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Williams 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 1095514 SEE INSTRUCTIONS ON REVERSE ate Stamp COVER PAGE CALIFORNIA AA n FORM -.1-110114,1F Statement covers period ro m 07/01/2016 through 09/24/2016 1. Type of Recipient Committee: All Committees—Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Recall (Also Complete Part 5) 0 General Purpose Committee (j) Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 0 Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) 11 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) Date of election if applicable: (Month, Day, Year) For Officio Use Only 11/08/2016 2. Type of Statement: Preelection Statement 0 Semi-annual Statement LI Termination Statement (Also file a Form 410 Termination) [1 Amendment (Explain below) q n. Quarterly Statement Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 3. Committee Information 1384281 I.D. NUMBER COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Jennifer Williams for 2016Alameda Unified School District Board STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE CA ZIP CODE 94502 AREA CODE/PHONE (415)269-0900 MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS bassjenn@aol.com 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 ssjreyes@comcast .net 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 is true and correct. Executed on Executed on Executed on Date Executed on Date 09/28/2016 Date 09/28/2016 Date By Susan Reyes By Jennifer Williams Signature of Controlling 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) 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 Jennifer Williams OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Alameda Unified School District Board Mb: City Of Alameda RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Alameda CA 94502 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 CALIFORNIA 460 FORM NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION O SUPPORT O 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 O SUPPORT O OPPOSE 0 SUPPORT O OPPOSE 0 SUPPORT O OPPOSE O SUPPORT 0 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 CALIFORNIA Aa FORM Page of 17 NAME OF FILER Jennifer Williams for 2016Alameda Unified School Dis ict Board I.D. NUMBER 1384281 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 TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 7,630.00 0.00 7,630.00 1,708.27 9,338.27 Column B CALENDAR YEAR TOTALTO DATE 16,279.00 0.00 16,279.00 1,708.27 17,987.27 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 7. Loans Made. ....... .............. .... . ......... Schedule E, Line 4 Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ......... .. . ........ ... ....... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment Schedule F, Line 3 Schedule C, Line 3 $ 11. TOTAL EXPENDITURES MADE . ...... . .... .. ................. Add Lines 8 + 9 + 10 $ 6,662.08 0.00 6,662.08 0.00 1,708.27 8,370.35 $ 9,395.31 0.00 9,395.31 0.00 1,708.27 11,103.58 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. 5,913.70 7,630.00 0.00 6,662.08 6,881.62 17. LOAN GUARANTEES RECEIVED Schedule B, 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 B above $ 0.00 0.00 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* (If 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 Jennifer Williams for 2016Alameda Unified School District Board DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Statement covers period from 07/01/2016 through 09/24/2016 SCHEDULE A AMOUNT RECEIVED THIS PERIOD Page 4 of 17 I.D. NUMBER 1384281 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 07/05/2016 Eric Suba San Francisco, CA 94123 El IND ❑ COM ❑OTH ❑ PTY ❑ SCC Physician Kaiser Permanente 100 00 100 00 G2016 100.00 07/11/2016 Jennifer Callahan Oakland, CA 94610 El IND ❑ COM ❑ OTH ❑ PTY ❑ SCC IND ❑ COM ❑ OTH PTY ❑ SCC 07/15/2016 Jim Franz Alameda, CA 94501 Attorney Callahan, Thompson, Sherman 100.00 100.00 G2016 100.00 Coordinator City of Alameda 100.00 300.00 G2016 $300.00 07/15/2016 Honora Murphy Alameda, CA 94501 07/25/2016 Mary Hong Alameda, CA 94502 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired N/A 250.00 250.00 G2016 $250.00 Mother Self Employed 250.00 250.00 G2016 $250.00 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.) TOTAL $ 7,630.00 6,500.00 1,130.00 *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.) CALFORNIA FORM Page 5 17 NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board 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 MBER 13842 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 81 PER ELECTION TO DATE (IF REQUIRED) 07/26/2016 Karen Kenney Alameda, CA 94501 p IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired N/A 100.00 100.00 G2016 $100.00 07/31/2016 Tara Hardesty San Francisco, CA 94127 0 IND ❑COM ❑ OTH ❑ PTY ❑ SCC Marketing The Marketing Method Group , Inc 100.00 100.00 G2016 $100.00 08/01/2016 Katherine Edison Alameda, CA 94502 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC None None 100.00 100.00 G2016 $100.00 08/05/2016 08/08/2016 Kelly Lux Alameda, CA 94501 Katherine Feinstein San Francisco, CA 94133 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Agent State Farm Insurance 500.00 500.00 G2016 $500.00 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired None 1,000.00 SUBTOTAL$ 1,800.00 1,000.00 G2016 $1,000.00 *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 (8661275 -3772) Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID. NUM8ER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SCHEDULE A (CONT.) Statement covers period from 07/01/2016 through 09/24/2016 CALIFORNIA AMOUNT RECEIVED THIS PERIOD Page 6 of 17 I.D. NUMBER 1384281 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 08/08/2016 Karen Miller Alameda, CA 94501 08/08/2016 Jim Oddie Alameda, CA 94501 OIND ❑ COM ❑ OTH ❑ PTY ❑ SCC p IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Real Estate Agent Alain Pinel Realty 100.00 G2016 5100.00 Council Member City of Alameda 100.00 100.00 G2016 00.00 08/10/2016 Marilyn Ashore Alameda, CA 94501 IND ❑COM ❑ OTH ❑ PTY ❑ SCC Attorney /Arbitrator City of Alameda /BBB 100.00 100.00 G2016 $100.00 08/10/2016 08/10/2016 Jay Lamb Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Judy Lamb CA 94501 Retired N/A 250.00 250.00 G2016 $250.00 Retired N/A 250.00 250.00 G2016 $250.00 *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. SCHEDULE A (CONT.) Statement covers period from 07/01/2016 through 09/24/2016 CALFORNIA 460 FORM Page 7 of 17 NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD I.D. NU MBER 13842 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 81 PER ELECTION TO DATE (IF REQUIRED) 08/18/2016 Spencer Tse Alameda, CA 94501 OIND ❑ COM ❑ OTH ❑ PTY ❑SCC IT Program Manager Intrexon 100.00 100.00 G2016 $100.00 08/19/2016 Lisa Clay San Francisco, CA 94127 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attorney San Francisco City Attorney's Office 150.00 150.00 G2016 $150.00 08/22/2016 Diana Christensen Oakland, CA 94602 IND ❑ COM ❑ OTH ❑ PTY ❑SCC Manager City of San Francisco 250.00 250.00 G2016 $250.00 08/22/2016 08/22/2016 Joseph Defranco Alameda, CA 94501 Nicole Kidd Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC VP of Sales CNEX Labs 250.00 250.00 G2016 $250.00 p IND ❑COM ❑ OTH ❑ PTY ❑ SCC Marcom /Soc Media Self /Nicole Kidd 250.00 SUBTOTAL$ 1,000.00 250.00 G2016 $250.00 *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 (8661275 -3772) °;i".i.VALYA' "4, 44Vit4,10"A IN ,1104g4,4,0 spaip$44,4m..1,000.4*,Aaaann AtNe10140100100041,10$40040004000S, 44044A-NAANwOOPO*Wopow4eNwrevekitIv4otomApomor Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period from 07/01/2016 CALIFORNIA A an FORM through 09/24/2016 Page 8 of 17 NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board 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 384281 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 08/22/2016 San Francisco Police Officers Association PAC (ID# 1315969) Sacramento, CA 95814 O IND COM OTH El PTY LI SCC 131 500.00 500.00 G2016 $500.00 09/02/2016 Julie Betz Alameda, CA 94502 IND ▪ COM OTH LI PTY El SCC Airplane Mechanic South West Airlines 100.00 100.00 G2016 $100.00 09/02/2016 Mavis Guber Alameda, CA 94502 13 IND O COM OTH PTY LI SCC retired None 100.00 100.00 G2016 $100.00 09/08/2016 Bill Coggan Alameda, CA 94502 IND 0 COM OTH PTY [11 SCC Real Estate Investment Self Employed 250.00 250.00 G2016 $250.00 09/08/2016 Hector Ruelas San Francisco, CA 94112 IND 0 COM ▪ OTH PTY SCC Trade Show Coordinator Freeman Co. 100.00 SUBTOTAL $ 1,050.00 *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 100.00 G2016 $100.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) 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.) CALFORNIA FORM Page 9 of 17 NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER LD. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD I.D. NU MBER 13842 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 81 PER ELECTION TO DATE (IF REQUIRED) 09/11/2016 John Alden San Francisco, CA 94133 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attorney City & County of San Francisco 100.00 100.00 G2016 $100.00 09/13/2016 Douglas Biggs Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Executive Director Alameda Point Collaborative 200.00 500.00 G2016 $500.00 09/13/2016 Denise LaBarre Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Teacher Alameda Unified School District 100.00 100.00 G2016 $100.00 09/13/2016 Kathleen Pryor Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Owner Self /Tuckers Ice Cream 100.00 100.00 G2016 $100.00 09/20/2016 Mark Hamilton Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Public Educator San Leandro Unified School District 100.00 100.00 G2016 $100.00 *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. NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board DATE RECEIVED 09/20/2016 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) atement covers period through 09/24/2016 SCHEDULE A (CONT.) CALFORNI FORM Page 10 of 17 AMOUNT RECEIVED THIS PERIOD I.D. NU MBER 13842 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 81 PER ELECTION TO DATE (IF REQUIRED) 09/20/2016 Leah Mize Alameda, CA 94501 IND ['COM 00TH ❑ PTY ❑ SCC VP, Acctg Director Digital Health 100.00 100.00 G2016 $100.00 Unity PACAlameda Labor Council (ID# 1294190) Oakland, CA 94621 ❑ IND COM ❑ OTH ❑ PTY ❑ SCC 250.00 250.00 G2016 $250.00 09/22/2016 Ronald Margolis Oakland, CA 94618 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 13 Lawyer University of California 100.00 100.00 G2016 $100.00 ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 450.00 *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 C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. SCHEDULE C Statement covers period from 07/01/2016 through 09/24/2016 Jennifer Williams for 2016Alameda Unified School District Board 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) DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE 46‘, CALIFORNIA FORM Page 11 ID. NUMBER 1384281 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) of 17 PER ELECTION TO DATE (IF REQUIRED) 08/30/2016 Catherine Bierwith Alameda, CA 94502 IND OCOM LI OTH E] PTY 11J SCC Realtor Alain Pinel Yard Signs 1,337.02 2,337.02 G2016 $2,337.02 09/13/2016 Alameda Education Association Political Action Committee (ID # 1326421) Alameda, CA 94501 IND COM OTH PTY riSCC Misc Campaign Materials & Phone Banking 371.25 371.25 G2016 $371.25 0 IND COM 00TH [1] PTY DSCC IND CICOM El OTH PTY LI SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 1,708.27 IA 4,44,N kittitAist, ' 4k, M` ‘!,•• ox • 444WPAA, PINON•Wittli siN110411,4N06,0"4WWWN • "'sr*Sitteligaigietinattaitt tig44131, Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) 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 $ 1,708.27 1,708.27 0.00 *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 E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period from 07/01/2016 CALIFORNIA 460 through 09/2e/201e Page 12 of 17 NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board I.D. NUMBER 1384281 CODES: If one of the following codes accurately describes the payment, you may enter the code. Othemioo, describe the payment. CNS CTB CVC FIL FND ND LEG uT campaign campaign consultants contribution (explain nonmnneta;)° civic donations candidate fihing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and maihings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUM BER) MBR MTG OFC PET PHO POL POS PRO FRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research povt"oe, delivery and messenger services professional services (|ego|, accounting) print ads CODE RAD RFD SAL TEL TRS n� Tor VOT WEB radio airtime and production costs returned contributions campaign workers' salaries tv. or cable airtime and production costs candidate travel, |udging, and meals staff/spouse travel, bdging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT AMOUNT PAID Democracy Engine LLC Washington, DC 20009 OFC Fees 3.95 Democracy Engine LLC Washington, DC 20009 OFC Fees 3.95 Safeway Alameda, CA 94501 FND 134.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 141.90 Schedule EE Summary 1. Itemized payments made this period. (Include alt 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 $ 6,420.40 241.68 0.00 6,662.08 FPPC Form 460 (Jam2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Jennifer Williams for 2016Alameda Unified School District Board SCHEDULE E (CONT.) Statement covers period through 09/24/2016 CALIFORNIA 460 FORM 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 FlD LEG Lrr 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) MBR NirG 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 Democracy Engine LLC Washington, DC 20009 OFC Fees 3.95 NationBuilder WEB 28.03 Susan Reyes 94501 PRO 600.00 DJ By the Bay FND 350.00 Democracy Engine LLC Washington, DC 20009 OFC Fees 16.72 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 998.70 FPPC Form 460 (Jan /2016) rnnr T_n r___ netsIA nl/ r■nn roman -rr n -r-rn% Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period