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COVER PAGE 
CALIFORNIA 
FORM 
Page of 
CITY STATE ZIP CODE AREA CODE/PHONE 
FPPC Form 460 (January/05) 
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 
State of California 
4. Verification 
MAILING ADDRESS 
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. 
By 
Signature of Treasurer or Assistant Treasurer 
By 
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor 
By 
Signature of Controlling Officeholder, Candidate, State Measure Proponent 
By 
Signature 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 Committee 
Campaign Statement 
Cover Page 
For Official Use Only 
Date Stamp 
3. Committee Information 
COMMITTEE 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 
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 Statement 
Semi-annual Statement 
Termination Statement 
(Also file a Form 410 Termination) 
Amendment (Explain below) 
Quarterly Statement 
Special Odd-Year Report 
Supplemental Preelection 
Primarily Formed Ballot Measure 
Committee 
Controlled 
Sponsored 
(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 Committee 
Sponsored 
Small Contributor Committee 
Political Party/Central Committee 
Statement - Attach Form 495 
www.netfile.com 
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 / lizjohnson.siegelyee@gmail.com 
Elizabeth Johnson 
Oakland CA 94612 
lizjohnson.siegelyee@gmail.com 
10/23/2014 Elizabeth Johnson 
10/23/2014 Dan Siegel 
E-Filed 
10/23/2014 
15:56:04 
Filing ID: 
152752003
COVER PAGE - PART 2 
CALIFORNIA 
FORM 
Page of 
Recipient Committee 
Campaign Statement 
Cover Page — Part 2 
Type or print in ink. 
460 
5. Officeholder or Candidate Controlled Committee 
NAME OF OFFICEHOLDER OR CANDIDATE 
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) 
RESIDENTIAL/BUSINESS 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 
NAME OF TREASURER 
I.D. NUMBER 
CONTROLLED COMMITTEE? 
YES NO 
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 
CITY STATE ZIP CODE AREA CODE/PHONE 
COMMITTEE NAME 
NAME OF TREASURER 
I.D. NUMBER 
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 
Identify the controlling officeholder, candidate, or state measure proponent, if any. 
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 
DISTRICT NO. IF ANY 
OFFICE SOUGHT OR HELD 
JURISDICTION SUPPORT 
OPPOSE 
BALLOT NO. OR LETTER 
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 
OFFICE SOUGHT OR HELD 
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 
SUPPORT 
OPPOSE 
SUPPORT 
OPPOSE 
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 
SUPPORT 
OPPOSE 
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 
Attach continuation sheets if necessary 
SUPPORT 
OPPOSE 
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
Campaign Disclosure Statement 
Summary Page 
SEE INSTRUCTIONS ON REVERSE 
NAME OF FILER 
Page of 
Type or print in ink. 
Amounts may be rounded 
to whole dollars. 
I.D. NUMBER 
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 $ $ 
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. 
CALIFORNIA 
FORM 
SUMMARY PAGE 
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 $ $ 
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 $ 
460 Statement covers period 
from 
through 
Column B 
CALENDAR YEAR 
TOTAL TO DATE 
Column A 
TOTAL THIS PERIOD 
(FROM ATTACHED SCHEDULES) 
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 (January/05) 
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 
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). 
/ / 
/ / 
$ 
$ 
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 A 
Monetary Contributions Received 
Page of 
Type or print in ink. 
Amounts may be rounded 
to whole dollars. 
SEE INSTRUCTIONS ON REVERSE 
NAME OF FILER I.D. NUMBER 
PER ELECTION 
TO DATE 
(IF REQUIRED) 
CUMULATIVE TO DATE 
CALENDAR YEAR 
(JAN. 1 - DEC. 31) 
AMOUNT 
RECEIVED THIS 
PERIOD 
IF AN INDIVIDUAL, ENTER 
OCCUPATION AND EMPLOYER 
(IF SELF-EMPLOYED, ENTER NAME 
OF BUSINESS) 
DATE 
RECEIVED 
SCHEDULE A 
SUBTOTAL $ 
CALIFORNIA 
FORM 
Statement covers period 
from 
through 
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CONTRIBUTOR 
CODE * 
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 $ 
*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 
IND 
COM 
OTH 
PTY 
SCC 
460 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
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) 
www.netfile.com 
4 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
10/01/2014 Paul Bermanzohn 
Rosendale, NY 12472 
X retired 
retired 
100.00 300.00 
10/01/2014 John Scott 
San Francisco, CA 94109 
X Attorney 
Scott Law Firm 
500.00 600.00 
10/05/2014 Elizabeth White 
Los Angeles, CA 90066 
X Psychiatric Social Worker 
Kaiser Permanente 
100.00 100.00 
10/05/2014 Steve Willett 
Oakland, CA 94609 
X Computer Programmer 
retired 
200.00 200.00 
10/06/2014 John Borsos 
Sacramento, CA 95831 
X Organizer 
California Nurses 
Association 
200.00 700.00 
1,100.00 
6,155.00 
847.00 
7,002.00
SCHEDULE A (CONT.) 
FORM 460 
Page of 
Type or print in ink. 
Amounts may be rounded 
to whole dollars. 
