Form 465endent Type or print in ink
Su
lemental Inde
SUPPLEMENT
AL INDEPENDENT EXPENDITURE
.
pp
p
Expenditure Report Amounts may be rounded to
whole dollars.
(Government Code Section 84203.5)
Report covers period
"i
from
Date Stamp
,
•
SEE INSTRUCTIONS ON REVERSE
❑ Amendment (Explain Below)
through
C 1 -4
1 4: 1 6
P
Page of
Date of election if applicable:
1
For Official Use Only
(Month, Day, Year)
I.D. NUMBER (If recipient committee)
1. Committee/Filer Information
Treasurer (If recipient committee)
COMMITTEE/FILER'S NAME
NAME OF TREASURER
11
, / oRr_,/ (I
MAILINGADDRESS
STREET ADDRESS (O P.O. BOX)
b , V 4Yf IJ2 ,
CITY STATE ZIP CODE AREAC DE/PH E
CITY
STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
OPTIONAL: FAX/E-MAIL ADDRESS
2. Name of Candidate or Measure Supported or Opposed
CHECK ONE
NAME OF CANDIDATE
OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE
SUPPORT
OPPOSE
f7
C ! r&_VvV C/
NAME F BALLOT MEASURE
BALLOT N ./LETTER
JURISDICTION
SUPPORT
OPPOSE
3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets.
CUMULATIVE TO DATE
9'
4)
G1
unit
NAME AND ADDRESS OF PAYEE
DESCRIPTION OF EXPENDITURE
AMOUNT
L, LE:NLJMR TCNR
JAN. 1 -DEC. 31
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1-4 ~Lvk f 6; Po4re-.i & „ - -FPPCForm 465(January/05)
3 FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
sib ~i e
Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE
Expenditure Report Amounts may be rounded Report covers period
to whole dollars.
from
SEE INSTRUCTIONS ON REVERSE
NAME Uf FILER
(NO. AND STREET)
com.)
4. Summary ~5~5,- `'I
1. Total independent expenditures of $100 or more made this period. (Part 3.)
2. Total independent expenditures under $100 made this period. Not itemized. $ • U
3. Total independent expenditures made this period (Add Lines 1 + 2.) TOTAL $ j 1-715-00
5. Filing Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been filed
1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER
AUUKEJS i ' (NO. AND STREET)
CITY ~ STATE - ZIP CODE
2) NAME OF FILING OFFICER
ADDRESS
CITY STATE ZIP CODE
ADDRESS (NO. AND STREET)
CITY STATE ZIP CODE
4) NAME OF FILING OFFICER
ADDRESS (NO. AND STREET)
CITY STATE ZIP CODE
6. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best y knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the foregoing is true a_Qd corr
Executed on 4c-r --I, Z D By
D TE
Executed on
DATE
Executed on
DATE
Executed on
DATE
SIGNATURE OF
through I Page of
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
FPPC Form 465 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275.3772)