Bratzler 460Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
State ent covers period
OM
hrough 6:0°
Date of election if applica
(Month, Day, Year)
COVER PAGE
amp
SEP 27 2016
CALIFORNIA
460
FORM
ag
of
CITY OF ALAMEDA
TY CLERK'S OFFICE
For Official Use Only
. 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 Pert 5)
0 General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
El Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Part 6)
0 Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
2. Type of Statement:
Preelection Statement
Semi-annual Statement
O Termination Statement
(Also file a Form 410 Termination)
O Amendment (Explain below)
0 Quarterly Statement
0 Special Odd-Year Report
3. Committee Information
I.D. NUMBER
ag ig4/
COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE)
(- 2 kA
8 4-
j-cr-F 4 _ _S(A.1-6,- a
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
/ CeA- (--/ S-8/ I 76 J8)---,46...1/
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE
ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
MAILING ADD t ESS
CITY STATE ZIP CODE AREA CODE/PHONE
ST— b
NAME OE ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX/ E-MAIL ADDRESS
4. Verification
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 tt.J and
Executed on
Date
5/(19Dal)
Executed on
Executed on
Executed on
Date
Date
By
By
By
By
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
NA
7
FFICEHOLDER OR CANDIDATE
(JCL_ fe
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
I I /A- r r. Ctrl e i
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET)/ CITY STATE ZIP
6. Primarily Formed Ballot Measure Committee
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 ❑ 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 A V 0
FORM
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
❑ SUPPORT
❑ 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
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
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
7-1-14
>90--bfr
through
from
NAME OF FILER
Contributions Received
1. Monetary Contributions
2. Loans Received
3. SUBTOTAL CASH CONTRIBUTIONS
4. Nonmonetary Contributions
5. TOTAL CONTRIBUTIONS RECEIVED
Schedule A, Line 3 $
Schedule B, Line 3
Add Lines 1 + 2
Schedule C, Line 3
Add Lines 3 + 4 $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
4 vo
Column B
CALENDAR YEAR
TOTAL TO DATE
Co co.
CALIFORNIA A a
FORM 1-1'
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
20. Contributions
Received
21. Expenditures
Made
1/1 through 6/30 7/1 to Date
Expenditures Made
6. Payments Made
7. Loans Made
Schedule E, Line 4 $ 7'.5-41 ' $ S1 ,
Schedule H, Line 3 4)—
8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ 6 $ 6S-6 r
9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3 `e9—
10. Nonmonetary Adjustment Schedule C, Line 3
11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 61 C V • ‘5'
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 I, 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 $
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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Lim(t)
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 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from 7
SCHEDULE A
CALIFORNIA 460
FORM
through Page (7 of Sma'
NAME OF FILER
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE,ALSO ENTER ID. NUMBER)
CONTRIBUTOR
CODE *
71z -02
'rnbc-14,-) F; acke:,„, eS
(41-- q stv
tfr IND
_O-COM
OTH
LI PTY
SCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
I.D. NUMBER
/39€ 4,4/
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
400,
i3
‘44 A- q75-6
Datj k-s,
0.
CA LIs-13/
.ErIND
LI ▪ com
OTH
LI
LI PTY
SCC
01ND
El COM
OTH
▪ p-re
SCC
.441
1-
IT? c C4. CP,
p
60.3 V.44,4- c74
0,
s—oo.
p
IND
O COM
Lj OTH
PTY
LI SCC
0 IND
0 COM
OTH
LI PTY
• SCC
SUBTOTAL $
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)
$ t 670
2. Amount received this period — unitemized monetary contributions of less than $100
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $
efi
*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 E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
SCHEDULE E
Statement covers period
from
CALIFORNIA 460
FORM
through Page 5— of
I.D. NUMBER
FF.- r
a ire45
CODES: If one of the following codes accurately describes
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 I.D. NUMBER)
the payment, you may enter the code.
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
Otherwise, describe the payment.
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
se.save(
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
Fle I J F4i -4- 5 ly
PP) / 4f- Pic Ina-604
+
Lezton 5
;h5
-1/
* 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).)
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $
$ 66774
$
$
6.0 .
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov