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One Alamedan for Mediation 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE ro Statement covers period 09/25/16 10/27/16 hrough COVER PAGE Date of election if applicab (Month, Day, Year) 11/08/16 2r? 2016 CITY OF ALAME I CLERK'S OFF A CE icial Use Only . Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee O State Candidate Election Committee Q Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee gl Primarily Formed Ballot Measure Committee ® Controlled O Sponsored (Also Complete Pert 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Cc nplele Part 7) 2. Type of Statement: Preelection Statement Semi- annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report ▪ Committee Information 1 133916�L6 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) One Alamedan for Mediation (Enforceable); YES on L1 CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE (510) 865 -7369 MAILING ADDRESS (IF DIFFERENT) NO. AND S EET OR P.O. BOX CITY Alameda STATE ZIP CODE AREA CODE /PHONE CA 94501 same OPTIONAL: FAX / E -MAIL ADDRESS Treasurer(s) NAME OF TREASURER Jeff Cambra CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY N/A STATE ZIP CODE CA 94501 AREA CODE/PHONE (510) 865 -7369 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and corr-, t. 10/26/16 Executed on Executed on Executed on Executed on Date bate Date Date By By By By rmation c. tined herein and in the attached schedules is true and complete, I Signature of rolling Officeholder, Candidate, uta Measure Proponent or R Other of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder Candidate, State Measure Proponent FPPC Advice: advice FPPC Form 460 (Jan /2016) ppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALJBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 RNIA Ann FORM -1r 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE The Rent Stabilization Act BALLOT NO. OR LETTER L1 JURISDICTION City of Alameda ® 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 offlceholder(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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD ❑ SUPPORT ❑OPPOSE ❑ 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) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. 0 Statement covers per 09/25/16 10/27/16 through SUMMARY PAGE CALIFORNIA 460 FORM. Page NAME OF FILER One Alamedan for Mediation (enforceable); Yes on L1 I.D. NUMBER 1391626 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) $2102 0 $2102 0 $2102 $ $ Column B CALENDAR YEAR TOTAL TO DATE $2102 $2102 0 $2102 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 $ $2102 0 $2102 0 0 $2102 $2102 0 $2102 0 0 $2102 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 0 17. LOAN GUARANTEES RECEIVED Schedule 8, 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 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 Unes 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (IT 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. Statement covers period 09/25/16 from 10/27/16 through SCHEDULE A CALIFORNIA 460 FORM NAME OF FILER One Alamedan for Mediation (enforceable); Yes on L1 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 1391626 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 10/11/16 Jeff Cambra Alameda, CA 94501 g) IND 0 COM OTH PTY SCC Self Employed Festival Productions $400 $400 10/16/16 Jeff Cambra Alameda, CA 94501 giro Doom DOTH PTY ▪ SCC Self Employed Festival Productions $591 $991 10/20/16 Jeff Cambra Alameda, CA 94501 101IND 0 COM O OTH PTY SCC Self Employed Festival Productions $702 $1693 10/28/16 Jeff Cambra Alameda, CA 94501 RI IND O COM O OTH PTY ▪ scc Self Employed Festival Productions $409 $2102 OIND 0 COM • OTH ▪ PTY ▪ SCC SUBTOTAL $ $2102 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 ....... . ..... . ..... $ $2102 3. Total monetary contributions received this period. 0 $2102 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ *Con ributor 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 D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 09/25/16 10/27/16 through NAME OF FILER One Alamedan for Mediation (enforceable); Yes on L1 SCHEDU CALIFORNIA A og+ u FORM Page I.D. NUMBER 1391626 ED DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQ(JIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 10/11/16 Measure L1 City of Alameda la Support 0 Oppose o Monetary Contribution o Nonmonetary Contribution ei Independent Expenditure Alameda Sun Newpaper Article $400 $400 10/16/16 Measure L1 City of Alameda 10/20/16 Support 0 Oppose Measure L1 City of Alameda o Monetary Contribution o Nonmonetary Contribution Independent Expenditure Alameda Sun Newpaper Article $591 $991 giSupport 0 Oppose o Monetary Contribution o Nonmonetary Contribution 121 Independent Expenditure Alameda Sun Newpaper Article $702 SUBTOTAL $ $1693 $1693 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) 2. Unitemized contributions and independent expenditures made this period of under $100 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ $2102 0 $2102 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Amounts may be rounded to whole dollars. SCHEDU E D (CONT.) Statement covers period 09/25/16 from 10/27/16 through NAME OF FILER One Alamedan for Mediation (enforceable); Yes on L1 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REWIRED) AMOUNT THIS PERIOD CALIFORNIA 460 FORM Page t9 I.D. NUMBER 1391626 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 10/28/16 Measure L1 City of Alameda gl Support 0 Oppose O Monetary Contribution O Nonmonetary Contribution gl Independent Expenditure Alameda Sun Newspaper article $409 $2102 O Support 0 Oppose O Monetary Contribution o Nonmonetary Contribution O Independent Expenditure O Support o Oppose Monetary Contribution o Nonmonetary Contribution O Independent Expenditure O Support 0 Oppose O Monetary Contribution o Nonmonetary Contribution O Independent Expenditure SUBTOTAL $ $409 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 NAME OF FILER One Alamedan for Mediation (enforceable); Yes on Li Amounts may be rounded to whole dollars. fro Statement covers perio 09/25/16 10/27/16 through SCHEDULE E CALIFORNIA A60 FORM Page of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS on CVC FIL FND IND LEG LIT campaign paraphernalla/misc. campaign consultants contribution (explain nonmonetaryr civic donations candidate filing/ballot fees fundraising events independent expenditure ng others (explain)* legal defense campaign literature and mailings 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 uzwumosn 1391626 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL tv. or cable airtime and production costs TRC candidate travel lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer betw ancvmmimaoeu,meoamovonuioatemponvo, VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS opPAYEE (IF COMMITTEE, ALSO ENTER 1,13, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Alameda Sun Alameda, CA 94501 PTR $400 Alameda Sun Alameda, CA 94501 PTR Alameda Sun Alameda, CA 94501 PTR * Payments tha are contributions or independen expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) � 2. Unitemized payments made this period of under $100 � 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part $2102 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6 ) TOTAL $ $591 $702 $1693 $2102 0 U FPPC Form 460 (Jan/2016 FPPC Advice advice@fppc.ca.gov (866/275-3772 mwwfppc^a.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers per od 09/25/16 from 10/27/16 through CALIFORNIA FORM NAME OF FILER One Alamedan for Mediation (enforceable); Yes on L1 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT 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 CODE Page NUMBER 1391626 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e mail) OR DESCRIPTION OF PAYMENT AMOUNT PAID Alameda Sun Alameda, CA 94501 PTR $409 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $409 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov