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Williams 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) 1099848 SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: All Committees- 13 Officeholder, Candidate Controlled Committee Q State Candidate Election Committee Q Recall (Also Complete Part 5) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party /Central Committee Statement covers period from 09/25/2016 through 10/22/2016 Complete Parts 1, 2, 3, and 4. Primarily Formed Ballot Measure Committee 0 Controlled Q Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) COVER PAGE Date of election if applicable:, (Month, Day, Year) 11/08/2016 2. Type of Statement: E3 Preelection Statement ❑ Semi- annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) CITY OF ALAIvI L CITY CLERK'S OFF For Official Use Only ICE ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 3. Committee Information I.D. NUMBER 1384281 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jennifer Williams for 2016Alameda Unified School District Board STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Alameda CA 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 CA 94501 AREA CODE /PHONE (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 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 foregoing is true and correct. Executed on Executed on Executed on Executed on 10/25/2016 Date 10/25/2016 Date Dale Date By Susan Reyes By Jennifer Williams By By Sign Signature of Controlling Officehold 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) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled 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? ❑ YES ❑ 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? ❑YES 0 N COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE -PART2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ 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 NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ 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 CA ent covers period Sta e from through 10/22/2016 09/25/2016 460 CALIFORNIA FORM Page 3 of 11 NAME OF FILER Jennifer Williams for 2016Alameda Unified School District 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 TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Column B CALENDAR YEAR TOTALTO DATE 6,700.00 22,979.00 0.00 0.00 6,700.00 22,979.00 2,349.88 4,058.15 9,049.88 $ 27,037.15 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.... ........................... .... 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment Schedule E, Line 4 Schedule H, Line 3 Add Lines 6 + 7 Schedule F, Line 3 Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... . . ...... .... Add Lines 8 + 9 + 10 7,666.47 $ 17,061.78 0.00 0.00 7,666.47 17,061.78 0.00 0.00 2,349.88 4,058.15 10,016.35 21,119.93 Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash 15. Cash Payments . Previous Summary Page, Line 16 Column A, Line 3 above Schedule 1, Line 4 Column A, Line 8 above 6,881.62 6,700.00 0.00 7,666.47 16. ENDING CASH BALANCE . Add Lines 12 + 13 + 14, then subtract Line 15 $ 5,915.15 If this is a termination statement, Line 16 must be zero. 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 (mmlddlyy) 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. SCHEDULE A Statement covers period from 09/25/2016 through 10/22/2016 CALIFORNIA A n FORM Page 4 of 11 NAME OF FILER Jennifer Williams for DATE RECEIVED 2016Alameda Unified School District Board 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 1384281 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 09/29/2016 Doric Realty, Inc. Alameda, CA 94502 0IND 0 COM OTH LI PTY Li SCC 1,500.00 1,500.00 G2016 $1,500.00 10/01/2016 Lynn Hutchins Alameda, CA 94502 IND COM OTH PTY 111 SCC Attorney Goldbarb & Amp, Lipman 100.00 100.00 G2016 $100.00 10/03/2016 Lena Tam Alameda, CA 94501 IND 0 COM LI OTH LI PTY LI SCC East Bay Mud Engineer 150.00 150.00 G2016 $150.00 10/03/2016 Penelope Washburn CA 94502 IND COM Li OTH LI PTY LI SCC Retired Professor Emerita N/A 100.00 100.00 G2016 $100.00 10/07/2016 Alex Clemens Alameda, CA 94501 Ea IND 0 COM OTH LJ PTY LI SCC Consultant Lighthouse Public Affairs 250.00 250.00 G2016 $250.00 SUBTOTAL $ 2,100.00 i,N4*44k464444440**060*00,*ORAW04•4404* Alk4,100,1/46,164414104e4.4,4410400140SARWAVANfilim, WityilMos, 10004MPIVagleft*40141AWMWWWWW6AAA0p MatateagatainaliiikaiikeiggigiaMoiltakstehganam, ?„ 4 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.) $ 6,550.00 150.00 TOTAL $ 6,700.00 *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 09/25/2016 through 10/22/2016 SCHEDULE A (CONT.) CALIFORN' FORM Page 5 11 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 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 1384281 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 10/20/2016 Deanna Dudley Alameda, CA 94502 IND ❑COM ❑ OTH ❑ PTY ❑ SCC Executive Director Kaiser Permanente 300.00 300.00 G2016 $300.00 10/20/2016 Sheila Shener Alameda, CA 94501 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC None None 100.00 100.00 G2016 $100.00 10/22/2016 Sharon Aldrich 89431 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Customer Service RJB Management Co 300.00 400.00 G2016 $400.00 10/22/2016 East Bay Women's Political Caucus PAC (ID# 1376109) Oakland, CA 94610 ❑IND OCOM ❑ OTH ❑ PTY ❑ SCC 250.00 250.00 G2016 $250.00 10/22/2016 Stephanie Lipow Alameda, CA 94501 `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 p IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Bioinformatics Analyst MSC 100.00 100.00 G2016 $100.00 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 09/25/2016 through 10/22/2016 CALIFORNIA A aft FORM Page 6 of 11 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 1384281 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 10/22/2016 Northern California Carpenters Regional Committee (ID# 972104) Oakland, CA 94621 IND COM 00TH Lil PTY LI SCC 750.00 750.00 G2016 $750.00 10/22/2016 Political Action For Classified Employees Of California School Employees Small Contributor Committee (ID# 761128) Sacramento, CA 95814 0 IND COM OTH LI PTY Lil SCC 1,300.00 1,300.00 G2016 $1,300.00 10/ 22/ 2016 Rob Morita for Assembly 2016 (ID# 1373426) Sacramento, CA 95815 0IND COM OTH PTY LI SCC 1,000.00 1,000.00 G2016 $1,000.00 10/22/2016 Heidi Schubert Alameda, CA 94502 IND COM Lil OTH LI PTY LI SCC President Digital Concrete 250.00 250.00 G2016 $250.00 10/22/2016 Henry Villareal Alameda, CA 94501 IND 0 COM LI OTH El PTY SCC Dean, Enrollment Services College of San Mateo 100.00 100.00 G2016 $100.00 SUBTOTAL $ 3,400.00 1:714t;10,,„,:=44:71:)==4,111114104 WW))44440004(WOOKOANWeANWOM00())(4Y, '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 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 09/25/2016 through 10/22/2016 SCHEDULE C CALIFORNIA 460 FORM Page 7 of 11 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 ID. NUMBER) CONTRIBUTOR CODE * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE I.D. NUMBER 1384281 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) 10/13/2016 Alameda Education Association Political Action Committee (ID# 1326421) Alameda, CA 94501 0IND COM LIJ OTH LI PTY O SCC Misc Campaign Materials (CMP) 367.87 2,671.13 G2016 $2,671.13 10/22/2016 Alameda Education Association Political Action Committee (ID# 1326421) Alameda, CA 94501 DIND COM LI OTH PTY SCC Campaign Materials 489.06 2,671.13 G2016 $2,671,13 10/22/2016 Alameda Education Association Political Action Committee (ID# 1326421) 0IND COM O 0TH PTY SCC Campaign Materials 1,442.95 2,671.13 G2016 $2,671.13 EIND 000M OTH PTY L ISCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 2,299.88 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 $ 2,349.88 (014.404*04w4(AgtgAttit.:,1,',WW0iWAROO L\k,,k;i1I,igkitiiiit,1)itetattKeelk IRK)F.A01,ros,,kaqpitt,,I414/44 2,299.88 50.00 *Contributor Codes IND —InthyiduM 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. Statement covers period from 09/25y2016 through 10/22/2016 SCHEDULE E CALIFORNIA A FORM NAME OF FILER 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. CUP CNS C7B CVC FIL FND ND LEG UT 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 I.D. NUMBER) MBR MTG OFC PET PHO POL Pon PRO FRT member communications meetings arid appearances office expenses petition circulating phone banks polling and survey