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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) Recipient Committee Campaign Statement Cover Page For Official Use Only Page of COVER PAGE 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 22 10/01/2014 10/18/2014 11/04/2014 X X 1362877 Dan Siegel for Mayor, 2014 Oakland CA 94612 (510)839-1200 (510)444-6698 / [email protected] Elizabeth Johnson Oakland CA 94612 [email protected] 10/23/2014 Elizabeth Johnson 10/23/2014 Dan Siegel E-Filed 10/23/2014 15:56:04 Filing ID: 152752003
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Page 1: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

State of California

4. VerificationI have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certifyunder penalty of perjury under the laws of the State of California that the foregoing is true and correct.

BySignature of Treasurer or Assistant Treasurer

BySignature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor

BySignature of Controlling Officeholder, Candidate, State Measure Proponent

BySignature of Controlling Officeholder, Candidate, State Measure Proponent

Executed on Date

Executed on Date

Executed on Date

Executed on Date

Type or print in ink.

SEE INSTRUCTIONS ON REVERSE

Date of election if applicable:(Month, Day, Year)

Recipient CommitteeCampaign StatementCover Page

For Official Use Only

Page of

COVER PAGE

CALIFORNIA FORM

Date Stamp

3. Committee InformationCOMMITTEE NAME (OR CANDIDATE’S NAME IF NO COMMITTEE)

MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX

Statement covers period

from

through

(Government Code Sections 84200-84216.5)

1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4.

STREET ADDRESS (NO P.O. BOX)

CITY STATE ZIP CODE AREA CODE/PHONE

Treasurer(s)

NAME OF TREASURER

NAME OF ASSISTANT TREASURER, IF ANY

MAILING ADDRESS

CITY STATE ZIP CODE AREA CODE/PHONE

460

CITY STATE ZIP CODE AREA CODE/PHONE

OPTIONAL: FAX / E-MAIL ADDRESS

MAILING ADDRESS

CITY STATE ZIP CODE AREA CODE/PHONE

OPTIONAL: FAX / E-MAIL ADDRESS

I.D. NUMBER

2. Type of Statement:Preelection StatementSemi-annual StatementTermination Statement(Also file a Form 410 Termination)

Amendment (Explain below)

Quarterly StatementSpecial Odd-Year ReportSupplemental Preelection

Primarily Formed Ballot MeasureCommittee

ControlledSponsored

(Also Complete Part 6)

Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall

(Also Complete Part 5)

Primarily Formed Candidate/Officeholder Committee(Also Complete Part 7)

General Purpose CommitteeSponsoredSmall Contributor CommitteePolitical Party/Central Committee

Statement - Attach Form 495

www.netfile.com

1 22

10/01/2014

10/18/2014 11/04/2014

X X

1362877

Dan Siegel for Mayor, 2014

Oakland CA 94612 (510)839-1200

(510)444-6698 / [email protected]

Elizabeth Johnson

Oakland CA 94612

[email protected]

10/23/2014 Elizabeth Johnson

10/23/2014 Dan Siegel

E-Filed10/23/201415:56:04

Filing ID:152752003

Page 2: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

Page of

COVER PAGE - PART 2

CALIFORNIAFORM

Recipient CommitteeCampaign StatementCover Page — Part 2

Type or print in ink.

460

5. Officeholder or Candidate Controlled Committee

NAME OF OFFICEHOLDER OR CANDIDATE

Related Committees Not Included in this Statement: List any committees

not included in this statement that are controlled by you or are primarily formed to receivecontributions or make expenditures on behalf of your candidacy.

NAME OF TREASURER

COMMITTEE NAME

YES NO

I.D. NUMBER

CONTROLLED COMMITTEE?

COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)

CITY STATE ZIP CODE AREA CODE/PHONE

OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)

RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP

NAME OF TREASURER

COMMITTEE NAME

YES NO

I.D. NUMBER

CONTROLLED COMMITTEE?

COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)

CITY STATE ZIP CODE AREA CODE/PHONE

6. Primarily Formed Ballot Measure Committee

NAME OF BALLOT MEASURE

DISTRICT NO. IF ANY

Identify the controlling officeholder, candidate, or state measure proponent, if any.

NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT

OFFICE SOUGHT OR HELD

JURISDICTION SUPPORTOPPOSE

BALLOT NO. OR LETTER

7. Primarily Formed Candidate/Officeholder Committee List names ofofficeholder(s) or candidate(s) for which this committee is primarily formed.

