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N0 Nm mCLdo cr nr.L A 3. o m (p p m m3:2i d o W Q d o• m c c m O_ y 0 S d y O_ OL' C: 0203,x' ti N. C 2= CD m o o (1). si bm0 -o��b amro C M 3 n3.3 w z A. m� O O m G 7 w r fTi d. N m m p^ m m moron zbm cmn X' �oa�c 2 < m C C. ❑,Sb mon n o" o T lT m ...K .n m_ ro CD 3 2 dm moo— m C �r a- 0 7 m o (D 0 3 O r CL fD d d .3 d CD w mnw3c�(�o m 3 Z 1► m 10 7 m O d 0 0 C. bON- nar. bwlC 10 m b Q9 m'O I -aDN m �o < w rm*0 m� CD O mm3 =. .� wm� w`m C) c z o m 0, 3 09 "O 30— m (D m in 5 O of c m O U d (D m m m a OO.. 3O(GNm O 01 N A mCD .Z 7 x Mo ryl n rn rn o o d a p 0, 0"O W a 1 7 D O N d N D N N O m a a D m Cl. a m d m 3. a•-♦ U 3 a �,2. m- .. 0 =mO'(p m my p m -0 m 3 m f o CD O m Decc N CL W d (D d w. OD C' d d O D L17 O d 0. m c N C x D' 3 C 3 m 6D m 3 m 3 (D m m'� ti 3 n 0 On p m o n m o o c c o �o^o rt DT H. cr o a D o m o v m 0 O m 0 m 1 - w O G O ro O (n m� O 0 O r G �ro . 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O x m m m m m 4 V n O T ia m 2 m a S m O CD 7 CL c0 7 CD nN o CL CD O N o � n O N G7 O m CL — oD N —_ �0 O — W N CD am CL S T fD CD M. 0 ;o CD �y O fD °. CLo y —a 0 N NN fD CD m —v � W 0 CD —y — } O N _ C O CD CLs r m fD a ami 0 a — y y 2: CD o m O m C n o 4 3 c - v CDm C 7 (D S D1 0 W 07 N y y O CD O y — fD g n o. v � <, o m 3 C— D �• m `° m (� x y y (D O C CL � c of CD CD m v . a n { m N O O v m D O O .m m cn cn N N zt m n Z n D m R m n O T O r= n. Z N O R m T R T m mm N A n > m m Cl) m IC m w e ' O m : m m :Z m Z m x i p N_ ivO p m m a O O m 0 M o y m c n C C.. a n { m N O O v m D O O .m m cn cn N N zt m n Z n D m R m n O T O r= n. Z N O R m T R T m mm N A n > m m Cl) N Z N C N m — IC m w e ' O m : m m :Z m Z m" x i w ivO m O O O IW c o M y m c n C C.. o rt CD m m 77 m y i D p� /; CL 7 a CD a 7 R m m O = CD x x m x n m m 7 7 CD CL a a S N N N 3 o M a a CD <� O m O O � m 3 a o a C a CD 3 DEr CL — m C CD CL II m _r CD CD O a _s y N N + Z03.. N » O �[1 O C CD 3 -0 Fpm CD :Z w 030 mea CL 0 m. T p t 7 O — W C 3 3 )C CL.• m a s. 'o o c g s m v 0 � N r O � O < N Y m Cn 0 r a 0 r ++ � •a � m r c m CL m Q Z" r N Z N C N m — IC m w e ' O m : m m :Z m Z m O l0 N O O ko O N 3 IW `m ® O .C. Supplemental Independent I '� ✓ ° -- '� k Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE I , Amounts may be rounded Report covers period CALIFORNIA Ex enditure Re Ort p p DEC 3 L`�i4 I to whole dollars. • FORM 4 from 01 /0112014 SEE INSTRUCTIONS ON REVERSE R a C- E,7 through 11/22/2014 g Page ___L_ of 3 NAME OF FILER I.D. NUMBER (If recipient com.) SLO County Democratic Party 742552 4. Summary 1. Total independent expenditures of $100 or more made this period. Part 3. 1, 691.35 2. Total independent expenditures under $100 made this period. Not itemized. 0.00 3. Total independent expenditures made this period Add Lines 1 + 2. .........TOTAL $ 1,691.35 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. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER Secretary of State ADDRESS (NO AND STREET) ADDRESS (NO- AND STREET) 1500 -11th Street, Room 495 CITY STATE ZIP CODE Sacramento CA 95814 2) NAME OF FILING OFFICER San Luis Obispo County Clerk ADDRESS (NO. AND STREET) 1055 Monterey Street, Room D -120 CITY STATE ZIP CODE San Luis Obispo CA 93408 CITY STATE ZIP CODE 4) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) CITY STATE ZIP CODE 6. Verification I certify that the "independent expenditure(s)" disclosed in this statement were not "made atthe behest of the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225.7. 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is tr nd complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 12/01/2014 By DATE SiG ATURE OF FILER, TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) RECEIVED SUPPLEMENTAL INDEPENDENT EXPENDITURE Supplemental Independent I Type or print in ink. Amounts may be rounded Report covers period . Expenditure Report DEC 0 3 2014 I to whole dollars. _ • from 01/01/2014 SEE INSTRUCTIONS ON REVERSE through 11/22/2014 Page 3 of 3 NAME OF FILER I.D. NUMBER (If recipient com.) SLO County Democratic Party 742552 4. Summary 1. Total independent expenditures of $100 or more made this period. (Part 3.) 2- Total independent expenditures under $100 made this period- (Not itemized -) -- $ 1,691.33 $ 0.00 3. Total independent expenditures made this period Add Lines 1 + 2. .,...,TOTAL $ 1, 691.33 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. 1) NAME OF FILING OFFICER Secretary of State ADDRESS 1500 -11th Street, Room 495 CITY Sacramento 2) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER (NO AND STREET) ADDRESS (NO. AND STREET) San Luis Obispo County Clerk ADDRESS (NO. AND STREET) 1055 Monterey Street, Room D -120 STATE ZIP CODE CA 95814 CITY 4) NAME OF FILING OFFICER ADDRESS (NO AND STREET) STATE ZIP CODE CITY STATE ZIP CODE CITY STATE ZIP CODE San Luis Obispo CA 93408 6. Verification I certify that the "independent expenditure(s)" disclosed in this statement were not "made at the behest of" the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225.7. 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true d complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 12/01/2014 By r DATE .SI NATURE OF FILER, TREASURER OR ASSISTANT TREASURER Executed on DATE Executed on DATE By V SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) RECEIVED Supplemehtal Indepehdent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE -- �X p p OI'eildltUre R� t DECO 3 214 Amounts may be roUhded Report covers period to whole dollars. j a- _ from 01/01/2014 S �I SEE INSTRUCTIONS ON REVERSE through 11/22/2014 Page 3 of 3 NAME OF FILER I.D. NUMBER (If recipient corn.) SLO County Democratic Party 742552 4. summary 1. Total independent expenditures of $100 or more made this period. (fart 3.) ............ $ 1,691.32 2. Total independent expenditures Under $100 made this period. Not itemized- 0.00 3. Total independent expenditures made this period Add Lines 1 + 2. ..TOTAL $ 1,691.32 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. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER Secretary of State ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 1500 -11th Street, Room 495 CITY STATE ZIP CODE CITY STATE ZIP CODE Sacramento CA 95B14 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER San Luis Obispo County Clerk ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 1055 Monterey Street, Room D -120 CITY STATE ZIP CODE CITY STATE ZIP CODE San Luis Obispo CA 93408 6. Verification I certify that the "independent expenditure(s)" disclosed in this statement were not "made at the behest of" the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225.7. 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is tr , and complete. I certify under penalty of perjury Under the laws of the State of California that the foregoing is true and correct. r Executed on 12/01/2014 By ��- DATE s 0 NATURE OF FILER, TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (JUne /09) FPPC Toll -Free Welpline: 866 /ASK -FPPC (866/275 -3772) Supplemental Independent Expenditure Report (Government Code Section 84203.5) SEE INSTRUCTIONS ON REVERSE 1. Committee /Filer Information COMMITTEE /FILER'S NAME SLO County Democratic Party Type or print in ink. Amounts may be rounded to whole dollars. ❑ Amendment (Explain Below) I D. NUMBER (If recipient committee) 742552 STREET ADDRESS (NO P.O. BOX) 5429 Madison Avenue CITY STATE ZIP CODE AREACODE /PHONE Sacramento CA 95841 (805)546 -8499 OPTIONAL: FAX/ E -MAIL ADDRESS Report covers period from 01/01/2014 through 11/22/2014 Date of election if applicable: (Month, Day, Year) 11/04/2014 Treasurer (If recipient committee) SUPPLEMENTAL INDEPENDENT EXPENDITURE Date Stamp _ RECEIVED DEC 03 2014 AL Page 1 of 3 For Official Use Only NAME OF TREASURER Rita Copeland MAILING ADDRESS 5429 Madison Avenue CITY STATE ZIP CODE AREACODE /PHONE Sacramento CA 95841 (916)348 -9100 OPTIONAL: FAX / E -MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed CHECKONE NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE SUPPORT OPPOSE Carlyn Christianson City Council Member: City of San Luis Obispo X NAME OF BALLOT MEASURE BALLOT NO /LETTER I JURISDICTION SUPPORT I OPPOSE 3. Independent Expenditures Made Attach additional information on appropriatelylabeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT . :' _ [] ` 1 10/27/2014 Public Policy Solutions, Inc. Phone Banking to Support Carlyn 83.34 1,691.35 893 Marsh Street Christianson for San Luis Obispo City San Luis Obispo, CA 93406 Council 10/27/2014 InFocus Campaigns Phone Banking to Support Carlyn 83.34 5617 Dennis Avenue Christianson for San Luis Obispo City MEMO Fort Worth, TX 76114 Council Subpafment made through: Publi Policy Solutions, Inc. 10/28/2014 Patricia Harris Web Ads to Support Carlyn Christianson 8.33 1,691.35 218 Via La Paz for San Luis Obispo City Council San Luis Obispo, CA 93401- FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Supplemental Independent Type or print in ink. NAME AND AUDRE55 OF PAYEE Amounts may be rounded Report covers period Expenditure Report p p 10/28/2014 to whole dollars. from _ 01 /01/2014 SEE INSTRUCTIONS ON REVERSE through 11/22/2014 For use by an officeholder, candidate, or committee making independent expenditures totaling $1000 or 893 Marsh Street more in a calendar year to support or oppose a single candidate or a single measure. This form must Date of election if applicable: 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 ;,," .=_;'z a} .4 any other required campaign statements. Colorcraft Printing IV Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. SUPPLEMENTAL INDEPENDENT EXPENDITURE Date Stamp Page 2 of ___L_ For Official Use Only CUMULATIVE TO DATE CALENDAR YEAR DATE NAME AND AUDRE55 OF PAYEE DESGRiP I ION OF EXPENDITURE AMUUN I (JAN 1 -DEC 31) 10/28/2014 Public Policy Solutions, Inc. Mailer to Support Carlyn Christianson for 1,599.68 1,691.35 893 Marsh Street San Luis Obispo City Council San Luis Obispo, CA 93406 10/28/2014 Colorcraft Printing Mailer to Support Carlyn Christianson for 605.92' 8631 Palomar Drive San Luis Obispo City Council MEMO Atascadero, CA 93422 Subp ,(meat made through: Publ c Policy Solutions, Inc. 10/28/2014 Accurate Mailing Systems Mailer to Support Carlyn Christianson for 658.75 5845 Airport Road Paso Robles, CA 93446 San Luis Obispo City Council MEMO Subp yme:lt made through: Publ c Policy Solutions, Inc_ Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period A Expenditure Report to whole dollars. • from 01/01/2014 FORM SEE INSTRUCTIONS ON REVERSE through 11/22/2014 Page 3 of 3 NAME OF FILER I.D. NUMBER (If recipient com.) SLO County Democratic Party 742552 4. Summary 1. Total independent expenditures of $100 or more made this period. (Part 3.) ................................................ $ -4,691.35 2. Total independent expenditures under $100 made this period. (Not itemized.) ............ ...... ..... ... ... $ 3. Total independent expenditures made this period (Add Lines 1 + 2.) ......., ....TOTAL $ 1,691.35 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. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER Secretary of State ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 1500 -11th Street, Room 495 CITY STATE ZIP CODE CITY STATE ZIP CODE Sacramento CA 95814 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER San Luis Obispo County Clerk ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 1055 Monterey Street, Room D -120 CITY STATE ZIP CODE CITY STATE ZIP CODE San Luis Obispo CA 93408 6. Verification I certify that the "independent expenditure(s)" disclosed in this statement were not "made at the behest of" the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225.7. 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is t nd complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 12/01/2014 By DATE SIG14ATURE OF FILER, TREASURER OR ASSISTANT TREASURER Executed on DATE Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR By By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Supplemental Independent Expenditure Report (Government Code Section 84203.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. ❑ Amendment (Explain Below) 1. Committee /Filer Information I.D. NUMBER (If recipient committee) 1742S52 COMMITTEE /FILER'S NAME SLO County Democratic Party STREETADDRESS (NO P.O. BOX) 5429 Madison Avenue CITY STATE ZIP CODE AREACODE /PHONE Sacramento CA 95841 (805)546 -8499 OPTIONAL: FAX /E -MAIL ADDRESS Report covers period from 01/01/2014 through 11/22/2014 Date of election if applicable: (Month, Day, Year) 11/04/2014 Treasurer (If recipient committee) SUPPLEMENTAL INDEPENDENT EXPENDITURE Date Stamp RECEIVFD •� DEC 0 3 2014 Page 1 of 3 For Official Use Only NAME OF TREASURER Rita Copeland MAILING ADDRESS 5429 Madison Avenue CITY STATE ZIP CODE AREACODE/PHONE Sacramento CA 95841 (916)348 -9100 OPTIONAL: FAX/ E -MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed CHECK ONE NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE SUPPORT OPPOSE Carlyn Christianson City Council Member: City of San Luis Obispo X NAME OF BALLOT MEASURE BALLOT NO- !LETTER JURISDICTION SUPPORT OPPOSE 3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE 10/27/2014 Public Policy Solutions, Inc. Phone Banking to Support Carlyn 893 Marsh Street Christianson for San Luis Obispo City San Luis Obispo, CA 93406 Council 10/27/2014 InFocus Campaigns 5617 Dennis Avenue Fort Worth, TX 76114 10/28/2014 Patricia Harris 218 Via La Paz San Luis Obispo, CA 93401- Phone Banking to Support Carlyn Christianson for San Luis Obispo City Council Web Ads to Support Carlyn Christianson for San Luis Obispo City Council CUMULATIVE TO DATE AMOUNT CALENDAR YEAR (JAN. 1 - DEC. 31) 83.341 1,691.35 83. ent made through: Policy Solutions, Inc. 8.331 1,691.35 FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Supplemental Independent Type or print in ink. Report covers period Expenditure Report Amounts may be rounded to whole dollars. 01/01/20 14 fra rn , SEE INSTRUCTIONS ON REVERSE I through 11/22/2014 For use by an officeholder, candidate, or committee making independent expenditures totaling $1000 or more in a calendar year to support or oppose a single candidate or a single measure. This form must Date of election if applicable: be filed at the same times and places as the campaign statements filed by the candidate supported or (Month, Day, Year) opposed or by a committee primarily formed to support or oppose the measure. A separate form must be filed for each candidate or measure being supported or opposed. This form is filed in addition to 11/04/2014 any other required campaign statements. IV Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE I NAME AND ADDRESS OF PAYEE I DESCRIPTION OF EXPENDITURE 10/28/2014 Public Policy Solutions, Inc. 893 Marsh Street San Luis Obispo, CA 93406 10/28/2014 Colorcraft Printing 8831 Palomar Drive Atascadero, CA 93422 10/28/2014 Accurate Mailing Systems 5845 Airport Road Paso Robles, CA 93446 Mailer to Support Carlyn Christianson for San Luis Obispo City Council Mailer to Support Carlyn Christianson for San Luis Obispo City Council Mailer to Support Carlyn Christianson for San Luis Obispo City Council SUPPLEMENTAL INDEPENDENT EXPENDITURE Date Stamp Page 2 of----L-- For Official Use Only CUMULATIVE TO DATE AMOUNT CALENDAR YEAR I (JAN. 1 - DEC. 31) 1,599.68 605.9 1,691.35 Subp4yment made through: Publ c Policy Solutions, Inc. 658.75 MEMO Subp$yment made through: Publ.ile Policy Solutions, Inc. Supplemental Independent Type or print in ink. Amounts may be rounded Expenditure Report to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER SLO County Democratic Party 4. Summary SUPPLEMENTAL INDEPENDENT EXPENDITURE Report covets period . . , from 01/01/2014 through 11/22/2014 Page 3 of 3 I.D. NUMBER (if reciplent com.) 742552 1. Total independent expenditures of $100 or more made this period. Part 3. 1,691.35 2. Total independent expenditures under $100 made this period. Not itemized- ........ 0.00 3. Total independent expenditures made this period Add Lines 1 + 2. ..TOTAL $ 1,691.35 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. 1) NAME OF FILING OFFICER Secretary of State ADDRESS (NO. AND STREET) 1500 -11th Street, Room 495 CITY STATE ZIP CODE Sacramento CA 95814 3) NAME OF FILING OFFICER ADDRESS CITY (NO. AND STREET) 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER San Luis Obispo County Clerk ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 1055 Monterey Street, Room D -120 STATE ZIP CODE CITY STATE ZIP CODE CITY STATE ZIP CODE San Luis Obispo CA 93408 6. Verification I certify that the "independent expenditure(s)" disclosed in this statement were not "made at the behest of" the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225.7. 