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Alameda Firefighters 465 - HenneberrySupplemental Independent Expenditure Report (Government Code Section 84203.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. 0 Amendment (Explain Below) a.--- •••I I.D. NUMBER (If recipient committee) 1. Committee/Filer Information 890076 COMMITTEE/FILER'S NAME Alameda Firefighters Association Political Action Committee STREET ADDRESS (NO P.O. BOX) CITY Alameda OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE Ca 94501 AREA CODE/PHONE (510)337-2010 -VILLISMILLILLL 2. Name of Candidate or Measure Supported or Opposed NAME OF CANDIDATE Solana Henneberry for School Board 2014 NAME OF BALLOT MEASURE Report covers period 10/01/2014 from through 10/18/2014 Date of election if applicable: (Month, Day, Year) SUPPLEMENTAL INDEPENDENT EXPENDITURE Date Stamp 1'2 32V 465 CALIFORNIA cORM CITY OF ALAME, 11/04/2014 Treasurer (If recipient committee) NAME OF TREASURER WiIUam Klump MAILING ADDRESS CITY Alameda OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE Ca 94501 !page of For Official Use Only AREA CODE/PHONE (510)337-2010 OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE School Board BALLOT NO./LETTER JURISDICTION 3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE NAME AND ADDRESSOF PAYEE 10/01/2014 Duffy & Capitolo Sacramento, Ca. 95814 Mailers DESCRIPTION OF EXPENDITURE AMOUNT 3,868.47 CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 3,868.47 FPPC Form 465 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Supplemental Independent Expenditure Report SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Firefighters Association PoHtical Action Committee Type or print in ink. Amounts may be rounded to whole dollars. SUPPLEMENTAL INDEPENDENT EXPENDITURE Report covers period from 10/01/2014 m,ouux 10/18/2014 11711911■011.61{11.116.M. FORM -11. w 140 � 2� /.o. NUMBER (If recipient coml 890076 4. Summary 1. Total independent expenditures of $100 or more made this period. (Part 3j � 2. Total independent expenditures under $100 made this period. (Not itemized.) � 3. Total independent expenditures made this period (Add Lines 1 + 2.) TOTAL $ 3,868.47 3,868.47 5. Filing Officers Enterthe 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 OFFJCER William Klunnp ADDRESS (NO. AND STREET ADDRESS CITY STATE ZIP CODE CITY Alameda Co 04501 2) NAME op FILING OFFICER 4) NAME or FILING OFFICER 3) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS CITY STATE ZIP CODE CITY (NO. AND STREET) (NO. AND STREET) STATE ZIP CODE STATE ZIP CODE 6. Verification | certify that the ^indopondentoxpenddum(o)" disclosed in this statement were not "made at the behest of" the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225J. | have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and compl te. 1 certify under nalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on Executed on Executed on Executed on 10/22/2014 DATE DATE DATE DATE SIGNATURE OF CONTROLLING OFFJCEHOLDER, CANDIDATE, STATE MEASUR ROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR SIGNATURE OF CONTROLLING OFFJCEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE, STATE MEASURE PROPONENT pppc Form w5(June/o9)