NAME OF OFFICEHOLDER OR CANDIDATE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD

OFFICE SOUGHT OR HELDSUPPORTOPPOSE

SUPPORTOPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDSUPPORTOPPOSE

Attach continuation sheets if necessary

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDSUPPORTOPPOSE

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

State of California

www.netfile.com

2 22

Dan Siegel

Mayor: City of Oakland, CA 94612

Oakland CA 94612

Page 3: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

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).

/ /

/ /

$

$

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3 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

7,002.00 80,960.06

0.00 125,000.00

7,002.00 205,960.06

176.82 823.81

7,178.82 206,783.87

35,382.74 197,552.59

0.00 0.00

35,382.74 197,552.59

37,125.00 37,125.00

176.82 823.81

72,684.56 235,501.40

36,788.29

7,002.00

99.00

35,382.74

8,506.55

0.00

0.00

162,125.00

Page 4: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

Schedule AMonetary Contributions Received

Page of

Type or print in ink.Amounts may be rounded

to whole dollars.

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER I.D. NUMBER

SCHEDULE A

SUBTOTAL $

CALIFORNIAFORM

Statement covers period

from

through

Schedule A Summary1. Amount received this period – itemized monetary contributions.

(Include all Schedule A subtotals.) ........................................................................................................ $

2. Amount received this period – unitemized monetary contributions of less than $100 ............................. $

3. Total monetary contributions received this period.(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

460

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

www.netfile.com

4 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

10/01/2014 Paul BermanzohnRosendale, NY 12472

X retiredretired

100.00 300.00

10/01/2014 John ScottSan Francisco, CA 94109

X AttorneyScott Law Firm

500.00 600.00

10/05/2014 Elizabeth WhiteLos Angeles, CA 90066

X Psychiatric Social WorkerKaiser Permanente

100.00 100.00

10/05/2014 Steve WillettOakland, CA 94609

X Computer Programmerretired

200.00 200.00

10/06/2014 John BorsosSacramento, CA 95831

X OrganizerCalifornia NursesAssociation

200.00 700.00

1,100.00

6,155.00

847.00

7,002.00

Page 5: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

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

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

www.netfile.com

5 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

10/06/2014 Laurel ChenBurlington, VT 05401

X Field InterviewerMathmatica Policy Research

100.00 100.00

10/06/2014 Anna DeleonBerkeley, CA 94703

X Attorney, MusicianSelf-employed

100.00 100.00

10/06/2014 Clare MoraNashville, TN 37211

X Nursing StudentNone

700.00 700.00

10/06/2014 Robert OdenSacramento, CA 95819

X ProfessorCSU Sacramento

100.00 100.00

10/07/2014 John BurrisOakland, CA 94621

X AttorneySelf-employed

500.00 500.00

1,500.00

Page 6: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

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

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

www.netfile.com

6 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

10/07/2014 Thao LamEl Cerrito, CA 94530

X Social WorkerAlameda County SocialService Agency

100.00 100.00

10/08/2014 Jerome ButtrickOakland, CA 94618-1345

X ArchitectButtrick Wong Architect

100.00 100.00

10/08/2014 Victoria GriffethOakland, CA 94618

X n/aunemployed

100.00 100.00

10/10/2014 Jason CoxAlbany, CA 94706

X AttorneySelf-emploted

200.00 200.00

10/10/2014 Landon WilliamsOakland, CA 94601-2768

X retiredretired

250.00 250.00

750.00

Page 7: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

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

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

www.netfile.com

7 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

10/13/2014 Mary Ruth GrossRichmond, CA 94803

X retiredretired

100.00 100.00

10/13/2014 Pamela MartinezAlameda, CA 94501

X OrganizerNational Union ofHealthcare Workers

75.00 125.00

10/13/2014 Maria Padilla-CastroSacramento, CA 94706

X OrganizerNational Union ofHealthcare Workers

100.00 150.00

10/13/2014 Charles RidgellTakoma Park, MD 20912-4254

X OrganizerNational Union ofHealthcare Workers

500.00 600.00

10/15/2014 Elaine WallaceOakland, CA 94602

X AttorneySelf-employed

250.00 250.00

1,025.00

Page 8: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

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

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

