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Tam 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 1095816 SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: All Comm' Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee o Recall (Also Complete Part 5) ID General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee Statement covers period from 07/01/2016 through 09/24/2016 ees — Complete Parts 1, 2, 3, and 4. fl Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) COVER PAGE Date of election if applicable:' (Month, Day, Year) 0/ 11/08/2016 2. Type of Statement: Preelection Statement 0 Semi-annual Statement El Termination Statement (Also file a Form 410 Termination) 0 Amendment (Explain below) For Official Use Only 0 Quarterly Statement 0 Special Odd-Year Report El Supplemental Preelection Statement - Attach Form 495 3. Committee Information I.D. NUMBER 1387962 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Tam for Council 2016 STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE CA ZIP CODE 94501 AREA CODE/PHONE (510)590-4536 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 Susan Reyes MAILING ADDRESS CITY Alameda STATE ZIP CODE AREA CODE/PHONE CA 94501 (510)882-4536 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS ssj reyes@comcast . net 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 and correct. Executed on Executed on Executed on Executed on Date 09/28/2016 Date 09/28/2016 Date Date By Susan Reyes By Lena Tam Signature of Controlling Officeholder, Candidate, State Me1,asur Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Lena Tam OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Alameda CA 94501 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? 0 YES 0 NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? Li YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT 0 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 0 S• UPPORT 0 O• PPOSE 0 SUPPORT O OPPOSE Li] SUPPORT O OPPOSE 0 SUPPORT O OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period from 07/01/2016 through 09/24/2016 Page 3 of 15 NAME OF FILER Tam for Council 2016 I.D. NUMBER 1387962 Contributions Received 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 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 20,512.27 867.00 21,379.27 $ 670.00 22,049.27 $ Column B CALENDAR YEAR TOTALTO DATE 20,512.27 867.00 21,379.27 670.00 22,049.27 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 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 $ 9,433.80 13,410.40 0.00 0.00 9,433.80 $ 13,410.40 0.00 0.00 670.00 670.00 10,103.80 $ 14,080.40 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 1, 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. 0.00 21,379.27 0.00 9,433.80 11,945.47 17. LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts . Add Line 2 + Line 9 in Column 8 above $ 0.00 867.00 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Of Subject to Voluntary Expenditure Limit) 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) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. NAME OF FILER Tam for Council 2016 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) SCHEDULE A Statement covers period 07/01/2016 through 09/24/2016 CALFloPO AMOUNT RECEIVED THIS PERIOD Page 4 of is I.D. NUMBER 1387962 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 08/08/2016 Barbara Kahn Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Board Member AUSD 100.00 100.00 G2016 $100.00 08/08/2016 Our Vote Our Voices (ID# 1375428) Alameda, CA 94501 ❑IND p COM ❑ OTH ❑ PTY ❑ SCC 2,033.27 2,033.27 G2016 $2,033.27 08/08/2016 Chun Hing Tam Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired Retired 1,500.00 1,500.00 G2016 $1,500.00 08/08/2016 08/11/2016 John Tam Los Angeles, CA 90071 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Partner KPMG 2,500.00 2,500.00 G2016 $2,500.00 Stewart Chen Alameda, CA 94501 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Council Member City of Alameda 1,000.00 1,670.00 G2014 G2016 $150.00 $1,670.00 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 $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .. 20,038.27 474.00 TOTAL $ 20, 512.27 *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) Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 through 09/24/2016 SCHEDULE A (CONT.) CALII�RN FORM Page 5 of 15 NAME OF FILER Tam for Council 2016 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD ID. NUMBER 1387962 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 08/13/2016 William Schaff Alameda, CA 94501-1098 IND 0 COM OTH PTY LI SCC Consultant Phocas Financial Corp 250.00 250.00 G2016 $250.00 08/15/2016 Dr. Robert Deutsch Alameda, CA 94501 IND 0 COM OTH ▪ PTY Lil SCC Physician Alameda Hospital 100.00 100.00 G2016 $100.00 08/15/2016 Delbert Gee Alameda, CA 94502 IND 0 COM OTH ▪ PTY SCC Judge Alameda County Superior Court 150.00 150.00 G2016 $150.00 08/15/2016 Samuel Kang Emeryville, CA 94608 IND O COM ▪ OTH PTY LI SCC Chief Of State Leadership for Educational Equity 150.00 150.00 G2016 $150.00 08/17/2016 Ronnie Caplane Oakland, CA 94607 IND COM LI OTH PTY LI SCC Hearing Officer Board of Appeals 150.00 150.00 G2016 $150.00 SUBTOTAL $ 800.00 NN4410t-1,444104#,N, ‘,INNAIN N11,1 +0N., 14.46404.40NLVAIgMri*MANqki .% ileigrAbliginad4VM"Pte4:44*4—N"4411:1"2 OZNINNWAUNAiiiiimiNASVN *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) Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 through 09/24/2016 SCHEDULE A (CONT.) CAUFORNI h`FQRM. , r . Page 60 6 of 15 NAME OF FILER Tam for Council 2016 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. NUMBER 1387962 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 08/17/2016 Bill Smith Alameda, CA 94502 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 0 Engineer LLML 100.00 100.00 G2014 $80.00 G2016 $100.00 08/17/2016 William Wong Sacramento, CA 95822 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 0 Consultant Self Employed /William Wong 100.00 100.00 G2016 $100.00 08/18/2016 Ken Pon San Leandro, CA 94577 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC CPA Ken Pon CPA 250.00 250.00 G2014 $250.00 G2016 $250.00 08/19/2016 Marion Mckee Alameda, CA 94501 -3124 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired Retired 100.00 100.00 G2016 $100.00 09/06/2016 Gayle Codiga Alameda, CA 94501 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attorney Self Employed /Gayle Codiga 100.00 SUBTOTAL$ 650.00 vi 100.00 G2014 $200.00 G2016 $100.00 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 - 3772) Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 through 09/24/2016 SCHEDULE A (CONT.) . OR,NI FORM Page 7 of 15 NAME OF FILER Tam for Council 2016 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. NUMBER 1387962 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 09/06/2016 Mark Hamilton Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Counselor SLUSD 100.00 100.00 G2016 $100.00 09/06/2016 Rich Sheratt Alameda, CA 94502 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Businessman Businessman 500.00 500.00 G2016 $500.00 09/09/2016 Karen Butter Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired Retired 200.00 200.00 G2016 $200.00 09/09/2016 earl Chan Alameda, CA 94502 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Realtor Claremont Realty 250.00 250.00 G2016 $250.00 09/09/2016 Serena Chan Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Administration Analyst Bart 100.00 100.00 G2016 $100.00 SUBTOTAL$ 1,150.00 *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) Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 through 09/24/2016 SCHEDULE A (CONT.) CALIFORNI FORM Page 8 of 15 NAME OF FILER Tam for Council 2016 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. NUMBER 1387962 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 09/09/2016 Steve Chan Fremont, CA 94539 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Pediatric Dentist Self Employed /Steve Chan 150.00 150.00 G2016 $150.00 09/09/2016 Suzanne Chan Fremont, CA 94538 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Council Member City of Fremont 150.00 150.00 G2016 $150.00 09/09/2016 Eunice Edwards Berkeley, CA 94701 13 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC John and Eunice Trust Trustee 200.00 200.00 G2016 $200.00 09/09/2016 Karen Fong Alameda, CA 94501 IND ❑ COM OTH ❑ PTY ❑ SCC Consultant Self Employed /Karen Fong 100.00 100.00 G2016 $100.00 09/09/2016 Karen Kenney Alameda, CA 94501 p IND ❑ COM ❑ OTH ❑ PTY ❑SCC Retired Retired 100.00 100.00 G2016 $100.00 SUBTOTAL$ 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) Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 SCHEDULE A (CONT.) A FORMA through 09/24/2016 NAME OF FILER MBER Tam for Counc 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) 62 PER ELECTION TO DATE (IF REQUIRED) 09/09/2016 Alice Lai - Bitker Alameda, CA 94501 IND ❑ COM OTH ❑ PTY ❑ SCC CEO Peace of Mind 100.00 100.00 G2016 $100.00 09/09/2016 Steve Leong San Leandro, CA 94577 OIND ❑ COM ❑ OTH ❑ PTY ❑ SCC Manager Outstanding Investment Company 300.00 300.00 G2016 $300.00 09/09/2016 Honora Murphy Alameda, CA 94501 IND ['COM ❑ OTH ❑ PTY ❑ SCC Retired Retired 500.00 1,500.00 G2014 G2016 $500.00 $1,500.0 0 09/09/2016 Daniel Ng Alameda, CA 94502 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Manager Brite Cleaner 200.00 200.00 G2016 $200.00 09/09/2016 Dorothy Proudfoot Alameda, CA 94501 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attorney County of Marin 100.00 100.00 G2016 100.00 SUBTOTAL $ 1,200.00 AN *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) Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 through 09/24/2016 SCHEDULE A (CONT.) C<ALIRCbRNIA" FORM Page 10 of 15 NAME OF FILER Tam for Council 2016 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. NUMBER 1387962 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 09/09/2016 Margaret Tong Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Manager Self Employed /Margaret tong 200.00 200.00 G2016 $200.00 09/09/2016 United Brothers Enterprices Inc Walnut Creek, CA 94597 ❑ IND ❑COM OTH ❑ PTY ❑ SCC 500.00 500.00 G2016 $500.00 09/09/2016 Julie Yim Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Manager Bart 100.00 100.00 G2016 $100.00 09/09/2016 Frank Young Ell IND ❑ COM ❑ OTH ❑ PTY ❑ SCC CEO Frank Engineering 200.00 200.00 G2016 $200.00 09/13/2016 Joey Smith Richmond, CA 94802 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Water Conservation Tech EBMUD 105.00 105.00 G2016 $105.00 *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) Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. from Statement covers period 07/01/2016 SCHEDULE A (CONT.) through 09/24/2016 Page 11 of 15 NAME OF FILER Tam for Council 2016 