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Yes on L1 460
Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE ro Statement covers period 1/1/2016 hrough 9/24/2016 Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party /Central Committee ® Primarily Formed Ballot Measure Committee Q Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pad 7) COVER PAGE CALIFORNIA FORM Date of election if applicable: (Month, Day, Year) C/T C /7t 11/8/2016 2. Type of Statement: O Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report 3. Committee Information I.D. NUMBER 1389877 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Yes on L1, No on M1: Alamedans for Fair Rent Control STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE ZIP CODE CA 94501 AREA CODE /PHONE (510) 521-0209 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR PO. BOX CITY Alameda STATE ZIP CODE CA 94501 AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS Treasurer(s) NAME OF TREASURER Mary Jacak MAILING ADDRESS CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE 510 - 522 -8208 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information co certify under penalty of perjury under the laws of the State of California that the foregoing is true and 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 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS 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 I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES El 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 ❑ NO COMMITTEE ADDRESS STREET ADDRESS NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 CALIFORNIA FORM NAME OF BALLOT MEASURE Rent Stabilization an Limitations on Eviction Ordinance BALLOT NO. OR LETTER L1 JURISDICTION City of Alameda, CA la 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 ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT El OPPOSE FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period 1/1/2016 from 9/24/2016 through CALIFORNIA 460 FORM 3 13 Page of NAME OF FILER Yes on Li, No on Mi: Alamedans for Fair Rent Controt I.D. NUMBER 1389877 Contributions Received 1. Monetary Contributions Schedule ,\ Line o 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1~o 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines n~* � $ � ....~. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 13893.00 2454.03 16347.03 300.00 �nnxrnv '"~-'~~ ° � Column B CALENDAR YEAR TOTAL TO DATE $ Calendar Year Summary for Candidates Running in Both the State Primary a IA General Elections 1/1 through 6 7/1 to Date 20. Contributions Received � e Expenditures Made 6. Payments Made Schedule E, Line 4 $ 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH FwKMENTS.__----.-_-_' Add Lines n+r $ 9. Accrued Expenses (Unpaid Bilis) Schedule F, Line x 10. Nonm netaryAdjuatmont Schedule C, Line x 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 6510.39 U 6510.39 $ 0 300.00 6810.39 $ Current Cash Statement 12. Beginning Cash Balance ..... .......... ....... _' Previous Summary Page, Line 16 $ 13. Cash Receipts ........ ..... ...... ... .... __. ...... ...... Column A, Line nabove 14. Miscellaneous Increases to Cash Schedule 1, Line 4 15. Cash Payments Column A, Line 8 above 16. ENDING CASH BALANCE Add Line 1z~/u~14, then subtract Line m $ If this iso termination statement, Line 16 must be zero. 0.00 16347.03 0 6510.39 9836.64 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 $ 2454.03 U To calculate Column B, add amo nts in Column A to the corresponding amounts from Column B of your Iast 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expendi es Made* (If Subject to Voluntary pendlture Limit) Date of Election (mv/dd/yy) / / Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period from 1/1/2016 through 9/24/2016 CALIFORNIA' FORM Page 4 of 13 NAME OF FILER Yes on Li, No on M1: Alamedans for Fair Rent Control DATE RECEIVED 9/23/2016 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO. ENTER. I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD I.D. N 1389 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) UMBER 877 PER ELECTION TO DATE (IF REQUIRED) Catherine Bierwith Alameda, CA 94501 ® IND ❑COM ❑ OTH ❑ PTY ❑ SCC Self_Employed Alain Pinel 250.00 250 9/23/2016 Karen Miller Alameda, CA 94501 0 IND ❑ COM ❑ OTH ❑ PTY ❑ scc Self- Employed Alain Pinel 500.00 500 9/23/2016 DW Properties Alameda, CA 94501 ❑ IND ❑ COM OTH ❑ PTY ❑ scc 500.00 500 09/24/2016 Lynn Wilton Alameda, CA 94501 I IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Self - Employed 500.00 500.000 9/22/2016 John Costello Alameda, CA 94501 I IND El COM ❑ OTH ❑ PTY ❑ SCC 100.00 100.00 SUBTOTAL $ 1850.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals) $ 2. Amount received this period — unitemized monetary contributions of less than $100 $ 2843.00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. ...TOTAL $ 13893.00 11050.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866 /275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded SCHEDULE A (CONT.) to whole dollars. Statement covers period from 1/1/2016 CALFORNIA FORM through 9/24/2016 Page NAME OF FILER Yes o L1, No on M1: Alamedans for Fair Rent Control DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER. NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 8/25/2016 Marie E. Kane Alameda, CA 94502 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Self- Employed Kane & Associates 100.00 100 8/25/2016 Rosalinda Fortuna Alameda,CA 94501 ZI IND ❑COM ❑ OTH ❑ PTY ❑ SCC Self- Employed Fortuna Realty 200.00 200 8/25/2016 Tommy Wong Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑SCC Retired 100.00 100 8/25/2016 Anna Woo Alameda, CA 94501 Q IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired 200.00 200 8/25/2016 Alan Jay Alameda, CA 94502 [21 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Sales Acuity Sales & Service 100.00 100 SUBTOTAL $ 700.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded SCHEDULE A (CONT.) to whole dollars. Statement covers period from 1/1/2016 through 9 /24/2016 CALORN(A FORM, 460 Page 6 13 NAME OF FILER Yes L1, No on M1: Alamedans for Fair Rent Control DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF- EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD I.D. N UMBER 13898 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 77 PER ELECTION TO DATE (IF REQUIRED) 8/29/2016 Penelope Schrader Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Intepreter Online Interpreters 200.00 200 8/31/2016 Monica Getten Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Self- Employed Getten Corporate Housing 500.00 500 8/31/2016 Kane & Associates Realty Alameda, CA 94502 ❑ IND ❑ COM ® OTH ❑ PTY ❑ SCC 500.00 500 8/31/2016 Soulages Company Alameda, CA 94501 ❑ IND ❑COM © OTH ❑ PTY ❑ SCC 500.00 500 9/7/2016 David Petersen Moraga, CA 94556 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired 100.00 100 SUBTOTAL $ 1800.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded SCHEDULEA (CONT.) to whole dollars. Statement covers period from 1/1/2016 through 9/24/2016 CALIFORNIA FORM Page 7 of 13 NAME OF FILER Yes on L1, No on M1: Alamedans for Fair Rent Control DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF COMMITTEE,ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME. OF BUSINESS) AMOUNT RECEIVED THIS PERIOD I.D. NU 13898 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) MBER 77 PER ELECTION TO DATE (IF REQUIRED) 9/10/2016 Kevin Bleier Alameda, Ca 94501 ICJ IND ❑ COM 1110TH ❑ PTY ❑ SCC Manager ADP 250.00 250 9/10/2016 Kaveh Pazdel Alameda, Ca 94501 IND ❑ COM ❑ OTH ❑ PTY ❑SCC Retired 250.00 250 9/10/2016 Gunnel Nyberg Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Dental Hygienist Dr. Kurtz 100.00 100 9/16/2016 Jo -Ann Yorba Alameda, CA 94501 Q IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired 100.00 100 9/16/2016 Bruce Carnes Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired 200.00 200 SUBTOTAL $ 900.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER SCHEDULE A (CONT.) Statement covers period from 1/1/2016 CALIFORNIA' FORM through 9 /24/2016 Page 8 of 13 I.D. NUMBER Yes on L1, No on M1: Alamedans for Fair Rent Control 1389877 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D.. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 9/16/2016 Sandra Wong Alameda, CA 94501 WA IND ❑ COM ❑ OTH ❑ PTY El SCC Retired 100.00 100 9/16/2016 Jane Friedrich Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Self- Employed Harbor Bay Realty 1000.00 1000 9/16/2016 Pacific NW Painters & Construction, Inc. Alameda, CA 94501 ❑IND ❑ COM ® OTH ❑ PTY El SCC 1000.00 1000 9/17/2016 Craig Roberts Alameda, CA 94502 Q IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired 500.00 500 9/17/2016 D A Freeman Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired 100.00 100 SUBTOTAL $ 2700.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER SCHEDULE A (CONT.) Statement covers period from 1/1/2016 through 9/24/2016 CALIFORNIA: FORM I.D. NUMBER Yes on Li, No on M1: Alamedans for Fair Rent Control 1389877 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER. I.D.. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 9/17/2016 Cornelia Grunseth Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Self- Employed Pacific NW Painters and Construction, Inc. 1000.00 1000 9/17/2016 Sheilah Cahill Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired 100.00 100 9/20/2016 Raymond Stanton Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired 1400.00 1400 9/22/2016 Anna Woo Alameda, CA 94501 Q IND ❑ COM ❑OTH ❑ PTY ❑SCC Retired 400.00 600 9/23/2016 Wendy Neft -Sanda Oakland, CA 94619 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Self- Employed Kane and Associates 200.00 200 SUBTOTAL $ 3100.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (S66/275-3772) www.fppc.ca.gov Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE 13 - PART 1 Statement covers period from 1/1/2016 through 9 /24/2016 FORM 4+60 CALIFORNIA Page 10 of 13 NAME OF FILER Yes on L1, No on M1: Alamedans for Fair Rent Control FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD (b) AMOUNT RECEIVED THIS PERIOD (c) AMOUNT PAID OR FORGIVEN THIS PERIOD" (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST PAID THIS PERIOD I.D. NUMBER 1389877 (f) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE Camille Khazar Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Dental Hygienist Dr. Daniel Lewis 4040 Park Ave Oakland, CA 94602 0 $ 2240.50 ❑ PAID ❑ FORGIVEN $ s 2240.50 12/31/16 DATE DUE 0.00 RATE $ 2240.50 9/18/16 DATE INCURRED CALENDAR YEAR $ 2240.50 PER ELECTION ** Mary Jacak Alameda, CA 94501 t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Self- Employed Seismic Accessories 0 213.53 ❑ PAID ❑ FORGIVEN 213.53 12/31/201 DATE DUE 0.00 RATE 213.53 DATE INCURRED CALENDAR YEAR 213.53 PER ELECTION ** t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID ❑ FORGIVEN DATE DUE oh RATE DATE INCURRED CALENDAR YEAR $ PER ELECTION** SUBTOTALS $ 2454.03 $ 0 $ 2454.03 $ 0 Schedule B Summary 1. Loans received this period ...................................................................................... ..............................$ (Total Column (b) plus unitemized loans of Tess than $100.) 2. Loans paid or forgiven this period .: (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. NET $ 2454.03 0 24M fl3 (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE C Statement covers period from 1/1C2010 through 9/24/2016 CALIFORNIA Ann page 11 of 13 NAME OF FILER Yes on L1, No on M1: Alamedans for Fair Rent Control DATE RECEIVED 9/13/2016 FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER Id). NUMBER) CONTRIBUTOR CODE * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES FAIR MARKET VALUE I.D. NUMBER 1389877 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) Karin Lucas Alameda, CA 94501 Retired Stakes 300.00 300.00 []|ND OCOM UOTH UPTY LJSCC []|ND O COM OOTH UPTY []aco []|ND OCOM U0n UPTY LJaco Attach additional information on appropriately Iabeled continuation sheets. SUBTOTAL$ 300.00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) 300 .00 2. Amount received this period — unitemized nonmonetary contributions of less than $100 � 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL 300.00 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY ar SCC) OTH — Other (e.g., business entity) pTv — pv|ihno|pany SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E Statement cover period 1/1/2016 from CALIFORNIA 460 FORM through 8C24/2018 Page 12 of 13 NAME OF FILER Yes on L1, No on M1: Alamedans for Fair Rent Control I.D. NUMBER 1389877 CODES: If one of the following codes accurately describes the poymant, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT oempnignpomnhvrnalia/mivc. campaign consultants contribution (explain nonmonetary)* civic donations candidate fihing/bailot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER NUMBER) men MTG OFC PET PHO POL Pns PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT AMOUNT PAID Island Printi Alameda, Ca 94501 LIT 1226.41 Akido Printing San Leandro, CA 94577 LIT 1217.98 Alameda Sun Alameda, CA 94501 PRT 1650.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ � � � Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals ) 2. Unitemized payments made this period of under $100 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e) ) 6334.89 175.50 6510.39 4.lo�Jpeymen�mede8�apar�d.�ddLinen1.2.and3.EnhurheveendonthaSummaryPogo,Co|umnA.Uno6j--.---'--TO3A-$ 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period 1/1/2016 9/24/2016 from through NAME OF FILER Yes on L1, No on M1: Alamedans for Fair Rent Control CALIFORNIA LII60 FORM 13 13 Page of I.D. NUMBER 389877 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER ID. NUMBER) MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT AMOUNT PAID The Sign Guy Omaha, NE 68137 LIT 1672.20 Vistaprint Lexington, MA 02421-7942 LIT 129.59 Blue host, Inc. Orem, Utah 84097 WEB 438.71 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2240.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov