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Golden State Leadership Fund 465 - ChenORIG NA Supplemental Independent Expenditure Report (Government Code Section 84203.5) SEE INSTRUCTIONS ON REVERSE 1. Committee/Filer Information COMM-ME/FILERS NAME Golden State Leadership Fund PAC ype or print in ink. Amounts may be rounded to whole dollars. 0 Amendment (Explain Below) I.D. NUMBER Of recipient committee) 1281772 STREET ADDRESS (NO P.O. BOX) , Suite 101 CITY STATE ZIP CODE AREA CODE/PHONE Los Angeles CA 90025 (310)575-8811 OPTIONAL: FAX / E-MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed NAME OF CANDIDATE Stewart Chen from SUPPLEMENTAL INDEPENDENT EXPENDITURE Report covers period Date Stamp 10/01/2014 through 10/18/2014 Date of election if applicable: (Month, Day, Year) CITY OF ::ALAWilif,-7DA Treasurer (0 recipient committee) NAME OF TREASURER Aden Kun MAILING ADDRESS CALIFORNIA 465 FORM Pa. e 1 of 3 For Official Use Only CITY STATE ZIPCODE AREA CODE/PHONE Los Angeles OPTIONAL: FAX / E-MAIL ADDRESS CA 90025 (310)575-8811 CHECK ONE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE SUPPORT OPPOSE City Council Member: City of Alameda NAME OF BALLOT MEASURE BALLOT NO./LETTER JURISDICTION 3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT 10/18/2014 Imprenta Communications Group, Inc. Phone bank 5,000.00 San Marino, CA 91108 10/18/2014 Imprenta Communications Group, Inc. San Marino, CA 91108 Design, printing, mailhouse, postage X SUPPORT OPPOSE CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 13,305.91 8,305.91 13,305.91 10/22/2014 United State Postal Service Postage 1,848.30 Sacramento, CA 95821 MEMO subpafment made through: Imprenta Communications Group, Inc. FPPC Form 465 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Supplemental Independent Expenditure Report Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE For use by an officeholder, candidate, or committee making independent expenditures totaling $1000 or more in a calendar year to support or oppose a single candidate or a single measure. This form must be filed at the same times and places as the campaign statements filed by the candidate supported or opposed or by a committee primarily formed to support or oppose the measure. A separate form must be filed for each candidate or measure being supported or opposed. This form is filed in addition to any other reuired campaign statements. IV Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE 10/22/2014 Political Data, Inc. Voter data Burbank, CA 91507 from Report covers period 10/01/2014 through 10/18/2014 Date of election if applicable: (Month, Day, Year) 10/22/2014 Cornerstone Printing, Inc. F1. San Francisco, CA 94111 Printing and mailhouse SUPPLEMENTAL INDEPENDENT BTEND1TURE Date Stamp AMOUNT CALIFORNIA 465 FORM Page 2 of 3 For Official Use Only CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 302.00 MEMO Subpcyment made through: Impr:nta Communications Group, Inc. 4,461.52 MEMO Subpryment made through: Impronta Communications Group, Inc. Supplemental Independent Expenditure Report SEE INSTRUCTIONS ON REVERSE NAME OF FILER Golden State Leadership Fund PAC 4. Summary Type or print in ink. Amounts may be rounded to whole dollars. from SUPPLEMENTAL INDEPENDENT EXPENDITURE Report covers period 10/01/2014 through 10/18/2014 CALIFORNIA FORM 465 Page 3 of 3 I.D. NUMBER (If recipient com.) 1281772 .,, 1. Total independent expenditures of $100 or more made this period. (Part 3.) $ 2. Total independent expenditures under $100 made this period. (Not itemized.) $ 3. Total independent expenditures made this period (Add Lines 1 + 2.) TOTAL $ . 13,305.91 0.00 13,305.91 5. Filing Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been filed. 3) NAME OF FILING OFFICER 1) NAME OF FILING OFFICER Secretary of State ADDRESS (NO. AND STREET) CITY Sacramento 2) NAME OF FILING OFFICER ADDRESS CITY (NO. AND STREET) STATE ZIP CODE CA 95814 STATE ZIP CODE ADDRESS CITY 4) NAME OF FILING OFFICER ADDRESS CITY (NO. AND STREET) (NO. AND STREET) STATE ZIP CODE STATE ZIP CODE 6. Verification I certify that the "independent expenditure(s)" 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 18225.7. I 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 complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on Executed on Executed or Executed on _ 10/23/2014 DATE DATE DATE DATE By By By By -� SIGNATUR FILER, TREASURER OR ASSISTANT TREASURER SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (June /09) FPPC Toll-Free Helpline: 866 /ASK -FPPC (866/275 -3772)