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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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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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