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Supplemental Independent Type er print In ink. SUPPLEMENTAL INDEPENDENT EXPENDITURF <br />Expenditure Report Amounts may ba rounded to Report Govern period Date Stamp <br />(Government C~ Se~on.203.5) wholedollars, from /1~"~"~' / <br />SEE iNSTRUCTIONS ON REVERSE <br /> Amendment <br /> through <br /> (Ex~ain Below) <br /> <br /> Date of election If applicable: For Official Use Only <br /> (Month, Day, Year) , <br /> <br />,. CommitteolFller Information <br /> Treasurer <br /> (if recipient committee) <br /> COMMITTEE/FILER'S NAME NAME OF TREASURE <br /> STREET ADDRESS (NO RO. BOX)~ t ~ <br /> OPTIONAL: FAX / E-MAIL ADDRESS - OPTIONAL: FAX I E-MAIL ADDRI=~$S <br /> <br /> 2. Name of Candidate or Measure supPorted or Opposed C.EC.O.. <br /> N r~EO CAN IDAT ~ ~ ~ <br /> 3. Independent Expenditures Made A~acha~ffionalh~rma~nonappmpdatelylabeled~n~nuaEonsheet& CUMULATIVE TO DATE <br /> <br /> FPPC Form 465 (Jarg01) <br /> FPPC Toll-Free Helpline: 866/ASK-FPPC <br /> <br /> <br />