November 3, 2020 Candidate Packet - Flipping Book Version
496 Independent Expenditure Report 496 Independent Expenditure Report 496 Independent Expenditure Report 496 Independent Expenditure Report
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496 INDEPENDENT EXPENDITURE REPORT CALIFORNIA FORM 496 496 INDEPENDENT EXPENDITURE REPORT CALIFORNIA FORM 496 496 INDEPENDENT EXPENDITURE REPORT CALIFORNIA FORM M
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Date Stamp Date Stamp e Stamp
NAME OF FILER NAME OF FILER I
Date of This Filing Date of This Filing Date of This Filing Report No. Report No. Repo
Date Stamp
11/1/20XX 2
NAME O FILER
Date of This Filing
Friends Supporting Alvarez for Mayor 20XX
AREA CODE/PHONE NUMBER AREA CODE/PHONE NUMBER AREA CODE/PHONE NUMBER AREA C /
I.D. NUMBER (if applicable) I.D. NUMBER (if applicable) I.D. NUMBER (if applicable) I. . (if li l )
For Of fi cial Use Only For Of fi cial Use Only For Of fi cial Use Only i l l
12399XX
STREET ADDRESS STREET ADDRESS STR ET A DRE S 707-111-2222 10 Main Street
Report No.
Amendment Amendment to Report No. (explain below) o. f Pages l i l to Report No. (explain below) to Report No. (explain below) No. of Pages No. of Pages Amendment No. of Pages
CITY CITY I
STATE STATE
ZIP CODE ZIP CODE I
CITY
STATE
ZIP CODE
Oakmont
CA 95443
1. List Only One Candidate or Ballot Measure 1. List Only One Candidate or Ballot Measure 1. List Only One Candidate or Ballot Measure
1
NAME OF CANDIDATE SUPPORTED OR OPPOSED NAME OF CANDIDATE SUPPORTED OR OPPOSED NAME OF CAN IDATE SU PORTED OR O POSED I
NAME OF BALLOT MEASURE SUPPORTED OR OPPOSED NAME OF BALLOT MEASURE SUPPORTED OR OPPOSED NAME OF BA LOT MEASURE SU PORTED OR O POSED
Manuel Alvarez
DISTRICT NO. DISTRICT NO. I I .
SUPPORT OPPOSE SUPPORT OPPOSE SU PORT O POSE
OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD O FICE SOUGHT OR HELD I
BALLOT NO./LETTER BALLOT NO./LETTER BA LOT NO./LE TER BALLOT NO./LETTER
SUPPORT OPPOSE SUPPORT OPPOSE SU PORT O POSE SUP
JURISDICTION JURISDICTION JURISDICTION
DISTRICT NO.
JURISDICTION
Mayor
2
2. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. 2. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. 2. Independent Expenditures Made Attach a ditional information on a propriately lab led continuation sh ets. 496 Independent Exp nditure Report 496 Ind p dent Exp nditure Report 49 I t it t
496 INDEPENDENT EXPENDITURE REPORT
I
I
ORT O T
496 496
CALIFORNIA FORM I I FORM
DATE DATE
DESCRIPTION OF EXPENDITURE DESCRIPTION OF EXPENDITURE DESCRIPTION OF EXPENDITURE I I I
AMOUNT AMOUNT
DATE
AMOUNT
Newspaper Advertisement (cumulative total: $6,000)
I.D. NUMBER (If applicable) I. . (If li l ) I.D. NUMBER (If applicable)
$2,000
10/31/20XX
NAME OF FILER NAME OF FILER F FIL
* *
3
3. Contributions of $100 or More Received tri ti f r r i .
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED,ENTERNAMEOFBUSINESS) IVIDUAL, I AND EMPLOYER , I ) I I L, T PATION AND EMPLOYER (IFSELF-E PLOYED,ENTERNA EOFBUSINESS)
CONTRIBUTOR CODE CONTRIBUTOR I I (IFSE - ** CONTRIBUTOR IF I
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D. NUMBER) S AND ZIP CODE OF CONTRIBUTOR (I I , I. . ) F LL , T T SS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D. NU BER) ,
AMOUNT RECEIVED I T RECEIVED
DATE RECEIVED I T RECEIVED
I
INTEREST RATES INTEREST RATES
** **
IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND PTY SCC IND OTH PTY SCC IND COM OTH PTY SCC OTH PTY SCC IND H PTY SCC IND COM OTH PTY SCC I COM OTH I COM H I OTH IND COM I COM OT I C H C S
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Retired
Joe Brown 1800 Second Street Oakmont, CA 95443
If loan, enter interest rate, if any i i If l , ent r i t r t r t , if
$200
10/28/20XX
% %
l
If loan, enter interest rate, if any i i If l , t r i t r t r t , if any
% % %
CalPERS/CalSTRS
Secretary of State – Electronically only
l
If loan, enter interest rate, if any i i If l a , ent r i t r t r t , if
Reason for Amendment: Reason for Amendment: Reason for Amendment: Reason for Amendment:
%
FPPC Form 496 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FPPC Form 496 (March/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) FPPC Form 496 (March/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) F PC Form 496 (March/20 1) F PC Toll-Fr e Helpline: 8 6/ASK-FPPC (866/275-3772) FPPC (866/275-3772) If loan, enter interest rate, if any If loan, i i If l n, t r i terest rate, if any
Also file a copy at CalPERS/ CalSTRS board office
Clear Page Clear Page Page
Print Form Print Form Prin Form
Clear Page Clear Page
Print Form
Print Form
% %
Multi-County
County with the largest number of registered voters in the jurisdiction County in which the candidate or measure will appear on the ballot. LAFCO proposals: County where m asure likely to appear on the ballot and the LAFCO. City in which the candidate or measure will appear on the ballot
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If loan, enter interest rate, if any i i If loan, enter interest rate, if any
% %
County
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If loan, enter interest rate, if any i i If l n, t r int r t r t , if ny n
% %
i
**Contributor Codes IND – Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee i i l – Recipient Committee (other than PTY e i i li i l SCC – Small Contributor Committee **Contributor Codes IND I ivi l ci i t itt ( t r t r ) t er ( . ., si ss tity) litic l rty ll Co trib t r C mittee l t m S
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*Major donor and independent expenditure committees that do not receive contributions are not required to complete Part 3. i i i i not required to complete Part 3. * j r r i t x it r committees that do not receive contributions are t required t c l t rt .
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FPPC Form 496 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FPPC Form 496 (March/201 ) / 75-3772) 8 r ( r / 0 1) ll- r l li : / - (8 - )
FPPC Toll-Free Helpline: 866/ASK-FPPC (
Clear Page l r
Print Form ri t r
City
Print Form
Clear Page
Fair Political Practices Commission advice@fppc.ca.gov
Chapter 10. 13
Campaign Manual 2 June 2020
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