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HomeMy WebLinkAboutForm 497 - Kate Colin for City Council 2013 (2013-09-26) #3NAME OF FILER CONTRIBUTOR Friends of Kate Colin for San Rafael City Council 2013 AREA CODE/PHONE NUMBER 1.D. NUMBER (if applicable) 1357514 STREET ADDRESS Attorney 0 com CITY STATE San Rafael CA Type or print in ink. Amounts may be rounded to whole dollars. Date of 9-26-13 This Filing Report No. M Amendment to Report No. ZIP CODE (explain below) 94901 No. of Pages Date Stamp,_ Wi M DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I -D, NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED Perry Litchfield X IND Attorney 9-26-13 0 com Self-employed 1000 San Rafael, CA 94901 � OTH El Check if Loan El PTY El SCC % Provide interest rate IND El com El OTH 0 Check if Loan El PTY SCC % Provide interest rate IND El com El CATH El Check if Loan PTY SCC % Provide interest rate **Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Reason for Arnendment: SCC — Small Contributor Committee FPPC Form 497 (M6rch12011) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)