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 496 Independent Expenditure Report 496 Independent Expenditure Report
A
496 INDEPENDENT EXPENDITURE REPORT 496 INDEPENDENT EXPENDITURE REPORT 496 INDEPENDENT EXPENDITURE REPORT
B
Date Stamp Date Stamp
NAME OF FILER NAME OF FILER
496 496
CALIFORNIA FORM CALIFORNIA FORM CALIFORNIA FORM
Date of This Filing Date of This Filing
11/1/20XX 2
Date Stamp
NAME OF FILER
Date of This Filing
Friends Supporting Alvarez for Mayor 20XX
I.D. NUMBER (if applicable) I.D. NUMBER (if applicable) I.D. NUMBER (if applicable)
AREA CODE/PHONE NUMBER AREA CODE/PHONE NUMBER AREA CODE/PHONE NUMBER
For Of fi cial Use Only For Of fi cial Use Only For Of fi cial Use Only fi
12399XX
Report No. Report No.
STREET ADDRESS STREET ADDRESS STREET ADDRESS 10 Main Street 707-111-2222
Report No.
Amendment Amendment to Report No. to Report No. to Report No. No. of Pages No. of Pages (explain below) (explain below) (explain below) Amendment No. of Pages
CITY CITY
STATE STATE
ZIP CODE ZIP CODE
CITY Oakmont
STATE
ZIP CODE
CA 95443
1
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
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
CALIFORNIA FORM
496
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
*
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
** **
Retired
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
JoeBrown 1800 Second Street Oakmont, CA 95443
If loan, enter interest rate, if any If loan, enter interest rate, if any
$200
10/28/20XX
%
If loan, enter interest rate, if any If loan, enter interest rate, if any
Reason for Amendment: Reason for Amendment: Reason for Amendment: Jurisdiction of Candidate or Measure Supported/Opposed Statewide Senate or Assembly District
%
If loan, enter interest rate, if any If loan, enter interest rate, if any
OTH PTY SCC Also file a copy at CalPERS/CalSTRS board office County with the largest number of registered voters in the jurisdiction County in which the candidate or measure will appear on the ballot. Secretary of State – Electronically only Secretary of State – Electronically only Secretary of State – Electronically only LAFCO proposals: County where measure likely to appear on the ballot and the LAFCO. City in which the candidate or measure will appear on the ballot
%
FPPC Form 496 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FPPC Form 496 (March/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) FPPC Form 496 (March/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) FPPC Form 496 (March/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) If loan, enter interest rate, if any If loan, enter interest rate, if any
Clear Page Clear Page CalPERS/CalSTRS Print Form Print Form Clear Page Clear Page Print Form Print Form
%
If loan, enter interest rate, if any If loan, enter interest rate, if any
%
Multi-County
If loan, enter interest rate, if any If loan, enter interest rate, if any
%
County
**Contributor Codes IND – Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee **Contributor Codes IND – Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee
*Major donor and independent expenditure committees that do not receive contributions are not required to complete Part 3. *Major donor and independent expenditure committees that do not receive contributions are not required to complete Part 3.
FPPC Form 496 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FPPC Form 496 (March/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) FPPC Form 496 (March/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Clear Page
Print Form
Print Form
Clear Page
City
Fair Political Practices Commission advice@fppc.ca.gov
Chapter 11.16
Campaign Manual 2 August 2023
391
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