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Golden State Leadership Fund for Chen 2014-10-20 - 113233950519 From: Mitchell Sch 2014-10-19 17:25:34 (GMT) To: City Clerk 496 Independent Expenditure Report NAME OF FILER Golden State Leadership Fund PAC AREA CODE/PHONE NUMBER (310) 575-8811 STREETADDRESS CITY Los Angeles 1. List Only One Candidate or Ballot Measure NAME OF CANDIDATESUPPORTED OR OPPOSED Typeorprint in ink. Amountsmaybe rounded towholedollars. ID. NUMBER Ofapplicab(e) 1281772 STATE ZIP CODE CA 90025 Stewart Chen OFFICE SOUGHT OR HELD DISTRICT NO. SUPPORT OPPOSE City Council Member: City of Alameda X 2. Independent Expenditures Made Attachadditionalinfommtiononappropnatelylabeledcontinuationsheets. Date of This Filing 10/19/2014 Report No, 20141018-2 ID Amendment to Report No. (explain below) No. of Pages 4 496INDEPENDENT EXPENDITURE REPORT _stampt4_ OCT 2 0 2014 CITY OF ALAMEDJ CITY CLERK'S OFFICE NAME OF BALLOT MEASURE SUPPORTED OROPPOSED BALL ONO /LETTER DATE 10/18/2014 Reason for Amendment: www. n etfile. corn Mailer (estimated cost) Cumulative to date total $4500.00 DESCRIPTION OF EXPENDITURE JURISDICTION SUPPOR T AMOUNT OPPOSE 4,500.00 FPPC Form 496 (March/2011) FPPC Tol I-Free Helpline 866/ASK-FPPC (866/275-3772) 13233950519 From: Mitchell S 2014-10-19 17:25:34 (GMT) a N 496 Independent Expenditure Report NAME OF FILER Golden State Leadership Fund PAC 3. Contributions of $100 or More Received* DALE FULLNAME,STREETADDRESSANDZIPCODEOFCONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 08/27/2014 Kal Krishnan Consulting Services Inc. Oakland, CA 94612 09/22/2014 Kal Krishnan Consulting Services Inc. Oakland, CA 94612 09/22/2014 Pacific Gas & Electric Company (PG&E) San Francisco, CA 94105-1814 10/06/2014 Arda LLC Oakland, CA 94607 10/06/2014 California Federation of Teachers Cope Committee ID# 741857 10/06/2014 U.S. Freight Systems, Inc. " a. Major donor and independent expenditure Cortibutoraides I committees that do not receive contributions ND —Individual COM — Recipient Committee (other than PTY SCC) are not required to complete Part 3. 0TH — Other PTY — Political Party SCC — Small Contnbutor Committee To: City Clerk CONTRIBUTOR CODE ** Li IND C] COM OTH ▪ PTY El SCC 11 IND E � 0Th C1 PTY SCC • IND Li OCM a11-1 • pry • szc Li IND El COM [5:0 OTH ▪ PTY SCC LI IND O can LI 0Th Li PTY LI ND 1p CCM 0TH • PTY fl x: LI IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) www.netfile.com 496INDEPENDENT EXPENDITUREREPORT AMOUNT RECEIVED 4,000.0C 4,000.00 25,000.00 1,000.00 5,000.00 10,000.00 496 CALIFORNIA FORM I D NUMBER (I I opplcable) 1281772 INTEREST RATES If loan, enter interest rate, if any If loan, enter interest rate, if any If loan, enter interest rate, if any % If loan, enter interest rate, if any If loan, enter interest rate, if any % If loan, enter interest rate, if any FPPC Form496 (March/2011) FPPCToll-Free Helpline: 866/ASK-FPPC (866/275-3772) 13233950519 From: Mitchell Schwartz 2014-10-19 17:25:34 (GMT) 496 Independent Expenditure Report NAME OF FILER Golden State Leadership Fund PAC 3. Contributions of $100 or More Received* 496INDEPENDENT ID(PENDITUREREPORT DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIB IFANINDIVIDUAL, ENTER OCCUPATION UTOR CONTRIBUTOR AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE ** AND EMPLOYER RECEIVED (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/07/2014 Medical Insurance Exchange of California PAC Committee ID# 1323065 10/08/2014 California Professional Firefighters PAC - Small Contributor Committee Committee ID# 744058 10/09/2014 Committee for Working Families Committee ID# 980228 10/09/2014 Newport CH International, LLC Orange, CA 92868 10/14/2014 California Medical Association Small Contributor Committee Committee ID# 1231460 10/14/2014 Shorenstein Realty Services LP 0 a) a) ca o. *Major donor and independent expenditure committees that do not receive contributions are not required to complete Part 3. To: City Clerk www.netfile.com 0 ND LI com 0TH PTY 0 ND 0 ccm 00TH PTY SOC 0 IND COM 00TH PTY • SCC O IND D � • OTH LII PTY ▪ SCC 0 IND D � LI OTH 0 PTY SCC 13 i3 lB 0 IND 0� OTH 0 PTY SCC 113 Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Otter PTY — Political Party SCC —Small Contributor Committee 10,000.00 40,000.00 25,000.00 5,000.00 10,000.00 10,000.00 CALIFORNIA 496 FORM I.D. NUMBER (If app(icable) 1281772 INTEREST RATES If loan, enter interest rate, if any If loan, enter interest rate, if any If loan, enter interest rate, if any If loan, enter interest rate, if any If loan, enter interest rate, if any % If loan, enter interest rate, if any FPPC Form 496 (March/2011) FPPCToll-Free Helpline: 866/ASK-FPPC (866/275-3772) 13233950519 From: Mitchell Schwartz 2014-10-19 17:25:34 (GMT) To: City Clerk 496 Independent Expenditure Report NAME OF FILER Golden State Leadership Fund PAC 3. Contributions of $100 or More Received* DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED IF COMMITTEE, ALSO ENTER I.D. NUMBER) 10/15/2014 Kal Krishnan Consulting Services Inc. Oakland, CA 94612 10/15/2014 Shawn Wilson Brentwood, CA 94513 10/17/2014 Political Action for Classified Employyes of California School Employees Committee ID# 761128 *Major donor and independent expenditure committees that do not receive contributions are not required to complete Part 3. www.netfile.com CONTRIBUTOR IF ANINDIVIDUAL, ENTER OCCUPATION CODE ** AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) III IND OCIV1 OTH • PTY • SDC IND E � • OTFI • PTY • SCC O ND L � ▪ OTH LI PlY SCC Li IND E � • 0Th LI PTY • SDC O IND EJ OCM I=J 0TH • PTY soz O IND E � LI 011-I PTY 0 SCC Chief of Staff County of Alameda —Contributor Codes IND — Individual COM — Redpient Committee (other than PTY cc SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee 496INDEPENDENT EXPENDITUREREPORT CALIFORNIA 496 FORM ID. NUMBER (Ihyvicabo) AMOUNT RECEIVED 5,000.00 20,000.00 25,000.00 1281772 INTEREST RATES If loan, enter interest rate, if any If loan, enter interest rate, if any If loan, enter interest rate, if any OA If loan, enter interest rate, if any % If loan, enter interest rate, if any 0/0 If loan, enter interest rate, if any FPPC Form 496 (March/2011) FPPCToII-Free Helpline: 866/ASK-FPPC (866/275-3772)