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Kennedy-Kearney 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period 09/25/2016 from 10/26/2016 through Date of election if applicable. ) (Month, Day, Year) 11/08/2016 COVER PAGE te .4*1 • OCT 27 2016 CALIFORNIA 460 FORM of CITY OF ALAMEDA CITY CLERK'S OFFICE or Official Use Only 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. IZ1 Officeholder, Candidate Controlled Committee • State Candidate Election Committee O Recall (A(so Complete Part 5) [11 General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee O Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: O Preelection Statement LJ Semi-annual Statement • Termination Statement (Also file a Form 410 Termination) O Amendment (Explain below) 0 Quarterly Statement 0 Special Odd-Year Report 3. Committee Information I.D. NUMBER 1388408 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Reelect the Kevins 2016 STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE 510-748-1898 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 Dan Tuazon Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE 510-332-3177 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 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 foregoin • is nd correct 10/24/16 Date 10/24/16 Date By By Date 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 Agin FORM 10 '10 Page 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Kevin Kennedy and Kevin Kearney OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City of Alameda Treasurer/ City of Alameda Auditor RESIDENTIAUBUSINESS 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? [i] YES 11 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? D YES LI NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE BALLOT NO. OR LETTER JURISDICTION SUPPORT El 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 Candi▪ date/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 LI SUPPORT OPPOSE LI LI SUPPORT OPPOSE D SUPPORT LI OPPOSE O SUPPORT El 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 Statement covers period 09/25/2016 from 10/26/2016 through CALIFORNIA 460 NAME OF FILER FORM Page of I.D. NUMBER 1388408 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 $ 6,200.00 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 700.00 5,500.00 6,200.00 Column B CALENDAR YEAR TOTAL TO DATE 14,570.99 5,500.00 20,070.99 20,070.99 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ 21. Expenditures Made 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 $ 10,226.52 $ 10,226.52 19724.52 19,724.52 10,226.52 $ 19,724.52 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 4,372.99 6,200.00 15. Cash Payments ..................... ............ ..... column A, Line 8 above 10,226.52 16. ENDING CASH BALANCE ..... ... .........Add Lines 12 + 13 + 14, then subtract Line 15 $ 346.47 If this is a termination statement, Line 16 must be zero. 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 $ 5,500.00 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 DATE RECEIVED 10/3/16 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 09/25/2016 CALIFORNIA FORM through 10/26/2016 Page AMOUNT RECEIVED THIS PERIOD SCHEDULE A I.D. NUMBER 1388408 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) Berg Injury Lawyers Modesto, CA 95355 ❑ IND i7j COM ❑ OTH ❑ PTY ❑ SCC 200 200 10/18/16 Tammy Shojinaga Alameda, CA 94501 m IND ❑ COM ❑ OTH ❑ PTY ❑ scc Owner Flynn, Shojinaga and Associates 100 100 9/27/16 Ann Whisenant Alameda, CA 94501 ® IND ❑COM ❑ OTH ❑ PTY ❑ SCC Nurse Kaiser Permanente 100 100 10/11/16 Susan Erdmann Alameda, CA 94501 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Teacher Alameda Unified School Dst 100 100 9/27/16 Reyla Graber Alameda, CA 94502 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired 200 200 SUBTOTAL $ 700.00 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 $ 700.00 700.00 0 *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. Statement covers period from 09/25/2016 through 10/26/2016 SCHEDULE B - PART 1 CALIFORNIA 460, FORM Page NAME OF FILER 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 * ) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST PAID THIS PERIOD I.D. NUMBER 1388408 (f) ORIGINAL AMOUNT OF LOAN is) CUMULATIVE CONTRIBUTIONS TO DATE Kevin Kennnedy Alameda, CA 94501 t® IND ❑ COM ❑ OTH 0 PTY ❑ SCC Financial Planner Kevin Kennedy, LLC 0 2,500 ❑ PAID ❑ FORGIVEN 2,500 03/31/17 DATE DUE 0 RATE 2 500 10/17/16 DATE INCURRED CALENDAR YEAR s 2,500 PER ELECTION" Kevin Kearney Alameda, CA 94501 lj IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Kevin Kennedy Alameda, CA 94501 ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Certified Public Accountant Kevin Kearney, CPA 2,500 ❑ PAID ❑ FORGIVEN $ 2.500 03/31/17 DATE DUE 0 RATE 2,500 10/17/16 DATE INCURRED CALENDAR YEAR s 2,500 PER ELECTION** Financial Planner Kevin Kennedy, LLC 500 ❑ PAID ❑ FORGIVEN 500 03/31/17 DATE DUE 0 RATE 500 10/26/17 DATE INCURRED CALENDAR YEAR 3000 PER ELECTION** SUBTOTALS $ 5,500 $ 5,500 $ 0 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. NET $ 5,500 0 5,900 (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 E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole doltars. Statement covers period 09/ 25/2016 from SCHEDULE E CALIFORNIA FORM Page of NAME OF FILER CODES: If one of the following codes accurately describes the paymert, you may enter the code. Othenwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign 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 LD. NUMBER) MBR MTG OFC PET PHO POL poa PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polting and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE RAD RFD SAL TEL TRC TRS TSF VOT WEB uzwuwmER 1388408 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 ofthe same candidate/sponsor voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT AMOUNT PAID Alameda Sun Alameda, CA 94501 PRT Newspaper Ads 9,461.76 Cairdea Design Alameda, CA 94501 CMP Signs, magnets 755.46 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUgTOTAL* 10,217.22 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 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 $ 10,217.22 9.30 0 10,226.52 FPPC Form 460 (Jan/2016 FPPC Advice: advice@fppc.ca.gov (866/275-3772