from 07/01/2016 CALIFORNIA Agn FORM through 09/24/2016 Page 14 of 17 I.D. NUMBER 1384281 Jennifer Williams for 2016Alameda Unified School District Board CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. cw CNS CTB CVC FIL FND ND LEG Lfl 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 NAMEANDADDRESSOFPAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) MBR MTG OFC FET 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 Office Depot Office Max Alameda, CA 94501 OFC 87.88 Democracy Engine LLC Washington, DC 20009 OFC Fees 28.17 Alliance Campaign Strategies Pleasanton, CA 94566 CNS 500.00 Safeway Alameda, CA 94501 FND 39.99 Safeway CA 94501 FND 71.45 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 727.49 FPPC Form 460 (Jan/2016) -r-IN ner,A C•le 11-InMe, Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period from 07/01/2016 through 09/24/2016 CALIFORNIA 460 Jennifer Williams for 2016Alameda Unified School District Board FORM Page 15 of 17 LD. NUMBER 1384281 CODES: If one of the following codes accurately describes the payment, you may enter the code. GNP 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 MBR MTG OFC PET F1-10 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 Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAMEANDADDRESSOFFAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID NationBuilder Los Angeles, CA 90071 WEB 29.00 Democracy Engine LLC Washington, DC 20009 OFC Fees 11.84 Autumn Press Berkeley, CA 94710 LIT 1,739.51 Democracy Engine LLC Washington, DC 20009 OFC Fees 7.90 Voter Guide Slate Cards Long Beach, CA 90808 LIT 1,278.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,066.25 FPPC Form 460 (Jan/2016) -1,111 I 1-1-11:-. 0.1.• 1-nrw-• Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole do!lars. Statement covers period from 07/01/2016 through 09/24/2016 SCHEDULE E (CONT.) CALIFORNIA Agn FORM 'LP IA, NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board CODES: If one of the following codes accurately describes the CIVP CNS Cm CVC FIL FND LEG uT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetaryy civic donations candidate fiUng/bn|kxfens fundraising events independent expenditure supporting/opposing legal defense campaign literature and mailings MBR MTG OFC FET PHO POL others (explain)* P0S PRO PRT payment, you may enter the code. Otherwise, member communications meetings and appearances office ex petition circulating phone banks polling and survey research pvm"oo, delivery and messenger services professional services (lega|, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB Page 16 of 17 /.owmwesR 1384281 describe the paymanL radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel lodging, nd meals staff/spouse travel, |vdQing, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) NAMEANDADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Safeway Alameda, CA 94501 FND 34.99 Safeway Alameda, CA 94501 FND 132.97 Safeway Alameda, CA 94501 FND 59.00 Safeway Azameua, CA 94501 FND Democracy Engine LLC Washington, DC 20009 OFC Fees 15.59 * Payments that are contributions or independen expenditures must also be summarized on Schedule D. SUBTOTAL $ 292.54 FPPC Form 460 (Jom2016) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period from 07/01/2016 through 09/24/2016 CALIFORNIA 460 Jennifer Williams for 2016Alameda Unified School District Board Page 17 of 17 /.uwmwnsn 1384281 CODES: If one of the following codes accurately describes the CIVP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc campaign consultants contribution (explain nonmonetarA^ civic donations candidate fi|inQ/bo|lotfoes fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT payment, you may enter the code. Otherwise, member communications meetings and appearances office ex petition circulating phone banks polling and survey research pvmaoe, delivery and messenger services professional services (|oga|, accounting) print ads RAD RFD SAL TEL TRC TRS Tar VOT 1Nso describe the payment. radio airtime and production costs returned contributions campaign workers' salaries t.x or cable airtime arid production costs candidate travel, lodgi d meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter re /mnun information technology costs (internet, e-mail) NAMEANDADDRESSOFFAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Californians Vote Green (ID# 1323171) Long Beach, CA 90802 LIT 955.30 Democracy Engine LLC Washington, DC 20009 OFC Fees 9.22 Latino Family Voter Guide (ID# 1275549) Long Beach, CA 90802 LIT 200.00 NationBuilder Los Angeles, CA 90071 WEB 29.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1'1ea.su FPPC Form 460 (Jan/2016) -~~~--^---'''^^--^~~'^-~-~~~'^~~~-°`-`°