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. NUMBER 1387962 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 09/14/2016 Helen Sause Alameda, CA 94501 p IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired Retired 150.00 150.00 G2016 $150.00 09/14/2016 Jessica Tam San Diego, CA 92121 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC RPR Partner, LLP Senior Tax Accountant 450.00 450.00 G2016 $450.00 09/21/2016 Winston Hui Alameda, CA 94501 -3068 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired Retired 100.00 100.00 G2016 $100.00 09/23/2016 Lei Ai Castro Valley, CA 94552 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Loan Officer United Lending Parners 2,800.00 2,800.00 G2016 $2,800.00 09/23/2016 Daphne Chu Alameda, CA 94501 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired Retired 1,800.00 1,800.00 G2016 $1,800.00 *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) Schedule A (Continuation Sheet) Monetary Contributions Received Amounts nay be rounded to whole dollars. ate covers period from 07/01/2016 through 09/24/2016 NAME OF FILER Tam for Counc DATE RECEIVED it 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 SCHEDULE A (CONT.) I.D. NUMBER 1387962 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 09/23/2016 Delong Oil Inc Walnut Creek, CA 94597 ❑ IND ❑ COM OTH ❑ PTY ❑ SCC 1,000.00 1,000.00 G2016 $1,000.00 09/23/2016 Honora Murphy Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired Retired 1,000.00 1,500.00 G2014 G2016 $500.00 $1,500,00 ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC *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) Schedule F3 — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Amounts may he rounded to whole dollars. NAME OF FILER Tam for Council 2016 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF - EMPLOYED, ENTER NAME OF BUSINESS) (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD (b) AMOUNT RECEIVED THIS PERIOD Staten from through 09/24/2016 nt covers period 07/01/2016 SCHEDULER - PART 1 (c) AMOUNT PAID OR FORGIVEN THIS PERIOD* (d) OUTSTANDING BALANCEAT CLOSE OF THIS PERIOD (e) INTEREST PAID THIS PERIOD Page 13 I.D. NUMBER 1387962 (f) ORIGINAL AMOUNT OF LOAN (9) CUMULATIVE CONTRIBUTIONS TO DATE Lena Tam Alameda, CA 94501 t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Manager EBMUD 0.00 867.00 ❑ PAID 0.00 ❑ FORGIVEN 0.00 867.00 12/31/2018 DATE DUE 0 % RATE 0.00 867.00 08/08/2016 DATE INCURRED CALENDAR YEAR $ 867.00 PER ELECTION"" G2016 867,00 t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID ❑ FORGIVEN DATE DUE RATE DATE INCURRED CALENDAR YEAR PER ELECTION*" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID ❑ FORGIVEN $ Schedule B Summary 1. Loans received this period $ (Total Column (b) plus unitemized loans of less 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. DATE DUE 867.00 $ 0.00 NET $ 867.00 (Maybe a negative number) RATE (Enter (e) on Schedule E, Line 3) DATE INCURRED CALENDAR YEAR $ PER ELECTION** 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) Schedule C NoDnlgDcla[y Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may uerounded to whole dollars. Statement covers period from 07/01/2016 through 09/24/2016 NAME OF FILER Tam for Council 2016 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, xLSos~,snLD.wvMosm CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE SCHEDULE 1387962 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) 09/09/2016 Stewart Chen Alameda, CA 94501 IND UCOM OTH OPTY O8CC Council member City of Alameda Food Fundraiser /Pacific Lighthouse 670.00 z'aro.ou G2014 G2016 $150.00 $z'aru.on OIN0 UCOM [10TH UPTY []8CC OND UCOM OOTH OPTY OSCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 670.00 --- ' — tAlt \-`1,t *tifikiHkioNdgovitac Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (lnclude alt Schedule C subtotals.) � 2. Amount received this period — unitemized nonmonetary contributions of less than $100 � TOTAL $ 670.00 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.) 670.00 0.00 *Contributor Codes |No – 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 (Janm06) pppo Advice: udvicp@fppc.ca.gvv(V66/275-3773) Schedule E Payments Ma SEE INSTRUCTIONS ON REVERSE Amounts may he rounded to whole dollars. SCHEDULE E Statement ement covers period from 07/01/2016 through 09/24/201e NAME OF FILER Tam for Council 2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP CNS CTB CVC FIL FND IND LEG UT campaign paraphernalia/misc campaign consultants contribution (explain nnnmonotany)° civic donations candidate fi|ing/bmUntfeeu fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAMEANDADDRESS OF PAYEE (IF COMMITFEE, ALSO ENTER /.uwvmean ME3R 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 (|ago|, accounting) print ads CODE RAD RFD SAL TEL TRC TRS Tar VOT VVsB 15 Page 15 uzwumasR 1387962 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, |odging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Alameda Alameda, CA 94501 FIL 125.00 Cedric Concord, CA 94520 WEB 1,316.00 Pacific Printing San Jose, CA 95112 LIT 7,869.91 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 9,310.91 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) � 2. Unitemized payments made this period of under $1 00 3. Total interest paid this period on Ioans. (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 $ 9,310.91 122.89 0.00 9,433.80 FPPC Form 460 (Jan/2016)