Democratic Club 460Recipient Committee
Type or print in ink.
COVER PAGE
Campaign Statement
oat tamp
• 1
e
Cover Page
(Government Code Sections 84200- 84216.5)
Statement covers period
Date of election if applicable:
OCT 2 4 q
ag —� of
(Month, Day, Year)
6
or Official Use Only
from 9/25/2016
G'Wy
SEE INSTRUCTIONS ON REVERSE
through 10/22/2016
11/8/2016 C1
,t
C � RKLAMEDA
's
1. Type of Recipient Committee: All Committees - Complete Parts 1.2.3, and 4.
2. Type of Statement:
❑ Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
0 Preelection Statement
❑ Quarterly Statement
O State Candidate Election Committee
O Recall
Committee
O Controlled
❑ Semi - annual Statement
❑ Special Odd -Year Report
(Also Complete Part 5)
O Sponsored
❑ Termination Statement
El Supplemental Preelection
(Also Complete Pail 6)
(Also file a Form 410 Termination)
El
Statement - Attach Form 495
� General Purpose Committee
Amendment (Explain below)
O Sponsored
❑ Primarily Formed Candidate/
O Small Contributor Committee
Officeholder Committee
• Political Party /Central Committee
(Also complete Part 7)
3. Committee Information
I.D. NUMBER
1275389
Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
CITY OF ALAMEDA DEMOCRATIC CLUB
STREET ADDRESS (NO P.O. BOX)
333 HAIGHT AVE.
CITY STATE ZIP CODE AREA CODEIPHONE
ALAMEDA CA 94501 (510) 523 -2263
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
P 0 BOX 2723
CITY STATE ZIP CODE AREA CODE/PHONE
ALAMEDA CA 94501
NAME OF TREASURER
Mike McMahon
MAILING ADDRESS
333 Haight Ave
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
STATE ZIP CODE AREA CODE/PHONE
CA 94501 (510) 523 -2263
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX! E -MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS
mike.mcmahon @yahoo.com Treasurer: mike.mcmahon @yahoo.com
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informatidh 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.
Executedon 10/23/2016 gy.afs -
Data Signature of Treasurer or Ass fidtant Treasurer ..o,.m...«. ,.
Executed on By
Data Signature of Controlling Officeholder, Candidate, State Meawre Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By FPPC Form 460 (January /05)
Dam Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Tall -Free Helpfine: 8661ASK -FPPC (8661275 -3772)
State of Califomia
2093882 -0
Recipient Committee Type or print in ink.
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT
❑ OPPOSE
STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
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. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate /Officeholder Committee List names of
❑ YES ❑ NO officeholder(s) or candidates) for which this committee is primarily formed.
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF BALLOT MEASURE
COVER PAGE - PART 2
Page of
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY
NAME OF TREASURER I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY
2093882-0
STATE ZIP CODE AREA CODE7PHONE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
[:]OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
[:]SUPPORT
[:]OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
[:]SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK.FPPC (866!275 -3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON
NAME OF FILER
CITY OF ALAMEDA DEMOCRATIC CLUB
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 9/25/2016
through 10/22/2016
SUMMARY PAGE
Contributions Received
Payments Made ........................... ;.:::......................... Schedule E, Line 4
Column A
TOTAL THIS PERIOD
Column B
CALENDAR YEAR
Calendar Year Summary for Candidates
............................... Schedule H, Linea
$0.00
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
Running in Both the State Primary and
1. Monetary Contributions ................. ...............................
schedule A, Linea
$8,358.00
$8,358.00
General Elections
2. Loans Received ........................... ...............................
Schedule B, Line 3
$ 0.00
$ 0.00
111 through 6130 711 to Date
TOTAL EXPENDITURES MADE
. ............................... Add Lines 9 +9 +10
$8,404.00
figures that should be
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ....... _ ......................
Add Lines 1 +2
$8,358.00
$8,358.00
Received
4. Nonmonetary Contributions ............ ...............................
Schedule Linea
$0.00
$0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...............................
Add Lines 3 + 4
$8, 358.00
$8, 358.00
Made
Expenditures Made
6.
Payments Made ........................... ;.:::......................... Schedule E, Line 4
$8,404.00
7.
Loans Made ................................
............................... Schedule H, Linea
$0.00
8.
SUBTOTAL CASH PAYMENTS
Add Lines 6 +7
$8,404.00
9.
Accrued Expenses (Unpaid Bills
Schedule F, Linea
$0.00
10.
Nonmonetary Adjustment
schedule C, tine 3
$0.00
11.
TOTAL EXPENDITURES MADE
. ............................... Add Lines 9 +9 +10
$8,404.00
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 a above
16. ENDING CASH BALANCE ............... Add tines 12 + 13 + 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED . ............................... schedule e, 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
2093882 -0
$8,404.00
$0.00
$8,404.00
$0.00
$0.00
$8,404.00 1
$321.50
To calculate Column B, add
$8,358.00
amounts in Column A to the
corresponding amount
$0.00
from Column B of your last
$8, 404.00
report. Some amounts in
Column A may be negative
$275.50
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
$0.00
carry over the amounts
from Lines 2, 7, and 9 (if
any).
$0.00
$0.00
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mnVdd/yy)
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8662753772)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CITY OF ALAMEDA DEMOCRATIC CLUB
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 9/25/2016
10/22/2016
through
Page
I.D. NUMBER
1275389
SCHEDULE A
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE`
(IF SELF - EMPLOYED. ENTER NAME
RECEIVED THIS
PERIOD
CALENDAR YEAR
(JAN.1 -DEC. 31)
TO DATE
(IF REQUIRED)
OF BUSINESS)
10/3/2016
IAFF Local 689 PAC
❑ IND
$8,358.00
$8,358.00
PO Box 727
COM
Alameda, CA 94501
❑ OTH
COMMITTEE ID: 890076
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$
Schedule A Summary
1. Amount received this period - itemized monetary contributions. $8, 358.00
(Include all Schedule A subtotals.) .................................................................................. ...............................
2. Amount received this period - unitemized monetary contributions of less than $100 $0.00
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ............ ............................... TOTAL $2,358.00
2093882 -0
"Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Parry
SCC - Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CITY OF ALAMEDA DEMOCRATIC CLUB
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 9/25/2016
10/22/2016
through
SCHEDULE E
Page WE of
I.D. NUMBER
I 1275389
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production
CNS
campaign consultants
MTG-
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing /ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
IND
independent expenditure supporting /opposing others (explain)*
POS !
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Kathy Shipley Firefighters Print & Design
1780 Creekside Oaks Drive
Sacramento, CA 95833
LIT
$8,368.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
Schedule E Summary
1. Itemized payment made this period. (Include all Schedule E subtotals.) ............................... $8,368.00
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.) ............
2093882 -0
$36.00
$0.00
$8,404.00
FPPC Form 460(January/05)
FPPC Toll -Free Helpline: 866/ASK.FPPC (868!275.3772)