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COVER PAGE Date Stamp I RECEIVED__________ (I Date of election if appIicable OCT 2 3 2012 (Month, Day, Year) 11/06/2012 City Clerk’s Office ICitv of Menlo Park Signatureofcontroiing0tficeholder,Canddate,StateMeasure Proponent FPPC Form 460 (Januarylo5) FPPC Toll-Free Helpline: B66IASK-FPPC (8661275-3772) State of California Recipient Committee Campaign Statement Cover 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 Statement 0 State Candidate Election Committee Committee I LI Semi-annual Statement LI Special Odd-Year Report 0 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/ I 0 Small Contributor Committee Officeholder Committee I Q Political Party/Central Committee (Also Complete Part 7) I I 1.0. NUMBER Treasurer(s) 3. Committee Information _1348476 COMMITTEE NAME IOR CANDIDATE’S NAME IF NO COMMITTEE) NAME OF TREASURER Steve Arellano Dave Bragg for Menlo Park City Council 2012 MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Redwood City CA 94063 6503502005 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Menlo Park CA 94025 6508679965 MAILING 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 ADDESS 6503252255 davebragggmail.com 4. uate 10/2/2012 Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of I under penalty of perjury under the laws of the State of California that the foregoing is true and I 10/2/2012 By By By By Date Executed on Date Date and complete. I certify Signature of Controlling Officeholder, Candidate, Stale Measure Proponenl

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Page 1: I 6) Icontent.govdelivery.com/attachments/topic_files/CAMENLO/CAMEN… · 21/09/2012  · Cover Page (Government Code Sections 84200-8421 6.5) SEE INSTRUCTIONS ON REVERSE Type or

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

Page 2: I 6) Icontent.govdelivery.com/attachments/topic_files/CAMENLO/CAMEN… · 21/09/2012  · Cover Page (Government Code Sections 84200-8421 6.5) SEE INSTRUCTIONS ON REVERSE Type or

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

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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

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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)

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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

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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.

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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)

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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)

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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

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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)

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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_____

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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

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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

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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)

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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)