification
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 a d correct.
October 23, 2014
Date
October 23, 2014
Date
ZIP CODE
AREA CODE/PHONE
510-864-7026
AREA CODE/PHONE
i;tuotEDA
or-PE
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@jane4council.com
COVER PAGE
CALIFORNIA 460
2001/02
FORM
Page 1 3 of
For Official Use Only
[1] Quarterly Statement
11 Special Odd-Year Report
0 Supplemental Preelection
Statement - Attach Form 495
STATE ZIP CODE
CA 94501
STATE ZIP CODE
CA 94501
AREA CODE/PHONE
510-864-7016
AREA CODE/PHONE
510-864-7026
11811E81.1111MIRM
Executed on
Executed on
Executed on
Executed on
Date
Date
By
By
By
By
Signatu'feTrcehoider, Candidate, State Measure Proponent or Responsible Officer of Sponsor
BtriatureofContro5ng Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of California
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled 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
Alameda, CA 94501
Type or print in ink.
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 I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES O NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES 0 NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
t011iN111.6.11181-.
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
COVER PAGE - PART 2
CALIFORNIA A g
FORM
Page 2 of
Eli SUPPORT
O 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
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
O SUPPORT
• OPPOSE
LI SUPPORT
• OPPOSE
SUPPORT
Lil OPPOSE
• SUPPORT
OPPOSE
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jane Sullwold for City Council 2014
11■1118■111.65.
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 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. Nonmonetary Adjustment Schedule C, Line 3
11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10
AIL
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 Schedulel, 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 B, 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 $
Statement covers period
10/01/14
from
through
Column A Column B
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5170.96
0.00
0.00
60.00
5170.96
0.00
0.00
0.00
$
CALENDAR YEAR
TOTALTO DATE
0.00
0.00
0.00
0.00
0.00
659.00
0.00
0.00
0.00
0.00
0.00
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).
10/2/14
SUMMARY PAGE
CALIFORNIA 460
FORM
3
Page
I.D. NUMBER
1349912
of
3
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6130
20. Contributions
Received $
21. Expenditures
Made
$
7/1 to Date
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(I( 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