The document is a campaign finance disclosure form that includes sections for verifying information, providing committee and contact details, and selecting the type of statement. It requires original signatures from the treasurer and controlling officials to certify the accuracy of the financial activity reported.
YHR Fall 2023 Issue (Joseph Manning Interview) (2).pdf
Dan Siegel FPPC Form 460, 7-1-14 to 9-30-14
1. FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
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)
RecipientCommittee
Campaign Statement
Cover Page
For Official Use Only
Page of
COVERPAGE
CALIFORNIA
FORM
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
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 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 43
07/01/2014
09/30/2014 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
10/06/2014 Elizabeth Johnson
10/06/2014 Dan Siegel
E-Filed
10/06/2014
15:59:32
Filing ID:
152568197
2. Page of
COVER PAGE - PART 2
CALIFORNIA
FORM
RecipientCommittee
Campaign Statement
Cover 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 receive
contributions 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 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
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
SUPPORT
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
Attach continuation sheets if necessary
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
www.netfile.com
2 43
Dan Siegel
Mayor: City of Oakland, CA 94612
Oakland CA 94612
3. SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Campaign Disclosure Statement
SummaryPage
Page of
Type or print in ink.
Amounts may be rounded
to whole dollars.
I.D. NUMBER
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. ENDINGCASHBALANCE .......... 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. SUBTOTALCASH PAYMENTS .................................... Add Lines 6 + 7 $ $
9. Accrued Expenses (Unpaid Bills) ...............................Schedule F, Line 3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTALEXPENDITURES 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 $
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 $ $
460
Statement covers period
from
through
Column B
CALENDAR YEAR
TOTALTODATE
Column A
TOTALTHIS PERIOD
(FROMATTACHED 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
*Amounts in this section may be different from amounts
reported 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, 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 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
29,906.24 73,958.06
25,000.00 125,000.00
54,906.24 198,958.06
370.81 646.99
55,277.05 199,605.05
81,973.36 162,169.85
0.00 0.00
81,973.36 162,169.85
-24,072.64 0.00
370.81 646.99
58,271.53 162,816.84
63,855.38
54,906.24
0.03
81,973.36
36,788.29
0.00
0.00
125,000.00
4. ScheduleA
Monetary Contributions Received
Page of
Type or print in ink.
Amounts may be rounded
to whole dollars.
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
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
SCHEDULE A
SUBTOTAL $
CALIFORNIA
FORM
Statement covers period
from
through
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 $
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
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 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
07/01/2014 Carroll Keffer
Richmond, CA 94801
X retired
retired
100.00 100.00
07/03/2014 Mutiu Fagbayi
Oakland, CA 94610-1754
X Education Consultant
Performance Fact, Inc.
250.00 250.00
07/07/2014 Matthew Ross
Berkeley, CA 94705-2318
X Attorney
Leonard Carder
250.00 250.00
07/07/2014 Spring Wang
New York, NY 10013
X President
54 Green Street Realty
Corp
700.00 700.00
07/09/2014 Katheryn Russell-Brown
Gainsville, FL 32606
X Law Professor
University of Florida
100.00 700.00
1,400.00
28,230.00
1,676.24
29,906.24
5. 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
CALIFORNIA
FORM 460
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 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
07/10/2014 Melvyn Bert
San Francisco, CA 94102
X Physician
Self-employed
100.00 100.00
07/10/2014 Jack Bryson
Oakland, CA 94605
X Maintenance Supervisor
Oakland Housing Authority
100.00 100.00
07/10/2014 Elizabeth Erlich
Oakland, CA 94611
X Paralegal
Covington & Burling LLP
200.00 300.00
07/10/2014 Peter Franck
Oakland, CA 94605
X Attorney
Self-employed
100.00 100.00
07/15/2014 Asa Dodsworth
Berkeley, CA 94702-1947
X Rent Stabilization Board
Member
City of Berkeley
100.00 150.00
600.00
6. 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
CALIFORNIA
FORM 460
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 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
07/20/2014 Lisa Talbot
Leesburg, VA 20175
X Electrical Engineer
Simplex, LLC
100.00 100.00
07/21/2014 Hindatu Mohammed
Austin, TX 78757
X Veterinarian
Allendale Veterinary
Clinic
700.00 700.00
07/23/2014 Karan Merry
Brooklyn, NY 11225
X Former Head of St. Paul's
Episcopal School
retired
150.00 150.00
07/24/2014 Keith Brown
Oakland, CA 94601
X Teacher
OUSD
100.00 140.00
07/24/2014 Rodolfo Petschek
Nevada City, CA 95959-0188
X retired
retired
200.00 700.00
1,250.00
7. 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
CALIFORNIA
FORM 460
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 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
07/24/2014 Kenly Weills
Nevada City, CA 95959
X retired
retired
700.00 700.00
07/28/2014 Kevin Pina
San Leandro, CA 94578
X Lecturer, Film Maker,
Journalist
CSU East Bay
100.00 300.00
07/28/2014 Kelley Roemer
Oakland, CA 94612
X Court Reporter
Aiken & Welch
100.00 100.00
07/28/2014 Burton White
Tigard, OR 97223
X Labor Arbitrator,
Mediator, Facilitator
Self-employed
100.00 350.00
07/29/2014 Claudia Albano
Kensington, CA 94706
X Policy Director
Alameda County
200.00 200.00
1,200.00
8. 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
CALIFORNIA
FORM 460
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 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
07/29/2014 Tolbert Small
Oakland, CA 94611
X Physician
Self-employed
100.00 100.00
07/29/2014 Jason Wallach
Oakland, CA 94602
X Bicycle Mechanic
Laurel Cyclery
250.00 250.00
08/01/2014 Katheryn Russell-Brown
Gainsville, FL 32606
X Law Professor
University of Florida
100.00 700.00
08/02/2014 Michael Kaufman
Oakland, CA 94619-2044
X retired
retired
100.00 700.00
08/02/2014 Amrit Kohli
Oakland, CA 94603
X Software Engineer,
Professional Musician
self-employed
250.00 625.00
800.00
9. 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
CALIFORNIA
FORM 460
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 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
08/08/2014 Kweli Gibson
San Leandro, CA 94577
X Consultant
Self-employed
100.00 250.00
08/09/2014 Carol Strickman
Oakland, CA 94618
X Attorney
Legal Service for
Prisoners with Children
100.00 100.00
08/14/2014 Millie Cleveland
Oakland, CA 94619
X Union Field Representative
SEIU 1021
100.00 100.00
08/14/2014 Aixa Gannon-Siegel
Oakland, CA 94605
X unemployed
unemployed
100.00 700.00
08/14/2014 April Thomas
Oakland, CA 94609
X Communications Consultant
Full Court Press
150.00 150.00
550.00
10. 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
CALIFORNIA
FORM 460
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 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
08/16/2014 William Monning
Carmel, CA 93923
X State Sentator, 17th S.D.
State of California
300.00 300.00
08/21/2014 Katheryn Russell-Brown
Gainsville, FL 32606
X Law Professor
University of Florida
200.00 700.00
08/22/2014 California Nurses Association Political
Action Committee (ID# 780657)
Sacramemto, CA 95814
X
500.00 500.00
08/22/2014 John Deane
Nashville, TN 37205
X Healthcare Management
Consultant
The Advisory Board Company
200.00 700.00
08/23/2014 Nancy Lazarus
Davis, CA 95616
X Physician
retired
250.00 250.00
1,450.00
11. 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
CALIFORNIA
FORM 460
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
11 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
08/24/2014 M. Clyde Nelson
Oakland, CA 94605
X retired
retired
100.00 100.00
08/26/2014 Peter Tannenbaum
El Cerrito, CA 94530
X Webmaster
StopWaste
100.00 100.00
08/28/2014 Judi Lewis
Oakland, CA 94602
X Teacher
retired
100.00 100.00
08/28/2014 Daryelle Lawanna Preston
Pinole, CA 94564
X Senior Employee Relations
Representative
City of San Francisco
250.00 250.00
08/28/2014 Justin Ryan
Oakland, CA 94610
X Systems Engineer
Hipmunk
700.00 700.00
1,250.00
12. 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
CALIFORNIA
FORM 460
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
12 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/01/2014 Sheilagh Polk
Oakland, CA 94607
X Director of Communications
Coaching Corps
50.00 100.00
09/02/2014 Brenda Blom
Baltimore, MD 21210
X Law Professor
retired
100.00 200.00
09/02/2014 David Judd
Oakland, CA 94610
X Software Engineer
Academia.edu
120.00 240.00
09/03/2014 Ellen Augustine
Oakland, CA 94611
X Author
Self-employed
100.00 150.00
09/03/2014 Eileen Gambrill
Kensington, CA 94708
X Professor Emeritus
University of California,
Berkeley
200.00 200.00
570.00
13. 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
CALIFORNIA
FORM 460
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
13 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/04/2014 Alexandra Deane
Poughkeepsie, NY 12601
X Student
Vassar College
700.00 700.00
09/05/2014 Paul Bermanzohn
Rosendale, NY 12472
X retired
retired
100.00 200.00
09/05/2014 Peter Haberfeld
Oakland, CA 94618
X retired
retired
100.00 200.00
09/06/2014 Katheryn Russell-Brown
Gainsville, FL 32606
X Law Professor
University of Florida
300.00 700.00
09/08/2014 Sarah Satterlee
Berkeley, CA 94710
X retired
retired
250.00 250.00
1,450.00
14. 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
CALIFORNIA
FORM 460
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
14 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/09/2014 Claudia Carr
Richmond, CA 94808
X Associate Professor
University of California,
Berkeley
100.00 100.00
09/10/2014 Robinson Brown
Berkeley, CA 94710-2208
X Contractor/Developer
Self-employed
200.00 350.00
09/11/2014 Jason Ferguson
Franklin, TN 37069
X CFO Care Department
Asurion
700.00 700.00
09/11/2014 Michelle Ferguson
Franklin, TN 37069
X Homemaker
None
700.00 700.00
09/11/2014 Barbara Sysak
Memphis, TN 38104
X retired
retired
700.00 700.00
2,400.00
15. 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
CALIFORNIA
FORM 460
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
15 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/12/2014 Gary Deane
Monkton, MD 21111
X retired
retired
700.00 700.00
09/12/2014 Mary Deane
Monkton, MD 21111
X Development Officer
Mercy Health System
700.00 700.00
09/12/2014 Nicole Deane
Oakland, CA 94611
X Field Campaign Organizer
Dan Siegel for Mayor, 2014
700.00 700.00
09/12/2014 Amy Hunsberger
Washington, DC 20007
X Attorney
US Department of Health
and Human Services
200.00 200.00
09/12/2014 John Steele
Nashville, TN 37215
X Financial Advisor
Equitable Trust
250.00 250.00
2,550.00
16. 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
CALIFORNIA
FORM 460
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
16 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/13/2014 Peter Haberfeld
Oakland, CA 94618
X retired
retired
100.00 200.00
09/13/2014 Nancy Moore
Oxford, MS 38655
X Art Teacher and Artist
retired
700.00 700.00
09/13/2014 Taylor Moore
Oxford, MS 38655
X Episcopal Priest
St. Peter's Episcopal
Church
700.00 700.00
09/14/2014 Christopher Hunsberger
Washington, DC 20007