Schedule A (Continuation Sheet) 
Monetary Contributions Received 
NAME OF FILER 
I.D. NUMBER 
Statement covers period 
from 
through 
CALIFORNIA 
PER ELECTION 
TO DATE 
(IF REQUIRED) 
CUMULATIVE TO DATE 
CALENDAR YEAR 
(JAN. 1 - DEC. 31) 
AMOUNT 
RECEIVED THIS 
PERIOD 
IF AN INDIVIDUAL, ENTER 
OCCUPATION AND EMPLOYER 
(IF SELF-EMPLOYED, ENTER NAME 
OF BUSINESS) 
DATE 
RECEIVED 
SUBTOTAL $ 
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CONTRIBUTOR 
CODE * 
*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 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
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) 
www.netfile.com 
5 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
10/06/2014 Laurel Chen 
Burlington, VT 05401 
X Field Interviewer 
Mathmatica Policy Research 
100.00 100.00 
10/06/2014 Anna Deleon 
Berkeley, CA 94703 
X Attorney, Musician 
Self-employed 
100.00 100.00 
10/06/2014 Clare Mora 
Nashville, TN 37211 
X Nursing Student 
None 
700.00 700.00 
10/06/2014 Robert Oden 
Sacramento, CA 95819 
X Professor 
CSU Sacramento 
100.00 100.00 
10/07/2014 John Burris 
Oakland, CA 94621 
X Attorney 
Self-employed 
500.00 500.00 
1,500.00
SCHEDULE A (CONT.) 
FORM 460 
Page of 
Type or print in ink. 
Amounts may be rounded 
to whole dollars. 
Schedule A (Continuation Sheet) 
Monetary Contributions Received 
NAME OF FILER 
I.D. NUMBER 
Statement covers period 
from 
through 
CALIFORNIA 
PER ELECTION 
TO DATE 
(IF REQUIRED) 
CUMULATIVE TO DATE 
CALENDAR YEAR 
(JAN. 1 - DEC. 31) 
AMOUNT 
RECEIVED THIS 
PERIOD 
IF AN INDIVIDUAL, ENTER 
OCCUPATION AND EMPLOYER 
(IF SELF-EMPLOYED, ENTER NAME 
OF BUSINESS) 
DATE 
RECEIVED 
SUBTOTAL $ 
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CONTRIBUTOR 
CODE * 
*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 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
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) 
www.netfile.com 
6 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
10/07/2014 Thao Lam 
El Cerrito, CA 94530 
X Social Worker 
Alameda County Social 
Service Agency 
100.00 100.00 
10/08/2014 Jerome Buttrick 
Oakland, CA 94618-1345 
X Architect 
Buttrick Wong Architect 
100.00 100.00 
10/08/2014 Victoria Griffeth 
Oakland, CA 94618 
X n/a 
unemployed 
100.00 100.00 
10/10/2014 Jason Cox 
Albany, CA 94706 
X Attorney 
Self-emploted 
200.00 200.00 
10/10/2014 Landon Williams 
Oakland, CA 94601-2768 
X retired 
retired 
250.00 250.00 
750.00
SCHEDULE A (CONT.) 
FORM 460 
Page of 
Type or print in ink. 
Amounts may be rounded 
to whole dollars. 
Schedule A (Continuation Sheet) 
Monetary Contributions Received 
NAME OF FILER 
I.D. NUMBER 
Statement covers period 
from 
through 
CALIFORNIA 
PER ELECTION 
TO DATE 
(IF REQUIRED) 
CUMULATIVE TO DATE 
CALENDAR YEAR 
(JAN. 1 - DEC. 31) 
AMOUNT 
RECEIVED THIS 
PERIOD 
IF AN INDIVIDUAL, ENTER 
OCCUPATION AND EMPLOYER 
(IF SELF-EMPLOYED, ENTER NAME 
OF BUSINESS) 
DATE 
RECEIVED 
SUBTOTAL $ 
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CONTRIBUTOR 
CODE * 
*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 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
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) 
www.netfile.com 
7 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
10/13/2014 Mary Ruth Gross 
Richmond, CA 94803 
X retired 
retired 
100.00 100.00 
10/13/2014 Pamela Martinez 
Alameda, CA 94501 
X Organizer 
National Union of 
Healthcare Workers 
75.00 125.00 
10/13/2014 Maria Padilla-Castro 
Sacramento, CA 94706 
X Organizer 
National Union of 
Healthcare Workers 
100.00 150.00 
10/13/2014 Charles Ridgell 
Takoma Park, MD 20912-4254 
X Organizer 
National Union of 
Healthcare Workers 
500.00 600.00 
10/15/2014 Elaine Wallace 
Oakland, CA 94602 
X Attorney 
Self-employed 
250.00 250.00 
1,025.00
SCHEDULE A (CONT.) 
FORM 460 
Page of 
Type or print in ink. 
Amounts may be rounded 
to whole dollars. 
Schedule A (Continuation Sheet) 
Monetary Contributions Received 
NAME OF FILER 
I.D. NUMBER 
Statement covers period 
from 
through 
CALIFORNIA 
PER ELECTION 
TO DATE 
(IF REQUIRED) 
CUMULATIVE TO DATE 
CALENDAR YEAR 
(JAN. 1 - DEC. 31) 
AMOUNT 
RECEIVED THIS 
PERIOD 
IF AN INDIVIDUAL, ENTER 
OCCUPATION AND EMPLOYER 
(IF SELF-EMPLOYED, ENTER NAME 
OF BUSINESS) 
DATE 
RECEIVED 
SUBTOTAL $ 
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CONTRIBUTOR 
CODE * 
*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 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
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) 
www.netfile.com 
8 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
10/17/2014 James Clark 
Oakland, CA 94618 
X retired 
retired 
100.00 100.00 
10/18/2014 Jeremy Clarke 
Oakland, CA 94603 
X Student 
n/a 
180.00 180.00 
10/18/2014 Steve Early 
Richmond, CA 94801-3715 
X Freelance Journalist and 
Author 
Self-employed 
300.00 600.00 
10/18/2014 Michael Eisenscher 
Oakland, CA 94601-4704 
X Organizer 
US Labor Against The War 
200.00 200.00 
10/18/2014 Dorothy Graham 
Oakland, CA 94609-1247 
X Hospital Planner 
Alameda Health System 
200.00 200.00 
980.00
SCHEDULE A (CONT.) 
FORM 460 
Page of 
Type or print in ink. 
Amounts may be rounded 
to whole dollars. 
Schedule A (Continuation Sheet) 
Monetary Contributions Received 
NAME OF FILER 
I.D. NUMBER 
Statement covers period 
from 
through 
CALIFORNIA 
PER ELECTION 
TO DATE 
(IF REQUIRED) 
CUMULATIVE TO DATE 
CALENDAR YEAR 
(JAN. 1 - DEC. 31) 
AMOUNT 
RECEIVED THIS 
PERIOD 
IF AN INDIVIDUAL, ENTER 
OCCUPATION AND EMPLOYER 
(IF SELF-EMPLOYED, ENTER NAME 
OF BUSINESS) 
DATE 
RECEIVED 
SUBTOTAL $ 
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CONTRIBUTOR 
CODE * 
*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 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
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) 
www.netfile.com 
9 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
10/18/2014 Kathryn Kasch 
Oakland, CA 94618 
X retired 
retired 
200.00 600.00 
10/18/2014 Lakshmi Kerner 
Oakland, CA 94602 
X retired 
retired 
50.00 100.00 
10/18/2014 Joel Moskowitz 
Oakland, CA 94611 
X Researcher 
UC Berkeley 
100.00 200.00 
10/18/2014 James Nixon 
Oakland, CA 94618 
X Business Developer 
Susstainable Systems 
100.00 100.00 
10/18/2014 Fred Seavey 
San Francisco, CA 94110 
X Researcher 
National Union of 
Healthcare Workers 
300.00 700.00 
750.00
SCHEDULE A (CONT.) 
FORM 460 
Page of 
Type or print in ink. 
Amounts may be rounded 
to whole dollars. 
Schedule A (Continuation Sheet) 
Monetary Contributions Received 
NAME OF FILER 
I.D. NUMBER 
Statement covers period 
from 
through 
CALIFORNIA 
PER ELECTION 
TO DATE 
(IF REQUIRED) 
CUMULATIVE TO DATE 
CALENDAR YEAR 
(JAN. 1 - DEC. 31) 
AMOUNT 
RECEIVED THIS 
PERIOD 
IF AN INDIVIDUAL, ENTER 
OCCUPATION AND EMPLOYER 
(IF SELF-EMPLOYED, ENTER NAME 
OF BUSINESS) 
DATE 
RECEIVED 
SUBTOTAL $ 
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CONTRIBUTOR 
CODE * 
*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 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
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) 
www.netfile.com 
10 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
10/18/2014 Lisa Thompson 
Berkeley, CA 94704 
X Graphic Designer 
self-employed 
50.00 110.00 
50.00
IND COM OTH PTY SCC 
Type or print in ink. SCHEDULE B - PART 1 
Statement covers period 
from 
through 
FORM 460 
I.D. NUMBER 
Amounts may be rounded 
to whole dollars. 
Schedule B – Part 1 
Loans Received 
Page of 
SUBTOTALS $ 
SEE INSTRUCTIONS ON REVERSE 
NAME OF FILER 
CALIFORNIA 
(b) (c) (e) 
PAID 
$ 
FORGIVEN 
PAID 
$ 
FORGIVEN 
$ $ 
IF AN INDIVIDUAL, ENTER 
OCCUPATION AND EMPLOYER 
(IF SELF-EMPLOYED, ENTER 
NAME OF BUSINESS) 
INTEREST 
PAID THIS 
PERIOD 
CUMULATIVE 
CONTRIBUTIONS 
TO DATE 
FULL NAME, STREET ADDRESS AND ZIP CODE 
OF LENDER 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
ORIGINAL 
AMOUNT OF 
LOAN 
OUTSTANDING 
BALANCE 
BEGINNING THIS 
PERIOD 
AMOUNT 
RECEIVED THIS 
PERIOD 
AMOUNT PAID 
OR FORGIVEN 
THIS PERIOD 
OUTSTANDING 
BALANCE AT 
CLOSE OF THIS 
PERIOD 
$ 
DATE INCURRED 
(Enter (e) on 
Schedule E, Line 3) 
CALENDAR YEAR 
$ 
PER ELECTION 
$ 
% 
RATE 
$ 
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) 
*Amounts forgiven or paid by another party also must be reported on Schedule A. 
** If required. 
(a) (d) 
$ $ 
(f) (g) 
PAID 
$ 
FORGIVEN 
$ 
$ 
DATE DUE 
$ 
$ 
DATE INCURRED 
CALENDAR YEAR 
$ 
PER ELECTION 
$ 
% 
RATE 
$ $ $ 
$ 
$ 
DATE DUE 
$ 
DATE INCURRED 
CALENDAR YEAR 
$ 
PER ELECTION 
$ 
% 
RATE 
$ $ $ 
$ 
$ 
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 – Individual 
COM – Recipient Committee 
(other than PTY or SCC) 
OTH – Other (e.g., business entity) 
PTY – Political Party 
SCC – Small Contributor Committee 
www.netfile.com 
11 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
Dan Siegel 
Oakland, CA 94612 
X 
Attorney 
Siegel & 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 Siegel 
Oakland, CA 94612 
X 
Attorney 
Siegel & 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 Siegel 
Oakland, CA 94612 
X 
Attorney 
Siegel & 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 C 
Nonmonetary Contributions Received 
FORM 460 
I.D. NUMBER 
Attach additional information on appropriately labeled continuation sheets. 
CUMULATIVE TO 
DATE 
CALENDAR YEAR 
(JAN 1 - DEC 31) 
AMOUNT/ 
FAIR MARKET 
VALUE 
PER ELECTION 
TO DATE 
(IF REQUIRED) 
DATE 
RECEIVED 
Type or print in ink. 
Amounts may be rounded 
to whole dollars. 
DESCRIPTION OF 
GOODS OR SERVICES 
SCHEDULE C 
SEE INSTRUCTIONS ON REVERSE Page of 
NAME OF FILER 
Schedule C Summary 
1. 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, ENTER 
OCCUPATION AND EMPLOYER 
(IF SELF-EMPLOYED, ENTER 
NAME OF BUSINESS) 
FULL NAME, STREET ADDRESS AND 
ZIP CODE OF CONTRIBUTOR 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CONTRIBUTOR 
CODE * 
IND 
COM 
OTH 
PTY 
SCC 
CALIFORNIA 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
IND 
COM 
OTH 
PTY 
SCC 
*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 (January/05) 
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 
www.netfile.com 
12 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
10/10/2014 Micah Clatterbaugh 
Oakland, CA 94606 
X Paralegal 
Siegel & Yee 
Food for house 
party 
176.82 176.82 
176.82 
176.82 
0.00 
176.82
Schedule E 
Payments Made 
SEE INSTRUCTIONS ON REVERSE 
NAME OF FILER 
FORM 460 
CALIFORNIA 
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 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) 
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 
CMP campaign paraphernalia/misc. 
CNS campaign consultants 
CTB contribution (explain nonmonetary)* 
CVC civic donations 
FIL candidate filing/ballot fees 
FND fundraising events 
IND independent expenditure supporting/opposing others (explain)* 
LEG legal defense 
LIT campaign literature and mailings 
NAME AND ADDRESS OF PAYEE 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
* Payments 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 .......................................................................................................................................... $ 
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 $ 
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 Lot 
Oakland, CA 94612 
TRS 220.00 
Metro PCS 
Emeryville, CA 94608 
OFC 125.00 
USPS 
Oakland, CA 94615 
POS 2,940.00 
3,285.00 
35,311.41 
71.33 
0.00 
35,382.74
FORM 460 
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 
SUBTOTAL $ 
Statement covers period 
from 
through 
SCHEDULE E (CONT.) 
Type or print in ink. 
Amounts may be rounded 
Schedule E 
(Continuation Sheet) 
Payments Made to whole dollars. 
SEE INSTRUCTIONS ON REVERSE Page of 
I.D. NUMBER 
NAME AND ADDRESS OF PAYEE 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CALIFORNIA 
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 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) 
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 
CMP campaign paraphernalia/misc. 
CNS campaign consultants 
CTB contribution (explain nonmonetary)* 
CVC civic donations 
FIL candidate filing/ballot fees 
FND fundraising events 
IND independent expenditure supporting/opposing others (explain)* 
LEG legal defense 
LIT 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 
14 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
USPS 
Oakland, CA 94615 
POS 49.00 
USPS 
Oakland, CA 94615 
POS 980.00 
Walgreens 
Oakland, CA 94612 
OFC 17.48 
Whole Foods 
Oakland, CA 94612 
TRS 28.77 
Nation Builder 
Los Angeles, CA 90013 
POL 449.00 
1,524.25
FORM 460 
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 
SUBTOTAL $ 
Statement covers period 
from 
through 
SCHEDULE E (CONT.) 
Type or print in ink. 
Amounts may be rounded 
Schedule E 
(Continuation Sheet) 
Payments Made to whole dollars. 
SEE INSTRUCTIONS ON REVERSE Page of 
I.D. NUMBER 
NAME AND ADDRESS OF PAYEE 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CALIFORNIA 
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 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) 
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 
CMP campaign paraphernalia/misc. 
CNS campaign consultants 
CTB contribution (explain nonmonetary)* 
CVC civic donations 
FIL candidate filing/ballot fees 
FND fundraising events 
IND independent expenditure supporting/opposing others (explain)* 
LEG legal defense 
LIT 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 
15 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
Office Depot 
Berkeley, CA 94710 
OFC 25.38 
USPS 
Oakland, CA 94615 
POS 784.00 
Whole Foods 
Oakland, CA 94612 
TRS 36.44 
Paypal 
San Jose, CA 95131 
OFC 59.11 
Federal Express 
Oakland, CA 94612 
OFC 62.96 
967.89
FORM 460 
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 
SUBTOTAL $ 
Statement covers period 
from 
through 
SCHEDULE E (CONT.) 
Type or print in ink. 
Amounts may be rounded 
Schedule E 
(Continuation Sheet) 
Payments Made to whole dollars. 
SEE INSTRUCTIONS ON REVERSE Page of 
I.D. NUMBER 
NAME AND ADDRESS OF PAYEE 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CALIFORNIA 
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 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) 
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 
CMP campaign paraphernalia/misc. 
CNS campaign consultants 
CTB contribution (explain nonmonetary)* 
CVC civic donations 
FIL candidate filing/ballot fees 
FND fundraising events 
IND independent expenditure supporting/opposing others (explain)* 
LEG legal defense 
LIT 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 
16 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
GoogleAd 
Mountain View, CA 94043 
WEB 200.00 
People's Kitchen 
Oakland, CA 94607 
MTG 100.00 
Nicole Deane 
Oakland, CA 94611 
SAL 1,500.00 
Federal Express 
Oakland, CA 94612 
OFC 12.87 
Left Coast Communications 
San Francisco, CA 94103 
CNS 25,549.56 
27,362.43
FORM 460 
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 
SUBTOTAL $ 
Statement covers period 
from 
through 
SCHEDULE E (CONT.) 
Type or print in ink. 
Amounts may be rounded 
Schedule E 
(Continuation Sheet) 
Payments Made to whole dollars. 
SEE INSTRUCTIONS ON REVERSE Page of 
I.D. NUMBER 
NAME AND ADDRESS OF PAYEE 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CALIFORNIA 
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 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) 
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 
CMP campaign paraphernalia/misc. 
CNS campaign consultants 
CTB contribution (explain nonmonetary)* 
CVC civic donations 
FIL candidate filing/ballot fees 
FND fundraising events 
IND independent expenditure supporting/opposing others (explain)* 
LEG legal defense 
LIT 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 
17 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
Political Data Burbank 
Norwalk, CA 90652 
POL 886.65 
CallFire Inc. 
Santa Monica, CA 90401 
PHO 199.00 
Paypal 
San Jose, CA 95131 
OFC 20.96 
PsPrint LLC 
Oakland, CA 94608 
CMP 167.01 
Russell Bass 
Oakland, CA 94612 
FND 750.00 
2,023.62
FORM 460 
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 
SUBTOTAL $ 
Statement covers period 
from 
through 
SCHEDULE E (CONT.) 
Type or print in ink. 
Amounts may be rounded 
Schedule E 
(Continuation Sheet) 
Payments Made to whole dollars. 
SEE INSTRUCTIONS ON REVERSE Page of 
I.D. NUMBER 
NAME AND ADDRESS OF PAYEE 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CALIFORNIA 
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 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) 
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 
CMP campaign paraphernalia/misc. 
CNS campaign consultants 
CTB contribution (explain nonmonetary)* 
CVC civic donations 
FIL candidate filing/ballot fees 
FND fundraising events 
IND independent expenditure supporting/opposing others (explain)* 
LEG legal defense 
LIT 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 
18 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
Whole Foods 
Oakland, CA 94612 
TRS 47.50 
Paypal 
San Jose, CA 95131 
TRS 3.37 
Smart & Final 
Oakland, CA 94607 
TRS 44.84 
Target 
Emeryville, CA 94608 
OFC 43.16 
Walgreens 
Oakland, CA 94612 
OFC 9.35 
148.22
Statement covers period 
from 
through 
FORM 460 
CALIFORNIA 
Page of 
I.D. NUMBER 
SCHEDULE F 
Type or print in ink. 
Amounts may be rounded 
to whole dollars. 
Schedule F 
Accrued Expenses (Unpaid Bills) 
SEE INSTRUCTIONS ON REVERSE 
NAME OF FILER 
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 
NAME AND ADDRESS OF CREDITOR 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
Schedule F Summary 
1. 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 on 
accrued 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 and 
on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ 
May be a negative number 
$ 
CODE OR 
DESCRIPTION OF PAYMENT 
(a) 
OUTSTANDING 
BALANCE BEGINNING 
OF THIS PERIOD 
(b) 
AMOUNT INCURRED 
THIS PERIOD 
(c) 
AMOUNT PAID 
THIS PERIOD 
(ALSO REPORT ON E) 
(d) 
OUTSTANDING 
BALANCE AT CLOSE 
OF THIS PERIOD 
SUBTOTALS $ $ $ 
* Payments that are contributions or independent expenditures must also be 
summarized on Schedule D. 
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) 
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 
CMP campaign paraphernalia/misc. 
CNS campaign consultants 
CTB contribution (explain nonmonetary)* 
CVC civic donations 
FIL candidate filing/ballot fees 
FND fundraising events 
IND independent expenditure supporting/opposing others (explain)* 
LEG legal defense 
LIT campaign literature and mailings 
FPPC Form 460 (January/05) 
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 
www.netfile.com 
19 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
Left Coast Communications 
San 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
FORM 460 
CALIFORNIA 
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 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) 
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 
Schedule G 
Payments Made by an Agent or Independent 
Contractor (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 
NAME AND ADDRESS OF PAYEE OR CREDITOR 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
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 or 
independent contractor as reported on Schedule E. 
FPPC Form 460 (January/05) 
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 
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 
CMP campaign paraphernalia/misc. 
CNS campaign consultants 
CTB contribution (explain nonmonetary)* 
CVC civic donations 
FIL candidate filing/ballot fees 
FND fundraising events 
IND independent expenditure supporting/opposing others (explain)* 
LEG legal defense 
LIT campaign literature and mailings 
www.netfile.com 
20 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
Left Coast Communications 
Pacific Print Resources 
Emeryville, CA 94608 
LIT 231.46 
Spotlight Design and Printing 
San Francisco, CA 94107 
LIT 10,369.82 
Spotlight Design and Printing 
San Francisco, CA 94107 
LIT 2,392.50 
Spotlight Design and Printing 
San Francisco, CA 94107 
LIT 6,938.25 
19,932.03
FORM 460 
CALIFORNIA 
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 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) 
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 
Schedule G (Continuation Sheet) 
Payments Made by an Agent or Independent 
Contractor (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 
NAME AND ADDRESS OF PAYEE OR CREDITOR 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
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 or 
independent contractor as reported on Schedule E. 
FPPC Form 460 (January/05) 
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 
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 
CMP campaign paraphernalia/misc. 
CNS campaign consultants 
CTB contribution (explain nonmonetary)* 
CVC civic donations 
FIL candidate filing/ballot fees 
FND fundraising events 
IND independent expenditure supporting/opposing others (explain)* 
LEG legal defense 
LIT campaign literature and mailings 
www.netfile.com 
21 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
Left Coast Communications 
Alex Levy 
Oakland, CA 94606 
WEB 135.00 
I Print N Mail 
San Francisco, CA 94124 
LIT 17,488.39 
17,623.39
Schedule I 
Miscellaneous Increases to Cash 
Type or print in ink. 
Amounts may be rounded 
to whole dollars. 
FORM 460 
Page of 
I.D. NUMBER 
SEE INSTRUCTIONS ON REVERSE 
NAME OF FILER 
AMOUNT OF 
DESCRIPTION OF RECEIPT INCREASE TO CASH 
DATE 
RECEIVED 
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 
Schedule I Summary 
1. 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 the 
Summary Page, Line 14.) ........................................................................................................................... TOTAL $ 
SCHEDULE I 
Statement covers period 
from 
through 
FULL NAME AND ADDRESS OF SOURCE 
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) 
CALIFORNIA 
FPPC Form 460 (January/05) 
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 
www.netfile.com 
22 22 
10/01/2014 
10/18/2014 
Dan Siegel for Mayor, 2014 1362877 
0.00 
99.00 
0.00 
99.00

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Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

  • 1. COVER PAGE CALIFORNIA FORM Page of CITY STATE ZIP CODE AREA CODE/PHONE FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California 4. Verification MAILING ADDRESS 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. By Signature of Treasurer or Assistant Treasurer By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature 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 Committee Campaign Statement Cover Page For Official Use Only Date Stamp 3. Committee Information COMMITTEE 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 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 Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Quarterly Statement Special Odd-Year Report Supplemental Preelection Primarily Formed Ballot Measure Committee Controlled Sponsored (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 Committee Sponsored Small Contributor Committee Political Party/Central Committee Statement - Attach Form 495 www.netfile.com 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 / lizjohnson.siegelyee@gmail.com Elizabeth Johnson Oakland CA 94612 lizjohnson.siegelyee@gmail.com 10/23/2014 Elizabeth Johnson 10/23/2014 Dan Siegel E-Filed 10/23/2014 15:56:04 Filing ID: 152752003
  • 2. COVER PAGE - PART 2 CALIFORNIA FORM Page of Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in ink. 460 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS 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 NAME OF TREASURER I.D. NUMBER CONTROLLED COMMITTEE? YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME NAME OF TREASURER I.D. NUMBER 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 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT DISTRICT NO. IF ANY OFFICE SOUGHT OR HELD JURISDICTION SUPPORT OPPOSE BALLOT NO. OR LETTER 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 OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Attach continuation sheets if necessary SUPPORT OPPOSE 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
  • 3. Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Page of Type or print in ink. Amounts may be rounded to whole dollars. I.D. NUMBER 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 $ $ 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. CALIFORNIA FORM SUMMARY PAGE 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 $ $ 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 $ 460 Statement covers period from through Column B CALENDAR YEAR TOTAL TO DATE Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 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 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 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). / / / / $ $ 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
  • 4. Schedule A Monetary Contributions Received Page of Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) AMOUNT RECEIVED THIS PERIOD IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DATE RECEIVED SCHEDULE A SUBTOTAL $ CALIFORNIA FORM Statement covers period from through FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * 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 $ *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 IND COM OTH PTY SCC 460 IND COM OTH PTY SCC IND COM OTH PTY SCC 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) www.netfile.com 4 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 10/01/2014 Paul Bermanzohn Rosendale, NY 12472 X retired retired 100.00 300.00 10/01/2014 John Scott San Francisco, CA 94109 X Attorney Scott Law Firm 500.00 600.00 10/05/2014 Elizabeth White Los Angeles, CA 90066 X Psychiatric Social Worker Kaiser Permanente 100.00 100.00 10/05/2014 Steve Willett Oakland, CA 94609 X Computer Programmer retired 200.00 200.00 10/06/2014 John Borsos Sacramento, CA 95831 X Organizer California Nurses Association 200.00 700.00 1,100.00 6,155.00 847.00 7,002.00
  • 5. SCHEDULE A (CONT.) FORM 460 Page of Type or print in ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER I.D. NUMBER Statement covers period from through CALIFORNIA PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) AMOUNT RECEIVED THIS PERIOD IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DATE RECEIVED SUBTOTAL $ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * *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 IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC 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) www.netfile.com 5 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 10/06/2014 Laurel Chen Burlington, VT 05401 X Field Interviewer Mathmatica Policy Research 100.00 100.00 10/06/2014 Anna Deleon Berkeley, CA 94703 X Attorney, Musician Self-employed 100.00 100.00 10/06/2014 Clare Mora Nashville, TN 37211 X Nursing Student None 700.00 700.00 10/06/2014 Robert Oden Sacramento, CA 95819 X Professor CSU Sacramento 100.00 100.00 10/07/2014 John Burris Oakland, CA 94621 X Attorney Self-employed 500.00 500.00 1,500.00
  • 6. SCHEDULE A (CONT.) FORM 460 Page of Type or print in ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER I.D. NUMBER Statement covers period from through CALIFORNIA PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) AMOUNT RECEIVED THIS PERIOD IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DATE RECEIVED SUBTOTAL $ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * *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 IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC 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) www.netfile.com 6 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 10/07/2014 Thao Lam El Cerrito, CA 94530 X Social Worker Alameda County Social Service Agency 100.00 100.00 10/08/2014 Jerome Buttrick Oakland, CA 94618-1345 X Architect Buttrick Wong Architect 100.00 100.00 10/08/2014 Victoria Griffeth Oakland, CA 94618 X n/a unemployed 100.00 100.00 10/10/2014 Jason Cox Albany, CA 94706 X Attorney Self-emploted 200.00 200.00 10/10/2014 Landon Williams Oakland, CA 94601-2768 X retired retired 250.00 250.00 750.00
