Completing the Form 496 Filer Information Provide the committee’s name, street address, city, state, zip code, telephone number, and committee ID number. B Date, Report Number, Number of Pages Indicate the date the report is being filed; assign a unique number to each Form 496, such as 1, 2, 3, PR-1, PR-2, PR-3, etc.; and, indicate the number of pages included in the report. A
QUICK TIP: Generally, the “cumulative amount” means the amount of independent expenditures made in the current calendar year.
1 Name of Candidate or Ballot Measure Supported or Opposed Provide the name of the candidate supported or opposed and the office sought or held (and district, if applicable). Or, provide the name of the ballot measure supported or opposed, the jurisdiction in which the measure is being voted upon, and its number or letter if it has been assigned. Indicate whether the independent expenditure supported or opposed the candidate or ballot measure. 2 Independent Expenditures Made Provide the date the committee made the independent expenditure. In the “Description of Expenditure” field, include a description of the independent expenditure (e.g., radio advertisement, billboard, mailing) and the cumulative-to-date total for independent expenditures relating to each candidate or measure. List the amount of the specific expenditure in the “Amount” column. 3 Contributions of $100 or More Received Disclose contributions of $100 or more received since the closing date of the last campaign statement filed through the date of the independent expenditure. If no previous campaign statement has been filed, disclose contributions of $100 or more received since January 1 of the current calendar year.
Fair Political Practices Commission advice@fppc.ca.gov
Chapter 11.17
Campaign Manual 2 August 2023 Page 386
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