City of San Bernardino Candidate Information Guide

496 Independent Expenditure Report 496 Independent Expenditure Report 496 Independent Expenditure Report

Type or print in ink. Amounts may be rounded to whole dollars. Type or print in ink. Amounts may be rounded to whole dollars. Type or print in ink. Amounts may be rounded to whole dollars.

496 INDEPENDENT EXPENDITURE REPORT CALIFORNIA FORM 496 496 INDEPENDENT EXPENDITURE REPORT CALIFORNIA FORM 496 INDEPENDENT EXPENDITURE REPORT CALIFORNIA FORM 496

Date Stamp Date Stamp

NAME OF FILER NAME OF FILER

Date of This Filing Date of This Filing Report No. Report No.

Date Stamp

11/1/20XX 2

NAME OF FILER

Date of This Filing

Friends Supporting Alvarez for Mayor 20XX

AREA CODE/PHONE NUMBER AREA CODE/PHONE NUMBER AREA CODE/PHONE NUMBER

I.D. NUMBER (if applicable) I.D. NUMBER (if applicable) I.D. NUMBER (if applicable)

For Of fi cial Use Only For Of fi cial Use Only For Of fi cial Use Only fi

12399XX

STREET ADDRESS STREET ADDRESS STREET ADDRESS 10 Main Street 707-111-2222

Report No.

Amendment Amendment to Report No. (explain below) to Report No. (explain below) to Report No. (explain below) No. of Pages No. of Pages No. of Pages Amendment

CITY CITY

STATE STATE

ZIP CODE ZIP CODE

CITY

STATE

ZIP CODE

Oakmont

CA 95443

1. List Only One Candidate or Ballot Measure 1. List Only One Candidate or Ballot Measure 1. List Only One Candidate or Ballot Measure

NAME OF CANDIDATE SUPPORTED OR OPPOSED NAME OF CANDIDATE SUPPORTED OR OPPOSED NAME OF CANDIDATE SUPPORTED OR OPPOSED

NAME OF BALLOT MEASURE SUPPORTED OR OPPOSED NAME OF BALLOT MEASURE SUPPORTED OR OPPOSED NAME OF BALLOT MEASURE SUPPORTED OR OPPOSED

Manuel Alvarez

DISTRICT NO. DISTRICT NO.

SUPPORT OPPOSE SUPPORT OPPOSE SUPPORT OPPOSE

OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD

BALLOT NO./LETTER BALLOT NO./LETTER BALLOT NO./LETTER

SUPPORT OPPOSE SUPPORT OPPOSE SUPPORT OPPOSE

JURISDICTION JURISDICTION

DISTRICT NO.

JURISDICTION

Mayor

2. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. 2. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. 2. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. 496 Independent Expenditure Report

496 INDEPENDENT EXPENDITURE REPORT

496

CALIFORNIA FORM

DATE DATE

DESCRIPTION OF EXPENDITURE DESCRIPTION OF EXPENDITURE DESCRIPTION OF EXPENDITURE

AMOUNT AMOUNT

DATE

AMOUNT

Newspaper Advertisement (cumulative total: $6,000)

I.D. NUMBER (If applicable) I.D. NUMBER (If applicable)

$2,000

10/31/20XX

NAME OF FILER NAME OF FILER

3. Contributions of $100 or More Received

IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) IF AN INDIVIDUAL, ENTER OCCUPATION (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)

CONTRIBUTOR CODE

AMOUNT RECEIVED

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER)

DATE RECEIVED

INTEREST RATES INTEREST RATES

** **

IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC

Retired

JoeBrown 1800 Second Street Oakmont, CA 95443