  • 7. SCHEDULE A (CONT.) FORM 460 Page of Type or print in ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER I.D. NUMBER Statement covers period from through CALIFORNIA PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) AMOUNT RECEIVED THIS PERIOD IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DATE RECEIVED SUBTOTAL $ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * *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 IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC 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) www.netfile.com 7 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 10/13/2014 Mary Ruth Gross Richmond, CA 94803 X retired retired 100.00 100.00 10/13/2014 Pamela Martinez Alameda, CA 94501 X Organizer National Union of Healthcare Workers 75.00 125.00 10/13/2014 Maria Padilla-Castro Sacramento, CA 94706 X Organizer National Union of Healthcare Workers 100.00 150.00 10/13/2014 Charles Ridgell Takoma Park, MD 20912-4254 X Organizer National Union of Healthcare Workers 500.00 600.00 10/15/2014 Elaine Wallace Oakland, CA 94602 X Attorney Self-employed 250.00 250.00 1,025.00
  • 8. SCHEDULE A (CONT.) FORM 460 Page of Type or print in ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER I.D. NUMBER Statement covers period from through CALIFORNIA PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) AMOUNT RECEIVED THIS PERIOD IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DATE RECEIVED SUBTOTAL $ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * *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 IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC 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) www.netfile.com 8 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 10/17/2014 James Clark Oakland, CA 94618 X retired retired 100.00 100.00 10/18/2014 Jeremy Clarke Oakland, CA 94603 X Student n/a 180.00 180.00 10/18/2014 Steve Early Richmond, CA 94801-3715 X Freelance Journalist and Author Self-employed 300.00 600.00 10/18/2014 Michael Eisenscher Oakland, CA 94601-4704 X Organizer US Labor Against The War 200.00 200.00 10/18/2014 Dorothy Graham Oakland, CA 94609-1247 X Hospital Planner Alameda Health System 200.00 200.00 980.00
  • 9. SCHEDULE A (CONT.) FORM 460 Page of Type or print in ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER I.D. NUMBER Statement covers period from through CALIFORNIA PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) AMOUNT RECEIVED THIS PERIOD IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DATE RECEIVED SUBTOTAL $ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * *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 IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC 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) www.netfile.com 9 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 10/18/2014 Kathryn Kasch Oakland, CA 94618 X retired retired 200.00 600.00 10/18/2014 Lakshmi Kerner Oakland, CA 94602 X retired retired 50.00 100.00 10/18/2014 Joel Moskowitz Oakland, CA 94611 X Researcher UC Berkeley 100.00 200.00 10/18/2014 James Nixon Oakland, CA 94618 X Business Developer Susstainable Systems 100.00 100.00 10/18/2014 Fred Seavey San Francisco, CA 94110 X Researcher National Union of Healthcare Workers 300.00 700.00 750.00
  • 10. SCHEDULE A (CONT.) FORM 460 Page of Type or print in ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER I.D. NUMBER Statement covers period from through CALIFORNIA PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) AMOUNT RECEIVED THIS PERIOD IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DATE RECEIVED SUBTOTAL $ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * *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 IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC 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) www.netfile.com 10 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 10/18/2014 Lisa Thompson Berkeley, CA 94704 X Graphic Designer self-employed 50.00 110.00 50.00
  • 11. IND COM OTH PTY SCC Type or print in ink. SCHEDULE B - PART 1 Statement covers period from through FORM 460 I.D. NUMBER Amounts may be rounded to whole dollars. Schedule B – Part 1 Loans Received Page of SUBTOTALS $ SEE INSTRUCTIONS ON REVERSE NAME OF FILER CALIFORNIA (b) (c) (e) PAID $ FORGIVEN PAID $ FORGIVEN $ $ IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) INTEREST PAID THIS PERIOD CUMULATIVE CONTRIBUTIONS TO DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) ORIGINAL AMOUNT OF LOAN OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT RECEIVED THIS PERIOD AMOUNT PAID OR FORGIVEN THIS PERIOD OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD $ DATE INCURRED (Enter (e) on Schedule E, Line 3) CALENDAR YEAR $ PER ELECTION $ % RATE $ 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) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. (a) (d) $ $ (f) (g) PAID $ FORGIVEN $ $ DATE DUE $ $ DATE INCURRED CALENDAR YEAR $ PER ELECTION $ % RATE $ $ $ $ $ DATE DUE $ DATE INCURRED CALENDAR YEAR $ PER ELECTION $ % RATE $ $ $ $ $ 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 – Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee www.netfile.com 11 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 Dan Siegel Oakland, CA 94612 X Attorney Siegel & 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 Siegel Oakland, CA 94612 X Attorney Siegel & 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 Siegel Oakland, CA 94612 X Attorney Siegel & 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
  • 12. Schedule C Nonmonetary Contributions Received FORM 460 I.D. NUMBER Attach additional information on appropriately labeled continuation sheets. CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) AMOUNT/ FAIR MARKET VALUE PER ELECTION TO DATE (IF REQUIRED) DATE RECEIVED Type or print in ink. Amounts may be rounded to whole dollars. DESCRIPTION OF GOODS OR SERVICES SCHEDULE C SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER Schedule C Summary 1. 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, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IND COM OTH PTY SCC CALIFORNIA IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC *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 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com 12 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 10/10/2014 Micah Clatterbaugh Oakland, CA 94606 X Paralegal Siegel & Yee Food for house party 176.82 176.82 176.82 176.82 0.00 176.82
  • 13. Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER FORM 460 CALIFORNIA 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 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) 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 CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * Payments 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 .......................................................................................................................................... $ 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 $ 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 Lot Oakland, CA 94612 TRS 220.00 Metro PCS Emeryville, CA 94608 OFC 125.00 USPS Oakland, CA 94615 POS 2,940.00 3,285.00 35,311.41 71.33 0.00 35,382.74
