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Alameda Firefighters 465 - TamSupplemental 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. 0 Amendment (Explain Below) Report covers period 10/01/2014 from through 10/18/2014 SUPPLEMENTAL INDEPENDENT EXPENDITURE Date Stamp Date of election if appl z (Month, Day, Year 11/04/2014 fY t) CALIFORNIA 465 FOFZM 2-- Page of For Official Use Only Oil-----7--.-,a.-'-',--"7"--;---' I.D. NUMBER (If recipient committee) 890076 Treasurer (If recipient committee) NAME OF TREASURER Alameda Firefighters Association Political Action Committee STREET ADDRESS (NO P.O. BOX) 2027 Clement Ave. Suite B CITY Alameda OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE Ca 94501 (510)337-2010 William Klump MAILING ADDRESS 2027 Clement Ave. Suite B CITY Alameda OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE Ca 94501 (510)337-2010 2. Name of Candidate or Measure Supported or Opposed NAME OF CANDIDATE Lena Tam NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE Bart Board BALLOT NO./LETTER JURISDICTION 3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE NAME AND ADDRESSOF PAYEE DESCRIPTION OF EXPENDITURE 10/01/2014 Duffy & Capitolo 1127 Eleventh St. Suite 523 Sacramento, Ca. 95814 Mailers AMOUNT CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 1,755.30 6,755.30 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 Political Action Committee 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 65 FORM Page of I.D. NUMBER (If recipient com.) 890076 4. Summary 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 1,755.30 0 1,755.30 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 CITY Alameda 2) NAME OF FILING OFFICER ADDRESS CITY (NO, AND STREET) (NO. AND STREET) 3) NAME OF FILING OFFICER ADDRESS STATE ZIP CODE CITY Ca 94501 4) NAME OF FILING OFFICER ADDRESS STATE ZIP CODE 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 compIt. 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 on Executed on 10/22/2014 DATE DATE DATE DATE By By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. STATE MEASURE SIGNATURE OF FIC,RER By By ASURER ROPONENT, 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)