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Alameda Save Our Schools 460Recipient Committee campaign Statement over Page ;EE INSTRUCTIONS ON REVERSE COVER PAGI Statement covers period September 25, 2016 October 22, 2016 through Date of election if applicable: (Month, Day, Year) November 8, 2016 . Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. O Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Pad 5) D General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee • Primarily Formed Ballot Measure Committee Controlled 0 Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Compkte Pad 7) DCT 2 7 201 CITY OF ALAM DA ITV rI FRV'q ( PIC`P 2. Type of Statement: I Preelection Statement O Semi-annual Statement O Termination Statement (Also file a Form 410 Termination) 0 Amendment (Explain below) icial Use Only Quarterly Statement 0 Special Odd-Year Report Committee Information ID. NUMBER 1332297 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Alameda Save Our Schools - Yes on Measure B1 STREET ADDRESS (NO PO BOX) CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE 510-337-1149 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE 510-337-1149 OPTIONAL: FAX / E-MAIL ADDRESS amandashavers@gmail.com Treasurer(s) NAME OF TREASURER Amanda Shavers MAILING ADDRESS CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE 510-337-1149 NAME OF ASSISTANT TREASURER, IF ANY Lori Keep MAILING ADDRESS CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE (510) 599-5811 OPTIONAL: FAX / E-MAIL ADDRESS I.. Verification I have used all reasonable diligence inpreparing and reviewing this statement and to the best of my knowled certify under penalty of perj ry under e laws of the State of California that the foregoing Executed on Executed on Executed on Executed on Date Date Date By By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/201E FPPC Advice: advice@fppc.ca.gov (866/275-3772 lAnnn•r fnrsr. r.= an campaign Disclosure Statement 3ummary Page EE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SUMMARY PAGI Statement covers period September 25, 2016 from October 22, 2016 through mlgamolli460 IAME OF FILER Alameda Save Our Schools - Yes on Measure B1 I.D. NUMBER 1332297 .ontributions Received Monetary Contributions. Schedule A, Line 3 $ Loans Received Schedule B, Line 3 ;. SUBTOTAL CASH CONTRIBUTIONS__ ... ..... ........... Add Lines 1 + 2 $ Nonmonetary Contributions.. Schedule C, Line 3 TOTAL CONTRIBUTIONS RECEIVED._ .. .. .. Lines 3 + 4 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 27,736.00 0.00 $ 27,736.00 2,182.07 29,918.07 Column B CALENDAR YEAR TOTAL TO DATE 108,213.00 0.00 108,213.00 3,126.30 111,339.30 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 ;. Payments Made Schedule E, Line 4 $ Loans Made Schedule H, Line 3 SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ ). Accrued Expenses (Unpaid Bills).. . Schedule F, Line 3 0. Nonmonetary Adjustment.. _Schedule C, Line 3 1. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 2,709.55 $ 0.00 2,709.55 $ 0.00 2,182.07 4,891.62 $ 11,612.83 0.00 11,612.83 0.00 3,126.30 14,739.13 current Cash Statement 2. Beginning Cash Balance Previous Summary Page, Line 16 $ 3. Cash Receipts Column A, Line 3 above 4. Miscellaneous Increases to Cash Schedule 1, Line 4 5. Cash Payments. Column A, Line 8 above 6. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 81,709.72 27,736.00 0.00 2,709.55 106,736.17 7. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ 0.00 3ash Equivalents and Outstanding Debts 8. Cash Equivalents See instructions on reverse $ 9. Outstanding Debts Add Line 2 + Line 9 in Column 8 above $ 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 (mm/dd/yy) Total to Date / / $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/201E FPPC Advice: advice@fppc.ca.gov (866/275-3772 www.fppc.ca.go schedule A Monetary Contributions Received EE INSTRUCTIONS ON REVERSE 4ME OF FILER Alameda Save Our Schools - Yes on Measure B1 Amounts may be rounded to whole dollars. Statement covers period September 25, 2016 from October 22, 2016 through SCHEDULE FORNIA 4 Page I.D. NUMBER 1332297 DATE RECEIVED FULL NAME, STREETADDRESS 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 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 9/25/16 Kathleen Kelly Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC None 100.00 100.00 9/25/16 Gregor Maier Alameda, CA 94501 PI IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Software Engineer, Facebook Inc. 100.00 250.00 9/25/16 Suki Gear Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Copy Chief, Sierra Magazine 150.00 150.00 9/25/16 Marie Spark Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Lecturer, Golden Gate University 200.00 200.00 9/26/16 Doug Cochran San Francisco, CA 94103 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Sales Rep., Sharp Business Systems 150.00 150.00 SUBTOTAL $ 700.00 ;chedule A Summary . Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) $ . Amount received this period — unitemized monetary contributions of less than $100 $ . Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $ 27, 736.00 2,059.00 29, 795.00 *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 /201E FPPC Advice: advice @fppc.ca.gov (866/275 -3772 www.fppc.ca.go schedule A Monetary Contributions Received HE INSTRUCTIONS ON REVERSE ■ME OF FILER Alameda Save Our Schools - Yes on Measure B1 Amounts may be rounded SCHEDULE to whole dollars. Statement covers period September 25, 2016 from October 22, 2016 through cALIFoRNIA 6 FORM Page I.D. NUMBER 1332297 DATE RECEIVED 9/26/16 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) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) Kate Rome ® IND ❑ COM ❑ OTH PTY ❑ SCC Faculty, John F Kennedy University 200.00 500.00 9/26/16 Caryn Hoadley Alameda, CA 94501 RI IND ❑ COM ❑ OTH ❑ PTY ❑ SCC None 250.00 250.00 9/26/16 Robin Pressman Alameda, CA 94501 W IND El cam ❑ OTH ❑ PTY ❑ SCC Self- employed, Consultant 250.00 250.00 9/27/16 John Ferejohn Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Faculty, New York University 100.00 100.00 9/27/16 Jennifer Hastings Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Internet Developer, Kaiser 200.00 300.00 SUBTOTAL $ 1,000.00 ;chedule A Summary . Amount received this period — itemized monetary contributions. (Include all Schedule Asubtotals.) $ . Amount received this period — unitemized monetary contributions of less than $100 . Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) 27, 736.00 $ 2,059.00 TOTAL $ 29,795.00 *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 /201E FPPC Advice: advice @fppc.ca.gov (866/275 -3772 www.fppc.ca.go ■chedxxle A Oonetary Contributions Received EE INSTRUCTIONS ON REVERSE ME OF FILER Alameda Save Our Schools - Yes on Measure B1 DATE RECEIVED 9/29/16 Amounts may be rounded to whole doltars. Statement covers perio September 25, 2016 from October 22, 2016 through SCHEDULE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD /�NUMozn 1332297 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) Daniel Robins Alameda, CA 94502 10|mo OCOM UOTH U PTY ▪ aCC Project Manager, Cubic Corporation 100.00 100.00 10/3/16 Paulo Gallo Alameda, CA 94501 None 300.00 300.00 10/3/16 United Association of Journeymen Plumbing & Concord, CA 94518-2501 []|No O COM 1210TH El PTY []aco 500.00 500.00 10/3/16 10/3/16 NEA PTA Alameda High School PTSA 1000.00 1500.00 1000.00 1500.00 SUBTOTAL $ 3,400.00 ■chedule A Summary . Amount received this period — itemized monetary contributions. (Include all Schedule Aoobto1als.) � . Amount received this period — unitemized monetary contributions of less than $100 G . Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 27,736.00 2,059.00 29,795.00 *Contributor Codes IND — Individual oom — neupmmcommmee (other than PTY or SCC) OTH — Other (e.g., business entity) PTv — Pv|itica|Panty SoC — smaUConthbumrcommiuee FPPC Form 460 (Jan/201E FPPC Advice: advice@f pc.ca.gov (866/275-3772 w;chedule A lonetary Contributions Received EE INSTRUCTIONS ON REVERSE AME OF FILER Alameda Save Our Schools - Yes on Measure B1 DATE RECEIVED 10/3/16 Amounts may be rounded to whole dollars. Statement covers period September 25, 2016 from through October 22, 2016 SCHEDULE CALIFORNIA FOB FULL NAME, STREETADDRESS 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. N 1332 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) UMBER 297 PER ELECTION TO DATE (IF REQUIRED) Henry Haight School PTA Alameda, CA 94501 ❑ IND ❑ COM OTH ❑ PTY ❑ SCC 1900.00 1900.00 10/3/16 Edison Elementary School PTA Alameda, CA 94501 ❑ IND ❑ COM ▪ OTH ❑ PTY ❑ SCC 1999.00 1999.00 10/3/16 John W. McMillan Fort Worth, TX 96110 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC President, Inquiry by Design 5000.00 5000.00 10/4/16 Construction & Gen. Laborers Local Union 304 Issues Committee ID #1367976 Sacramento, CA 95814 ❑ IND ® COM ❑ OTH ❑ PTY ❑ SCC 1500.00 1500.00 10/4/16 Amelia Earhart PTA Alameda, CA 94502 ❑ IND ❑ COM OTH ❑ PTY ❑ SCC 1999.00 3998.00 SUBTOTAL $ 12,398.00 schedule A Summary . Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) $ . Amount received this period — unitemized monetary contributions of less than $100 . Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. ) ......................TOTAL $ 27, 736.00 2,059.00 29,795.00 *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 /201E FPPC Advice: advice @fppc.ca.gov (866/275 -3772 www.fppc.ca.go schedule A flonetary Contributions Received EE INSTRUCTIONS ON REVERSE RIME OF FILER Alameda Save Our Schools - Yes on Measure B1 DATE RECEIVED 10/5/16 Amounts may be rounded to whole dollars. Statement covers period September 25, 2016 from October 22, 2016 through FULL NAME, STREETADDRESS 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 SCHEDULE Page I . NUMBER 1332297 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) Frank Otis PTA Alameda, CA 94501 El IND ❑ COM OTH ❑ PTY ❑ "SCC 1999.00 3998.00 10/8/16 Wood Middle School PTA Alameda, CA 94501 El IND ❑ COM ® OTH ❑ PTY El scc 150.00 150.00 10/8/16 Sharon Burke Alameda, CA 94501 10 IND ❑ COM ❑ OTH ❑ PTY ❑ scc Inventory Planner, Cost Plus World Market 200.00 200.00 10/13/16 Jean Liu Alameda, CA 94501 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Teacher, Fremont Unified School District 100.00 100.00 10/15/16 Lynn Chiu- Collins Alameda, CA 94502 El IND ❑ COM ❑ OTH ❑ PTY ❑ scc Physician, Union Square Plastic Surgery 200.00 200.00 SUBTOTAL $ 2,649.00 ■chedule A Summary . Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) $ . Amount received this period — unitemized monetary contributions of less than $100 $ . Total monetary contributions received this period. 27, 736.00 2,059.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL 29,795.00 *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 /201E FPPC Advice: advice@fppc.ca.gov (866/275 -3772 www.fppc.ca.go ■chedule A llonetary Contributions Received EE INSTRUCTIONS ON REVERSE WE OF FILER Alameda Save Our Schools - Yes on Measure B1 DATE RECEIVED Amounts may be rounded to whole dollars. 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 September 25, 2016 from October 22, 2016 through AMOUNT RECEIVED THIS PERIOD SCHEDULE Page I.D. NUMBER 332297 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 10/16/16 Jennye Garibaldi Alameda, CA 94501 IND 0 COM OTH PTY o scc Content Manager, Hotwire 520.00 520.00 10/17/16 Tracy Jensen Alameda, CA 94501 RI IND O COM 0 OTH El PTY 0 SCC 120.00 120.00 10/17/16 Del Corso 14, LLC Alameda, CA 94501 0 IND 0 COM OTH O r O SCC 2500.00 2500.00 10/18/16 Lincoln Middle PTA Alameda, CA 94501 0 IND COM OTH 1=1 PTY I=1 scc 1999.00 1999.00 10/18/16 International Union of Painters & Allied Trades Hanover, MD 21076 0 IND 0 COM ▪ OTH Ell PTY ▪ SCC 2000.00 2000.00 SUBTOTAL $ 7,139.00 ■chedule A Summary • Amount received this period — itemized monetary contributions. 27,736.00 (Include all Schedule A subtotals.) . ............. . ..... ...... . $ 2,059.00 • Amount received this period — unitemized monetary contributions of less than $100 $ • Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 29,795.00 *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/201E FPPC Advice: advice@fppc.ca.gov (866/275-3772 wvvw.fonc.ca.go ;chedule A lonetary Contributions Received EE INSTRUCTIONS ON REVERSE AME OF FILER Alameda Save Our Schools - Yes on Measure B1 DATE RECEIVED 10/19/16 Amounts may be rounded to whole dollars. Statement covers period September 25, 2016 from October 22, 2016 through SCHEDULE FULL NAME, STREETADDRESS 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 I.D. NUMBER 1332297 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) Diana Gibson Pace Alameda, CA 94501 RI IND 0 COM El OTH D PTY SCC Vice President of Premier Accounts, Blue Shield of California 200.00 200.00 10/19/16 Michael Matthews Alameda, CA 94501 El IND O COM El OTH 1=1 PTY SCC Director of Engineering, Paxata 250.00 250.00 E] IND COM CI OTH PTY 0 scc D IND 0 COM OTH PTY SCC 0 IND 0 COM OTH LI PTY 0 SCC SUBTOTAL $ 450.00 ■chedule A Summary • Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) • Amount received this period — unitemized monetary contributions of less than $100 • Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 27,736.00 2,059.00 29,795.00 *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/201E FPPC Advice: advice@fppc.ca.gov (866/275-3772 www.fppc.ca.go Schedule C lonmoneta Contributions Received EE INSTRUCTIONS ON REVERSE IAME OF FILER Amounts may be rounded to whole dollars. Alameda Save Our Schools - Yes on Measure B1 DATE RECEIVED 10/8/16 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 September 25, 2016 through October 22, 2016 Page I.D. NUMBER SCHEDULE 6 of DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) Alameda Education Foundation General Purpose Committee ID #1326421 Alameda, CA 94501 ❑ IND ® COM ❑ OTH ❑ PTY ❑ SCC CMP (Voter data and mailers) 1495.45 1495.45 10/8/16 Alameda Education Foundation General Purpose Committee ID #1326421 Alameda, CA 94501 ❑ IND 62 COM ❑ OTH ❑ PTY ❑ SCC PHO (phone banking) 318.75 1814.20 10/13/16 Alameda Education Foundation General Purpose Committee ID #1326421 Alameda, CA 94501 ❑ IND Ia COM ❑ OTH ❑ PTY ❑ SCC CMP (campaing materials) 367.87 2182.07 ❑ IND ❑ COM ❑OTH ❑ PTY ❑scc Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 2,182.07 Schedule C Summary . Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) $ :. Amount received this period — unitemized nonmonetary contributions of less than $100 .......... ................._... Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ... 2,182.07 0.00 TOTAL $ 2,182.07 `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 /201E FPPC Advice: advice@fppc.ca.gov (866/275 -3772 www.fppc.ca.go Schedule E Dayments Made •EE INSTRUCTIONS ON REVERSE LAME OF FILER Alameda Save Our Schools - Yes on Measure B1 Amounts may be rounded to whole dollars. Statement covers period September 25, 2016 from October 22, 2016 through ;ODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ;MP ;NS ;TB ;VC 'IL 'ND EG IT 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 RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE CALIFORNIA An FORIVI -190 Page I.D. NUMBER 1332297 PAI 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) OR DESCRIPTION OF PAYMENT AMOUNT PAID Nmazon Marketplace Seattle, WA 98108-1226 PHO Supplies for phone banking 107.9C sland Print Express Nlameda, CA 94501 LIT Campaign literature 109.32- sland Print Express \Iameda, CA 94501 LIT Campaign literature 110.3€ Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 327.6C ichedule E Summary . Itemized payments made this period. (Include all Schedule E subtotals.) !. Unitemized payments made this period of under $100 ;. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e) ) $ I. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............ . . ............. TOTAL $ FPPC Form 460 (Jan/201E FPPC Advice: advice@fppc.ca.gov (866/275-3772 www.fppc.ca.go 2,119.01 590.54 0.00 2,709.55 Schedule E Payments Made EE INSTRUCTIONS ON REVERSE IAME OF FILER Alameda Save Our Schools - Yes on Measure B1 Amounts may be rounded to whole dollars. SCHEDULE Statement covers period September 25, 2016 from October 22, 2016 through RN, 46 CA I 0 A ,a1 I.D. NUMBER 1332297 ;ODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. :MP :NS :TB :VC "IL 'ND \JD EG IT 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 ID, NUMBER) MBR MTG OFC PET PH 0 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 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) OR DESCRIPTION OF PAYMENT AMOUNT PAID Dhuck Kapelke Nlameda, CA 94501 WEB Website domaine registration 177.0C =acebook, Inc. Oen lo Park, CA 94025 WEB Social media ads through Facebook 224.1E 3airdea Design & Marketing klameda, CA 94501 CMP "Yes on B1" stickers 354.3S Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 755.5-/ >chedule E Summary . Itemized payments made this period. (Include all Schedule E subtotals ) Unitemized payments made this period of under $100 1. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e) ) $ Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........ TOTAL $ FPPC Form 460 (Jan/201E FPPC Advice: advice@fppc.ca.gov (866/275-3772 www.fppc.ca.go 2,119.01 590.54 0.00 2,709.55 3chedule E 2ayments Made 'ss INSTRUCTIONS owREVERSE IAME OF FILER Alameda Save Our Schools - Yes on Measure B1 Amounts may be rounded to whole dollars. :ODES: If one of the following codes accurately describes :MP ;ma :TB ;VC 'IL ND �o EG IT 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 NAMEANDADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER ID, NUMBER) Statement covers perio September 25, 2016 from October 22, 2016 through the poymont, you may enter the code. Otherwise, describe the poynnonL 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 nformation technology costs (internet, e-mail) MBR MTG OFC PET PHO POL poa 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 R0 RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE CALIFORNIA 46 Pa I.D. NUMBER 1332297 of CODE OR DESCRIPTION oFPAYMENT ational Church %larneda, CA 94501 CMP Fee for using church as cavassing meet-up point AMOUNT PAID Ion Matthews PRO Insurance 660.84 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1'035.8u 3chedule E Summary . Itemized payments made this period. (Include all Schedule E subtotals.) !.UnitomizeU payments made this period uf under $10O ■. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e) ) Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .............. ............. TOTAL $ � 2,119.01 590.54 0.00 2,709.55 FPPC Form 460 (Jan/201 FPPC Advice: advice@fppc.ca.gov (866/275-3772