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Roloff 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period 07/01/2016 rom 09/24/2016 through Date of election if applicable: (Month, Day, Year) Dat a COVER PAGE tamp 8ED 29 2016 460 AL„IFORNIA FORM 1 of 14 C;ITY OF AL,6,IViED 11/08/2016 ;1TY CLERK'S OFFICE For Official Use Only 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. EJ Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Pert 5) • General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee 0 Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Pert 6) El Primarily Formed Candidate/ Officeholder Committee (Also Complete Pert 7) 2. Type of Statement: [2] Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) O Quarterly Statement • Special Odd-Year Report 3. Committee Information I.D. NUMBER 1385651 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Jennifer Roloff City Council 2016 CITY Alameda STATE ZIP CODE AREA CODE/PHONE CA 94501 415-999-4395 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS jennifer@jenniferroloff.com Treasurer(s) NAME OF TREASURER Todd Roloff MAILING ADDRESS CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY STATE ZIP CODE CA 94501 AREA CODE/PHONE 510-775-3241 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS todd@jenniferroloff.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my 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 COVER PAGE - PART 2 CALIFORNIA Agn FORM --111"10 140 Page 2 of 14 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE Jennifer Ro loff OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Alameda City Council 2016 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? O 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? O YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD O SUPPORT • OPPOSE SUPPORT 0 OPPOSE O SUPPORT 0 OPPOSE O SUPPORT O 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 Sta from 09/24/2016 through ment covers period 07/01/2016 CALIFORNIA 460 FORM 3 14 Page of NAME OF FILER Jennifer Roloff City Council 2016 I.D. NUMBER 1385651 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) 4,423.00 0.00 4,423.00 2,025.75 Column B CALENDAR YEAR TOTAL TO DATE 5,270.99 2,500.00 7,770.99 2,025.75 6,448.75 $ 9,796.74 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) Schedule F Line 3 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 2,335.74 0.00 2,335.74 4,800.00 2,025.75 9,161.49 2,682.24 0.00 2,682.24 4,800.00 2,025.75 9,507.99 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. 3,000.50 4,423.00 0.00 2,335.74 5,087.76 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 0.00 0.00 4,800.00 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) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. NAME OF FILER Jennifer Roloff City 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) Statement covers period from 07/01 /2016 SCHEDULE A CALIFORNIA 460 FORM through 09/24/2016 Page 4 of 14 AMOUNT RECEIVED THIS PERIOD I.D. NUMBER 1385651 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 07/02/2016 Michele Colgan Alameda CA. 94502 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Finance Consultant Populus 100.00 100.00 07/05/2016 Travis Wilson Alameda CA. 94501 m IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Computer Programmer Self Employed (Consultant) 100.00 100.00 07/11/2016 Roger Wise Alameda CA. 94501 0 IND El COM ❑ OTH ❑ PTY ❑ SCC School Administrator Orinda Academy 100.00 100.00 07/21/2016 Ian Mackler New York NY. 10025 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attorney Self Employed (Ian Mackler) 175.00 175.00 08/05/2016 Karen Lucas Alameda CA. 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ scc Retired Retired 100.00 100.00 SUBTOTAL$ 575.00 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.) 3,675.00 748.00 TOTAL $ 4,423.00 *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. SCHEDULEA (CONT.) Statement covers period from 07/01/2016 through 09/24/2016 NAME OF FILER Jennifer Roloff City 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 Page CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) MBER 51 PER ELECTION TO DATE (IF REQUIRED) 08/10/2016 Dean Warshawsky Los Altos Hills CA. 94022 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Sales Manager Linkedin 100.00 100.00 08/10/2016 Dorthy Freeman Alameda CA. 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Multimedia Self Employed (Dorthy Freeman) 100.00 100.00 08/17/2016 Patsy Baer Alameda CA. 94501 IZl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired Retired 100.00 100.00 08/21/2016 Rich Betta Alameda CA. 94501 V IND ❑ COM ❑ OTH ❑ PTY ❑ scc Project Manager Environmental Management 100.00 100.00 8/21/2016 Thomas Harvey Alameda CA. 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attorney Self Employed (Thomas Harvey) 250.00 250.00 SUBTOTAL $ 650.00 *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. SCHEDULE A (CONT.) Statement covers period from 07/01/2016 CALIFORNIA Ann FORM through 09/24/2016 Page 6 of 14 NAME OF FILER Jennifer Roloff City 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 1385651 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 08/24/2016 John Thomson Alameda CA. 94501 [CZ IND COM LI OTH PTY El SCC Civil Engineer Retired 100.00 100.00 08/25/2016 Joseph Van Winkle Alameda CA. 94501 0 IND El COM El OTH 111 PTY El SCC Consultant Self Employed (Joseph Van Winkle) 100.00 100.00 08/31/2016 Ellen Loyd Alameda CA. 94501 0 IND 1=1 COM OTH PTY SCC Human Resources UC Berkeley 100.00 100.00 09/08/2016 Peter Ellis Alameda CA. 94501 V IND El COM OTH PTY SCC Researcher CCPA 100.00 100.00 9/11/2016 Lee Brown Alameda CA. 94501 0 IND CI com 1:10TH PTY El SCC Self Employed Local Quotient 100.00 100.00 SUBTOTAL $ 500.00 *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. Statement covers period from 07/01/2016 through 09/24/2016 SCHEDULE A (CONT.) CALIFORNIA FORM 460 Page 7 of 14 NAME OF FILER Jennifer Roloff City 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 1385651 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 09/11/2016 Alice Garvin Alameda CA. 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired Retired 100.00 100.00 09/15/2016 Darlene Gardner Alameda CA. 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Real Estate Agent Self Employed (Darlene Gardner) 100.00 100.00 09/21/2016 David Valdez Oakland CA. 94602 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Realtor Pacific Union 500.00 500.00 09/21/2016 Mary Ellen Petrisko Alameda CA. 94501 V IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Educator WASC University Commission 250.00 250.00 9/22/2016 Patricia A. Lamborn Alameda CA. 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired Retired 100.00 100.00 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 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 07/01/2016 CALIFORNIA Agri FORM w through 09/24/2016 Page 8 of 14 NAME OF FILER Jennifer Roloff City 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 OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD I.D. NUMBER 1385651 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 09/22/2016 Michael A. Gerhart Alameda CA. 94502 VIINo OCOM EIOTH El PTY SCC Retired Retired 100.00 100.00 09/22/2016 Dan G. Tuazon Alameda CA. 94501 Network A m|yst Wells Fargo 100.00 100.00 09/22/2016 George B. Humphreys Alameda CA. 94502 |wo O COM OTH U PTY LJGCC Retired Retired 100.00 100.00 09/22/2016 Patricia Gannon Alameda CA. 94502 ▪ IND 11 COM u QTH OpTY U oCC Retired Retired 100.00 100.00 9/22/2016 Dana Sack Alameda CA. 94501 21|No O COM UoTH OPTY SCC Attorney Sack Rosendin LLP 100.00 100.00 SUBTOTAL $ 500.00 *Contributor Codes |wo — |rdwuum COM — Recipient Committee (other than PTY or SCC OTH — Othe (e.8,uuoinoo entity) PTY — Political Party GCC — Gmu(|ComdoumrCommiwoe 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 SCHEDULE ^VCowT> to whole dollars. Statement covers perio from 07/01/2016 through 09/24/2018 NAME OF FILER Jennifer Roloff City Council 2016 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CALIFORNIA CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 09/22/2016 Reyla Graber Alameda CA. 94502 0|wo Ocom El OTH O PTY El scc Retired Retired 200.00 200.00 09/22/2016 Christine Kanady Alameda CA. 94501 0|wo O COM UOm U PTY E l scc Business Owner Omega Termite and Pest Control 100.00 100.00 09/08/2016 Victor Jin Alameda CA. 94501 0|wo O COM UoTH O PTY ▪ SCC Real Estate Broker Property Investment Services 100.00 100.00 OINo 0 COM UOTH UPTY LJScC SUBTOTAL $ 400.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) oTn— Other (eg, business entity) PTY — Political Party moc — amaxoonthuuto,Cummiwee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 through 09/24/2016 SCHEDULE B - PART 1 CALIFORNIA 460 FORM, Page 10 of 14 NAME OF FILER Jennifer Roloff City 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 (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 1385651 (f) ORIGINAL AMOUNT OF LOAN (9) CUMULATIVE CONTRIBUTIONS TO DATE Todd Roloff Alameda, CA. 94501 I ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Self Employed Todd Roloff Consulting $ 2,500.00 $ 0.00 ❑ PAID 0.00 ❑ FORGIVEN $ 0.00 $ 2,500.00 4/26/17 DATE DUE 0 i RATE 0.00 s 2500.00 04/26/16 DATE INCURRED CALENDAR YEAR s 2,500.00 PER ELECTION ** ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 0 PAID ❑ FORGIVEN DATE DUE RATE DATE INCURRED CALENDAR YEAR $ PER ELECTION** $ ❑ IND ❑ COM 0 OTH ❑ PTY ❑ SCC 0 PAID ❑ FORGIVEN DATE DUE RATE DATE INCURRED CALENDAR. YEAR. PER ELECTION* SUBTOTALS $ 0.00 $ 0.00 $ 2,500.00 $ 0.00 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.) NET $ 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. 0.00 0.00 0 00 (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 JNSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 through 09/24/2016 SCHEDULE C CALIFORNIA An (1 Page 11 of 14 NAME OF FILER Jennifer Roloff City Council 2016 DATE RECEIVED 8/04/2016 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER ID. NUMBER) CONTRIBUTOR CODE * /p*m INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE I.D. NUMBER 1385651 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) Gretchen Lipow Alameda CA. 94501 Retired Retired Print material and yard signs 2025.75 2025.75 O|mD OCOM U0H UPTY []GCC O|ND OCOM OOTH UPTY []8CC O|mD OCOM UOTH UPTY OSCC Attach additiona information on appropriately Iabeled continuation sheets. SUBTOTAL $ 2025.75 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 Iess than $100 � 3. Total nonmonntorycontributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10j TOTAL $ 2,025.75 0.00 2,025.75 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) pTv — Pn|ViopU=orty GCC — SmaUoum,ibmmCommixor FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule E Payments Made SEE NSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period 07/01/2016 from through 09/24/2018 Page 12 of 14 I.D. NUMBER NAME OF FILER Jennifer Roloff City Council 2016 1385651 CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc campaign con vVomn contribution (explain nonmonetary)* civic donations xanmuate0ing/uaUot 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 MTG OFC PET PHO POL 9oG 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 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 ofthe same candidate/sponsor voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Alameda Alameda, CA. 94501 FIL Filing Fees 125.00 Alameda Journal Alameda CA. 94501 PRT Newspaper Ad 108.00 Campaign Partner www.nampaignpartnnroom On-Line Web Hosting - Boston MA WEB Web hosting (ytd $145) 87.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 320.00 Schedule E Summary 1. Itemized payments made this period. (|nd U uda�Suhodu|eEoubboto|ej 2,286.64 2. Unitemized payments made this period of under sioo 49.10 0.00 3. Total interest paid this period on loans. (Enter amount homSchedule B.Po�1. Column (e).) � 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Coumn A, Line TOTAL $ 2,335.74 (Add FPPC Form 460 (Jan/2016) rppc Advice: auvice@fvnc.p,.ouv(osa/ars'urrz) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) mm ment covers period 07/01/2016 from CALIFORNIA An A through Page paeu 13 of 14 NAME OF FILER Jennifer Roloff City Council 2016 uzwmmosx 1385651 CODES: If one of the following codes accurately describes the payment, you may enter the code. Othenwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidatonling/ballot fees fundraising independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings Mon member communications MTG meetings and appearances OFC office expe PET petition circulating PHO phone banks POL polling and survey research POS postage, livery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFD returned contributions SAL salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, anu meals TRS staff/spouse travel, lodging, nd meals TSF transfer between committees ofthe same candidate/sponsor VOT voter imraUon WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Speed Pro Grap km Alameda, CA. 94501 OR DESCRIPTION OF PAYMENT AMOUNT PAID Banner Sign (ytd $359.17) 226.67 Alameda Sun Alameda CA. 94501 PRT Newspaper Ads $1,350.00 Registrar of Voters Office Oakland CA. 94612 POL Voter Registration Information 195.00 Shirasoni Resturant Alameda CA. 94501 TRS Appetizers for Volunteers 114.45 Stripe San Francisco CA. 94107 PRO Transfer Fees for Contributions 80.52 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,966.64 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jennifer Roloff City Council 2016 Amounts may be rounded to whole dollars. SCHEDULE F Statement covers period 07/01/2016 from through 09/24/2016 CALIFORNIA Agri 14 14 Page of /.D.wuwasn 385651 CODES: If one of the following codes accurately describes CMP CNS CTB CVC FIL FND IND LEG LIT campaign campaign consultants contribution (explain nonmonetary)* civic donations candidate fihing/baliot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) the paymnnt, you may enter the code. [themvise. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD RAD RFD SAL TEL TRC TRS TSF VOT WEB describe the paymenL radio airtime and production costs returned contributions campaign workers' salaries tv. 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) (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF mIS PERIOD Todd Roloff Alameda, CA. 94501 CTB (Loan to begin Campaign) 2,500.00 2,500.00 0.00 2,500.00 City of Alameda Alameda, CA. 94501 F|L 2,300.00 2,300.00 0.00 2,300.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 4,800.00 $ 4,800.00 $ 0.00 $ 4,800.00 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) INCURRED TOTALS $ 4'800.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column /, Line 0].._ ..... .......... .............. .......... ......... ................. ........ .............. _. ................... ........ ....... ........................................ NET $ PAID TOTALS $ 0.00 4,800.00 May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov