Alameda Firefighters 465 (2)Supplemental Independent
Expenditure Report
(Government Code Section 84203.5)
SEE INSTRUCTIONS ON REVERSE
1. Committee/Filer Information
COMMITTEE/FILER'S NAME
Type or print in ink.
Amounts may be rounded to
whole dollars.
D Amendment (Explain Below)
l.D. NUMBER (If recipient committee)
Alameda Firefighters Association Political Action Committee
STREET ADDRESS (NO P.O. BOX)
2027 Clement Ave . Suite B
CITY
Alameda
OPTIONAL: FAX I E-MAIL ADDRESS
STATE ZIP CODE
Ca 94501
AREA CODE/PHONE
(510)337-2010
2. Name of Candidate or Measure Supported or Opposed
Report covers period
from 10/19/2014
through 12/31/2014
Date of election if applicable:
(Month, Day, Year)
Treasurer 111 rec1p1ent comm1ttee1
NAME OF TR.EASURER
William klump
MAILING ADDRESS
B
CITY
Alameda
OPTIONAL: FAX I E-MAIL ADDRESS
SUPPLEMENTAL INDEPENDENT EXPENDITURE
Date Stamp &.£Zl&JJdl£. 5 c
I
CI TY QF ALAMEDA
CITY CLER K'S OFFI CE
STATE ZIP CODE AREA CODE/PHONE
Ca 94501 (510)337-2010
CHECK ONE
NAME OF CANDIDIVE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE SUPPORT OPPOSE
Silicon Valley Health & Safety Coalition
NAME OF BALLOT MEASURE BALLOT NO./LETTER JURISDICTION
3. Independent Expenditures Made Attach additional infor mation on appropriately labeled continuation sheets.
DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE
10/30/2014 Silicon Valley Health & Safety Coalition Contribution
AMOUNT
5,000.00
x
SUPPORT OPPOSE
CUMULATIVE TO DATE
CALENDAR YEAR
-···-·. ---· -·
5,000.00
FPPC Form 465 (June/09)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3n2)
Supplemental Independent
Expenditure Report
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Alameda Firefighters Association Political Action Committee
4. Summary
Type or print in Ink.
Amounts may be rounded
to whole dollars.
SUPPLEMENTAL INDEPENDENT EXPENDITURE
..--~~~~~~~~~~~~
Report covers period
from 10/19/2014
through 12/31/2014
CALIFORNIA 4 6 5
FORM
Page __ ~-of __ _
l.D. NUMBER (If rec ipient com .)
1. Total independent expenditures of $100 or more made this period . (Part 3.) ...... . $ 5,000.00
2 . Total independent expenditures under $100 made this period . (Not itemized.) $ 0
3 . Total independent expenditures made this period (Add Lines 1 + 2 .) TOTAL $ 5,000.00
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.
1) NAME OF FILING OFFICER
William Klump
ADDRESS
2027 Clement Ave. Suite B
CITY
Alameda
2) NAME OF FILING OFFICER
ADDRESS
CITY
6. Verification
(NO. AND STREET)
(NO . AND STREET)
STATE
Ca
STATE
ZIP CODE
94501
ZIP CODE
3) NAME OF FILING OFFICER
ADDRESS (NO. AND STREET)
CITY STATE ZIP CODE
4) NAME OF FILING OFFICER
ADDRESS (NO . AND STREET)
CITY STATE ZIP CODE
I certify that the "independent expenditure(s)" disclosed in this statement were not "made at the behest or 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 c~ under penalty of perjury under the laws of the State of California that
the foregoing is true and correct.
Executed on 12/31/2014
DATE
Executed on
DATE
Executed on
DATE
Executed on
DATE
By \ > < By ,~
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE URE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR By~~~~~=== SIGNATURE OF CONTROLLING OFFICEHOLDER , CANDIDATE , STATE MEASURE PROPONENT By===~~~~= SIGNATURE OF CONTROLLING OFFICEHOLDER , CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 465 (June/09)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)