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Firefighters 460Recipient Committee Campaign Statement Cover Page from Statement covers period 1/1/2017 6/30/2017 SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) WI General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee O Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Pert 7) I I.D. NUMBER 3. Committee Information 890076 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Alameda Firefighters Association Political Action Committee 2027 Clement Ave. Suite B CITY Alameda STATE Ca ZIP CODE AREA CODE/PHONE 94501 (510)337-2220 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE OPTIONAL: FAX / E-MAIL ADDRESS ZIP CODE AREA CODE/PHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement Signature of Controlling Officeholder, Candidate, St tyeasure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, Slate Measure Proponent Signature of Controlling Officeholder, Candidate, Slate Measure Proponent 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 Alameda Firefighters Association Political Action Committee Contributions Received 1. Monetary Contributions Schedule A, Line 3 $ 2. Loans Received Schedule 8, 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 $ Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 23,415.60 0 23,415.60 0 23,415.00 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 $ 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. 17,863.72 0 17,863.72 0 0 17,863.72 Statement covers period 1/1/2017 from through Column B CALENDAR YEAR TOTAL TO DATE 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 8 above $ 12,143.08 23,415.60 0 17,863.72 17,694.96 $ $ 23,415.60 0 23,415.60 0 23,415.60 17,863.72 0 17,863.72 0 0 17,863.72 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). 6/30/2017 SUMMARY PAGE CALIFORN IA 460 FORM Page I.D. NUMBER 890076 of 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 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: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Firefighters Association Political Action Committee DATE RECEIVED Amounts may be rounded to whole dollars. FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * Local 689 Membership 1/1-6/30/17 Alameda, Ca. 94501 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) El IND 0 COM O OTH 0 PTY scc 0 IND O COM OTH El PTV SCC El IND ID COM LJ OTH El PTY LJ SCC 0 IND O COM LJ OTH PTY SCC O IND 0 COM 0 OTH • PTY SCC Illet■Mint IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SUBTOTAL $ 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 $ Statement covers period 1/1/2017 from 6/30/2017 through AMOUNT RECEIVED THIS PERIOD 23,415.60 23,415.60 23,415.60 0 23,415.60 SCHEDULE A CALIFORI\11A 460 FORM Page I.D. NUMBER 890076 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 23,415.60 of PER ELECTION TO DATE (IF REQUIRED) *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 D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Firefighters Association Political Action Committee DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Yes on Measure K1 1/13/2017 Alameda, Ca. 94501 FPPC#1392001 5/20/2017 5/26/2017 El Support 0 Oppose Amounts may be rounded to whole dollars. TYPE OF PAYMENT El Monetary Contribution • Nonmonetary Contribution O Independent Expenditure Abel Guillen for Oakland City Council 2018 0 Monetary Contribution Oakland, Ca. 94609 0 Nonmonetary FPPC#1395580 Contribution O Independent Expenditure 13 Support El Oppose Jesse Arreguin for Mayor Berkeley, Ca. 94709 FPPC#1380631 E21 Support El Oppose • Monetary Contribution O Nonmonetary Contribution O Independent Expenditure DESCRIPTION (IF REQUIRED) Statement covers period 1/1/2017 from through 6/30/2017 AMOUNT THIS PERIOD SCHEDULE D 460 CALIFORNIA II FORM Page I.D. NUMBER 890076 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 200.00 200.00 500.00 500.00 250.00 250.00 SUBTOTAL $ 950.00 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.. $ of PER ELECTION TO DATE (IF REQUIRED) 5008.00 160.65 5168.65 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 NAME OF FILER Alameda Firefighters Association Political Action Committee SUBIBISIMBSII/M811 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Rob Bonta for Assembly 2018 6/6/2017 Sacramento, Ca. 95814 FPPC#1353796 Support 0 Oppose Rob Bonta for Assembly 2018 6t21/2017 Sacramento, Ca. 95814 FPPC#1353796 El Support 0 Oppose o Support 0 Oppose O Support 0 Oppose Amounts may be rounded to whole dollars. 11101111.1..0111MISMIL, TYPE OF PAYMENT O Monetary Contribution • Nonmonetary Contribution O Independent Expenditure El Monetary Contribution O Nonmonetary Contribution O Independent Expenditure O Monetary Contribution O Nonmonetary Contribution O Independent Expenditure O Monetary Contribution O Nonmonetary Contribution O Independent Expenditure DESCRIPTION (IF REQUIRED) Chili cook off food, beverages, and supplies Statement covers period 1/1/2017 from through 6/30/2017 AMOUNT THIS PERIOD SCHEDULE D (CONT.) FORM CALIFORNIA 460 Page I.D. NUMBER 890076 of CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 458.00 458.00 3,600.00 4,058.00 SUBTOTAL $ 4058.00 PER ELECTION TO DATE (IF REQUIRED) 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 Alameda Firefighters Association Political Action Committee CODES: CMP CNS CTB CVC FIL FND IND LEG LIT Amounts may be rounded to whole dollars. Statement covers period 1/1/2017 from through 6/30/2017 If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 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) Ben Kim Alameda, Ca. 94501 Rob Bonta for Assembly 2018 Sacramento, Ca. 95814 Jesse Arreguin for Mayor Berkeley, Ca. 94709 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 I.D. NUMBER 890076 of 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) CODE OR DESCRIPTION OF PAYMENT CNS CTB CTB * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary Check Check Check AMOUNT PAID 6,000.00 3,600.00 250.00 SUBTOTAL $ 9,850.00 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 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 $ 17,703.07 160.65 0 17,863.72 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Firefighters Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period 1/1/2017 from through 6/30/2017 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) Brandon Baley Alameda, Ca. 94501 US Bank St Iouis, Mo. 63179 US Bank St Iouis, Mo. 63179 US Bank St Iouis, Mo. 63179 Matt Fortayon Alameda, Ca. 94501 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 CODE MTG MTG FND MTG MTG * Payments that are contributions or independent expenditures must also be summarized on Schedule D. IMINSFM. SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page I.D. NUMBER 890076 of 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 Check, (Conf.) EFT, (Conf.) EFT EFT Check, (Conf.) AMOUNT PAID 376.21 4,388.43 175.04 658.27 307.45 SUBTOTAL $ 5,905.40 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Firefighters Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period 1/1/2017 from through 6/30/2017 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) Abel Guillen for Oakland City Council 2018 Oakland, Ca. 94609 Yes on Measure K1 Alameda, Ca. 94501 Domenick Weaver Alameda, Ca. 94501 Bob Hales Alameda, Ca. 94501 Richard Gianuario Alameda, Ca. 94501 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 CODE CTB CTB FND FND FND * Payments that are contributions or independent expenditures must also be summarized on Schedule D. RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page I.D. NUMBER 890076 of 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 Check Check Check Check Check 500.00 200.00 125.00 50.00 107.96 SUBTOTAL $ 982.96 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Firefighters Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period 1/1/2017 from through 6/30/2017 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) Ben Kim Alameda, Ca. 94501 US Bank St louis, Mo. 63179 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 CODE OR MTG MTG * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page I.D. NUMBER 890076 of 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) DESCRIPTION OF PAYMENT Check, (Conf.) EFT, (Conf.) AMOUNT PAID 514.71 450.00 SUBTOTAL $ 964.71 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov