Dan Siegel FPPC Form 460 10-1-14 to 10-18-14
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Transcript of Dan Siegel FPPC Form 460 10-1-14 to 10-18-14
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
4. VerificationI 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 certifyunder penalty of perjury under the laws of the State of California that the foregoing is true and correct.
BySignature of Treasurer or Assistant Treasurer
BySignature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
BySignature of Controlling Officeholder, Candidate, State Measure Proponent
BySignature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on Date
Executed on Date
Executed on Date
Executed on Date
Type or print in ink.
SEE INSTRUCTIONS ON REVERSE
Date of election if applicable:(Month, Day, Year)
Recipient CommitteeCampaign StatementCover Page
For Official Use Only
Page of
COVER PAGE
CALIFORNIA FORM
Date Stamp
3. Committee InformationCOMMITTEE NAME (OR CANDIDATE’S NAME IF NO COMMITTEE)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
Statement covers period
from
through
(Government Code Sections 84200-84216.5)
1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4.
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Treasurer(s)
NAME OF TREASURER
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
460
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
I.D. NUMBER
2. Type of Statement:Preelection StatementSemi-annual StatementTermination Statement(Also file a Form 410 Termination)
Amendment (Explain below)
Quarterly StatementSpecial Odd-Year ReportSupplemental Preelection
Primarily Formed Ballot MeasureCommittee
ControlledSponsored
(Also Complete Part 6)
Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall
(Also Complete Part 5)
Primarily Formed Candidate/Officeholder Committee(Also Complete Part 7)
General Purpose CommitteeSponsoredSmall Contributor CommitteePolitical Party/Central Committee
Statement - Attach Form 495
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1 22
10/01/2014
10/18/2014 11/04/2014
X X
1362877
Dan Siegel for Mayor, 2014
Oakland CA 94612 (510)839-1200
(510)444-6698 / [email protected]
Elizabeth Johnson
Oakland CA 94612
10/23/2014 Elizabeth Johnson
10/23/2014 Dan Siegel
E-Filed10/23/201415:56:04
Filing ID:152752003
Page of
COVER PAGE - PART 2
CALIFORNIAFORM
Recipient CommitteeCampaign StatementCover Page — Part 2
Type or print in ink.
460
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
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 receivecontributions or make expenditures on behalf of your candidacy.
NAME OF TREASURER
COMMITTEE NAME
YES NO
I.D. NUMBER
CONTROLLED COMMITTEE?
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
NAME OF TREASURER
COMMITTEE NAME
YES NO
I.D. NUMBER
CONTROLLED COMMITTEE?
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
DISTRICT NO. IF ANY
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
JURISDICTION SUPPORTOPPOSE
BALLOT NO. OR LETTER
7. Primarily Formed Candidate/Officeholder Committee List names ofofficeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELDSUPPORTOPPOSE
SUPPORTOPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDSUPPORTOPPOSE
Attach continuation sheets if necessary
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDSUPPORTOPPOSE
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
www.netfile.com
2 22
Dan Siegel
Mayor: City of Oakland, CA 94612
Oakland CA 94612
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Campaign Disclosure StatementSummary Page
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
I.D. NUMBER
Current Cash Statement12. 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.
CALIFORNIAFORM
SUMMARY PAGE
Expenditures Made6. 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 $ $
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
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 $ $
460Statement covers period
from
through
Column BCALENDAR YEAR
TOTAL TO DATE
Column ATOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
Calendar Year Summary for CandidatesRunning in Both the State Primary andGeneral Elections
1/1 through 6/30 7/1 to Date
20. ContributionsReceived $ $
21. ExpendituresMade $ $
Expenditure Limit Summary for StateCandidates
*Amounts in this section may be different from amountsreported in Column B.
Date of Election(mm/dd/yy)
Total to Date
22. Cumulative Expenditures Made*(If Subject to Voluntary Expenditure Limit)
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
To calculate Column B, addamounts in Column A to thecorresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. If this isthe first report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 (ifany).
/ /
/ /
$
$
www.netfile.com
3 22
10/01/2014
10/18/2014
Dan Siegel for Mayor, 2014 1362877
7,002.00 80,960.06
0.00 125,000.00
7,002.00 205,960.06
176.82 823.81
7,178.82 206,783.87
35,382.74 197,552.59
0.00 0.00
35,382.74 197,552.59
37,125.00 37,125.00
176.82 823.81
72,684.56 235,501.40
36,788.29
7,002.00
99.00
35,382.74
8,506.55
0.00
0.00
162,125.00
Schedule AMonetary Contributions Received
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
SCHEDULE A
SUBTOTAL $
CALIFORNIAFORM
Statement covers period
from
through
Schedule A Summary1. 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 $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
460
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
4 22
10/01/2014
10/18/2014
Dan Siegel for Mayor, 2014 1362877
10/01/2014 Paul BermanzohnRosendale, NY 12472
X retiredretired
100.00 300.00
10/01/2014 John ScottSan Francisco, CA 94109
X AttorneyScott Law Firm
500.00 600.00
10/05/2014 Elizabeth WhiteLos Angeles, CA 90066
X Psychiatric Social WorkerKaiser Permanente
100.00 100.00
10/05/2014 Steve WillettOakland, CA 94609
X Computer Programmerretired
200.00 200.00
10/06/2014 John BorsosSacramento, CA 95831
X OrganizerCalifornia NursesAssociation
200.00 700.00
1,100.00
6,155.00
847.00
7,002.00
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)
Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
5 22
10/01/2014
10/18/2014
Dan Siegel for Mayor, 2014 1362877
10/06/2014 Laurel ChenBurlington, VT 05401
X Field InterviewerMathmatica Policy Research
100.00 100.00
10/06/2014 Anna DeleonBerkeley, CA 94703
X Attorney, MusicianSelf-employed
100.00 100.00
10/06/2014 Clare MoraNashville, TN 37211
X Nursing StudentNone
700.00 700.00
10/06/2014 Robert OdenSacramento, CA 95819
X ProfessorCSU Sacramento
100.00 100.00
10/07/2014 John BurrisOakland, CA 94621
X AttorneySelf-employed
500.00 500.00
1,500.00
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)
Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
6 22
10/01/2014
10/18/2014
Dan Siegel for Mayor, 2014 1362877
10/07/2014 Thao LamEl Cerrito, CA 94530
X Social WorkerAlameda County SocialService Agency
100.00 100.00
10/08/2014 Jerome ButtrickOakland, CA 94618-1345
X ArchitectButtrick Wong Architect
100.00 100.00
10/08/2014 Victoria GriffethOakland, CA 94618
X n/aunemployed
100.00 100.00
10/10/2014 Jason CoxAlbany, CA 94706
X AttorneySelf-emploted
200.00 200.00
10/10/2014 Landon WilliamsOakland, CA 94601-2768
X retiredretired
250.00 250.00
750.00
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)
Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
7 22
10/01/2014
10/18/2014
Dan Siegel for Mayor, 2014 1362877
10/13/2014 Mary Ruth GrossRichmond, CA 94803
X retiredretired
100.00 100.00
10/13/2014 Pamela MartinezAlameda, CA 94501
X OrganizerNational Union ofHealthcare Workers
75.00 125.00
10/13/2014 Maria Padilla-CastroSacramento, CA 94706
X OrganizerNational Union ofHealthcare Workers
100.00 150.00
10/13/2014 Charles RidgellTakoma Park, MD 20912-4254
X OrganizerNational Union ofHealthcare Workers
500.00 600.00
10/15/2014 Elaine WallaceOakland, CA 94602
X AttorneySelf-employed
250.00 250.00
1,025.00
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)
Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
8 22
10/01/2014
10/18/2014
Dan Siegel for Mayor, 2014 1362877
10/17/2014 James ClarkOakland, CA 94618
X retiredretired
100.00 100.00
10/18/2014 Jeremy ClarkeOakland, CA 94603
X Studentn/a
180.00 180.00
10/18/2014 Steve EarlyRichmond, CA 94801-3715
X Freelance Journalist andAuthorSelf-employed
300.00 600.00
10/18/2014 Michael EisenscherOakland, CA 94601-4704
X OrganizerUS Labor Against The War
200.00 200.00
10/18/2014 Dorothy GrahamOakland, CA 94609-1247
X Hospital PlannerAlameda Health System
200.00 200.00
980.00
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)
Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
9 22
10/01/2014
10/18/2014
Dan Siegel for Mayor, 2014 1362877
10/18/2014 Kathryn KaschOakland, CA 94618
X retiredretired
200.00 600.00
10/18/2014 Lakshmi KernerOakland, CA 94602
X retiredretired
50.00 100.00
10/18/2014 Joel MoskowitzOakland, CA 94611
X ResearcherUC Berkeley
100.00 200.00
10/18/2014 James NixonOakland, CA 94618
X Business DeveloperSusstainable Systems
100.00 100.00
10/18/2014 Fred SeaveySan Francisco, CA 94110
X ResearcherNational Union ofHealthcare Workers
300.00 700.00
750.00
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)
Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
10 22
10/01/2014
10/18/2014
Dan Siegel for Mayor, 2014 1362877
10/18/2014 Lisa ThompsonBerkeley, CA 94704
X Graphic Designerself-employed
50.00 110.00
50.00
IND COM OTH PTY SCC
Statement covers period
from
through
I.D. NUMBER
SCHEDULE B - PART 1Type or print in ink.Amounts may be rounded
to whole dollars.
Schedule B – Part 1Loans Received
Page of
SUBTOTALS $
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CALIFORNIAFORM 460
$ $
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTERNAME OF BUSINESS)
INTERESTPAID THISPERIOD
CUMULATIVECONTRIBUTIONS
TO DATE
FULL NAME, STREET ADDRESS AND ZIP CODEOF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
ORIGINALAMOUNT OF
LOAN
OUTSTANDINGBALANCE
BEGINNING THISPERIOD
AMOUNTRECEIVED THIS
PERIOD
AMOUNT PAIDOR FORGIVENTHIS PERIOD
OUTSTANDINGBALANCE AT
CLOSE OF THISPERIOD
(b) (c) (e)
$
DATE INCURRED
(Enter (e) onSchedule E, Line 3)
CALENDAR YEAR
$
PER ELECTION
$
%RATE
$
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
Schedule B Summary
1. Loans received this period .................................................................................................................... $(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ......................................................................................................... $(Total Column (c) plus loans under $100 paid or forgiven.)(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $Enter the net here and on the Summary Page, Column A, Line 2.
(May be a negative number)
(a) (d)
$$
(f) (g)
PAID
$
FORGIVEN
$
$
DATE DUE
$
$
DATE INCURRED
CALENDAR YEAR
$
PER ELECTION
$
%RATE
$$$
PAID
$
FORGIVEN
$
$
DATE DUE
$
DATE INCURRED
CALENDAR YEAR
$
PER ELECTION
$
%RATE
$$$
PAID
$
FORGIVEN
$
$
DATE DUE
IND COM OTH PTY SCC
IND COM OTH PTY SCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
*
**
**
**
†
†
†
†Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
www.netfile.com
11 22
10/01/2014
10/18/2014
Dan Siegel for Mayor, 2014 1362877
Dan SiegelOakland, CA 94612
X
AttorneySiegel & Yee
50,000.00 0.00
0.00
0.00
50,000.00 0
0.00
50,000.00
01/07/2014
125,000.00
Dan SiegelOakland, CA 94612
X
AttorneySiegel & Yee
50,000.00 0.00
0.00
0.00
50,000.00 0
0.00
50,000.00
06/26/2014
125,000.00
Dan SiegelOakland, CA 94612
X
AttorneySiegel & Yee
25,000.00 0.00
0.00
0.00
25,000.00
0.00
25,000.00
09/09/2014
125,000.00
0.00 0.00 125,000.00 0.00
0.00
0.00
0.00
Schedule CNonmonetary Contributions Received
I.D. NUMBER
Attach additional information on appropriately labeled continuation sheets.
CUMULATIVE TODATE
CALENDAR YEAR(JAN 1 - DEC 31)
AMOUNT/FAIR MARKET
VALUE
PER ELECTIONTO DATE
(IF REQUIRED)
DATERECEIVED
Type or print in ink.Amounts may be rounded
to whole dollars.
DESCRIPTION OFGOODS OR SERVICES
SCHEDULE C
Page of SEE INSTRUCTIONS ON REVERSENAME OF FILER
Schedule C Summary1. Amount received this period – itemized nonmonetary contributions.
(Include all Schedule C subtotals.) ..................................................................................................................... $
2. Amount received this period – unitemized nonmonetary contributions of less than $100 .................................... $
3. Total nonmonetary contributions received this period.(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
Statement covers period
from
through
SUBTOTAL $
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTERNAME OF BUSINESS)
FULL NAME, STREET ADDRESS ANDZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
INDCOMOTHPTYSCC
CALIFORNIAFORM 460
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
www.netfile.com
12 22
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10/18/2014
Dan Siegel for Mayor, 2014 1362877
10/10/2014 Micah ClatterbaughOakland, CA 94606
X ParalegalSiegel & Yee
Food for houseparty
176.82 176.82
176.82
176.82
0.00
176.82
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Schedule EPayments Made
Page of
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
Type or print in ink.Amounts may be rounded
to whole dollars.
I.D. NUMBER
Statement covers period
from
through
SCHEDULE E
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
Schedule E Summary
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 $
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
13 22
10/01/2014
10/18/2014
Dan Siegel for Mayor, 2014 1362877
Ace Parking LotOakland, CA 94612
TRS 220.00
Metro PCSEmeryville, CA 94608
OFC 125.00
USPSOakland, CA 94615
POS 2,940.00
3,285.00
35,311.41
71.33
0.00
35,382.74
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
Statement covers period
from
through
SCHEDULE E (CONT.)Type or print in ink.
Amounts may be roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
14 22
10/01/2014
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Dan Siegel for Mayor, 2014 1362877
USPSOakland, CA 94615
POS 49.00
USPSOakland, CA 94615
POS 980.00
WalgreensOakland, CA 94612
OFC 17.48
Whole FoodsOakland, CA 94612
TRS 28.77
Nation BuilderLos Angeles, CA 90013
POL 449.00
1,524.25
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
Statement covers period
from
through
SCHEDULE E (CONT.)Type or print in ink.
Amounts may be roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
15 22
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10/18/2014
Dan Siegel for Mayor, 2014 1362877
Office DepotBerkeley, CA 94710
OFC 25.38
USPSOakland, CA 94615
POS 784.00
Whole FoodsOakland, CA 94612
TRS 36.44
PaypalSan Jose, CA 95131
OFC 59.11
Federal ExpressOakland, CA 94612
OFC 62.96
967.89
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
Statement covers period
from
through
SCHEDULE E (CONT.)Type or print in ink.
Amounts may be roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
16 22
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Dan Siegel for Mayor, 2014 1362877
GoogleAdMountain View, CA 94043
WEB 200.00
People's KitchenOakland, CA 94607
MTG 100.00
Nicole DeaneOakland, CA 94611
SAL 1,500.00
Federal ExpressOakland, CA 94612
OFC 12.87
Left Coast CommunicationsSan Francisco, CA 94103
CNS 25,549.56
27,362.43
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
Statement covers period
from
through
SCHEDULE E (CONT.)Type or print in ink.
