Democratic Club 450Recipient Committee
Campaign Statement - Short Form
SEE INSTRUCTIONS ON REVERSE
For use by recipient committees that have not received a
contribution or other receipt that must be itemized, have not
received or made loans, and have no outstanding accrued
expenses.
1. Type of Recipient Committee:
El Ballot Measure Committee
0 Primarily Formed
0 Controlled
0 Sponsored
11 Primarily Formed Candidate/
Officeholder Committee
3. Committee Information
COMMITTEE NAME
CITY OF ALAMEDA DEMOCRATIC CLUB
STREET ADDRESS (NO P.O. BOX)
CITY
ALAMEDA
from
Type or print in ink.
Statement covers period
1/1/2016
6/30/2016
through
RI General Purpose Committee
0 Sponsored
Small Contributor Committee
STATE ZIP CODE
CA 94501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
ALAMEDA
OPTIONAL FAX! E-MAIL ADDRESS
mike.mcmahon@yahoo.com
STATE ZIP CODE
CA 94501
I.D. NUMBER
1275389
AREA CODE/PHONE
(510) 523-2263
AREA CODE/PHONE
Date of election if applicable:
(Month, Day, Year)
11/8/0216
2. Type of Statement:
El Preelection Statement
111 Semi-annual Statement
El Termination Statement
III Amendment (Explain)
(Also check type of statement you are amending)
Missed payment to SOS>
Treasurer(s)
NAME OF TREASURER
Mike McMahon
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
Date Stamp
SHORT FORM
AUFRNP
gt*
Le
UL- Ofqcia, Uly
J u
CITY OF ALAMEDA
CITY CLEW'S Uhr-fr
0 Quarterly Statement
El Special Odd-Year Report
0 Supplemental Preelection
Statement - Attach Form 495
STATE ZIP CODE AREA CODE/PHONE
CA 94501 (510) 523-2263
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX /E-MAIL ADDRESS
Treasurer: mike.rncmahon@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
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
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 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275.3772)
Recipient Committee
Campaign Statement
Summary Page
NAME OF COMMITTEE
CITY OF ALAMEDA DEMOCRATIC CLUB
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
1/1/2016
from
through
6/30/2016
SHORT FORM
CALIFORNIAPIF
I.D. NUMBER
1275389
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 Previous Summary Page, Line 6
(If this is the first statement for the calendar year, enter zero.)
6. TOTAL EXPENDITURES MADE TO DATE Add Lines3+ 4 + 5
Contributions Received
7. Monetary contributions received this period
8. Non-monetary contributions received this period
9. Total contributions received from previous statement .. Previous Summary Page, Line 10
(If this is the first statement for the calendar year, enter zero.)
10. TOTAL CONTRIBUTIONS RECEIVED TO DATE Add Lines 7 + 8 + 9
$50.00
$0.00
$50.00
$0.00
$0.00
$50.00
$0.00
$0.00
$0.00
S0.00
Current Cash Statement
11. Beginning cash balance Previous Summaty Page, Line15
12. Cash receipts this period
13. Miscellaneous increases to cash
14. Cash expenditures this period
15. ENDING CASH BALANCE THIS PERIOD Add Lines 11 + 12 + 13, then subtract Line 14
Line 7 above
Line 3 above
2054290-1
$371.44
$0.00
$0.06
$50.00
$321.50
FPPC Forrn 450 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Recipient Committee
Campaign Statement - Short Form
SEE INSTRUCTIONS ON REVERSE
NAME OF COMMITTEE
CITY OF ALAMEDA DEMOCRATIC CLUB
IMENRIBMILmma
Type or print in ink,
Amounts may be rounded
to whole dollars.
5. Payments Made (If more space is needed, use additional copies of this page for continuation sheets.)
DATE'
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
1/13/2016 Secretary of State
Sacramento, CA 95814
DESCRIPTION OF PAYMENT
Annual Filing Fee
* Required only for payments which are contributions or independent expenditures.
2054290-1
Statement covers period
1/1/2016
from
through
6/30/2016
SHORT FORM
I.D. NUMBER
1275389
NAME OF CANDIDATE AND OFFICE OR
NAME OF BALLOT MEASURE AND
BALLOT NUMBER OR LETTER
AND JURISDICTION
ID Support
El Contribution
111 Support
CI Contribution
El Support
Li Contribution
CI Oppose
Ind. Exp.
Oppose
111 Ind. Exp.
CI Oppose
1:1 Ind. Exp.
SUBTOTAL $
AMOUNT
THIS PERIOD
$50.00
CUMULATIVE
AMOUNTS TO DATE'
Calendar Year
$50.00
Other
Calendar Year
Other
Calendar Year
Other
FPPC Form 450 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)