research pontaoe, delivery and messenger services professional services (|uoo|, accounting) print ads RAD RFD SAL TEL TRC TRS Tar VOT WEB Page 8 I.uwuwaen 1384281 of 11 radio airtime and production costs returned contributions campaign workers' salaries u/ or cable airtime and pmduction costs candidate travel, lodging, and meals staff/spouse travel, |odginq, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Alliance Campaign Strategies Pleasanton, CA 94566 CNS 1,500.00 David L. Gould Company Long Beach, CA 90802 CNS 200.00 David L. Gould Company Long Beach, CA 90802 CNS 955.20 * Payments tha are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,655.20 Schedule E Summary 1. Itemized payments made this period. (lnclude all Schedule E subtotals.) 7,62 1.71 2. Unitemized payments made this period of under 1 00 44.76 3. Total interes paid this period on loans. (Enter amount from Schedule B. Part t Column (e)] .......... ..... --...... _--................. --~..... --0 ».»» 4. Total payments made this period. (` dUnoo1.2.and3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ ''so«.m FPPC Form 460 (Jan/2016) pPPC Toll-Free Helpino:osVmnN-FpPc(uaua7s-3r7o 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 09/25/2016 through 10/22/2016 4'60 CALIFORNIA II FORM Jennifer Williams for 2016Alameda Unified School District Board Page 9 I.D. NUMBER 1384281 of 11 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNF' CNS CTB CVC FIL FND ro LEG Lft 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 MTG 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 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Coalition For Senior Citizen Security (ID# 592015) Los Angeles, CA 90039 LIT 325.00 Council for Concerned Woman Voters (ID# 1226327) Los Angeles, CA 90039 LIT 385.00 Democracy Engine LLC Washington, DC 20009 OFC 6.02 Election Digest (ID# 1345303) Torrance, CA 90501 LIT 390.00 Democracy Engine LLC Washington, DC 20009 OFC 3.95 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,109.97 FPPC Form 460 (Jan/2016) mr-trIn 1,..-- nen., tsife, ,r9r4, n is I et-> Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period from 09/25/2016 through 10/22/2016 NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board CALIFORNIA FORM Page 10 of 11 1384281 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, GNP CNS CTB CVC FIL FND ND LEG LET campaign paraph maliahnisn campaign consultants contribution (explain nonmonetary)w civic donations candidate filing/baUptleao 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. NUMBER) MBR MTG OFC PET PHO POL pOS FRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postaoo, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB describe the payment. radio airtime and production costs returned contributions campaign workers' salaries t.x or cable airtime and production costs candidate travel, lodgi nd meals staff/spouse travel, |odginA, and meals transfer between committees of the same candidate/sponsor voter istraUvn information technology costs (internet, e-mail) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Encinal Market Alameda, CA 94501 MTG 62.86 Susan Reyes Alameda, CA 94501 PRO 375.00 Handled With Care Mailing Service San Leandro, co 94577 POS Alliance Campaign Strategies Pleasanton, CA 94566 LIT 928.45 Alliance Campaign Strategies Pleasanton, CA 94566 CMP 696.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,826.28 FPPC Form 460 (Jan/2016) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period from 09/25/2016 through 10/22/2016 CALIFORNIA 4360 FORM NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board Page 11 I.D. NUMBER 1384281 of 11 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, CNP CNS CTB CVC FIL FND ND LEG LfT 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 MTG OFC PET PHO POL POS FRO 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 RAD RFD SAL TEL TRC IRS TSF VOT VVEB describe the payment. 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Democracy Engine LLC Washington, DC 20009 OFC 30.26 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 30.26 FPPC Form 460 (Jan/2016) rrerses T.-1111 IP- 1 It 11P, IS I A ett, 1-rann ine,,en-re