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Daysog 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2016 through September 24, 2016 Date of election if applicab (Month, Day, Year) November 8, 2016 COVER PAGE LiORNIA ; FORM SEP 292016 CITY OF ALAMEI A "OITY CLERK'S OF 'IC 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 Pad 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party /Central Committee ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) • Primarily Formed Candidate/ Officeholder Committee (Also Complete Part . 7) 2. Type of Statement: RI Preelection Statement ❑ Semi- annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report 3. Committee Information I.D. NUMBER 1352188 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Daysog4Council2016 STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS tony_daysog @alum.berkeley.edu Treasurer(s) NAME OF TREASURER Tony Daysog MAILING ADDRESS CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS tony_daysog @alum.berkeley.edu 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measur 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 COVER PAGE - PART 2 CALIFORNIA A rt FORM Page of 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Tony Daysog OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Alameda City Council RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Alameda 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 COMMITTEE ADDRESS CITY CONTROLLED COMMITTEE? 0 YES LJ NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER COMMITTEE ADDRESS CITY CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT p 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 SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE 0 SUPPORT 0 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. Statement covers period July 1, 2016 from through September 24, 2016 SUMMARY PAGE CALIFORIVIA A an FORM "1111UFVF Page of 7 NAME OF FILER Tony Daysog I.D. NUMBER 1352188 Contributions Received 1. Monetary Contributions Schedule A, Line 3 $ 2. Loans Received Schedule 8, 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) 199 5,673.61 5,872.61 $ 5,872.61 $ Column B CALENDAR YEAR TOTAL. TO DATE 199 5,673.61 5,872.61 5,872.61 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 1/1 through 6/30 7/1 to Date 0 $ 5,872.61 21. Expenditures Made 0 $ 5,673.61 Expenditures Made 6. Payments Made Schedule E, Line 4 $ 5,673.61 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ 5,673.61 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 $ 5,673.61 5,673.61 5,673.61 $ 5,673.61 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. 0 5,872.61 5,673.61 199 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 8 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 Limit) Date of Election (mm/dd/yy) 11 / 08 / 20 / Total to Date 5,673.91 '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. SCHEDULE A Statement covers period from July 1, 2016 through September 24, 2016 CALIFORNIA 46 FORM Page NAME OF FILER Tony Daysog 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 1352188 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 8 -9 Tony Daysog, Alameda, Ca 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑scc urban planning / Applied Development Economics (Walnut Creek, CA) 3,899.61 3,899.61 3,899.61 8 -15 Tony Daysog, Alameda, CA 94501 lj IND ❑ COM ❑ OTH ❑ PTY ❑ SCC urban planning / Applied Development Economics (Walnut Creek) 125 4,024.61 4,024.61 8 -15 Tony Daysog, Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑`SCC urban planning / Applied Development Economics (Walnut Creek) 700 4,724.61 4,724.61 9 -1 Tony Daysog, Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC urban planning / Applied Development Economics (Walnut Creek) 360 5,084.61 5,0 .61 9 -6 Tony Daysog, Alameda, CA 94501 IND ❑ COM El OTH ❑ PTY ❑ SCC urban planning / Applied Development Economics (Walnut Creek) 589 5,673.91 5,673.91 SUBTOTAL $ 5,673.91 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) 2. Amount received this period — unitemized monetary contributions o' 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ..,...TOTAL $ less than $100 $ 5,773.91 99 *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 July 1, 2016 through September 24, 2016 NAME OF FILER Tony Daysog DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER J.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF- EMPLOYED, ENTER. NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD RM ORNIA 46U Page CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 8 -15 Steve Gerstle, Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Information Management Systems, College of Alameda 100.00 100.00 100.00 ❑ IND ❑ COM ❑ OTH ❑PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑PTY ❑ SCC ❑ IND ❑ COM E3 OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 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) www.fppc.ca.gov Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. NAME OF FILER Tony Daysog 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 Statement covers period from July 1, 2016 SCHEDULE B - PART 1 CALIFORNIA FORM through3eptember24, 201E page (c) AMOUNT PAID OR FORGIVEN THIS PERIOD* (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST PAID THIS PERIOD I.D. NUMBER 1352188 (t) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE Tony Daysog, Alameda, Ca 94501 1.2 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC urban planner \ Applied Development Economics (Walnut Creek, CA) 0 s 5,673,61 ❑ PAID ❑ FORGIVEN s DATE DUE 3.5 % RATE s 0 DATE INCURRED CALENDAR YEAR PER ELECTION" $ 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 s DATE DUE RATE DATE INCURRED CALENDAR YEAR PER ELECTION" SUBTOTALS $ 5,673.61 $ $ Schedule B Summary 1. Loans received this period $ 1,671..91 (Total Column (b) plus unitemized loans of less than $100.) 0 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 $ (Maybe 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 E Payments Made SEE NSTRUC11ONS ON REVERSE NAME OF FILER Tony Daysog Amounts may be rouncled to whola dollars. SCHEDULE E Statement covers period July 1, 2016 from CALIFORNIA 46 FoRm ber24,20( —7 of _y Page .D. NUMBER 1352188 CODES: If one of the following codes accurately describes the payment, you may enter the code. Othenwiso, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate fihingfballot fees fundraising events independent expenditure supporting/opposing others (explain) legal defense campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating pxo phone banks POL poUing and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries tv. or cable airtime and production costs candidate travel, mogmn, and meals stafffspouse travel, lodging, and meals transfer between committees ofthe same candldate/sponsor voter /orao information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Alameda Sun City Clerk Alameda County Voter Registrat advertsiement PRT 5,188.61 Filing fee FIL 100.00 VOT Alamede voter database 360 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5,673.61 Schedule E Summary 1. ttemized payments made this period. (tnctude aH Schedule E subtotals.) 2. Unitemized payments made this period of under $1 00 5,673.61 � G 3 Total interest paid this period on loans (Enter amount from Schedule B, Part 1, Column (e).) � 4. Tot |pmymentsmodeUlispehod.kAddUOeo1.2.and3.EnterhareandontheGummoryPugo.CoumnA,UneG.\ TOTAL $ FPPC Form 460 (Jan/2016) Fppc Advice: au^ice@fppcca.gm(8o6/z75-3z72) wwv.fppc.ca,uvv