  • 14. FORM 460 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL $ Statement covers period from through SCHEDULE E (CONT.) Type or print in ink. Amounts may be rounded Schedule E (Continuation Sheet) Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE Page of I.D. NUMBER NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CALIFORNIA 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 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) 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 CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT 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 14 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 USPS Oakland, CA 94615 POS 49.00 USPS Oakland, CA 94615 POS 980.00 Walgreens Oakland, CA 94612 OFC 17.48 Whole Foods Oakland, CA 94612 TRS 28.77 Nation Builder Los Angeles, CA 90013 POL 449.00 1,524.25
  • 15. FORM 460 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL $ Statement covers period from through SCHEDULE E (CONT.) Type or print in ink. Amounts may be rounded Schedule E (Continuation Sheet) Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE Page of I.D. NUMBER NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CALIFORNIA 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 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) 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 CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT 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 15 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 Office Depot Berkeley, CA 94710 OFC 25.38 USPS Oakland, CA 94615 POS 784.00 Whole Foods Oakland, CA 94612 TRS 36.44 Paypal San Jose, CA 95131 OFC 59.11 Federal Express Oakland, CA 94612 OFC 62.96 967.89
  • 16. FORM 460 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL $ Statement covers period from through SCHEDULE E (CONT.) Type or print in ink. Amounts may be rounded Schedule E (Continuation Sheet) Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE Page of I.D. NUMBER NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CALIFORNIA 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 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) 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 CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT 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 16 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 GoogleAd Mountain View, CA 94043 WEB 200.00 People's Kitchen Oakland, CA 94607 MTG 100.00 Nicole Deane Oakland, CA 94611 SAL 1,500.00 Federal Express Oakland, CA 94612 OFC 12.87 Left Coast Communications San Francisco, CA 94103 CNS 25,549.56 27,362.43
  • 17. FORM 460 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL $ Statement covers period from through SCHEDULE E (CONT.) Type or print in ink. Amounts may be rounded Schedule E (Continuation Sheet) Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE Page of I.D. NUMBER NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CALIFORNIA 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 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) 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 CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT 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 17 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 Political Data Burbank Norwalk, CA 90652 POL 886.65 CallFire Inc. Santa Monica, CA 90401 PHO 199.00 Paypal San Jose, CA 95131 OFC 20.96 PsPrint LLC Oakland, CA 94608 CMP 167.01 Russell Bass Oakland, CA 94612 FND 750.00 2,023.62
  • 18. FORM 460 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL $ Statement covers period from through SCHEDULE E (CONT.) Type or print in ink. Amounts may be rounded Schedule E (Continuation Sheet) Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE Page of I.D. NUMBER NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CALIFORNIA 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 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) 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 CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT 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 18 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 Whole Foods Oakland, CA 94612 TRS 47.50 Paypal San Jose, CA 95131 TRS 3.37 Smart & Final Oakland, CA 94607 TRS 44.84 Target Emeryville, CA 94608 OFC 43.16 Walgreens Oakland, CA 94612 OFC 9.35 148.22
  • 19. Statement covers period from through FORM 460 CALIFORNIA Page of I.D. NUMBER SCHEDULE F Type or print in ink. Amounts may be rounded to whole dollars. Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Schedule F Summary 1. 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 on accrued 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 and on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ May be a negative number $ CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS $ $ $ * Payments that are contributions or independent expenditures must also be summarized on Schedule D. 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) 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 CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com 19 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 Left Coast Communications San 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
  • 20. FORM 460 CALIFORNIA 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 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Schedule G Payments Made by an Agent or Independent Contractor (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 NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 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 or independent contractor as reported on Schedule E. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 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 CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings www.netfile.com 20 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 Left Coast Communications Pacific Print Resources Emeryville, CA 94608 LIT 231.46 Spotlight Design and Printing San Francisco, CA 94107 LIT 10,369.82 Spotlight Design and Printing San Francisco, CA 94107 LIT 2,392.50 Spotlight Design and Printing San Francisco, CA 94107 LIT 6,938.25 19,932.03
  • 21. FORM 460 CALIFORNIA 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 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Schedule G (Continuation Sheet) Payments Made by an Agent or Independent Contractor (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 NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 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 or independent contractor as reported on Schedule E. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 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 CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings www.netfile.com 21 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 Left Coast Communications Alex Levy Oakland, CA 94606 WEB 135.00 I Print N Mail San Francisco, CA 94124 LIT 17,488.39 17,623.39
  • 22. Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollars. FORM 460 Page of I.D. NUMBER SEE INSTRUCTIONS ON REVERSE NAME OF FILER AMOUNT OF DESCRIPTION OF RECEIPT INCREASE TO CASH DATE RECEIVED Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. 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 the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ SCHEDULE I Statement covers period from through FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CALIFORNIA FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com 22 22 10/01/2014 10/18/2014 Dan Siegel for Mayor, 2014 1362877 0.00 99.00 0.00 99.00