Amounts may be roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
17 22
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10/18/2014
Dan Siegel for Mayor, 2014 1362877
Political Data BurbankNorwalk, CA 90652
POL 886.65
CallFire Inc.Santa Monica, CA 90401
PHO 199.00
PaypalSan Jose, CA 95131
OFC 20.96
PsPrint LLCOakland, CA 94608
CMP 167.01
Russell BassOakland, CA 94612
FND 750.00
2,023.62
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
Statement covers period
from
through
SCHEDULE E (CONT.)Type or print in ink.
Amounts may be roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
18 22
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Dan Siegel for Mayor, 2014 1362877
Whole FoodsOakland, CA 94612
TRS 47.50
PaypalSan Jose, CA 95131
TRS 3.37
Smart & FinalOakland, CA 94607
TRS 44.84
TargetEmeryville, CA 94608
OFC 43.16
WalgreensOakland, CA 94612
OFC 9.35
148.22
Statement covers period
from
through
I.D. NUMBER
SCHEDULE F
Schedule F Summary1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments onaccrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................................PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here andon the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $
Type or print in ink.Amounts may be rounded
to whole dollars.
Page of
Schedule FAccrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
NAME AND ADDRESS OF CREDITOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
May be a negative number
$
CODE ORDESCRIPTION OF PAYMENT
(a)OUTSTANDING
BALANCE BEGINNINGOF THIS PERIOD
(b)AMOUNT INCURRED
THIS PERIOD
(c)AMOUNT PAIDTHIS PERIOD
(ALSO REPORT ON E)
(d)OUTSTANDING
BALANCE AT CLOSEOF THIS PERIOD
SUBTOTALS $ $$
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also besummarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
19 22
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Dan Siegel for Mayor, 2014 1362877
Left Coast CommunicationsSan Francisco, CA 94103
CNS 0.00 37,125.00 0.00 37,125.00
0.00 37,125.00 0.00 37,125.00
37,125.00
0.00
37,125.00
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Schedule GPayments Made by an Agent or IndependentContractor (on Behalf of This Committee)
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
SCHEDULE G
I.D. NUMBER
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Statement covers period
from
through
Attach additional information on appropriately labeled continuation sheets. TOTAL* $
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent orindependent contractor as reported on Schedule E.
NAME AND ADDRESS OF PAYEE OR CREDITOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
www.netfile.com
20 22
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10/18/2014
Dan Siegel for Mayor, 2014 1362877
Left Coast Communications
Pacific Print ResourcesEmeryville, CA 94608
LIT 231.46
Spotlight Design and PrintingSan Francisco, CA 94107
LIT 10,369.82
Spotlight Design and PrintingSan Francisco, CA 94107
LIT 2,392.50
Spotlight Design and PrintingSan Francisco, CA 94107
LIT 6,938.25
19,932.03
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Schedule G (Continuation Sheet)Payments Made by an Agent or IndependentContractor (on Behalf of This Committee)
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
SCHEDULE G (CONT.)
I.D. NUMBER
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Statement covers period
from
through
Attach additional information on appropriately labeled continuation sheets. TOTAL* $
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent orindependent contractor as reported on Schedule E.
NAME AND ADDRESS OF PAYEE OR CREDITOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
www.netfile.com
21 22
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Dan Siegel for Mayor, 2014 1362877
Left Coast Communications
Alex LevyOakland, CA 94606
WEB 135.00
I Print N MailSan Francisco, CA 94124
LIT 17,488.39
17,623.39
Schedule IMiscellaneous Increases to Cash
Type or print in ink.Amounts may be rounded
to whole dollars.
Page of
I.D. NUMBER
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
AMOUNT OFINCREASE TO CASHDESCRIPTION OF RECEIPT
DATERECEIVED
Schedule I Summary1. Itemized increases to cash this period. ....................................................................................................................... $
2. Unitemized increases to cash of under $100 this period. ............................................................................................ $
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on theSummary Page, Line 14.) ........................................................................................................................... TOTAL $
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
SCHEDULE I
Statement covers period
from
through
FULL NAME AND ADDRESS OF SOURCE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
22 22
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Dan Siegel for Mayor, 2014 1362877
0.00
99.00
0.00
99.00