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Home My WebLink AboutBPOA 496 10/28/10Late Independent Expenditure Report Type or print in ink. Amounts may be rounded to whole dollars. LATE INDEPENDENT EXPENDITURE NAME OF FILER BPOA Political Action Committee AREA CODE/PHONE NUMBER ( STREET ADDRESS CITY FPPC Form 496 (Jan/03) FPPC Toll-Free Helpline: 866/ASK-FPPC 8661275-3772 2. Independent Expenditures Made Attach addidonalinformanononappropriate/ylabeledcondnuadonsheets. Late Independent Expenditure Report LATE INDEPENDENT EXPENDITURE REPORT NAME OF FILER BPOA Political Action Committee 1. 0. NUMBER p/appcable) 943492 3. Contributions of $100 or More Received* DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT INTEREST RATES RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE** (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED 10/27/10 PORAC PIC ❑ PTY % ❑ SCC ❑ IND ❑ COM If loan, ❑ O.TH enter interest rate, if any ❑ PTY SCC El ❑ IND COM If loan, ❑ OTH enter interest rate, if any ❑ PTY ❑ SCC ❑ IND If loan ❑ ❑ COM OTH , enter interest rate, if any ❑ PTY o~ ❑ SCC ❑ IND El COM If loan, ❑ OTH enter interest rate, if any ❑ PTY SCC ❑ ❑ IND ❑ COM If loan, El OTH enter interest rate, if any ❑ PTY % SCC ' Contributor Codes 'Major donor and independent expenditure IND -Individual committees that do not receive contributions COM - Recipient Committee (other than PTY or SCC) are not required to complete Part 3. OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 496 (Jan/03) FPPC Toll-Free Helpline: 866/ASK-FPPC 866/275-3772