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McKereghan 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from through 1. Type of Recipient Committee: All Committees —Complete Par te 1, 2, 3, and 4. Fr Officeholder, Candidate Controlled Coinmittee O State Candidate Election Committee O Recall (Also Con;o) ate Perf 5) El General Purpose Committee O Sponsored. O Small Contributor Committee O Political Party/Central Committee 3. Committee information /3RZ6 72. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) AavAie lie Ke 4u sz 5C.11001. RdAitta Zo te, El Prirharily kirmed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Corttplafe Ps( 8) El Primarily Formed Candidate/ Officeholder Committee (Also Complete Pelf 7) I.D. NUMBER sTREETAWREtis (Nc$0.d.'ijoX) CITY STATE ZIP CODE CA- 9443-01 maiLigoADONEs (IF DIFFERENT) NO, AND STREET OR P.O. BOX CITY OPTIONAL FAX / E-MAILADDRESS AREA CODE/PHONE • • (570)629.-02So STATE ZIP CODE ARE/k CODE/PHONE /IWIE g 414,4/e 4 ,44-4.0eD4 s .copi SEC Al e a Cot, Tty Date of election If applicable: (Month, Day, Year) OCT 26 2016 NOV: 0&,.?eit6 2. Type of Statement: Er Preelection Statement '0 Seml-annual Statement O Termination Statement (Also tile a Form 410 Termination) o Amendment (Explain below) of Vs terg Treasurer(s) NAM TRE8URER'"'""""' ,54/?4,/ eh//S MAILIKG'AbbilEs'O'" T-ry Ac•amitk f446.4EOFABBIsTANT tREAsUREkiF ANY' MPJLIWGADDRESS CITY OPTIONAL: 'FAiti E4,4AiLAbbREeb 4. Verification I have used all reasonable diligence In preparing and reviewing this statement and to the beat of my knowledge certify under penalty of per/ under th laws of the State of California that the foregoing o and correct. 0 X / Executed on I DatO 0 I Z- (6 Exeouted on Executed on a Executed on Date COVER PAGE CALIFORNIA 460 FORM Page of_______ For Official Use Only O Quarterly Statement O Special Odd-Year Report 'ziocoDE CA 94460/ STATE ZIP CODE AREA CODE/RH311r—' (57) 5%79 -5-8(1 ........ AREA coDE/PHONE on contalned ereln and In the attached schedules Is true and complete. I Proponent traiiitiiie otControiiing Olflcehaldar, Cendldate, State Meaauie PMponant 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 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE,' Anne McKereghan . OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Alameda Unified School District (NO. AND STREET) CITY STATE ZIP 324. Kitty Hawk Road # 304 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 ID:NUMBER • NAME OF TREASURER CONTROLLED COMMITTEE? YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. 86X) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER • NAME OF TREASURER ' ' CONTROLLED COMMITTEE? - DYES LJNO • COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) • • : : CITY STATE ZIP CODE AREA CODE/PHONE arily Formed Ballot Measure Committee • 'DF BALLOT MEASURE • '' "'I.: 'BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CA If 1 s ORNA 460 I ORM Page of I0 SUPPORT 0 OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. W 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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD Attach continuation sheets If necessary SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE 0 SUPPORT D OPPOSE 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 NAME OF FILER Anne McKereghan for AUSD School Board 2016 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 Expenditures Made 6. Payments Made Schedule'E, Line 4 $ 7. Loans Made Schedule H, Line 3 8. .SUBTOTAL CASH PAYMENTS Add lines 8 + 7 $ 9. Accrued Expenses (Unpaid Bills) Schedule F, Lino 3 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ •■■ Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts Column A, Una 3 above 14. Miscellaneous Increases to Cash ........ ............. Schedule!, Line 4 15. Cash .Payments 16. ENDING CASH BALANCE Previous Summary Page, Line 16 $ • Column A, Line 8 above Add Lines 12+ 13 + 14, then subtract Line 15 $ 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 ....................... See instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ Amounts may be rounded to whole dollars. Statement covers period 09/25/2016 from through 'Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHEO SCHEDULES) TOTAL TO DATE 1,450:00 1,450.00 1,450.00 7,144.00 500.00 7,644.00 SUMMARY PAGE CALIFORNIA A an FORM °TM 10/22/2016 3 Page of I.D. NUMBER 1382672 1 Calendar Year SUMMary for Candidates Running in Both the State Primary and General Elections 5 1/1 through 6/30 711 to Date 20. Contributions • ' Received $ 21. Expenditures 7,644.00 = Made 732.21 $ • 4;258.20 732.21 $ 4,258.20 732.21 $ 4,258.20 MI= Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expandllure Limit) Date of Election (mm/dd/yy) $ Total to Date 2,668.01 1,450.00 To calculate Column B, add amounts ip Column • Ato the corresponding *Amounts In this section may be different from amounts amounts from Column B reported In Column B. 732.21 of your last report. Some 3,385.80 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). .1: 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 NAME OF FILER Anne McKereghan for AUSD School Board 2016 • 'DATE • RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER W. NUMBER) Marilyn Ashcraft 09/26/16 • Alameda, CA 94501 California Real Estate PAC 10/03/16 • Los Angeles., CA 90020 Amounts may be rounded to whole dollars. FAN 'INDIVIDUAL, ENTER CONTRIBuRni: OCCUPATION AND EMPLOYER CODE * • ;(IF:SELF-EMPLOYED, ENTER NAME OF BUSINESS) el IND 0 COM 0OTH PTY o SCC 0 IND COM OTH 0 PTY SCC 0 IND 0 COM OTH 0 PTY scc 0 IND 0 COM OTH PTY scc 0 IND 0 COM O OTH 0 PTY 0 scc Self-Employed, Attorney/Mediator Statement covers period 09/25/2016 from through 10/22/2016 AMOUNT RECEIVED THIS PERIOD $100.00 SCHEDULE A CALIFOIRNIA 460 FORM Page I/ of I.D. NUMBER 1382672 CUM/I:JOVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) $100.00 $1,000.00 $1,000.00 SUBTOTAL $ 1,100.00 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 $ 1,100.00 350.00 1,450.00 ir'1;i1 • 4,10.„1C;23+444■44'.• '1;4 ; 14,3,11:0110kii kottnaL,,i, • *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 E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Anne McKereghan for AUSD School Board 2016 • Amounts may be rounded to whole dollars. MOON - CODES: If one Of the following codes accurately describes,the payment, you may enter the code. Otherwise, describe the payment. Statement covers period 09/25/2016 from through 10/22/2016 CMP campaign paraphemalialmIsc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supportingtoppesing others (explain)* LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMM!! E, ALSO ENTER ID. NUMBER) . 5000 Shoreline Court, #300 South San Francisco, CA 94080 MBR. member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD RFD SAL TEL TRC TRS .TSF VOT WEB SCHEDULE E CALIFORNIA 460 FORM Page 5 of I.D. NUMBER 1382672 radio airtime and production costs retumed 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 candkiatelsponsor voter registration information technology costs (Internet, e-mail) CODE OR DESCRIPTION OF PAYMENT. CMP :* Payrnents that are contributions or Independent expenditures must also be summarized on Schedule D. Schedule E Summary • 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $100 SUBTOTAL $ 3. Tdtal 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 $ FPPC Form 460 (Jan/Z016) FPPC Advice: advice@fppc.ca.gov (866/175-3772) www.fppc.ca.gov AMOUNT PAID 648.00 648.00 84.21 732.21