Nihalani Ind Expenditure amended SUPPLEMFJVTAL IhDEPENDFM DCPEfWf1URE
Supplemental Independent Type or print in ink. Report covers period Date stamp
Expenditure Report Amounts may be rounded
to whole dollars. 01/01/2009 • • . ~ ~
from
SEE INSTRUCTIONS ON REVERSE thrOUgh 10/17/2009 2 5
For use by an officeholder, candidate, or committee making independent expenditures totaling $500 or Page of
more in a calendar year to support or oppose a single candidate or a single measure. This form must Date of election if applicable: For orticial use only
be filed at the same times and places as the campaign statements filed by the candidate supported or (Month, Day, Year)
opposed or by a committee primarily formed to support or oppose the measure. A separate form must
be filed for each candidate or measure being supported or opposed. This form is filed in addition to 11/03/2009
any other required campaign statements.
IV Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. cuMULATIVE To DATE
DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR
(JAN. 1 -DEC. 31)
10/09/2009 Spotlight Printing Printing for mailer 296.67
725 Bryant Street MEMO
Subpayment made through:
San Francisco, CA 94107 DFS Associates
10/09/2009 Super02 Graphic design for mailer 264.00
10945 Wagner Street MEMO
Subpayment made through:
Culver City, CA 90230 DFS Associates
10/09/2009 Printmail Pros Mailing services for mailer 205.37
1610 Berryessa Road
MEMO
Subpayment made through:
~a~. Juse, CH 551.ie DFS Associates
10/09/2009 U. S. Postal Service Postage for mailer 302.22
1750 Lundy Avenue MEMO
Subpayment made through:
San Jose, CA 95101- DFS Associates
10/17/2009 Albany Services, Inc. Staff salaries 87.72 2,248.74
1215 W. Center Street, Suite 102
Manteca, CA 95337
10/17/2009 Jeremy Barousse Staff salaries gg,92
2102 Almaden Road, Suite 107 MEMO
Subpayment made through:
San Jose, CA 95125 Albany Services Inc.
SIJPPLEMEPffAL I<`DEPEI~EI~lf E)CPENDtTIJRE
Supplemental Independent Type or print in ink. Report covers period Date Stamp
Expenditure Report Amounts may be rounded ~ . ,
to whole dollars. of/ol/zoo9 ~ ' ~
from
SEE INSTRUCTIONS ON REVERSE thrOUgh- 10/17/2009 3 5
Page of
For use by an officeholder, candidate, or committee making independent expenditures totaling $500 or
more in a calendar year to support or oppose a single candidate or a single measure. This form must Date of election if applicable: For Official Use Only
be filed at the same times and places as the campaign statements filed by the candidate supported or (Month, Day, Year)
opposed or by a committee primariy formed to support or oppose the measure. A separate form must
be filed for each candidate or measure being supported or opposed. This form is filed in addition to 11/03/2009
any other required campaign statements.
IV Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. cunnuLATIVE To DATE
DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR
(JAN. 1 -DEC. 31)
10/17/2009 Sergio Jimenez Staff salaries 37.80
2102 Almaden Road, #107 MEMO
Subpayment made through:
San Jose, CA 95125 Albany Services Inc.
10/15/2009 Tony & Alba's Pizza and Pasta Food for volunteers 3.26 2,248.74
812 S. Winchester Blvd, Ste 130 #279
San Jose, CA 95128-
10/14/2009 Tony & Alba's Pizza and Pasta Food for volunteers 3.06 2,248.74
812 S. Winchester Blvd, Ste 130 #279
San Jose, CA 95128-
10/13/2009 Tony & Albans Pizza and Pasta Food for volunteers 3.36 2,248.74
812 S. Winchester Blvd, Ste 130 #279
San Jose, CA 95128-
10/12/2009 Tony & Alba's Pizza and Pasta Food for volunteers 4.62 2,248.74
812 S. Winchester Blvd, Ste 130 #279
San Jose, CA 95128-
10/11/2009 Tony & Alba's Pizza and Pasta Food for volunteers 6.73 2,248.74
812 S. Winchester Blvd, Ste 130 #279
San Jose, CA 95128-
SUPPLEMENTAL I~DEPENDEM DCPENDRURE
Supplemental Independent Type or print in ink. Report covers period Date stamp
Expenditure Report Amounts may be rounded ~
to whole dollars. 0l/o1/zoo9 ~ ~
from
SEE INSTRUCTIONS ON REVERSE thrOUgh 10/17/2009 4 5
Page of
For use by an officeholder, candidate, or committee making independent expenditures totaling $500 or
more in a calendar year to support or oppose a single candidate or a single measure. This form must Date of election if applicable: For official use only
be filed at the same times and places as the campaign statements filed by the candidate supported or (Month, Day, Year)
opposed or by a committee primarily formed to support or oppose the measure. A separate form must
be filed for each candidate or measure being supported or opposed. This form is filed in addition to 11/03/2009
any other required campaign statements.
IV Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. cunnuLATIVE To oArE
DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR
(JAN. 1 -DEC. 31)
10/17/2009 South Bay AFL-CIO Labor Council Staff salaries 150.19 2,248.74
2102 Almaden Rd, #107
San Jose, CA 95125-2104
10/17/2009 Ben Field Staff salaries 54.52
2102 Almaden Road, Suite 107 MEMO
Subpayment made through:
San Jose, CA 95125 South Bay AFL-C 0 Labor
Council
10/17/2009 Derecka Mehrens Staff salaries ?8.95
2102 Almaden Road, #107 MEMO
Subpavment made through:
San Jose, CA 95125 South Bay AFL-C O Labor
Council
10/17/2009 Anna Schlotz Staff salaries 56.73
2102 Almaden Road, Suite 107 MEMO
Subpayment made through:
San Jose, CA 95125 South Bay AFL-C O Labor
Council
Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE
Amounts may be rounded Report covers period ~
Expenditure Report to whole dollars. ~ ~
~,i/c~~/2ne9
from
SEE INSTRUCTIONS ON REVERSE through Page ' of 5
NAME OF FILER I.D. NUMBER (If recipient com.j
Scur_h e~y IeF'L-CI^, Labor Council Committee on Folitical Education Soonsered by South -ay AFL-CIo Labor Council 744711
4. Summary
2,248.74
1. Total independent expenditures of $100 or more made this period. (Part 3.) $
2. Total inde endent ex enditures under $100 made this eriod. Not itemized. $ ° 0°
P P P ( )
3. Total inde endent ex enditures made this eriod Add Lines 1 + 2. z, 248.74
P P P ( ) TOTAL $
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.
t) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER
Santa Clara Cou;r_y Registrar of Voters
ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET)
1555 Berger Urive, Building 2
CITY STATE ZIP CODE CITY STATE ZIP CODE
San Jose, ~.~F 95172
. ,~^vG O~ FIC~n 41 NAME OF FILING OFFICER
ADDRESS (NO. AND STREET) ADDRESS
(NO. AND STREET)
CITY STATE ZIP CODE CITY STATE ZIP CODE
6. Verification
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 complete. I certify under
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
to -Z9-o y
Executed on gy
DATES G SIG URE OF FILER, TREASURER OR ASSISTANT TREASURER
Executed on - ~ O /7~/ gy
DATE SIGNATURE OF CONTROLLING OF EH DER, CANDIDATE. 57ATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR
Executed on gy
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. STATE MEASURE PROPONENT
Executed on gy
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 465
FPPC Toll-Free Helpline: 868/ASK-FPPC (866/275-3772)