X Executive VP of Human
Resources
Four Seasons Hotels
200.00 200.00
09/14/2014 Eric Larsen
Vienna, VA 22182
X Managing Partner
The Advisory Board Company
500.00 500.00
2,200.00
17. 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
CALIFORNIA
FORM 460
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
17 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/14/2014 Brad Rose
Washington, DC 20016
X Marketing
The Advisory Board Company
700.00 700.00
09/14/2014 Gary Sysak
Memphis, TN 38104
X retired
retired
700.00 700.00
09/15/2014 Nate Miley for Supervisor (ID# 992285)
Oakland, CA 94618
X
250.00 500.00
09/17/2014 Marilyn Albert
Oakland, CA 94606
X Organizer
National Union of
Healthcare Workers
250.00 375.00
09/18/2014 Jim Berkeley
Nashville, TN 37204
X President
Destinations & Adventures
700.00 700.00
2,600.00
18. 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
CALIFORNIA
FORM 460
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
18 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/18/2014 Mara Berkeley
Nashville, TN 37204
X Tastes & Traditions Expert
Destinations & Adventures
700.00 700.00
09/19/2014 Kalen Stanton
Nashville, TN 37211
X Consultant
The Advisory Board Company
700.00 700.00
09/22/2014 Katie Steele
Nashville, TN 37205
X Homemaker
None
500.00 500.00
09/23/2014 Charles Brown
Franklin, TN 37067
X Managing Partner
International Insurance
250.00 250.00
09/23/2014 Kevin Brown
Gainsville, FL 32606
X Contractor
Self-employed
700.00 700.00
2,850.00
19. 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
CALIFORNIA
FORM 460
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
19 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/24/2014 Aixa Gannon-Siegel
Oakland, CA 94605
X unemployed
unemployed
100.00 700.00
09/24/2014 Shanthi Gonzales
Oakland, CA 94621
X Membership Coordinator
Women Donors Network
50.00 100.00
09/24/2014 Jonathan Siegel
Oakland, CA 94605
X Attorney
Siegel, LeWitter, Malkani
200.00 700.00
09/25/2014 Paul Matson
Nevada City, CA 95959
X retired
retired
100.00 100.00
09/26/2014 SEIU Local 87 Political Action Committee (ID#
1366582)
San Francisco, CA 94102 X
700.00 700.00
1,150.00
20. 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
CALIFORNIA
FORM 460
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
20 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/26/2014 Robert Stewart
Franklin, TN 37064
X Business Owner
Major Commercial Cleaning
700.00 700.00
09/27/2014 J. Wallace Oman
Oakland, CA 94611
X Lawyer
Self-employed
100.00 100.00
09/28/2014 Deborah Sneed
Nashville, TN 37211
X Executive Secretary
Southwind
700.00 700.00
09/28/2014 Hannah Zima
Oakland, CA 94608
X Legislative Clerk
City of Oakland
100.00 100.00
09/29/2014 Steve Bingham
Terre Linda, CA 94903
X retired
retired
500.00 700.00
2,100.00
21. 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
CALIFORNIA
FORM 460
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
21 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/29/2014 Dennis Cunningham
San Francisco, CA 94110
X Lawyer
Self-employed
400.00 400.00
09/29/2014 Patricia Gorham
Oakland, CA 94605
X Teacher
OUSD
100.00 100.00
09/29/2014 Christopher Roberts
Oakland, CA 94607
X retired
retired
100.00 100.00
09/30/2014 Katrina Brekke-Miesner
Oakland, CA 94601-3804
X Program Director
St. Mary's Senior Center
200.00 700.00
09/30/2014 Paul Brekke-Miesner
Oakland, CA 94601-3804
X retired
retired
200.00 700.00
1,000.00
22. 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
CALIFORNIA
FORM 460
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
22 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/30/2014 Dennis Chacones
Oakland, CA 94610
X retired
retired
300.00 300.00
09/30/2014 Carroll Fife
Oakland, CA 94606
X Campaign Coordinator
Dan Siegel for Mayor, 2014
110.00 680.81
09/30/2014 Susanne Lea
Oakland, CA 94619
X Attorney
retired
250.00 250.00
09/30/2014 Mike Napolitano
Oakland, CA 94618
X Geologist
State of California
100.00 100.00
09/30/2014 Ryan Price
Oakland, CA 94607
X Director of Administration
California Bicycle
Coalition
100.00 100.00
860.00
23. 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 1
LoansReceived
Page of
SUBTOTALS $
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CALIFORNIA
FORM 460
$ $
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
(b) (c) (e)
$
DATE INCURRED
(Enter (e) on
Schedule 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 – 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
23 43
07/01/2014
09/30/2014
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
0.00 25,000.00
0.00
0.00
25,000.00
0.00
25,000.00
09/09/2014
125,000.00
25,000.00 0.00 125,000.00 0.00
25,000.00
0.00
25,000.00
24. Schedule C
Nonmonetary Contributions Received
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
Page ofSEE INSTRUCTIONS ON REVERSE
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
FORM 460
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)
*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
24 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/02/2014 Carroll Fife
Oakland, CA 94606
X Campaign Coordinator
Dan Siegel for Mayor,
2014
Office supplies 70.81 680.81
09/10/2014 Robert Scheer
Los Angeles, CA 90012
X Journalist/Clinical
Professor
USC
Raiders Tickets 300.00 600.00
370.81
370.81
0.00
370.81
25. SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Schedule E
PaymentsMade
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
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 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)
CALIFORNIA
FORM 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
25 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Office Depot
Berkeley, CA 94710
OFC 38.13
Walgreens
Oakland, CA 94612
TRS 11.62
Nation Builder
Los Angeles, CA 90013
POL 449.00
498.75
81,249.63
723.73
0.00
81,973.36
26. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
26 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Walgreens
Oakland, CA 94612
OFC 8.68
Walgreens
Oakland, CA 94612
OFC 8.68
Kali Akuna
Jackson, MS 39203
CNS 500.00
Nicole Deane
Oakland, CA 94611
SAL 1,500.00
Safeway
Oakland, CA 94610
TRS 44.04
2,061.40
27. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
27 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
USPS
Oakland, CA 94615
POS 98.00
Nicole Deane
Oakland, CA 94611
TRS 217.00
City of Oakland
Oakland, CA 94612
FIL 300.00
Walgreens
Oakland, CA 94612
TRS 13.56
Ace Parking Lot
Oakland, CA 94612
TRS 6.00
634.56
28. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
28 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Ace Parking Lot
Oakland, CA 94612
TRS 14.00
Walgreens
Oakland, CA 94612
TRS 7.28
Safeway
Oakland, CA 94610
TRS 44.77
Ace Parking Lot
Oakland, CA 94612
TRS 110.00
Kerry's Office Supplies
Oakland, CA 94612
OFC 47.70
223.75
29. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
29 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Kerry's Office Supplies
Oakland, CA 94612
OFC 38.14
Nicole Deane
Oakland, CA 94611
SAL 1,500.00
Carroll Fife
Oakland, CA 94606
SAL 5,000.00
Walgreens
Oakland, CA 94612
TSF 2.99
Walgreens
Oakland, CA 94612
TRS 14.09
6,555.22
30. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
30 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Left Coast Communications
San Francisco, CA 94103
CNS 20,000.00
Paypal
San Jose, CA 95131
Online fundraising fees 50.25
Ikea
Emeryville, CA 94608
OFC 232.14
Office Depot
Berkeley, CA 94710
OFC 149.78
Target
Emeryville, CA 94608
OFC 65.93
20,498.10
31. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
31 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Metro PCS
Emeryville, CA 94608
OFC 175.00
Metro PCS
Emeryville, CA 94608
OFC 103.60
Nation Builder
Los Angeles, CA 90013
POL 449.00
Federal Express
Oakland, CA 94612
POS 22.82
Shannon Baumgartner
Alalmeda, CA 94501
FND 108.00
858.42
32. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
32 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Shannon Baumgartner
Alalmeda, CA 94501
FND 72.00
Smart & Final
Oakland, CA 94607
TRS 122.48
East Bay Express
Oakland, CA 94607
PRT 125.00
Nicole Deane
Oakland, CA 94611
SAL 1,500.00
Dominos Pizza
Oakland, CA 94607
TRS 160.44
1,979.92
33. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
33 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Mollie Costello
Oakland, CA 94612
OFC 1,500.00
Oakland Pride
Oakland, CA 94623
MTG 294.00
Paypal
San Jose, CA 95131
Online fundraising fees 14.12
Political Data Burbank
Norwalk, CA 90652
Data 295.96
Office Depot
Berkeley, CA 94710
OFC 42.48
2,146.56
34. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
34 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Political Data Burbank
Norwalk, CA 90652
Data 43.60
Smart & Final
Oakland, CA 94607
TRS 107.14
Dominos Pizza
Oakland, CA 94607
TRS 36.67
Safeway
Oakland, CA 94610
TRS 9.83
Safeway
Oakland, CA 94610
TRS 24.57
221.81
35. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
35 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Nicole Deane
Oakland, CA 94611
SAL 1,500.00
Carroll Fife
Oakland, CA 94606
SAL 5,000.00
Kerry's Office Supplies
Oakland, CA 94612
OFC 29.42
Paypal
San Jose, CA 95131
Online fundraising fees 25.55
Kerry's Office Supplies
Oakland, CA 94612
OFC 35.00
6,589.97
36. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
36 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Ace Parking Lot
Oakland, CA 94612
TRS 220.00
Left Coast Communications
San Francisco, CA 94103
CNS 4,072.64
Left Coast Communications
San Francisco, CA 94103
CNS 11,266.18
Metro PCS
Emeryville, CA 94608
OFC 125.00
Ace Parking Lot
Oakland, CA 94612
TRS 220.00
15,903.82
37. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
37 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Paypal
San Jose, CA 95131
Online fundraising fees 11.94
Nation Builder
Los Angeles, CA 90013
POL 449.00
Gene Bergman & Associates
Aptos, CA 95001
POL 8,000.00
Paypal
San Jose, CA 95131
Online fundraising fees 32.38
Paypal
San Jose, CA 95131
Online fundraising fees 72.13
8,565.45
38. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
38 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Nicole Deane
Oakland, CA 94611
SAL 1,500.00
Paypal
San Jose, CA 95131
Online fundraising fees 152.02
CallFire Inc.
Santa Monica, CA 90401
PHO 199.00
Mollie Costello
Oakland, CA 94612
OFC 1,500.00
Inkworks
Berkeley, CA 94710
CMP 2,200.00
5,551.02
39. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
39 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Paypal
San Jose, CA 95131
Online fundraising fees 76.90
Office Depot
Berkeley, CA 94710
OFC 36.82
Target
Emeryville, CA 94608
OFC 53.96
Nicole Deane
Oakland, CA 94611
SAL 1,500.00
Carroll Fife
Oakland, CA 94606
SAL 5,000.00
6,667.68
40. 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
to 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)
CALIFORNIA
FORM 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 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
Schedule E
(Continuation Sheet)
40 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Inkworks
Berkeley, CA 94710
CMP 2,247.00
Paypal
San Jose, CA 95131
Online fundraising fees 40.95
Paypal
San Jose, CA 95131
Online fundraising fees 5.25
2,293.20
41. Statement covers period
from
through
I.D. NUMBER
SCHEDULE F
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 $
Type or print in ink.
Amounts may be rounded
to whole dollars.
Page of
Schedule F
Accrued 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 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 $ $$
CALIFORNIA
FORM 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 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
41 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Left Coast Communications
San Francisco, CA 94103
CNS 24,072.64 0.00 24,072.64 0.00
24,072.64 0.00 24,072.64 0.00
0.00
24,072.64
-24,072.64
42. 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
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.
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIA
FORM 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 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
www.netfile.com
42 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Left Coast Communications
Pacific Print Resources
Emeryville, CA 94608
LIT 231.46
231.46
43. Schedule I
Miscellaneous 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 OF
INCREASE TO CASH
DESCRIPTION OF RECEIPT
DATE
RECEIVED
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 $
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)
CALIFORNIA
FORM 460
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
43 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
0.00
0.03
0.00
0.03