COVER PAGEDate Stamp
I RECEIVED__________(I
Date of election if appIicable OCT 2 3 2012(Month, Day, Year)
11/06/2012 City Clerk’s OfficeICitv of Menlo Park
Signatureofcontroiing0tficeholder,Canddate,StateMeasure ProponentFPPC Form 460 (Januarylo5)
FPPC Toll-Free Helpline: B66IASK-FPPC (8661275-3772)State of California
Recipient CommitteeCampaign StatementCover Page(Government Code Sections 84200-8421 6.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from
___
7jlIr2
through —9f?ofaól7_
Page ±._. ot
For Official Use Only
1. Type of Recipient Committee: All Committees - Complete Parts 1,2,3, and 4. 2. Type of Statement:1Z1 Officeholder, Candidate Controlled Committee LI Primarily Formed Ballot Measure Preelection Statement LI Quarterly Statement0 State Candidate Election Committee Committee I LI Semi-annual Statement LI Special Odd-Year Report0 Recall 0 Controlled I L Termination Statement LI Supplemental Preelection(Also CompletePart5) 0 Sponsored I (Also file a Form 410 Termination) Statement-Attach Form 495(Also Complete Part 6) I ‘Amendment (Explain below)General Purpose Committee
0 Sponsored Primarily Formed Candidate/ I0 Small Contributor Committee Officeholder Committee IQ Political Party/Central Committee (Also Complete Part 7)
II 1.0. NUMBER
Treasurer(s)3. Committee Information_1348476
COMMITTEE NAME IOR CANDIDATE’S NAME IF NO COMMITTEE) NAME OF TREASURER
Steve ArellanoDave Bragg for Menlo Park City Council 2012MAILING ADDRESS
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
Redwood City CA 94063 6503502005CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANYMenlo Park CA 94025 6508679965MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL FAX I E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDESS6503252255 davebragggmail.com
4.
uate
10/2/2012
VerificationI have used all reasonable diligence in preparing and reviewing this statement and to the best of Iunder penalty of perjury under the laws of the State of California that the foregoing is true and I
10/2/2012By
By
By
By
Date
Executed on
Date
Date
and complete. I certify
Signature of Controlling Officeholder, Candidate, Stale Measure Proponenl
Type or print in ink. COVER PAGE-PART2Recipient CommitteeCampaign StatementCover Page — Part 2
. Officeholder or Candidate Controlled CommitteeNAME OF OFFICEHOLDER OR CANDIDATE
Dave BraggOFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Menlo Park City CouncilRESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Menlo Park, CA 94025
‘i’fi[ [111Page of _.LSZ.
FPPC Form 460 (JanuarylO5)FPPC Toll-Free Helpline: 8661ASK-FPPC 18661275-3772)
State of California
6. Primarily Formed Ballot Measure CommitteeNAME OF BALLOT MEASURE
BALLOTNO. OR LETTER JURISDICTION I SUPPORT
j E OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
7.
Related Committees Not Included in this Statement: List any committeesnot included in this statement that are controlled by you or are primarily formed to receivecontributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES NOCOMMITTEEADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITtEE NAME ID. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES LI NOCOMMITIEEADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
Primarily Formed CandidatelOfficeholder Committee List names ofofficeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDEl SUPPORT
LI OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDEl SUPPORTEl OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDEl SUPPORT
LI OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDLI SUPPORTfl OPPOSE
Attach continuation sheets if necessary
Type or print in ink.Amounts may be rounded
to whole dollars.
_________
8445
$ iRZ
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).
Campaign Disdosure StatementSummary Page Statement covers period
I from
_____ _____
through
______________
Page .> of
______
SEE INSTRUCTIONS ON REVERSENAME OF FILER
ID. NUMBERDave Bragg1348476
. . . Column A Column B Calendar Year Summary for CandidatesContributions Received
TOTALTHTSPERIOO CALENDAR YEAR .(FR0MATrAcHEDsCI-eDuLEs) TOTALTODATE Running in Both the ..tate -rimary andGeneral Elections1. Monetary Contributions ScheduleA, Line 3 10277 $ 10277
1/1 through 6/30 7/1 to Date2. Loans Received Schedule B, Line 33. SUBTOTALCASH CONTRIBUTIONS Add Lines 1+2 $ ‘10277 $ 10277 20. Contributions
.
.,..
. Received $4. Nonmonetary ContrIbutIons Schedule C, Line 321. Expenditures5. TOTALCONTRIBUTIONS RECEIVED AddLines3+4 $ iQ,117
$ ?q.T?7 Made $ $
Expenditures Made6. Payments Made Schedule E, Line 47. Loans Made Schedule H, Line 3
8. SUBTOTALCASH PAYMENTS AddLines6+79. Accrued Expenses (Unpaid Bills) ScheduleF Line 3
10. Nonmonetary Adjustment Schedule C, Line3
11. TOTALEXPENDITURESMADE Add
$ 8445$ 8445
0’$ 8445
S 8445
0’$ -
$ 8445
Current Cash Statement12. Beginning Cash Balance PreviousSummaiyPage,Linel613. Cash Receipts ColumnA, Line3above
14. Miscellaneous Increases to Cash Schedule!, Line4
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.
$ 0
10277
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts18. Cash Equivalents See instructions on reverse
Expenditure Limit Summary for StateCandidates
22. Cumulative Expenditures Made*(If Subject to Voluntary Expenditure Limit>
Date of Election Total to Date(mm/dd/yy)
I I $
______
I J$_____
*Amounts in this section may be different from amountsreported in Column B.
FPPC Form 460 (Januarylo5)FPPC Toll-Free Helpline: 86SIASK-FPPC (8661275-3772)
$
_____
$ 019. Outstanding Debts Add Line 2 + Line gin Column B above
Schedule A Type or print in ink.Amounts may be rounded
to whole dollars.
*Contributor CodesND — Individual
COM — Recipient Committee(other than PTY or SCC)
0TH — Other (e.g., business entity)PTY — Political PartySCC — Small Contributor Committee
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 7/ Jiz_
through
SCHEDULE A
PageL(
otJ:ZNAME OF FILER
ID. NUMBER
1348476Dave Bragg
I
IF AN INDIVIDUAL, ENTER AMOUNT CUMUTIVETO DATE PER ELECTIONDATE FULL NAME, STREET AODRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IFCOMMITrEE.ALSOENTERI D.NIJMBER)CODE *
(IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)OF BUSINESS)
j INDRichard Bragg, Los Altos, LICOM Engineer, Google 1000 10008/27/2012 CA 94024 OTH
LI PTY
LI SCC
V1 INDJared Gosler, Menlo LICOM Marketing, Apple 150 1508/23/2012 Park, CA 94025 LIOTH
LI PTY
LI SCC
INDRudy Torres, Redwood City, LICOM Mechanic, MPFPD 150 1508/23/2012 CA 94063
LIOTH
LI PTY
LI SCC
j INDDianne O’Donnell, Portola ECOM Realtor, Keller Williams250 250
8/22/2012 Valley, CA 94028 LIOTHLI PTY
LI SCC
INDPeggy Gielow, Atherton, CALICOM Sales, Abbott
250 25009/04/12 94027
LIOTH
LI PTY
LI SCC
SUBTOTAL$ 1800Schedule 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 $1003. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 10277
10277
0
FPPC Form 460 (Januarylo5)FPPC Toll-Free Helpline: 866/ASK-FPPC (6661276.3772)
Schedue A (Continuation Sheet)Monetary Contributions Received
NAME OF FILERI I.D.NUMBER
Dave Bragg1348476
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTIONRECEIVED (IFCOMMITrEE.ALS0ENTERI.D.NuMBER)
CODE *OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE(IF SELF-EMPLOYEO,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)OF BUSINESS)
LI INDDavid Bohannon, San LIC0M David D. Bohannon9/13/12 Mateo, CA 94403 lOTH Organization 500 500LIPTYLI 5CC
Greg Mellberg, IINDArchitect,9123112 Menlo Park, CA 94025 LICOM
50 50LI 0TH LLZ€-’tC iAss:.LI PTY
LI Soc
Yvionne Gavrilis, INDAdvisor, Key Bank9/23/12 New York, NY 10011-3560
LJC0M250 250LI 0TH
LI PTY-_____________________________________ LIsCC
David Bower, Menlo INDLandscaper, NASA9/23112 park, CA 94025 LI0OM
25 25LI 0TH
LIPTYLI SOC
Michael Haven jIND9/17/12 LIcoM Attorney; K&L Gates LLP
500 500LI 0THMenlo Park, California 94025 LIPTYLI SCC
SUBTOTAL$ 1325
*COntributOr Codes
IND — IndividualCOM — Recipient Committee
(other than PTY or SCC)0TH — Other (e.g., business entity)PTY — Political PartySCC — Small contributor Committee FPPC Form 460 (Januarylo5)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)
Type or print in ink.Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)Statement covers period
from 71 hZ..
through. Page of I
Schedue A (Continuation Sheet)Monetary Contributions Received
ID. NUMBERNAME OF FILER
Dave Bragg
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMUTIVETO DATE PER ELECTION
RECEIVED OFCOMMITTEE.ALSOENTERLD.NUMBER) CODE *OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)OF EIJSINESS)
INDAdam Jones, Sisters, LICOM Owner, Qi websites8/29/12 Oregon 97759 LI0TH 100 100
LI PTYLI SCC
Dan Ju, San Jose,8/29/12 CA 95122 LICOM General Manager, CPK
100 100LI 0TH1PTY
LI SCC
Maria Teresa Magana INDTeacher, Laurel School9/23/12 LICOM
100 100LI 0TH1--’tb-, C-A LIPTY
LI SCC
Brian Rhodes, San Mateo,IND
9/23/12 CA 94403 LICOM Electrician,100 100LIOTH i’toOcS ec.-Lc
LIPTYLI SCC
Isra Albandev, San Mateo, CAIND
9/23/12 94403 LICOM Beautician, Jax Salon100 100LI 0TH
LIPTYLISCC
SUBTOTAL$ 500
*COntributOr Codes
IND— IndividualCOM — Recipient Committee
(other than PTY or SCC)0TH — Other (e.g., business entity)PTY—Political PartySCC — Small Contributor Committee ] FPPC Form 460 (Januarylo5)
FPPC Toll-Free Helpline: B66IASK-FPPC (8661275-3772)
Type or print in ink.Amounts may be rounded
to whole dollars.
SchedWe A (Continuation Sheet)Monetary Contributions Received
from t’
through I L 7 of____NAMEOF FILER
ID. NUMBERDave Bragg
.—
—
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOU CUMUTIVETO DATE PER ELECTION
RECEIVED (IFCOMMFTTEE.ALSOENTERI.D.NUMBER) CODE *OCCUPATIDN AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IFSELF-EMPLOYED, ENTER NAWE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)OF BUSINESS)
INDMarc Byman, Menlo ECOM Realtor, Alain Pinel9/6/12 Park, CA 94025 [10TH 50 50[1Pm,[1 sCc
Mike Holzbaur, MenlolND
Retired9/512012 Park, CA 94025 LICOM 50 50LI 0THLPTYLI SCC
Gary Ahern, Woodside, CA 94062IND
9/5/2012 LICOM Principal, Focal Point[10TH Architecture 50 50LIPTYLI SCC
John Flagg, San Jose, CAIND
9/4/2012 95123 [1C0M Pricipal, Tree of Life[10TH Stairs 250 250[1 PTY
[1 SCC
Frank Fraone, RedwoodIND
9/7/2012 City, CA 94062 LICOM Division Chief, MPFPD100 100[10TH
LI PT’’[1 SCC
SUBTOTAL$ 500
Type or print in ink.Amounts may be rounded
to whole dollars.Statement covers period
SCHEDULE A (CONT.)
*COntributOr Codes
ND — IndividualCOM — Recipient Committee
(other than PTY or SCC)0TH — Other (e.g., business entity)PTY — Political PartySCC —Small Contributor Committee FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: BG6IASK-FPPC (866/275-3772)
Type or print in ink.Amounts may be rounded
to whole dollars.Statement covers period
7II IZ.
Schedu’e A (Continuation Sheet)Monetary Contributions Received
SCHEDULE A (CONT.)
from
throuqh qf Sc EL..
L1’JPage ]NAMEOF FILERI.D.NUMBER
Dave Bragg
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED (1FCOMMrrTEE,ALSOEIJTERLD.NUMBER)CODE *
OCCUPATIDNAND EMPLOYER RECEIVED Ti-uS CALENDAR YEAR TO DATE(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
j INDSara Rosenthal, Menlo Park, LICDM Administration, Stanford09/04/2012 Ca 94025 clOTH 500 500
El PTY
E SCC
William Allen Beasley, IND
8/30/12 Menlo Park, CA 94025EC0M Executive, Redpoint
500 500El 0TH
El PTY
El SCC
Michael Douglas, Woodside,IND
—
9/7/2012 Ca 94062 EC0M Principal, DouglasE0TH Investments 500 500
El PTY
El 8CC
Michael Sweeney, HNDElCOM Captain, MPFPD
150 1509/6/2012 Redwood City, CA 94061 clOTHEPWEl SOC
Jeremiah Crim, CA hIND
9/5/20 12 94025ECOM Engineer, Google
150 150El 0TH
El PTY
El SOC
SUBTOTAL$ 1800
*COntributOr Codes
IND— Individual0DM— Recipient Committee
(other than PTY or SCC)0TH — Other (e.g., business entity)PTY — Political PartySOC — Small Contributor Committee FPPC Form 460 (Januarylo5)
FPPC Toll-Free Helpline: B66IASK-FPPC (8661275-3772)
Statement covers period
trom._‘1 /r_
through
*Contributor Codes
IND— IndividualCOM — Recipient Committee
(other than PTY or SCC)0TH — Other (e.g., business entity)PTY — Political Party
SCC — Small Contributor Committee FPPC Form 460 (Januarylo5)FPPC Toll-Free Helpline: B66IASK-FPPC (8661275-3772)
SchedWe A (Continuation Sheet)Monetary Contributions Received
Type or print in ink.Amounts may be rounded
to whole dollars.
_Page ? ofNAME OF FILER
I.D.NUMBERDave Bragg
1348476
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMUTIVETO DATE PER ELECTION
RECEIVED CODE *OCCUPATIONAND EMPLOYER RECEIVED ThIS CALENDAR YEAR TO DATE
)IFSELFSMPLOYED,ENTERNAIm PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)OF BUSINESS)
] NDRobert SchafferLICOM Enginerer9/9/12LIOTH
,
p-r i 50 50San Jose, California 95128 LIPTY
LI SCC
Mary Sapountzis IIND9/20/12 LICOM ST—t 4—r
50 50LIOTH “—a vsMenlo Park, California 94025 LI ‘m’
LI SCC
Whitney Hoermann JIND
9/21/12 LICOM 5l•w-t A—r25 25LI 0TH
Menlo Park, California 94025 LI m’ 1ko’, ‘‘‘ ° -
LI SCC
ND, Menlo Park,CALICOM8/1/12 9402b
& AL4 SLIOTH
452
LIPTYLISCC
LI IND
LI COM
LI 0TH
LI PTY
LI SCC
SUBTOTAL$ 577
Schedule A (Continuation Sheet)Monetary Contributions Received
NAMEOFFILERLD.NUMBERDave Bragg
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMUTIVETO DATE PER ELECTION(JFCOMMITFEE.ALSOENTERLD.NUMEER) OCCUPATIONAND EMPLOYER RECEIVED THIS CALENDAR YEAR I TO DATE
RECEIVEDCODE *
(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)OF BUSINESS)
l NDHector Navarro, San LICOM Warehouse Mamager8/29/12 Jose, CA95111LIOTH The OlanderCo 150 150LI PTY
LI scc
INDGary Lambert, Menlo Park, CALICOM Software Engineer,8/29/12 94025clOTH Infosys Ltd. 250 250LIPTYLI scc
Michael Gialis, Oakland,8/28/2012 CA 94611 LIC0M Corporate Development,
LIOTH Cisco Systems Inc 250 250LIPTYLI SCC
INDMark AlIen, Menlo Park, CALICOM Management, Progress
150 1508/27/2012 94025
LI 0TH Software InC.LIPTYLI scc
INDStephen Miller, Atherton,LICOM Investment Banker,8/29/2012 CA 94027clOTH BOFA 250 250
I LIPTY__LISCC
SUBTOTAL$ 1050j
Type or print in ink.Amounts may be rounded
to whole dollars. r SCHEDULE A (CONT.)Statement covers period
from 7/” /iz
through 3 ‘/ 2_. Page [ of (
*COntribUtOr Codes
IND — IndividualCOM — Recipient Committee
(other than PTY or SCC)0TH — Other (e.g., business entity)PTY — Political PartySOC — Small Contributor Committee FPPC Form 460 (January!05)
FPPC Toll-Free Helpline: 866!ASK-FPPC (8661275-3772)
Schedulle A (Continuation Sheet)Monetary Contributions Received
NAMEOFFILERID. NUMBER
Dave Bragg
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF COIBOR CORIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMUTIVETO DATE PER ELECTION
RECEIVED CODE *OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN 1 DEC. 31) (IF REQUIRED)OF BUSINESS)
INDHany Sabet, Atherton, CA DCOM VP Sales, Maxim Group8/28/2012 94027 LIOTH 350 350EPW
LI SCC
John Wurdinger, Newark,9/5/2012 CA 94560 LICOM Captain, MPFPD
150 1500THPTY
LI Soc
INDRetiredPeter Carpenter, Atherton, CA
LICOM 150 1509/5/12 94027LIOTHLIPTYLI SCC
INDDavid Avalo, Redwood City, CALICOM
Principal, Utopian Clean150 1509/5/2012 94063 LIOTH
LIPTYLI Soc
Faisal Shawwa, RedwoodINDLICOM Controller, Catalyst9/6/12 City, CA 94065 LIOTH Biosciences 50 50LIPTYLI SOC
SUBTOTAL$ 850
*COntributOr Codes
IND— IndividualCOM — Recipient Committee
(other than PTY or SCC)0TH — Other (e.g., business entity)PTY — Political PartySOC—Small Contributor Committee FPPC Form 460 (Januarylo5)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)
Type or print in ink.Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)Statement covers period
from i )-z_
through_ 9/ I i. Page (L of_____
Type or print in ink.Amounts may be rounded
to whole dollars.
FPPC Form 460 (Januarylo5)FPPC Toll-Free Helpline: B66IASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)Monetary Contributions Received
from
Statement covers period
—i/i fiz.
SCHEDULE A (CONT.)
Page of
______
NAMEOFFILERLD.NUMBER
Dave Bragg
DA FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMUTITO DATE PER ELECTION
RECEIVED (IFCOMMrEE,ALSOENTERID.NUMBER>CODE *
OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE(IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)OF BUSINESS)
INDRob Silano, LICOM Director, MPFPD150 150
9/7/12 Menlo Park, CA 94025 LIOTHLIPTYLI SCC
Jeremy Rambeau, INDSales, Meeks Lumber9/17/212 Farifleld, CA LICOM 25 25
LI 0TH
LI Pm’
LISCC
INOKathy D’Amico, , Belmont, CA LICOM advertising consultant9/3/12 94002 LI0TH yellow pages Ic 100 100
LI PTY
LI SCC
I INDSales, SonyWilliam Rey III,
LICOM 200 2008/3 1/12 Menlo Park, CA 94025 LIOTHLIPTYLI SOC
INDYancy Rivera, San Jose, LICOM Recruiter-Apple400 4008/30/12 CA 95131 LIOTH
LI PTY
LI SCC
SUBTOTAL$ 875
*ContributOr Codes
(ND Individual
COM — Recipient Committee
(other than Pm’ or SCC)0TH — Other (e.g., business entity)PTY — Political Party
SCC — Small Contributor Committee
ScheduDe A (Continuation Sheet)Monetary Contributions Received
NAME OF FILERI I.D.NUMBER
Dave Bragg.
.....
—.—.
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION
RECEIVED (IFCOMMITrEE,ALSOENTERI.D.NUMBER) CODE *OCCUPATIONAND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED, ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)OF BUSINESS)
INDDoug Willbanks, Menlo LICOM D_Es—-c’i-- oP8/29112 Park, CA 94025 IOTH 250 250LI PTYLISCC CPA
Kevin Wilkinson, San ZjINDController, Promethius8/29/12 Carlos, CA 94070 LICOM
LI0TH Dev. 50 50LI PTY
LI SCC
1 INDMaia Sherrill, Menlo Park, CALICOM Owner, A Karaoke DJ8/29/12 94025LIOTH Rental 100 100LIPTh’LI SCC
Jill Olson, Menlo Park, CA 94025IND
Homemaker8/29/12 LICOM100 100LI 0TH
LI PTY
LI SCC
ll IWOJohn Crevelt, Menlo park, CA LICOM Owner, Krefelds Awards500 500
8/29/12 94025 LIOTHLIPTYLI SCC
SUBTOTAL$ 1000
FPPC Form 460 (Januarylo5)FPPC Toll-Free Helpline: 866!ASK-FPPC (8661275-3772)
Type or print in ink.Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)Statement covers period
from 7/I /I’
through_ Ia._-_ Page (3 of (5
*ContributOr Codes
IND — Individual0DM — Recipient Committee
(other than PTY or SCC)0TH — Other (e.g., business entity)PTY—Political PartySCC —Small Contributor Committee
Schedule E Summary
Type or print in ink.Amounts may be rounded
to whole dollars.
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 8445.5
2. Unitemizedpaymentsmadethisperiodofunder$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 $ 8445.52
ScheduleEPayments Made
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 7/’i /i’a
through —
-I
Page/cf
of FNAME OF FILER ID. NUMBER
Dave Bragg 1348476
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.CIVP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costsCNS campaign consultants MTG meetings and appearances RFD retumed contributionsCTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers’ salariesCVC civic donations PE petition circulating TEL Lv. or cable airtime and production costsFIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and mealsEND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and mealsND independent expenditure supporting/opposing others (explairr)* POS postage, delivery and messenger services TSP transfer between committees of the same candidate/sponsorLEG legal defense PRO professional services (legal, accounting) VOT voter registrationLIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE(IFcOMMrVrEE,ALSOENTERLD.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
A-Abco Rents and SellsEND 418.75
Redwood City, CA 94063
Firefighters Print & DesignLIT 3367.23
Sacramento, CA 95833
Woodside VineyardsEND 2852.00
Menlo Park, CA 94025
Payments that are contributions or independent expenditures must also be summarized on Schedule 0. SUBTOTAL$ 6637.98
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E(Continuation Sheet)Payments Made
SEE INSTRUCTIONS ON REVERSE
ID. NUMBERNAME OF FILER
1348476Dave Bragg
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.CtP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costsCNS campaign consultants MTG meetings and appearances RED returned contributionsCTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers’ salariesCVC civic donations PET petition circulating TEL tv. or cable airtime and production costsFIL candidate Sling/ballot fees PHO phone banks TRC candidate travel, lodging, and mealsEND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and mealsND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsorLEG legal defense PRO professional services (legal, accounting) VOT voter registrationLIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID(IF COMMI]TEE, ALSO ENTER ID. NUMBER)
CSR GraphicsCa 94070 CMP 500.00
Astro JumpEND 125.00
San Carlos, CA 94070
CostcoFND 892.54
Redwood City, CA 94063
SafewayMenlo park, CA END 113.02
Click and PledgePRO 176.98
Broomfield, CO 80021
Payments that are contributions or independent expenditures must also be summarized on ScheduleD. SUBTOTAL $ 1807.54
Type or print in ink.Amounts may be rounded
to whole dollars.
SCHEDULE E (CO NT.)Statement covers period
from...._
through 9/3of tPage. (E of (5
FPPC Form 460 (January!05)FPPC Toll-Free Helpline: 866IASK-FPPC (8661275-3772)