Download - Dan Siegel FPPC Form 460, 7-1-14 to 9-30-14
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
4. VerificationI have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certifyunder penalty of perjury under the laws of the State of California that the foregoing is true and correct.
BySignature of Treasurer or Assistant Treasurer
BySignature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
BySignature of Controlling Officeholder, Candidate, State Measure Proponent
BySignature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on Date
Executed on Date
Executed on Date
Executed on Date
Type or print in ink.
SEE INSTRUCTIONS ON REVERSE
Date of election if applicable:(Month, Day, Year)
Recipient CommitteeCampaign StatementCover Page
For Official Use Only
Page of
COVER PAGE
CALIFORNIA FORM
Date Stamp
3. Committee InformationCOMMITTEE NAME (OR CANDIDATE’S NAME IF NO COMMITTEE)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
Statement covers period
from
through
(Government Code Sections 84200-84216.5)
1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4.
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Treasurer(s)
NAME OF TREASURER
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
460
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
I.D. NUMBER
2. Type of Statement:Preelection StatementSemi-annual StatementTermination Statement(Also file a Form 410 Termination)
Amendment (Explain below)
Quarterly StatementSpecial Odd-Year ReportSupplemental Preelection
Primarily Formed Ballot MeasureCommittee
ControlledSponsored
(Also Complete Part 6)
Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall
(Also Complete Part 5)
Primarily Formed Candidate/Officeholder Committee(Also Complete Part 7)
General Purpose CommitteeSponsoredSmall Contributor CommitteePolitical Party/Central Committee
Statement - Attach Form 495
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 / [email protected]
Elizabeth Johnson
Oakland CA 94612
10/06/2014 Elizabeth Johnson
10/06/2014 Dan Siegel
E-Filed10/06/201415:59:32
Filing ID:152568197
Page of
COVER PAGE - PART 2
CALIFORNIAFORM
Recipient CommitteeCampaign StatementCover Page — Part 2
Type or print in ink.
460
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receivecontributions or make expenditures on behalf of your candidacy.
NAME OF TREASURER
COMMITTEE NAME
YES NO
I.D. NUMBER
CONTROLLED COMMITTEE?
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
NAME OF TREASURER
COMMITTEE NAME
YES NO
I.D. NUMBER
CONTROLLED COMMITTEE?
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
DISTRICT NO. IF ANY
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
JURISDICTION SUPPORTOPPOSE
BALLOT NO. OR LETTER
7. Primarily Formed Candidate/Officeholder Committee List names ofofficeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELDSUPPORTOPPOSE
SUPPORTOPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDSUPPORTOPPOSE
Attach continuation sheets if necessary
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDSUPPORTOPPOSE
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
www.netfile.com
2 43
Dan Siegel
Mayor: City of Oakland, CA 94612
Oakland CA 94612
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Campaign Disclosure StatementSummary Page
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
I.D. NUMBER
Current Cash Statement12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $
13. Cash Receipts ................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
15. Cash Payments .................................................. Column A, Line 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
CALIFORNIAFORM
SUMMARY PAGE
Expenditures Made6. Payments Made ....................................................... Schedule E, Line 4 $ $
7. Loans Made ............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ $
9. Accrued Expenses (Unpaid Bills) ...............................Schedule F, Line 3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ $
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3 $ $
2. Loans Received ...................................................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ $
4. Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ $
460Statement covers period
from
through
Column BCALENDAR YEAR
TOTAL TO DATE
Column ATOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
Calendar Year Summary for CandidatesRunning in Both the State Primary andGeneral Elections
1/1 through 6/30 7/1 to Date
20. ContributionsReceived $ $
21. ExpendituresMade $ $
Expenditure Limit Summary for StateCandidates
*Amounts in this section may be different from amountsreported in Column B.
Date of Election(mm/dd/yy)
Total to Date
22. Cumulative Expenditures Made*(If Subject to Voluntary Expenditure Limit)
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
To calculate Column B, addamounts in Column A to thecorresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. If this isthe first report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 (ifany).
/ /
/ /
$
$
www.netfile.com
3 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
Schedule AMonetary Contributions Received
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
SCHEDULE A
SUBTOTAL $
CALIFORNIAFORM
Statement covers period
from
through
Schedule A Summary1. Amount received this period – itemized monetary contributions.
(Include all Schedule A subtotals.) ........................................................................................................ $
2. Amount received this period – unitemized monetary contributions of less than $100 ............................. $
3. Total monetary contributions received this period.(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
460
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
4 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
07/01/2014 Carroll KefferRichmond, CA 94801
X retiredretired
100.00 100.00
07/03/2014 Mutiu FagbayiOakland, CA 94610-1754
X Education ConsultantPerformance Fact, Inc.
250.00 250.00
07/07/2014 Matthew RossBerkeley, CA 94705-2318
X AttorneyLeonard Carder
250.00 250.00
07/07/2014 Spring WangNew York, NY 10013
X President54 Green Street RealtyCorp
700.00 700.00
07/09/2014 Katheryn Russell-BrownGainsville, FL 32606
X Law ProfessorUniversity 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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
5 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
07/10/2014 Melvyn BertSan Francisco, CA 94102
X PhysicianSelf-employed
100.00 100.00
07/10/2014 Jack BrysonOakland, CA 94605
X Maintenance SupervisorOakland Housing Authority
100.00 100.00
07/10/2014 Elizabeth ErlichOakland, CA 94611
X ParalegalCovington & Burling LLP
200.00 300.00
07/10/2014 Peter FranckOakland, CA 94605
X AttorneySelf-employed
100.00 100.00
07/15/2014 Asa DodsworthBerkeley, CA 94702-1947
X Rent Stabilization BoardMemberCity 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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
6 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
07/20/2014 Lisa TalbotLeesburg, VA 20175
X Electrical EngineerSimplex, LLC
100.00 100.00
07/21/2014 Hindatu MohammedAustin, TX 78757
X VeterinarianAllendale VeterinaryClinic
700.00 700.00
07/23/2014 Karan MerryBrooklyn, NY 11225
X Former Head of St. Paul'sEpiscopal Schoolretired
150.00 150.00
07/24/2014 Keith BrownOakland, CA 94601
X TeacherOUSD
100.00 140.00
07/24/2014 Rodolfo PetschekNevada City, CA 95959-0188
X retiredretired
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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
7 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
07/24/2014 Kenly WeillsNevada City, CA 95959
X retiredretired
700.00 700.00
07/28/2014 Kevin PinaSan Leandro, CA 94578
X Lecturer, Film Maker,JournalistCSU East Bay
100.00 300.00
07/28/2014 Kelley RoemerOakland, CA 94612
X Court ReporterAiken & Welch
100.00 100.00
07/28/2014 Burton WhiteTigard, OR 97223
X Labor Arbitrator,Mediator, FacilitatorSelf-employed
100.00 350.00
07/29/2014 Claudia AlbanoKensington, CA 94706
X Policy DirectorAlameda 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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
8 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
07/29/2014 Tolbert SmallOakland, CA 94611
X PhysicianSelf-employed
100.00 100.00
07/29/2014 Jason WallachOakland, CA 94602
X Bicycle MechanicLaurel Cyclery
250.00 250.00
08/01/2014 Katheryn Russell-BrownGainsville, FL 32606
X Law ProfessorUniversity of Florida
100.00 700.00
08/02/2014 Michael KaufmanOakland, CA 94619-2044
X retiredretired
100.00 700.00
08/02/2014 Amrit KohliOakland, CA 94603
X Software Engineer,Professional Musicianself-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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
9 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
08/08/2014 Kweli GibsonSan Leandro, CA 94577
X ConsultantSelf-employed
100.00 250.00
08/09/2014 Carol StrickmanOakland, CA 94618
X AttorneyLegal Service forPrisoners with Children
100.00 100.00
08/14/2014 Millie ClevelandOakland, CA 94619
X Union Field RepresentativeSEIU 1021
100.00 100.00
08/14/2014 Aixa Gannon-SiegelOakland, CA 94605
X unemployedunemployed
100.00 700.00
08/14/2014 April ThomasOakland, CA 94609
X Communications ConsultantFull 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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
10 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
08/16/2014 William MonningCarmel, CA 93923
X State Sentator, 17th S.D.State of California
300.00 300.00
08/21/2014 Katheryn Russell-BrownGainsville, FL 32606
X Law ProfessorUniversity of Florida
200.00 700.00
08/22/2014 California Nurses Association PoliticalAction Committee (ID# 780657)Sacramemto, CA 95814 X
500.00 500.00
08/22/2014 John DeaneNashville, TN 37205
X Healthcare ManagementConsultantThe Advisory Board Company
200.00 700.00
08/23/2014 Nancy LazarusDavis, CA 95616
X Physicianretired
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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
11 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
08/24/2014 M. Clyde NelsonOakland, CA 94605
X retiredretired
100.00 100.00
08/26/2014 Peter TannenbaumEl Cerrito, CA 94530
X WebmasterStopWaste
100.00 100.00
08/28/2014 Judi LewisOakland, CA 94602
X Teacherretired
100.00 100.00
08/28/2014 Daryelle Lawanna PrestonPinole, CA 94564
X Senior Employee RelationsRepresentativeCity of San Francisco
250.00 250.00
08/28/2014 Justin RyanOakland, CA 94610
X Systems EngineerHipmunk
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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
12 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/01/2014 Sheilagh PolkOakland, CA 94607
X Director of CommunicationsCoaching Corps
50.00 100.00
09/02/2014 Brenda BlomBaltimore, MD 21210
X Law Professorretired
100.00 200.00
09/02/2014 David JuddOakland, CA 94610
X Software EngineerAcademia.edu
120.00 240.00
09/03/2014 Ellen AugustineOakland, CA 94611
X AuthorSelf-employed
100.00 150.00
09/03/2014 Eileen GambrillKensington, CA 94708
X Professor EmeritusUniversity 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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
13 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/04/2014 Alexandra DeanePoughkeepsie, NY 12601
X StudentVassar College
700.00 700.00
09/05/2014 Paul BermanzohnRosendale, NY 12472
X retiredretired
100.00 200.00
09/05/2014 Peter HaberfeldOakland, CA 94618
X retiredretired
100.00 200.00
09/06/2014 Katheryn Russell-BrownGainsville, FL 32606
X Law ProfessorUniversity of Florida
300.00 700.00
09/08/2014 Sarah SatterleeBerkeley, CA 94710
X retiredretired
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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
14 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/09/2014 Claudia CarrRichmond, CA 94808
X Associate ProfessorUniversity of California,Berkeley
100.00 100.00
09/10/2014 Robinson BrownBerkeley, CA 94710-2208
X Contractor/DeveloperSelf-employed
200.00 350.00
09/11/2014 Jason FergusonFranklin, TN 37069
X CFO Care DepartmentAsurion
700.00 700.00
09/11/2014 Michelle FergusonFranklin, TN 37069
X HomemakerNone
700.00 700.00
09/11/2014 Barbara SysakMemphis, TN 38104
X retiredretired
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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
15 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/12/2014 Gary DeaneMonkton, MD 21111
X retiredretired
700.00 700.00
09/12/2014 Mary DeaneMonkton, MD 21111
X Development OfficerMercy Health System
700.00 700.00
09/12/2014 Nicole DeaneOakland, CA 94611
X Field Campaign OrganizerDan Siegel for Mayor, 2014
700.00 700.00
09/12/2014 Amy HunsbergerWashington, DC 20007
X AttorneyUS Department of Healthand Human Services
200.00 200.00
09/12/2014 John SteeleNashville, TN 37215
X Financial AdvisorEquitable 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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
16 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/13/2014 Peter HaberfeldOakland, CA 94618
X retiredretired
100.00 200.00
09/13/2014 Nancy MooreOxford, MS 38655
X Art Teacher and Artistretired
700.00 700.00
09/13/2014 Taylor MooreOxford, MS 38655
X Episcopal PriestSt. Peter's EpiscopalChurch
700.00 700.00
09/14/2014 Christopher HunsbergerWashington, DC 20007
X Executive VP of HumanResourcesFour Seasons Hotels
200.00 200.00
09/14/2014 Eric LarsenVienna, VA 22182
X Managing PartnerThe 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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
17 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/14/2014 Brad RoseWashington, DC 20016
X MarketingThe Advisory Board Company
700.00 700.00
09/14/2014 Gary SysakMemphis, TN 38104
X retiredretired
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 AlbertOakland, CA 94606
X OrganizerNational Union ofHealthcare Workers
250.00 375.00
09/18/2014 Jim BerkeleyNashville, TN 37204
X PresidentDestinations & 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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
18 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/18/2014 Mara BerkeleyNashville, TN 37204
X Tastes & Traditions ExpertDestinations & Adventures
700.00 700.00
09/19/2014 Kalen StantonNashville, TN 37211
X ConsultantThe Advisory Board Company
700.00 700.00
09/22/2014 Katie SteeleNashville, TN 37205
X HomemakerNone
500.00 500.00
09/23/2014 Charles BrownFranklin, TN 37067
X Managing PartnerInternational Insurance
250.00 250.00
09/23/2014 Kevin BrownGainsville, FL 32606
X ContractorSelf-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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
19 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/24/2014 Aixa Gannon-SiegelOakland, CA 94605
X unemployedunemployed
100.00 700.00
09/24/2014 Shanthi GonzalesOakland, CA 94621
X Membership CoordinatorWomen Donors Network
50.00 100.00
09/24/2014 Jonathan SiegelOakland, CA 94605
X AttorneySiegel, LeWitter, Malkani
200.00 700.00
09/25/2014 Paul MatsonNevada City, CA 95959
X retiredretired
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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
20 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/26/2014 Robert StewartFranklin, TN 37064
X Business OwnerMajor Commercial Cleaning
700.00 700.00
09/27/2014 J. Wallace OmanOakland, CA 94611
X LawyerSelf-employed
100.00 100.00
09/28/2014 Deborah SneedNashville, TN 37211
X Executive SecretarySouthwind
700.00 700.00
09/28/2014 Hannah ZimaOakland, CA 94608
X Legislative ClerkCity of Oakland
100.00 100.00
09/29/2014 Steve BinghamTerre Linda, CA 94903
X retiredretired
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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
21 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/29/2014 Dennis CunninghamSan Francisco, CA 94110
X LawyerSelf-employed
400.00 400.00
09/29/2014 Patricia GorhamOakland, CA 94605
X TeacherOUSD
100.00 100.00
09/29/2014 Christopher RobertsOakland, CA 94607
X retiredretired
100.00 100.00
09/30/2014 Katrina Brekke-MiesnerOakland, CA 94601-3804
X Program DirectorSt. Mary's Senior Center
200.00 700.00
09/30/2014 Paul Brekke-MiesnerOakland, CA 94601-3804
X retiredretired
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
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
22 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/30/2014 Dennis ChaconesOakland, CA 94610
X retiredretired
300.00 300.00
09/30/2014 Carroll FifeOakland, CA 94606
X Campaign CoordinatorDan Siegel for Mayor, 2014
110.00 680.81
09/30/2014 Susanne LeaOakland, CA 94619
X Attorneyretired
250.00 250.00
09/30/2014 Mike NapolitanoOakland, CA 94618
X GeologistState of California
100.00 100.00
09/30/2014 Ryan PriceOakland, CA 94607
X Director of AdministrationCalifornia BicycleCoalition
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 1Loans Received
Page of
SUBTOTALS $
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CALIFORNIAFORM 460
$ $
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTERNAME OF BUSINESS)
INTERESTPAID THISPERIOD
CUMULATIVECONTRIBUTIONS
TO DATE
FULL NAME, STREET ADDRESS AND ZIP CODEOF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
ORIGINALAMOUNT OF
LOAN
OUTSTANDINGBALANCE
BEGINNING THISPERIOD
AMOUNTRECEIVED THIS
PERIOD
AMOUNT PAIDOR FORGIVENTHIS PERIOD
OUTSTANDINGBALANCE AT
CLOSE OF THISPERIOD
(b) (c) (e)
$
DATE INCURRED
(Enter (e) onSchedule E, Line 3)
CALENDAR YEAR
$
PER ELECTION
$
%RATE
$
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
Schedule B Summary
1. Loans received this period .................................................................................................................... $(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ......................................................................................................... $(Total Column (c) plus loans under $100 paid or forgiven.)(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $Enter the net here and on the Summary Page, Column A, Line 2.
(May be a negative number)
(a) (d)
$$
(f) (g)
PAID
$
FORGIVEN
$
$
DATE DUE
$
$
DATE INCURRED
CALENDAR YEAR
$
PER ELECTION
$
%RATE
$$$
PAID
$
FORGIVEN
$
$
DATE DUE
$
DATE INCURRED
CALENDAR YEAR
$
PER ELECTION
$
%RATE
$$$
PAID
$
FORGIVEN
$
$
DATE DUE
IND COM OTH PTY SCC
IND COM OTH PTY SCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
*
**
**
**
†
†
†
†Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
www.netfile.com
23 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Dan SiegelOakland, CA 94612
X
AttorneySiegel & Yee
50,000.00 0.00
0.00
0.00
50,000.00 0
0.00
50,000.00
01/07/2014
125,000.00
Dan SiegelOakland, CA 94612
X
AttorneySiegel & Yee
50,000.00 0.00
0.00
0.00
50,000.00 0
0.00
50,000.00
06/26/2014
125,000.00
Dan SiegelOakland, CA 94612
X
AttorneySiegel & Yee
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 CNonmonetary Contributions Received
I.D. NUMBER
Attach additional information on appropriately labeled continuation sheets.
CUMULATIVE TODATE
CALENDAR YEAR(JAN 1 - DEC 31)
AMOUNT/FAIR MARKET
VALUE
PER ELECTIONTO DATE
(IF REQUIRED)
DATERECEIVED
Type or print in ink.Amounts may be rounded
to whole dollars.
DESCRIPTION OFGOODS OR SERVICES
SCHEDULE C
Page of SEE INSTRUCTIONS ON REVERSENAME OF FILER
Schedule C Summary1. Amount received this period – itemized nonmonetary contributions.
(Include all Schedule C subtotals.) ..................................................................................................................... $
2. Amount received this period – unitemized nonmonetary contributions of less than $100 .................................... $
3. Total nonmonetary contributions received this period.(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
Statement covers period
from
through
SUBTOTAL $
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTERNAME OF BUSINESS)
FULL NAME, STREET ADDRESS ANDZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
INDCOMOTHPTYSCC
CALIFORNIAFORM 460
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
*Contributor Codes
IND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
www.netfile.com
24 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
09/02/2014 Carroll FifeOakland, CA 94606
X Campaign CoordinatorDan Siegel for Mayor,2014
Office supplies 70.81 680.81
09/10/2014 Robert ScheerLos Angeles, CA 90012
X Journalist/ClinicalProfessorUSC
Raiders Tickets 300.00 600.00
370.81
370.81
0.00
370.81
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Schedule EPayments Made
Page of
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
Type or print in ink.Amounts may be rounded
to whole dollars.
I.D. NUMBER
Statement covers period
from
through
SCHEDULE E
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $
2. Unitemized payments made this period of under $100 .......................................................................................................................................... $
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
25 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Office DepotBerkeley, CA 94710
OFC 38.13
WalgreensOakland, CA 94612
TRS 11.62
Nation BuilderLos 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
26 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
WalgreensOakland, CA 94612
OFC 8.68
WalgreensOakland, CA 94612
OFC 8.68
Kali AkunaJackson, MS 39203
CNS 500.00
Nicole DeaneOakland, CA 94611
SAL 1,500.00
SafewayOakland, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
27 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
USPSOakland, CA 94615
POS 98.00
Nicole DeaneOakland, CA 94611
TRS 217.00
City of OaklandOakland, CA 94612
FIL 300.00
WalgreensOakland, CA 94612
TRS 13.56
Ace Parking LotOakland, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
28 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Ace Parking LotOakland, CA 94612
TRS 14.00
WalgreensOakland, CA 94612
TRS 7.28
SafewayOakland, CA 94610
TRS 44.77
Ace Parking LotOakland, CA 94612
TRS 110.00
Kerry's Office SuppliesOakland, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
29 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Kerry's Office SuppliesOakland, CA 94612
OFC 38.14
Nicole DeaneOakland, CA 94611
SAL 1,500.00
Carroll FifeOakland, CA 94606
SAL 5,000.00
WalgreensOakland, CA 94612
TSF 2.99
WalgreensOakland, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
30 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Left Coast CommunicationsSan Francisco, CA 94103
CNS 20,000.00
PaypalSan Jose, CA 95131
Online fundraising fees 50.25
IkeaEmeryville, CA 94608
OFC 232.14
Office DepotBerkeley, CA 94710
OFC 149.78
TargetEmeryville, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
31 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Metro PCSEmeryville, CA 94608
OFC 175.00
Metro PCSEmeryville, CA 94608
OFC 103.60
Nation BuilderLos Angeles, CA 90013
POL 449.00
Federal ExpressOakland, CA 94612
POS 22.82
Shannon BaumgartnerAlalmeda, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
32 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Shannon BaumgartnerAlalmeda, CA 94501
FND 72.00
Smart & FinalOakland, CA 94607
TRS 122.48
East Bay ExpressOakland, CA 94607
PRT 125.00
Nicole DeaneOakland, CA 94611
SAL 1,500.00
Dominos PizzaOakland, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
33 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Mollie CostelloOakland, CA 94612
OFC 1,500.00
Oakland PrideOakland, CA 94623
MTG 294.00
PaypalSan Jose, CA 95131
Online fundraising fees 14.12
Political Data BurbankNorwalk, CA 90652
Data 295.96
Office DepotBerkeley, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
34 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Political Data BurbankNorwalk, CA 90652
Data 43.60
Smart & FinalOakland, CA 94607
TRS 107.14
Dominos PizzaOakland, CA 94607
TRS 36.67
