HomeMy WebLinkAboutSEIU LOCAL 521 COMM. 465 10/21/10Supplemental Independent
Expenditure Report
(Government Code Section 84203.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded to
whole dollars.
❑ Amendment (Explain Below)
I I.D. NUMBER (if recipient committee)
1. Committee/Filer Information 1297707
COMMITTEE/FILER'S NAME
Service Employees International Union Local 521 Independent
Expenditure Committee
OPTIONAL: FAX/ E-MAIL ADDRESS
Report covers period
from 01/01/2010
through 10/16/2010
Date of election if applicable:
(Month, Day, Year)
11/02/2010
SUPPLEMENTAL INDEPENDENT EXPENDITURE
Date Stamp _
20 10OLI 22 i,;'1 1+ 3 Page 1 of 3
For Official Use Only
I I
Treasurer (If recipient committee)
NAME OF TREASURER
Kristina M. Sermersheim
MAILING ADDRESS
OPTIONAL: FAX/ E-MAIL ADDRESS
2. Name of Candidate or Measure Supported or Opposed
NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE
Rudy Salas City Council Member City of Bakersfield
NAME OF BALLOT MEASURE BALLOT NO./LETTER JURISDICTION
3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets.
CHECK ONE
SUPPORT OPPOSE
X
SUPPORT OPPOSE
CUMULATIVE TO DATE
DATE
NAMEAND ADDRESS OF PAYEE
DESCRIPTION OF EXPENDITURE
AMOUNT
JAN. 1 - DEC31
Lester Connect Inc.
5,000.00
Mailer
Pacific Print Resources
1,800.00
Mailer/Rudy Salas/Bakersfield City
MEMO
Council/Ward l/ Support
subpayment made
through:
10/14/2010
700.00
Lizard Press
Mailer/Rudy Salas/Bakersfield City
MEMO
10/14/2010
FPPC Form 465
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Supplemental Independent Type or print in ink.
Amounts may be rounded
Expenditure Report to whole dollars.
SEE INSTRUCTIONS ON REVERSE
For use by an officeholder, candidate, or committee making independent expenditures totaling $500 or
more in a calendar year to support or oppose a single candidate or a single measure. This form must
be filed at the same times and places as the campaign statements filed by the candidate supported or
opposed or by a committee primarily formed to support or oppose the measure. A separate form must
be filed for each candidate or measure being supported or opposed. This form is filed in addition to
any other required campaign statements.
Report covers period
from 01/01/2010
through 10/16/2010
Date of election if applicable:
(Month, Day, Year)
11/02/2010
SUPPLEMENTAL INDEPENDENT DCPENDffURE
Date Stamo
Page 2 of 3
For Official Use Only
CUMULATIVE TO DATE
iv inaepenae
DATE
nt txpenanures maae Aliacn acafflonaf Inrormarlon on approprtarety woeteU GUnIInUduuPl srvCCrs. CALENDAR YEAR
NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT (JAN. 1 - DEC. 31)
10/14/2010
Olympic Mailing
Mailer/Rudy Salas/Bakersfield City
650.00
Council/Ward l/ Support
MEMO
10/14/2010
US Postmaster
Mailer/Rudy Salas/Bakersfield City
1,088.88
Council/Ward l/ Support
MEMO
Supplemental Independent
Expenditure Report
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Service Employees international Union Local 521 Independent Expenditure Committee
SUPPLEMENTAL INDEPENDENT EXPENDITURE
Report covers period - O "M Enr=
from
01/01/2010
through 10/16/2010 3 3
Page of
I.D. NUMBER (if recipient com.)
1297707
4. Summary
1. Total independent expenditures of $100 or more made this period. (Part 3.) $
2 Total independent expenditures under $100 made this period. (Not itemized.) $
5,000.00
0.00
TOTAL $ 5, 000.00
3. Total independent expenditures made this period (Add Lines 1 + 2.)
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
Secretary of State City and county of San Francisco
ADDRESS (NO. AND STREET)
Political Reform Division
CITY STATE ZIP CODE
2) NAME OF FILING OFFICER
ADDRESS (NO. AND STREET)
Registrar and Recorder
ADDRESS (NO. AND STREET)
Department of Elections
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
penalty of perjury under the laws of the State of California that the foregoing is true ar
Executed on /C7/Z'//10
DATE
Executed on 012 / 41C
1C
DATE
Executed on
DATE
Executed on
DATE
By
By
SIGNATURE
By
By
my kn wledge the information contain d herein is true and complete. I certify under
SIGN URE OF ER, ]=AS~JR R SIS NT T42EASURER _
OR RESPONSIBLE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. STATE MEASURE PROPONENT
FPPC Form 465
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Page 1 of 2
From Origin ID: BLUA (916) 442.2952
Nick Markley FeclEg.
OLSON, HAGEL, & FISHBURN, LLP EqNs
PLAZA TOWERS
555 CAPITOL MALL, SUITE 1425
SACRAMENTO, CA 95814
[E]SHIP TO: (661) 326.3767 BILL SENDER
City of Bakersfield
City Clerks Home
1600 TRUXTUN AVE
CITY HALL NORTH
BAKERSFIELD, CA 93301
Ship Date: 21OCT10
ActWgt: 1.0 LB
CAD: 14845641INET3090
Ref OCT 22 A1-1 9: 43
Invoice #
PO#
Dept #
FRI - 22 OCT A2
TRK#
7940 36551190 PRIORITY OVERNIGHT
0 201
93301
CA-US
WM BFLA ONT
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