Tam 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
1108693
SEE INSTRUCTIONS ON REVERSE
Statement covers period Date of election if applicable:
(Month, Day, Year)
11/08/2016
2. Type of Statement:
from
10/23/2016
through 12/31/2016
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
O Recall
(Also Complete Part 5)
0 General Purpose Committee
O Sponsored
0 Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
O Primarily Formed Ballot Measure
Committee
0 Controlled
o Sponsored
(Also Complete Part 6)
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1387962
COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE)
Tam for Council 2016
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE
Alameda CA 94501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE
OPTIONAL: FAX / E-MAIL ADDRESS
ZIP CODE
AREA CODE/PHONE
(510)590-4536
AREA CODE/PHONE
0 Preelection Statement
Semi-annual Statement
O Termination Statement
(Also file a Form 410 Termination)
O Amendment (Explain below)
Stan'/
COVER PAGE
CAt.;FORNIA Ann
FORM
JAN 26 20i■
Page 1 of 9
CITY OF AL
..FD,4\ For Official Use Only
JP,
CITY CLEPK",z,', C) '!"!Cr:
Treasurer(s)
NAME OF TREASURER
Susan Reyes
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX / E-MAIL ADDRESS
ssjreyesecorricast.net
O Quarterly Statement
O Special Odd-Year Report
O Supplemental Preelection
Statement - Attach Form 495
STATE ZIP CODE
CA
94501
STATE ZIP CODE
111■11.1■101
AREA CODE/PHONE
(510)882-4536
AREA CODE/PHONE
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
www.netfile.com
01/23/2017
Dale
01/23/2017
Date
Dale
Date
By
Susan Reyes
By Lena Tam
By
By
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 460
FORM
Page 2 Of 9
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Lena Tam
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Member
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?
0 YES ri 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?
0 YES 0 NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
www.netfile.com
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
0 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. 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
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
0 SUPPORT
0 OPPOSE
0 SUPPORT
0 OPPOSE
O SUPPORT
LIJ OPPOSE
O SUPPORT
O 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 REVESE
NAME OF FILER
Tam for Council 2016
Contributions Received
Amounts may be rounded
to whole dollars.
1 Monetary Contributions Schedule A, Line 3 $
2. Loans Received Schedule 8, Line 3
J. SUBTOTAL CASH CONTRIBUTIONS Add Lines /~c $
4. Nonmonetary Contributions Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines x~4 $
Expenditures Made
6. Payments Made Schedule E, Line 4 $
T. Loans Made Schedule H, Line 3
O. SUBTOTAL CASH PAYMENTS Add Lines s~r $
S. Accrued Expenses (Unpaid Bills) Schedule F, Line x
10. Nonmonetary Adjustment Schedule C, Line 3
11. TOTALEXPENDITURES MADE Add Lines a~o~m $
Current Cash Statement
12. Beginning Cash Balance Previous Summary Page, Line m $
13. Cash Receipts Column A, Line 3 above
14. Miscellaneous Increases to Cash Schedule I, Line v
15. Cash Payments Column A, Line aabove
16. ENDING CASH BAL.ANCE Add Lines 1x~m~w. then subtract Line m $
If (his is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED Schedule �mmu s
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions nnreverse $
19. Outstanding Debts Add Line e~ Line om Column oabove $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
1,819.99
0.00
1'uzy.yy
0.00
1,819.99
5,069.33
0.00
5,069.33
0.00
0.00
5,069.33
11,533.46
1,819.99
0.00
5,069.33
8,284.12
0.00
0.00
867.00
�
�
�
p
Statement covers period
from
through
Column B
CALENDAR YEAR
TOTALTO DATE
us.«ss.u*
867.00
26,302.26
670.00
26,972.26
z1'sy^.rw
0.00
21,994.74
0.00
670.00
22,664.74
10/23/2016
12/31/2016
SUMMARY PAGE
CALIFORNIA 460
FORM
Page 3 of
/.zwuwasR
1387962
9
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
cu Contributions
Received $ �
21. Expenditures
Made m �
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your Iast
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. n this io
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 (866m75-3772)
www.fppc.ca.gov
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Tam for Council 2016
Amounts may be rounded
to whole dollars.
DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVED
��MmnTc�^m»ov�muzw»m�w CODE *
10/27/2016 Benjamin Reyes II
Alameda, CA 94501
11/04/2016 Stewart Chen
Alameda, CA 94501
11/04/2016 Hien Doan
Oakland, CA 94607
11/05/2016 Linda Yew
San Fzaocia"n, CA 84121
IND
OCOM
00TH
UPTY
LJsoc
IND
OCOM
OTH
PTY
LJsCo
IND
OCOM
UOTH
PTY
LJnoo
mm
OCOM
00TH
UPTY
LJeco
[]|mo
[]coM
OoTH
[]PTY
[]nCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAM
OF BUSINESS)
Council Member
City of Alameda
Attorney
Self Employed
Engineer
IRS
SUBTOTAL $
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedute 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 $
www.netfile.com
Statement covers period
from
m/zs/zo10
through 12/31/201*
AMOUNT
RECEIVED THIS
PERIOD
100.00
800.00
200.00
100.00
z'uuo.no
1,200.00
619.99
1,819.99
SCHEDULE A
CALIFORNIA ARA
Page 4 of
/.owumoen
1387962
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
9
PER ELECTION
TO DATE
(IF REQUIRED)
100.0052016 $100 .00
2,470.00 G2014
G2016
$150.00
$2,470 .00
200.0052016 $200.00
100.0052014 $100.00
c2016 $100.00
"Contributor Codes
IND— Individual
oom— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTv — pnUhca|panty
scc— Small Contributor Committee
FPPC Form 460 (Jan/20 6)
pppc Advice: auwoo@fppc.oa.00v(8somr5-3nz)
www.fppc.ca.gov
Schedule B — Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Tam for Council 2016
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
Lena Tam
azameua, CA 94501
1
1]wo OCOMOOTHOPTY OSCC
TO IND Ocmw D OTH O PTY O SCC
Amounts may be rounded
to whole doltars.
--- ----------'--' ----7»/—'—
IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT
OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS
(IF nEL`EMpmvED. ENTER BEGINNING THIS
NAME opBUSINESS) PERIOD PERIOD
Manager
EBMUD
�
867,00
SUBTOTALS $
Statement covers period
from
through
(c)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD*
10/23/2016
12/31/2016
w
OUTSTANDING INTEREST
BALANCE AT PAID THIS
CLOSE OF THIS
PERIOD PERIOD
OPAID
�
0.00 $
0 FORGIVEN
o.on ,
0 PAID
867.00
0.00 12/31/2018
DATE DUE
,
0 FORGIVEN
0 PAID
DATE DUE
0 FORGIVEN
,
Schedule B Summary
1. Loans received ths period �
(Total Column (b) plus unitemized Ioans of Iess than $1 00.)
2. Loans paid orforgiven this period �
(Total Column (c) plus Ioans under $1 00 paid or forgiven.)
(Include oans paid by a third party that are also itemized on Schedule A.)
D. Net change this perio . (Subtract Line 2 from Line 1.)
Enter the net here and on the Summary Page, Column A, Line 2.
'Amounts forgiven or paid by another party also must be reported on Schedule A.
~nrequired.
DATE DUE
n.00$
NET $ v 0
(May be a negative number)
v
0
RATE
SCHEDULE B - PART 1
CALIFORNIA
460
Page 5 of 9
I.D. NUMBER
1387962
'----
m
ORIGINAL
AMOUNT OF
LOAN
867.00
0.00 08/08/2016
DATE INCURRED
RATE
(Enter (e) on
Schedule E, Line 3)
�
$
PER ELECTION**
m/
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
�
867.00
PER ELECTION**
G2016 867.00
CALENDAR YEAR
,
PER ELECTION**
CALENDAR YEAR
5
DATE INCURRED
Toontribmoromes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
orH— Other (e.o, business entity)
PTY — Political Party
aoo— Small Contributor Committee
FPPC Form 460 (Jan/2016)
pppc Advice: auwcu@r pc.ca.gov (866/275-3772)
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Tam for Council 2016
DATE
NAME OF CANDIDATE OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LEUER AND JURISOICTION,
OR COMMITTEE
12/14/2016 Betty Yee for State Controller
Support 0 Oppose
Schedule D Summary
Amounts may be rounded
to whote dollars.
HIMIRENAL
TYPE OF PAYMENT
Monetary
Contribution
• monmonetary
Contribution
LJ Independent
Expenditure
O Monetary
Contribution
LJ
Nonmonetary
Contribution
• Independent
Expenditure
O monetary
Contribution
LJ
Nonmonetary
Contribution
[] Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
SUBTOTAL $
Statement covers period
from
10/23/2016
SCHEDULE D
CALIFORNIA A an
FORM 1.11111111
through 12/31/2016 Page 6 of 9
I.D. NUMBER
1387962
CUMULATIVE TO DATE PER ELECTION
AMOUNT THIS CALENDAR YEAR TO DATE
PERIOD (JAN.1- DEC. 31) (IF REQUIRED)
500.00
500.00
500.00 G2016 $500.00
1. Contributions and independent expenditures made this period of $100 or more. (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 $
www.netfile.com
500.00
0.00
500.00
FPPC Form 460 (Jan/2016)
rppc Advice: auwco@fppu.ou.eov(8anorn-3r/e)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Tam for Council 2016
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
10/23/2016
12/31/2016
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
ovF'
CNS
cm
CVC
FIL
FND
IND
LEG
LIT
campaign
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate fihing/bailot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature arid mailings
1.1■Hil■10
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER NUMBER)
East Bay TimesAlameda Journal Ad
Alameda, CA 94501
aobodial.ore
Falls Church, VA 22046
Ve Interactive
Boston, MA 02118
MBR
MTG
OFC
PET
PHO
POL
poo
PRO
nRT
member communicatio o
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
pustaoe, delivery and messenger services
professional services (|eou|, accounting)
print ads
CODE
PRT
PHO
WEB
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE E
CALIFORNIA 460
FORM -
Page 7 of 9
I.D. NUMBER
1387962
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v or cable airtime and production costs
candidate travel, mouiny, and meals
mumopouovoavo|. |ouoinn, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (Internet, e-mail)
OR DESCRIPTION OF PAYMENT
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
Schedule E Summary
1. Itemized payments made this period. (Inciude all Schedule E subtotals.) �
2. Unitemized payments made this period of under $1 00 S
3. Total interest paid this period on Ioans. (Enter amountfrom 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 $
www.netfile.com
AMOUNT PAID
630.00
163.19
1,248.00
2,041.19
*.00s.so
185.75
0.00
5,069.33
pppu Form wm(Jmn/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Tam for Council 2016
Amounts may be rounded
to whole dollars.
Statement covers period
from
10/23/2016
through 12/31/2016
CODES: If one of the following codes accurately describes the poymert, you may enter the code. Otherwise,
OVP campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explummmmon*tary)*
CVC civic donations
FIL candidate fihing/bailot fees
FND fundraising events
mm independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
•
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
Susan
Alameda, CA 94501
Cedric
Concord, CA 94520
Ve Interactive
Boston, MA 02118
Betty Yee for State Controller (ID# 101374814)
oaczameoto, CA 95814
CA Secre of State
Sacramento, CA 95814
MBR
MTG
OFC
FET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
pvnmoe, delivery and messenger services
professional services (|noa|, accounting)
print ads
CODE
PRO
CNS
WEB
FIL
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD
RFD
SAL
TEL
TRC
TRS
Tar
VOT
VVsa
SCHEDULE E (CONT.)
CALIFORNIA
FORM
Page 8
/D.wuwmER
1387962
of 9
10101116
dencrbetha payment
radio airtime and production cvmo
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 re iouanvn
information technology costs (internet, e-mail)
OR DESCRIPTION OF PAYMENT AMOUNT PAID
412.50
75.00
1,698.89
500.00
50.00
SUBTOTAL $ 2,736.39
FPPC Form 460 (Jan/20 6)
rppc Toll-Free *o¥me:uomxu*Fppo(xoxmro-3rru)
www.fppc.ca.gov
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Tam for Council 2016
CODES: If one of the following codes accurately describes the poyment, you may enter the code. Otherwise,
Amounts may be rounded
to whole dollars.
Statement covers period
from
10/23/2016
through 12/31/2016
oVP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate fihing/bailot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALS ENTER vzwvwBER)
US Postal Service
Alameda, CA 94501
MBR
MTG
OFC
FET
PHO
POL
pos
PRO
PRI
1501611.■
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postoee, delivery and messenger services
professional services (legal, accounting)
print ads
CODE
OFC
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
www.netfile.com
RAD
RFD
SAL
TEL
TRC
IRS
TSF
VOT
vvso
SCHEDULE E (CONT.)
CALIFORNIA 460
FORM
Page 9
/.omumasn
1387962
of
describe the poyment
radio airtime and production cmsta
returned contributions
campaign workers' salaries
t.x or cable airtime and production costs
candidate tmve|, muoino, and meals
staff/spouse travel, |vuuinn, and meals
transfer between committees of the same candidate/sponsor
voter re iutro on
information technology costs (internet, e-mail)
,__
OR DESCRIPTION OF PAYMENT
SUBTOTAL $
AMOUNT PAID
106.00
106.00
FPPC Form 460 (Jan/2016)
pppu Toll-Free *e/»/mo:xooxSK-pppc(a000rs-3rre
www.fppc.ca.gov