SafewayOakland, CA 94610
TRS 9.83
SafewayOakland, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
35 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Nicole DeaneOakland, CA 94611
SAL 1,500.00
Carroll FifeOakland, CA 94606
SAL 5,000.00
Kerry's Office SuppliesOakland, CA 94612
OFC 29.42
PaypalSan Jose, CA 95131
Online fundraising fees 25.55
Kerry's Office SuppliesOakland, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
36 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Ace Parking LotOakland, CA 94612
TRS 220.00
Left Coast CommunicationsSan Francisco, CA 94103
CNS 4,072.64
Left Coast CommunicationsSan Francisco, CA 94103
CNS 11,266.18
Metro PCSEmeryville, CA 94608
OFC 125.00
Ace Parking LotOakland, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
37 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
PaypalSan Jose, CA 95131
Online fundraising fees 11.94
Nation BuilderLos Angeles, CA 90013
POL 449.00
Gene Bergman & AssociatesAptos, CA 95001
POL 8,000.00
PaypalSan Jose, CA 95131
Online fundraising fees 32.38
PaypalSan 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
38 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Nicole DeaneOakland, CA 94611
SAL 1,500.00
PaypalSan Jose, CA 95131
Online fundraising fees 152.02
CallFire Inc.Santa Monica, CA 90401
PHO 199.00
Mollie CostelloOakland, CA 94612
OFC 1,500.00
InkworksBerkeley, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
39 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
PaypalSan Jose, CA 95131
Online fundraising fees 76.90
Office DepotBerkeley, CA 94710
OFC 36.82
TargetEmeryville, CA 94608
OFC 53.96
Nicole DeaneOakland, CA 94611
SAL 1,500.00
Carroll FifeOakland, 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 roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
40 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
InkworksBerkeley, CA 94710
CMP 2,247.00
PaypalSan Jose, CA 95131
Online fundraising fees 40.95
PaypalSan Jose, CA 95131
Online fundraising fees 5.25
2,293.20
Statement covers period
from
through
I.D. NUMBER
SCHEDULE F
Schedule F Summary1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments onaccrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................................PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here andon the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $
Type or print in ink.Amounts may be rounded
to whole dollars.
Page of
Schedule FAccrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
NAME AND ADDRESS OF CREDITOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
May be a negative number
$
CODE ORDESCRIPTION OF PAYMENT
(a)OUTSTANDING
BALANCE BEGINNINGOF THIS PERIOD
(b)AMOUNT INCURRED
THIS PERIOD
(c)AMOUNT PAIDTHIS PERIOD
(ALSO REPORT ON E)
(d)OUTSTANDING
BALANCE AT CLOSEOF THIS PERIOD
SUBTOTALS $ $$
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also besummarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
41 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Left Coast CommunicationsSan 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 GPayments Made by an Agent or IndependentContractor (on Behalf of This Committee)
Page of
Type or print in ink.Amounts may be rounded
to whole dollars.
SCHEDULE G
I.D. NUMBER
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Statement covers period
from
through
Attach additional information on appropriately labeled continuation sheets. TOTAL* $
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent orindependent contractor as reported on Schedule E.
NAME AND ADDRESS OF PAYEE OR CREDITOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
www.netfile.com
42 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
Left Coast Communications
Pacific Print ResourcesEmeryville, CA 94608
LIT 231.46
231.46
Schedule IMiscellaneous Increases to Cash
Type or print in ink.Amounts may be rounded
to whole dollars.
Page of
I.D. NUMBER
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
AMOUNT OFINCREASE TO CASHDESCRIPTION OF RECEIPT
DATERECEIVED
Schedule I Summary1. Itemized increases to cash this period. ....................................................................................................................... $
2. Unitemized increases to cash of under $100 this period. ............................................................................................ $
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on theSummary Page, Line 14.) ........................................................................................................................... TOTAL $
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
SCHEDULE I
Statement covers period
from
through
FULL NAME AND ADDRESS OF SOURCE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
43 43
07/01/2014
09/30/2014
Dan Siegel for Mayor, 2014 1362877
0.00
0.03
0.00
0.03
