HomeMy WebLinkAboutForm 497 - Firefighters' Association PAC (2013-09-16)NAME OF FILER
San Rafael Firefighters Pol itcall Awarenew Committee
AREA CCOEtPHONE NUMBER „fiId lot
707.975a4764
STREETADDRESS
9 99 5th Ave S u)"te 3 50
C" $TAM
-%,.n Rafael C.4,
Type or print in ink.
Anmints may be rounded to Whote dollam
E111j�ZRI 2
Report No.
El AmeMment
to Report No.
ZIP CODE (explain b6ow)
94901 No. of Pages
K
DATE
MADE
FULL NAME, STREETADDRESS AND ZIP CODE OF RECIPIENT
OF COUNMEE, ALSD ENTER ID K ) OBER
CANDIDATE ASID OFFICE
OR AMOUNT OF
MEASURE AND JURISDICTION OONITRIBUnoN
DATE OF ELEGTION
ftp I -CABLE)
9/13/2.013
Maribeth Eshey-Lang for San Rafael City Council 2013
PO 1503!52
San RaW, Ca. W15-0532
Maribeth Bushey -Lang
$1500
Nov. 5th, 2013
Rea sm for Amendment.-
FPPC Form 497 tMarchJ2011)
FPPC 7oll-Free HelpVne: SWASK-FPPC (86&176-3772.)