Democratic Club 450Recipient Committee
Campaign Statement — Short Form
SEE INSTRUCTIONS ON REVERSE
For use by recipient committees which have not received a
contribution or other receipt which must be itemized, have not
received or made loans, and have no outstanding accrued
expenses.
1. Type of Recipient Committee:
111 Ballot Measure Committee
O Primary Formed
O Controlled
0 Sponsored
Primarily Formed Candidate/
Officeholder Committee
3. Committee Information
COMMITTEE NAME
CITY OF ALAMEDA DEMOCRATIC CLUB
STREET ADDRESS (NO P.O. BOX)
Type or print in ink.
Statement covers period
from 07/01/2015
through 12/31/2015
II General Purpose Committee
0 Sponsored
• Small Contributor Committee
aNUMPER
1275389
CITY STATE ZIP CODE AREA CODE/PHONE
ALAMEDA CA 94501 (5101523-2263
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
ALAMEDA
OPTIONAL: FAX/E-MAIL ADDRESS
mike.memahon@yahoo.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 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.
Executed on 01/06/2015 By Mike McMahon
DATE
STATE ZIP CODE AREA CODE/PHONE
CA 94501
SHORT FORM
Date of election if applicab JAN 1 1 2016 "
(Month, Day, Year)
CITY OF ALAMEDA
CITY CLERK'S OFFICE
of 3
For Official Use Only
2. Type of Statement:
1E1 Pre-election Statement El Quarterly Statement
• Semi-annual Statement 111 Special Odd-year Report
[1 Termination Statement Supplemental Pre-election
▪ Amendment (Explain) Statement - Attach Form 495
(also check type of statement you are amending)
Treasurer(s)
NAME OF TREASURER
Mike McMahon
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX/E-MAIL ADDRESS
mike.mcmahon@yahoo.com
STATE ZIP CODE AREA CODE/PHONE
CA 94501 5105232263
STATE ZIP CODE
AREA CODE/PHONE
Executed on
Executed on
Executed on
2002507-0
DATE
DATE
DATE
By
By
By
'
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 450 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
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EnFoRmgoiigr 111
Recipient Committee
Campaign Statement
Summary Page
NAME OF COMMITEE
CITY OF ALAMI5DA DEMOCRATIC CLUB
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
07/01/2015
SHORT FORM
through 12/31/2015 of 3
Page 2
Expenditures Made
1. Expenditures of $100 or more made this period
2. Expenditures under $100 made this period (Not itemized.)
3. SUBTOTAL EXPENDITURES MADE THIS PERIOD Add Lines 1+2
4. Nonmonetary Adjustment From Line 8 Below
5. Total expenditures made from previous statement
(If this is the first statement for the calendar year, enter zero.)
6. TOTAL EXPENDITURES MADE TO DATE Add Lines 3 + 4 + 5 o»m«
Contributions Received
7. Monetary contributions received this period so.00
8. Non-monetary contributions received this period $«.«»
9. Total contribuUons received from previous statement Previous Summary Page, Lirie 10 $««»
(If this is the first statement for the calendar year, enter zero.)
Previous Summary Page, Line 6
uzNUmBEn
1275389
50.00
10. TOTAL CONTRIBUTIONS RECEIVED TO DATE
Current Cash Statement
- - '
11. Beginriing cash balance Previous Summary Page, Line 15
12. Cash receipts this period Line 7 above
13. Miscellaneous increases to cash
14. Cash expenditures this period Line 3 above
15. ENDING CASH BALANCE THIS PERIOD Add Lines 11 + 12 + 13, then subtract Line 14
FPPC Form 450 (June/01)
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20025074)
Recipient Committee
Campaign Statement - Short Form—
SEE INSTRUCTIONS ON REVERSE
NAME OF COMMITTEE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2015
SHORT FORM
CALIFORNIA l
Vlii..sr-............'r-....111111
...
w..
through 12/31/2015 Page 3
I.D. NUMBER
CITY OF ALAMEDA DEMOCRATIC CLUB 1275389
5. Payments Made (If more space is needed, use additional copies of this page for continuation sheets.)
DATE*
2002507.0
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER ID. NUMBER) DESCRIPTION OF PAYMENT
* Required only for payments which are contributions or independent expenditures.
NAME OF CANDIDATE AND OFFICE OR NAME
OF BALLOT MEASURE AND
BALLOT NUMBER OR LETTER
AND JURISDICTION
El Support
11 Contribution
El Support
El Contribution
ii Support
El Contribution
Ei Support
Ej Contribution
O Oppose
0 Ind. Exp
Li Oppose
El Ind, Exp
El Oppose
D Ind. Exp
O Oppose
O Ind. Exp
SUBTOTAL
AMOUNT
THIS PERIOD
of 3
CUMULATIVE
AMOUNTS TO DATE*
Calendar Year
Other
Calendar Year
Other
Calendar Year
Other
Calendar Year
Other
FPPC Form 450 (June/01)
FPPC Toll-Free Help line: 866/ASK-FPPC