www.netfile.com

8 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

10/17/2014 James ClarkOakland, CA 94618

X retiredretired

100.00 100.00

10/18/2014 Jeremy ClarkeOakland, CA 94603

X Studentn/a

180.00 180.00

10/18/2014 Steve EarlyRichmond, CA 94801-3715

X Freelance Journalist andAuthorSelf-employed

300.00 600.00

10/18/2014 Michael EisenscherOakland, CA 94601-4704

X OrganizerUS Labor Against The War

200.00 200.00

10/18/2014 Dorothy GrahamOakland, CA 94609-1247

X Hospital PlannerAlameda Health System

200.00 200.00

980.00

Page 9: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

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

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

www.netfile.com

9 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

10/18/2014 Kathryn KaschOakland, CA 94618

X retiredretired

200.00 600.00

10/18/2014 Lakshmi KernerOakland, CA 94602

X retiredretired

50.00 100.00

10/18/2014 Joel MoskowitzOakland, CA 94611

X ResearcherUC Berkeley

100.00 200.00

10/18/2014 James NixonOakland, CA 94618

X Business DeveloperSusstainable Systems

100.00 100.00

10/18/2014 Fred SeaveySan Francisco, CA 94110

X ResearcherNational Union ofHealthcare Workers

300.00 700.00

750.00

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

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

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

www.netfile.com

10 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

10/18/2014 Lisa ThompsonBerkeley, CA 94704

X Graphic Designerself-employed

50.00 110.00

50.00

Page 11: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

IND COM OTH PTY SCC

Statement covers period

from

through

I.D. NUMBER

SCHEDULE B - PART 1Type or print in ink.Amounts may be rounded

to whole dollars.

Schedule B – Part 1Loans Received

Page of

SUBTOTALS $

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

CALIFORNIAFORM 460

$ $

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF-EMPLOYED, ENTERNAME OF BUSINESS)

INTERESTPAID THISPERIOD

CUMULATIVECONTRIBUTIONS

TO DATE

FULL NAME, STREET ADDRESS AND ZIP CODEOF LENDER

(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

ORIGINALAMOUNT OF

LOAN

OUTSTANDINGBALANCE

BEGINNING THISPERIOD

AMOUNTRECEIVED THIS

PERIOD

AMOUNT PAIDOR FORGIVENTHIS PERIOD

OUTSTANDINGBALANCE AT

CLOSE OF THISPERIOD

(b) (c) (e)

$

DATE INCURRED

(Enter (e) onSchedule E, Line 3)

CALENDAR YEAR

$

PER ELECTION

$

%RATE

$

*Amounts forgiven or paid by another party also must be reported on Schedule A.

** If required.

Schedule B Summary

1. Loans received this period .................................................................................................................... $(Total Column (b) plus unitemized loans of less than $100.)

2. Loans paid or forgiven this period ......................................................................................................... $(Total Column (c) plus loans under $100 paid or forgiven.)(Include loans paid by a third party that are also itemized on Schedule A.)

3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $Enter the net here and on the Summary Page, Column A, Line 2.

(May be a negative number)

(a) (d)

$$

(f) (g)

PAID

$

FORGIVEN

$

$

DATE DUE

$

$

DATE INCURRED

CALENDAR YEAR

$

PER ELECTION

$

%RATE

$$$

PAID

$

FORGIVEN

$

$

DATE DUE

$

DATE INCURRED

CALENDAR YEAR

$

PER ELECTION

$

%RATE

$$$

PAID

$

FORGIVEN

$

$

DATE DUE

IND COM OTH PTY SCC

IND COM OTH PTY SCC

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

*

**

**

**

†Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

www.netfile.com

11 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

Dan SiegelOakland, CA 94612

X

AttorneySiegel & Yee

50,000.00 0.00

0.00

0.00

50,000.00 0

0.00

50,000.00

01/07/2014

125,000.00

Dan SiegelOakland, CA 94612

X

AttorneySiegel & Yee

50,000.00 0.00

0.00

0.00

50,000.00 0

0.00

50,000.00

06/26/2014

125,000.00

Dan SiegelOakland, CA 94612

X

AttorneySiegel & Yee

25,000.00 0.00

0.00

0.00

25,000.00

0.00

25,000.00

09/09/2014

125,000.00

0.00 0.00 125,000.00 0.00

0.00

0.00

0.00

Page 12: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

Schedule CNonmonetary Contributions Received

I.D. NUMBER

Attach additional information on appropriately labeled continuation sheets.

CUMULATIVE TODATE

CALENDAR YEAR(JAN 1 - DEC 31)

AMOUNT/FAIR MARKET

VALUE

PER ELECTIONTO DATE

(IF REQUIRED)

DATERECEIVED

Type or print in ink.Amounts may be rounded

to whole dollars.

DESCRIPTION OFGOODS OR SERVICES

SCHEDULE C

Page of SEE INSTRUCTIONS ON REVERSENAME OF FILER

Schedule C Summary1. Amount received this period – itemized nonmonetary contributions.

(Include all Schedule C subtotals.) ..................................................................................................................... $

2. Amount received this period – unitemized nonmonetary contributions of less than $100 .................................... $

3. Total nonmonetary contributions received this period.(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $

Statement covers period

from

through

SUBTOTAL $

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF-EMPLOYED, ENTERNAME OF BUSINESS)

FULL NAME, STREET ADDRESS ANDZIP CODE OF CONTRIBUTOR

(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CONTRIBUTORCODE *

INDCOMOTHPTYSCC

CALIFORNIAFORM 460

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

www.netfile.com

12 22

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10/18/2014

Dan Siegel for Mayor, 2014 1362877

10/10/2014 Micah ClatterbaughOakland, CA 94606

X ParalegalSiegel & Yee

Food for houseparty

176.82 176.82

176.82

176.82

0.00

176.82

Page 13: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

Schedule EPayments Made

Page of

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

SUBTOTAL $

Type or print in ink.Amounts may be rounded

to whole dollars.

I.D. NUMBER

Statement covers period

from

through

SCHEDULE E

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

Schedule E Summary

1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $

2. Unitemized payments made this period of under $100 .......................................................................................................................................... $

3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $

4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

www.netfile.com

13 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

Ace Parking LotOakland, CA 94612

TRS 220.00

Metro PCSEmeryville, CA 94608

OFC 125.00

USPSOakland, CA 94615

POS 2,940.00

3,285.00

35,311.41

71.33

0.00

35,382.74

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

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

SUBTOTAL $

Statement covers period

from

through

SCHEDULE E (CONT.)Type or print in ink.

Amounts may be roundedto whole dollars.Payments Made

SEE INSTRUCTIONS ON REVERSE Page of

I.D. NUMBER

NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

NAME OF FILER

www.netfile.com

Schedule E (Continuation Sheet)

14 22

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Dan Siegel for Mayor, 2014 1362877

USPSOakland, CA 94615

POS 49.00

USPSOakland, CA 94615

POS 980.00

WalgreensOakland, CA 94612

OFC 17.48

Whole FoodsOakland, CA 94612

TRS 28.77

Nation BuilderLos Angeles, CA 90013

POL 449.00

1,524.25

Page 15: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

SUBTOTAL $

Statement covers period

from

through

SCHEDULE E (CONT.)Type or print in ink.

Amounts may be roundedto whole dollars.Payments Made

SEE INSTRUCTIONS ON REVERSE Page of

I.D. NUMBER

NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

NAME OF FILER

www.netfile.com

Schedule E (Continuation Sheet)

15 22

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10/18/2014

Dan Siegel for Mayor, 2014 1362877

Office DepotBerkeley, CA 94710

OFC 25.38

USPSOakland, CA 94615

POS 784.00

Whole FoodsOakland, CA 94612

TRS 36.44

PaypalSan Jose, CA 95131

OFC 59.11

Federal ExpressOakland, CA 94612

OFC 62.96

967.89

Page 16: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

SUBTOTAL $

Statement covers period

from

through

SCHEDULE E (CONT.)Type or print in ink.

Amounts may be roundedto whole dollars.Payments Made

SEE INSTRUCTIONS ON REVERSE Page of

I.D. NUMBER

NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

NAME OF FILER

www.netfile.com

Schedule E (Continuation Sheet)

16 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

GoogleAdMountain View, CA 94043

WEB 200.00

People's KitchenOakland, CA 94607

MTG 100.00

Nicole DeaneOakland, CA 94611

SAL 1,500.00

Federal ExpressOakland, CA 94612

OFC 12.87

Left Coast CommunicationsSan Francisco, CA 94103

CNS 25,549.56

27,362.43

Page 17: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

SUBTOTAL $

Statement covers period

from

through

SCHEDULE E (CONT.)Type or print in ink.

Amounts may be roundedto whole dollars.Payments Made

SEE INSTRUCTIONS ON REVERSE Page of

I.D. NUMBER

NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

NAME OF FILER

www.netfile.com

Schedule E (Continuation Sheet)

17 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

Political Data BurbankNorwalk, CA 90652

POL 886.65

CallFire Inc.Santa Monica, CA 90401

PHO 199.00

PaypalSan Jose, CA 95131

OFC 20.96

PsPrint LLCOakland, CA 94608

CMP 167.01

Russell BassOakland, CA 94612

FND 750.00

2,023.62

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

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

SUBTOTAL $

Statement covers period

from

through

SCHEDULE E (CONT.)Type or print in ink.

Amounts may be roundedto whole dollars.Payments Made

SEE INSTRUCTIONS ON REVERSE Page of

I.D. NUMBER

NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

NAME OF FILER

www.netfile.com

Schedule E (Continuation Sheet)

18 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

Whole FoodsOakland, CA 94612

TRS 47.50

PaypalSan Jose, CA 95131

TRS 3.37

Smart & FinalOakland, CA 94607

TRS 44.84

TargetEmeryville, CA 94608

OFC 43.16

WalgreensOakland, CA 94612

OFC 9.35

148.22

Page 19: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

Statement covers period

from

through

I.D. NUMBER

SCHEDULE F

Schedule F Summary1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for

accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $

2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments onaccrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................................PAID TOTALS $

3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here andon the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $

Type or print in ink.Amounts may be rounded

to whole dollars.

Page of

Schedule FAccrued Expenses (Unpaid Bills)

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

NAME AND ADDRESS OF CREDITOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

May be a negative number

$

CODE ORDESCRIPTION OF PAYMENT

(a)OUTSTANDING

BALANCE BEGINNINGOF THIS PERIOD

(b)AMOUNT INCURRED

THIS PERIOD

(c)AMOUNT PAIDTHIS PERIOD

(ALSO REPORT ON E)

(d)OUTSTANDING

BALANCE AT CLOSEOF THIS PERIOD

SUBTOTALS $ $$

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also besummarized on Schedule D.

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

www.netfile.com

19 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

Left Coast CommunicationsSan Francisco, CA 94103

CNS 0.00 37,125.00 0.00 37,125.00

0.00 37,125.00 0.00 37,125.00

37,125.00

0.00

37,125.00

Page 20: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

Schedule GPayments Made by an Agent or IndependentContractor (on Behalf of This Committee)

Page of

Type or print in ink.Amounts may be rounded

to whole dollars.

SCHEDULE G

I.D. NUMBER

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

NAME OF AGENT OR INDEPENDENT CONTRACTOR

Statement covers period

from

through

Attach additional information on appropriately labeled continuation sheets. TOTAL* $

* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent orindependent contractor as reported on Schedule E.

NAME AND ADDRESS OF PAYEE OR CREDITOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

www.netfile.com

20 22

10/01/2014

10/18/2014

Dan Siegel for Mayor, 2014 1362877

Left Coast Communications

Pacific Print ResourcesEmeryville, CA 94608

LIT 231.46

Spotlight Design and PrintingSan Francisco, CA 94107

LIT 10,369.82

Spotlight Design and PrintingSan Francisco, CA 94107

LIT 2,392.50

Spotlight Design and PrintingSan Francisco, CA 94107

LIT 6,938.25

19,932.03

Page 21: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

Schedule G (Continuation Sheet)Payments Made by an Agent or IndependentContractor (on Behalf of This Committee)

Page of

Type or print in ink.Amounts may be rounded

to whole dollars.

SCHEDULE G (CONT.)

I.D. NUMBER

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

NAME OF AGENT OR INDEPENDENT CONTRACTOR

Statement covers period

from

through

Attach additional information on appropriately labeled continuation sheets. TOTAL* $

* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent orindependent contractor as reported on Schedule E.

NAME AND ADDRESS OF PAYEE OR CREDITOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

www.netfile.com

21 22

10/01/2014

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Dan Siegel for Mayor, 2014 1362877

Left Coast Communications

Alex LevyOakland, CA 94606

WEB 135.00

I Print N MailSan Francisco, CA 94124

LIT 17,488.39

17,623.39

Page 22: Dan Siegel FPPC Form 460 10-1-14 to 10-18-14

Schedule IMiscellaneous Increases to Cash

Type or print in ink.Amounts may be rounded

to whole dollars.

Page of

I.D. NUMBER

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

AMOUNT OFINCREASE TO CASHDESCRIPTION OF RECEIPT

DATERECEIVED

Schedule I Summary1. Itemized increases to cash this period. ....................................................................................................................... $

2. Unitemized increases to cash of under $100 this period. ............................................................................................ $

3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $

4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on theSummary Page, Line 14.) ........................................................................................................................... TOTAL $

Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $

SCHEDULE I

Statement covers period

from

through

FULL NAME AND ADDRESS OF SOURCE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

www.netfile.com

22 22

10/01/2014

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Dan Siegel for Mayor, 2014 1362877

0.00

99.00

0.00

99.00