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is t "nd complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 12/01/2014 By ;. DATE SIG ATURE OF FILER, TREASURER OR ASSISTANT TREASURER Executed on By / DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Supplemental Independent Type or print in ink. Expenditure Report Amounts may be rounded to whole dollars. (Government Code Section 84203.5) SEE INSTRUCTIONS ON REVERSE ❑ Amendment (Explain Below) 1. Committee /Filer Information I D. NUMBER (If recipient committee) 742552 COMMITTEE /FILER'S NAME SLO County Democratic Party STREET ADDRESS (NO RO BOX) 5429 Madison Avenue Report covers period from 01/01/2014 through 11/22/2014 Date of election if applicable: (Month, Day, Year) 11/04/2014 SUPPLEMENTAL INDEPENDENT Date Stamp RECEIVED ` FORM • DEC 0 3 2014 Page 1 of 3 CITY. a I r For Official Use Only Sa_O C_t r CLF -PI, Treasurer (If recipient committee) NAME OFTREASURER Rita Copeland MAILING ADDRESS 5429 Madison Avenue CITY STATE ZIP CODE AREACODE /PHONE CITY STATE ZIP CODE AREACODE /PHONE Sacramento CA 95841 (805)546 -8499 Sacramento CA 95841 (916)348 -9100 OPTIONAL: FAX/ E -MAIL ADDRESS OPTIONAL: FAX/ E -MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed CHECK ONE NAME OF CANDIDATE Jan Marx OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE Mayor: City of San Luis Obispo SUPPORT X OPPOSE NAME OF BALLOT MEASURE BALLOT NO /LETTER JURISDICTION SUPPORT OPPOSE 3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT U. LCIVUMM T r-MM (JAN 1 - DEC. 31 10/27/2014 Public Policy Solutions, Inc. Phone Bank 83.33 1,691.33 893 Marsh Street San Luis Obispo, CA 93406 10/27/2014 InFocus Campaigns Phone Banking to Support Jan Marx for San 83.33 5617 Dennis Avenue Luis Obispo Mayor MEMO Fort Worth, TX 76114 Subpayment made through: Public Policy Solutions, Inc. 10/28/2014 Patricia Harris Web Ads to Support Jan Marx for San Luis 8.34 1,691.33 218 Via La Paz Obispo Mayor San Luis Obispo, CA 93401- FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Supplemental Independent Type or print in ink. Amounts may be rounded Expenditure Report to whole dollars. SUPPLEMENTAL INDEPENDENT EXPENDITURE Report covers period from 01/01/2014 SEE INSTRUCTIONS ON REVERSE through 11/22/2014 Page 3 of 3 NAME OF FILER I.D. NUMBER (If recipient com.) SLO County Democratic Party 742552 4. Summary 1. Total independent expenditures of $100 or more made this period. (Part 3.) $ 1,691.33 2. Total independent expenditures under $100 made this period. (Not itemized.) $ 0.00 3. Total independent expenditures made this period (Add Lines 1 + 2.) ...TOTAL $ 1,691.33 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. 1) NAME OF FILING OFFICER Secretary of State ADDRESS (NO AND STREET) 1500 -11th Street, Room 495 CITY STATE ZIP CODE Sacramento CA 95814 2) NAME OF FILING OFFICER San Luis Obispo County Clerk ADDRESS (NO. AND STREET) 1055 Monterey Street, Room D -120 CITY STATE ZIP CODE San Luis Obispo CA 93408 3) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) CITY STATE ZIP CODE 4) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) CITY STATE ZIP CODE 6. Verification I certify that the "independent expenditure(s)" disclosed in this statement were not" made at the behest of" the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225.7. 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is truerend complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 12/01/2014 By DATE ./` St NATURE OF FILER, TREASURER OR ASSISTANT TREASURER Executed on DATE Executed on DATE Executed on DATE By .1 SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR By By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Supplemental Independent Expenditure Report (Government Code Section 84203.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. ❑ Amendment (Explain Below) 1. Committee /Filer Information I.D. NUMBER (if recipient committee) 742552 COMMITTEE /FILER'S NAME SLO County Democratic Party STREET ADDRESS (NO P.O BOX) 5429 Madison Avenue CITY STATE ZIP CODE AREA CODE /PHONE Sacramento CA 95841 (805)546 -8499 OPTIONAL: FAX/ E -MAIL ADDRESS Report covers period from 01/01/2014 through 11/22/2014 Date of election if applicable (Month, Day, Year) 11/04/2014 SUPPLEMENTAL INDEPENDENT EXPENDITURE RECUVED DEC 0 3 2014 Page 1 of 3 _= I For Official Use Only Treasurer (if recipient committee) NAME OFTREASURER Rita Copeland MAILING ADDRESS 5429 Madison Avenue CITY STATE ZIP CODE AREACODE /PHONE Sacramento CA 95841 (916)348 -9100 OPTIONAL: FAX/ E -MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed NAME OF CANDIDATE CHECK ONE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE SJan Marx Mayor: City of San Luis Obispo NAME OF BALLOT MEASURE B . t_L01 NO /LETTER JURISDICTION SUPPOSE 3• Independent Expenditures Made Attach additional information I on appropriately labeled continuation sheets. DATE NAME AND ADDRESS OF PAYEE CUMULATIVE TO DATE 10/27/2014 Public DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR Policy Solutions, Inc, Phone Bank N.1- D£G.31 893 Marsh Street 83.33 1,691.33 San Luis Obispo, CA 93406 10/27/2014 InFocus Campaigns 5617 Dennis Avenue Phone Banking to Support Jan Marx for San 83.33 Fort Worth, TX 76114 Luis Obispo Mayor MEMO SubDaYment made through: Publ• Policy Solutions, Inc. 10/28/2014 Patricia Harris 218 Via La Paz Web Ads to Support Jan Marx for San Luis Obispo Mayor 8.34 1,691.33 San Luis Obispo, CA 93401- FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period CALIFORNIA Expenditure Report to whole dollars. from 01/01/2014 FORM 465 SEE INSTRUCTIONS ON REVERSE through 11/22/2014 Page 3 of 3 NAME OF FILER I.D. NUMBER (If recipient corn.) SLO County Democratic Party 742552 4. Summary 1. Total independent expenditures of $100 or more made this period. Part 3. .. $ =, 691.33 2_ Total independent expenditures under $100 made this period. (Not itemized.) .......... $ 0.00 3. Total independent expenditures made this period (Add Lines 1 + 2.) .......................................... ............................... .....TOTAL $ 1.691.33 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 46 1) have been filed. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER Secretary of State ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 1500 -11th Street, Room 495 CITY STATE ZIP CODE CITY STATE ZIP CODE Sacramento CA 95814 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER San Luis Obispo County Clerk ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 1055 Monterey Street, Room D -120 CITY STATE ZIP CODE CITY STATE ZIP CODE San Luis Obispo CA 93408 6. Verification I certify that the "independent expenditure(s)" disclosed in this statement were not "made at the behest of" the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225.7, 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is tru d complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 12/01/2014 By DATE SI NATURE OF FILER, TREASURER OR ASSISTANT TREASURER Executed on By ✓"� DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on By. DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Supplemental Independent Expenditure Report (Government Code Section 84203.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. ❑ Amendment (Explain Below) 1. Committee /Filer Information I.D. NUMBER (if recipient committee) 1742552 COMMITTEE /FILER'S NAME SLO County Democratic Party STREETADDRESS (NO P.O. BOX) 5429 Madison Avenue CITY STATE ZIP CODE AREA CODE /PHONE Sacramento CA 95841 (805)546 -8499 OPTIONAL: FAX/ E -MAIL ADDRESS Report covers period from 01/01/2014 through 11/22/2014 Date of election if applicable: (Month, Day, Year) 11/04/2014 SUPPLEMENTAL INDEPENDENT EXPENDITURE Date Stamp RECEIVED • - F DEC 0 3 2014 Page 1 , , f For Official Use Only Treasurer (If recipient committee) NAME OF TREASURER Rita Copeland MAILING ADDRESS 5429 Madison Avenue CITY STATE ZIP CODE AREACODE /PHONE Sacramento OPTIONAL: FAX/ E -MAIL ADDRESS CA 95841 (916)348 -9100 2. Name of Candidate or Measure Supported or Opposed CHECKONE NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE SUPPORT OPPOSE Dan Rivoire City Council Member: City of San Luis Obispo X NAME OF BALLOT MEASURE BALLOT NO./LETTER I JURISDICTION SUPPORT OPPOSE 3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT JAN. 1 V DEC. 31` 10/27/2014 Public Policy Solutions, Inc. Phone Bank 83.33 1,691.32 893 Marsh Street San Luis Obispo, CA 93406 10/27/2014 InFocus Campaigns Phone Banking to Support Dan Riviore fro 83.33 5617 Dennis Avenue San Luis Obispo City Council MEMO Fort Worth, TX 76114 Subpayment made through: Publiz Policy Solutions, Inc. 1012812014 Patricia Harris Web Ads to Support Dan Riviore for San 8.33 1,691.32 218 Via La Paz Luis Obispo City Council San Luis Obispo, CA 93401- FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Supplemental Independent Type or print in ink. Report covers period Expenditure Report Amounts may be rounded I� P to whole dollars. fro 01/01/2014 SEE INSTRUCTIONS ON REVERSE through 11/22/2014 For use by an officeholder, candidate, or committee making independent expenditures totaling $1000 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: 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 11/04/2014 any other required campaign statements. IV Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. SUPPLEMENTAL INDEPENDENT EXPENDRTURE Date Stamp Page 2 of 3 For Official Use Only CUMULATIVE TO DATE CAI PmnAR YFAR DATE NAME AND ADDRESS OF PAYEE DESCRIPTION ION OF EXPENDITURE AMOUN I (,JAN 1 -DEC 31) 10/28/2014 Public Policy Solutions, Inc_ Mailer to Support Dan Riviore for San 1,599.66 1,691.32 893 Marsh Street Luis Obispo City Council San Luis Obispo, CA 93406 10/28/2014 Accurate Mailing Systems Mailer to Support Dan Riviore for San 658.75 5845 Airport Road Paso Robles, CA 93446 Luis Obispo City Council MEMO Subp yrnenL made through: Publ c Policy Solutions, Inc. 10/28/2014 Colorcraft Printing Mailer to Support Dan Riviore for San 605.92 8831 Palomar Drive Atascadero, CA 93422 Luis Obispo City Council MEMO Subp ymexiF made through: Publ c Policy Solutions, Inc. Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period • - Expenditure Report to whole dollars. e _ • from 01/01/2014 SEE INSTRUCTIONS ON REVERSE through 11/22/2014 Page 3 of 3 NAMEOFFILER I.D. NUMBER (If recipient com.) SLO County Democratic Party 742552 4. Summary 1. Total independent expenditures of $100 or more made this period. (Part 3.) -- „ -. - -, $ 1,691.32 2. Total independent expenditures under $100 made this period. (Not itemized.) ......................................................... ............................... $ 0.00 3. Total independent expenditures made this period (Add Lines 1 + 2.) ........TOTAL $ 1,691.32 S. 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. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER Secretary of State ADDRESS (NO AND STREET) ADDRESS (NO. AND STREET) 1500 -11th Street, Room 495 CITY STATE ZIP CODE CITY STATE ZIP CODE Sacramento CA 95814 2) NAME OF FILING OFFICER San Luis Obispo County Clerk ADDRESS (NO. AND STREET) 1055 Monterey Street, Room D -120 CITY STATE ZIP CODE San Luis Obispo CA 93408 4) NAME OF FILING OFFICER ADDRESS CITY (NO. AND STREET) STATE ZIP CODE 6. Verification I certify that the "independent expenditure(s)” disclosed in this statement were not" made at the behest of" the candidate or committee that benefitted from the expenditure (s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225.7. 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is trp and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 'r Executed on 12/01/2014 By DATE 8 NATURE OF FILER, TREASURER OR ASSISTANT TREASURER Executed on Executed on Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR DATE DATE By By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Supplemental Independent Type or print in ink. ts may be rounded to Amounts Expenditure Report Whole dollars. (Government Code Section 84203.5) SEE INSTRUCTIONS ON REVERSE ❑ Amendment (Explain Below) 1. Committee /Filer Information I.D. NUMBER (If recipient committee) 742552 COMMITTEE/FILER'S NAME SLO County Democratic Party STREET ADDRESS (NO P.O BOX) 5429 Madison Avenue CITY STATE ZIP CODE AREACODE /PHONE Sacramento CA 95841 (805)546 -8499 OPTIONAL: FAX /E -MAIL ADDRESS Report covers period from 01/01/2014 through 11/22/2014 Date of election if applicable: (Month, Day, Year) 11/04/2014 SUPPLEMENTAL INDEPENDENT EXPENDITURE Date Stamp - RECEIVED � 4 • DEC 03 2014 Page 1 of 3 For Official Use Only i Treasurer (If recipient committee) NAME OFTREASURER Rita Copeland MAILING ADDRESS 5429 Madison Avenue CITY STATE ZIP CODE AREA CODE /PHONE Sacramento CA 95841 (916)348 -9100 OPTIONAL: FAX/ E -MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed rHFrK nNF NAME OF CANDIDATE Dan Rivoire OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE City Council Member: City of San Luis Obispo SUPPORT X OPPOSE NAME OF BALLOT MEASURE BALLOT NO. /LETTER JURISDICTION SUPPORT OPPOSE 3. 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. 37 10/27/2014 Public Policy Solutions, Inc. Phone Bank 83 .33 1,691.32 893 Marsh Street San Luis Obispo, CA 93406 10/27/2014 InFocus Campaigns Phone Banking to Support Dan Riviore fro 83.33 5617 Dennis Avenue San Luis Obispo City Council MEMO Fort Worth, TX 76114 Subpal'menz made through: Puhli.- Policy Solutions, Inc. 10/28/2014 Patricia Harris Web Ads to Support Dan Riviore for San 8.33 1,691.32 218 Via La Paz Luis Obispo City Council San Luis Obispo, CA 93401- FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Supplemental Independent Type or print in ink. Report covers period Amounts may be rounded Expenditure Report to whole dollars. from 01/01/2014 SEE INSTRUCTIONS ON REVERSE through - 11/22/2014 For use by an officeholder, candidate, or committee making independent expenditures totaling $1000 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: 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 11/04/2014 any other required campaign statements. IV Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE I NAME AND ADDRESS OF PAYEE I DESCRIPTION OF EXPENDITURE 10/28/2014 Public Policy Solutions, Inc. 893 Marsh Street San Luis Obispo, CA 93406 10/28/2014 Accurate Mailing Systems 5845 Airport Road Paso Robles, CA 93446 10/28/2014 Colorcraft Printing 8831 Palomar Drive Atascadero, CA 93422 Mailer to Support Dan Riviore for San Luis Obispo City Council Mailer to Support Dan Riviore for San Luis Obispo City Council Mailer to Support Dan Riviore for San Luis Obispo City Council SUPPLEMENTAL INDEPENDENT EXPENDITURE Date Stamp Page 2 of 3 For Official Use Only CUMULATIVE TO DATE AMOUNT CALENDAR YEAR (JAN. 1 - DEC 31) 1,599.66 658.7 1,691.32 Subp4ynent made through: Publ4c Policy Solutions, Inc. 605.92 MEMO tent made through: Policy Solutions, Inc. Supplemental Independent Type or print in ink. Amounts may be rounded Expenditure Report to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER SLO County Democratic Party 4. Summary 1. Total independent expenditures of $100 or more made this period. (Part 3.) ............ 2. Total independent expenditures under $100 made this period. (Not itemized.) .......... SUPPLEMENTAL INDEPENDENT EXPENDITURE Report covers period from 01/01/2014 through 11/22/2014 Page 3 of 3 I.D_ NUMBER (If recipient com.) 742552 ....................... ............................... $ 1, 691.32 ................................... ............................... $ 0.00 3. Total independent expenditures made this period (Add Lines 1 + 2.) ........................................................... ............................... TOTAL $ 1,691.32 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 tiled. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER Secretary of State ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 1500 -11th Street, Room 495 CITY STATE ZIP CODE Sacramento CA 95814 2) NAME OF FILING OFFICER CITY STATE ZIP CODE 4) NAME OF FILING OFFICER San Luis Obispo County Clerk ADDRESS (NO. AND STREET) ADDRESS (N0. AND STREET) 1055 Monterey Street, Room D -120 CITY STATE ZIP CODE CITY STATE ZIP CODE San Luis Obispo CA 93408 6. Verification I certify that the "independent expenditure(s)" disclosed in this statement were not "made at the behest of" the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225.7. 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is tra and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. /. P Executed on 12/01/2014 By Z�(A DATE / S NATURE OF FILER, TREASURER OR ASSISTANT TREASURER Executed on DATE Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (June /09) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) (800)683 -7648 overniteexpress.com - Firefox/33.0 JVGt.'�'CQ A Bill To: 15453 Date: 12/1/2014 From:Jerry Attebery River City Business Services 5429 Madison Avenue Ste: Sacramento, CA 95841 9163489100 Billing Reference:111 To:San Luis Obispo City Clerk City Hall, Room 4 990 Palm Street Ste: San Luis Obispo, CA 93401 8057817102 http: //w ww. ship overn ite. com /overn iteshiponline /direction/shipmentfo... IIIIIIIIIIIIIIIIIIIIIIIIRI�IIIIIIIIVIIIIIIIIII�dVI 15453-003841 -V1 0 Next Day Overnite -- P Zone:660 SPECIAL INSTRUCTIONS: Number of Pieces: 1 OVERNITE DEC 0 3 2014 Please !old this page in half and place it in the pouch on your shipment Only one copy is required by Norco Overnice WARNING: Use only the printed label for shipping Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with cancellation of your Norco Overnite account or OverniteShip Online Profile Shipments with invalid account or credit card numbers will not be delivered 1 of 1 12/1/2014 10:07 AM