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Alameda Families for Tam, Moonry, Robles-Wong for Alameda School Board 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period 1/1/2012 from through 9/30/2012 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. E] Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee o Recall (Also Complete Part 5) El General Purpose Committee 0 Sponsored o Small Contributor Committee 0 Political Party/Central Committee El Primarily Formed Ballot Measure Committee o Controlled 0 Sponsored (Also Complete Part 6) VI Primarily Formed Candidate/ Officeholder Committee (A/so Complete Part 7) 3. Committee Information I.D. NUMBER 1352266 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Alameda Families for Tam, Mooney, Robles-Wong for Alameda School Board 2012 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Alameda CA 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.0 BOX CITY STATE OPTIONAL FAX E-MAIL ADDRESS AREA CODE/PHONE 510 842 6569 ZIP CODE AREA CODE/PHONE Date of election if applica (Month, Day, Year) Nov 6th 2012 I ir2ampE OCT -2 202 COVER PAGE C:ALIFORNIA 460 CITY OF ALAMEDA TY CLERK'S OFFICE 1 5 of For Official Use Only 2. Type of Statement: Preelection Statement El Semi-annual Statement El Termination Statement (Also file a Form 410 Termination) [I] Amendment (Explain below) Treasurer(s) NAME OF TREASURER Andrew Currid MAILING ADDRESS CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS El Quarterly Statement [1] Special Odd-Year Report [1] Supplemental Preelection Statement - Attach Form 495 STATE ZIP CODE CA 94501 STATE ZIP CODE AREA CODE/PHONE 510 842 6569 AREA CODE/PHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my know under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 10/3/2012 Date Date Date Date Executed on Executed on Executed on Executed on By By By By formation 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 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS 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 COMMITTEE ADDRESS CITY COMMITTEE NAME CONTROLLED COMMITTEE? ❑ YES ❑ NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE /PHONE 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 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 ❑ 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 Nielsen Tam NAME OF OFFICEHOLDER OR CANDIDATE Ron Mooney OFFICE SOUGHT OR HELD Alameda USD Board OFFICE SOUGHT OR HELD Alameda USD Board NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Michael Robles -Wong Alameda USD Board NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Attach continuation sheets if necessary ® SUPPORT ❑ OPPOSE ® SUPPORT ❑ OPPOSE ® SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Families for Tam, Mooney, Robles-Wong for Alameda School Board 2012 Statement covers period 1/1/2012 from through 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 $ Column A Column B TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) 549.00 0 549.00 0 549.00 CALENDAR YEAR TOTALTO DATE 549.00 0 549.00 0 549.00 2160111009 9/30/2012 SUMMARY PAGE CALIFORNIA 460 FORM 3 Page of I.D. NUMBER 1352266 5 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 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 $ 14.22 0 14.22 0 0 14.22 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. 0 549.00 0 14.22 534.78 17. LOAN GUARANTEES RECEIVED Schedule B, 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 $ 14.22 0 14.22 0 0 14.22 Expenditure Limit Summary for State Candidates 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). 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 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON EVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Alameda Families for Tam, Mooney, Rob for Alarneda School Board 2012 Statement covers period 1/1/2012 from through 9/30/2012 SCHEDULE A CALIFORNIA Agil 4 Page |.D.mUMoER 1352266 of 5 9/30/2012 9/30/2012 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE * Andrew Currid Alameda CA 94501 Page Barnes Alameda CA 94501 Jennifer Laird Alameda CA 94501 VIIND UCOM 00TH OPTY []aoc /wo 0Q}M 00TH �PTY OGcc |mD []C0M 00TH �PTY []GCC []|NO []COM 00TH OPTY LJGCC []|ND []COM 00TH []PTY []GCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Engineer NV|0ACorporation Attorney Foley and Lardner LLP Education Researcher MPR Associates SUBTOTAL $ Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all ScheduleAsubtotals.) � 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 $ AMOUNT RECEIVED THIS PERIOD 100 200 100 400 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 100 200 100 PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes |No — Individva 400 cow- Recipient Committee (other than PTY or SCC) 149 OTH— Other (og, business entity) PTv — po|mca|Partv oCo— Small Contributor Committee 549 FPPC Form 460 (January/05) pppo Toll-Free Mo|pnnmUVV/ASK-FPPC (866/275-3772) Schedule E Payments Made SEE NSTRUCTIONS ON REVERSE NAME OF FILER Type or print In ink. Amounts may be rounded to whole dollars. Alameda Families for Tam, Mooney, Robies-Wong for Alameda School Board 2012 Statement covers period 1/1/2012 from through 9/30/2012 SCHEDULE CALIFORNIA FORM 5 Page of I.D. NUMBER 1352266 5 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CAP CNS CTB CVC FIL FND IND LEG LIT campaignparap»omaliahniso campaign consultants contribution (explain nonmonetary)* civic donations oondidavafi|ing/baUot fees fundraising events independent expenditure supporting/opposing 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 pootago, delivery and messenger services professional services (|ogo|, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries t.x or cable airtime and production costs candidate travel, lodging, and meals ota«mpouontnove|. |udoino, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) NAMEANDADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID SUBlOTAL$ 0 Schedule E Summary 1. Itemized payment made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $100 3. Total interes 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 $ � � 0 14.22 0 14.22 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)