HomeMy WebLinkAboutForm 497 - Andrew McCullough for City Council 2011 (2011-10-28)497 Contribution Report
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Amounts may be rounded to whole dollars.
NAME OF FILER
Date of
10/28/2011
McCullough for City Council 2011
This Filing
AREA CODE/PHONE NUMBER E.D. NUMBER (ifapplicable)
1339798
1 Report No.
STREETADDRESS
0 Amendment
to Report No.
CITY STATE
ZIP CODE (explain below)
San Rafael Ca
94901 No. of Pages
1. Contribution(s) Received
DATE FULL NAME, STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER I.E. NUMBER)
CODE
Mann Professional Fierfighters
Ej IND
10/28/2011 555 Capitol Mail Suite 1425
X COM
Sacramento Ca 95814
Cl OTH
El PTY
El scc
El IND
El com
0 OTH
El PTY
El SCC
El IND
El com
OTH
El PTY
SCC
Reason for Amendment:
497 CONTRIBUTION REPORT
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-ENIPLOYED, ENTER NAME OF BUSINESS)
PAC# 930791
AMOUNT
RECEIVED
$1,000.00
E] Check if Loan
Provide interest rate
E] Check if Loan
Provide interest rate
E] Check if Loan
Provide interest rate
*'Contributor Codes
IND — Individual
COM — Recipient Committee (other than PITY or SCC)
OTH — Other (e.g., business entity')
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 497 (March/2011)
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