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HomeMy WebLinkAboutABC 465 10/17/16Supplemental Independent Expenditure Report (Grn MrWt Cade Bean 86203.5) SEE INSTRUCTIONS ON REVERSE W.ad ID Num 1a141Cic 1. Commikeeffiler Information Type or Pdnt M ink pm mmarb nPmdetl to wAa. dalats. ❑ Amasdnx3d t6maneeb.I 122232] p..>pamm�nm•1 awn aw.9s PIaiW Nam 10/93/3016 M.9h 10/14/2016 Deb otakacn B apP16mM.: (NDndt, NY, VeaYl 11/9/2.16 (Knape. cmnmKbe) aa�. F60Ci / it ' . Gilf.r_ e( 1 Port r CL a 3 COMMITTEEIFIER'S NAME NAME OF TREASURER SUPPORT ASSOCSATRI BOILPHA9 APO WAT9ACNA9 CSWI'HAL Q32lCAFIA 6aPT.A PAC Lava. Haxae9 Mfice sought z: City l (MC-PAC1 . Pya. Nom° STREETADDRESS(NOP.O. BOX) MAIUNC ADDRESS emo Hefe[exe: 2 FPPC Tol 2 HAPI .. 868IASKFPPC (811=27 TT!) 21NB93H-0 Supplemental Independent Ty" crprinlInric Expenditure Report Anearrde airy be fOYnded to wlyde dollar°. p$SQJA]'® wxI ERS Zen maTPAC1OEd CP9T4AL CALIPOI¢ilA Ci ZR PAC (ABC -PAC) Report cowls period FNm 10)]312016 Pape 2 d 3 I.D. NIAaeER M"nel.mm�.J 1222327 1. Total independentexpendilures of $100 or more made this period. (Part 3.) ....................... .._ $ +.280.00 ........ ............................... _... 2. Total independent expenditures under $100 made this period. (Not itemized.)_._ ..................... $ 0.00 3. Total independent expenditures; made this period. Add Lines l + 2 ..........TOTAL $ 4.290.00 5.FlUng0fficers Eawthawneandaddressor eedlTilbrgorG wdhwhommemeesmostmeeMwmpWgnstatemwft (Fam460,460ar461)haw6eanNed. 1) ILIME OF FILM OFFICER 3) HAMS OF FILINGOFFICER 3auxa aemee ADDRESS (NO. AND STREET) (NO. AND MRFET) CRY STATE ZIP OODE OF FILING OFFICER (NO. AND STREET) ADDRESS (NO. ANDSTREET) CRY STATE ZIPCODE B. Verification 1 have used all reasonable diigenue in preparing and Ievswing this statement and In the heal of my knoededge the irlkvmatlon contained herein is true and compleW. I early under penally, of perjury under the laws of Bra State of Califnmta that the hregoing is true and oorect. IE,BCUW n 10/1913016 By DATE SlGalnTE0Ff9ER1PFASIFEAnRIS6 rMNf T1f1911Raf Exeo led on By E.culed on BY DATE Emcuw on By 21991380 sevvu,vs FCM .GO .w%1Hi Gvug,n, n iFA^.NErIKWe6Xl. ANREOr WIrRS1MG OFR®46Ht fXIpWITLbiAIF NFA,UIE PRWIEI(r aleamnrGFwamnMnGaP3rowlefre rwlooA3csane xuewewmPm+6ar FIRM Form 465 (Jaeueryl85) FPPC TdI -Few Helplim: B66tASKFWC (61191gT6dT15) S O 5 x Mmra Mailer M 1. kr po:ta. P➢ml1 10/17/2016 NON 15:20 FM Cal- Online ®001/008 Page l of 1 C A L I F 0 a N I A - Farm A65.8pPPbmerR lntlepeMelY EApaiMINn MFOR S6cE MYMSTAn The Form 46S Has Been Submitted Filing IN 7AM130-6 Tim. Subinktub IE(U /20162:IY1:26 PN c mlwlly submkted m the 61Eamb SNmi of Sm[e. Yw skll need to print a paps cppy, by Wing the Maw no ntl tao mpkY (me of wNth malt be VPW MM an onglnel slgr ) m ma Cmionrls SK"i o751em, Pdltlnl p Ja C0,4 nhae appllmbler must also M NW wtm aPpmpYak IMI fling aakas. For help m WIHM M ME Pia hem Kahan To FII N* Vkw 1/e a -'M1Y Ww� /MNMnrc mm ,ywrRlinY! Ww*q Neale do no, No"back balm, on your knower. Post.Ir Fax NOW 7671 DB1B vapaab n 0 Fran i cpmepL cO' Phma Y CM1ene Y FUS Fns' Y W w � J t - d r 'J O V t G https;// caflle. sos .ca.gov /CalOnline/Default.aspx 10/14/2016