HomeMy WebLinkAboutForm 497 - Randy Warren for City Council 2013 (2013-10-17)497 Contribution Report
NAME OF FrLER
W RANDY WAR RE N' FO R C ITY COU N`C I L 2013
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4152253258 1359636
STREETADDRESS
CITY STATE
SAN RAFAEL CA
I. Contribution(s) Received
TYPe- or print in ink.
Amounts may be romided to whole dollars,
Date of 10/17/2013
This Filing
Repo,rt No. 2
Z Amendment
to Report No,
ZIP CODE {explain below)
94903 No. of Pages 2
DATE FULL NAME, STREET AJDDR ESS AND ZIP CODE OF COINTRIBUTOR
REC EIVED OF CCQMtT_TEE, ALSO ENMR I.D. NUMBER)
Richard Lawrence
Kentfield CA 94904
Reason forArnenda�ent.- 10116113 Mpg identified donation as $5 000. Correct amount was $4,900.
IF AN I NDIVI DUAL.
ENTER OCCJJ PA11ON ANO VdIPLOYER
(IF' SELF-EMPLOYED, OnER NAME OF BUSINESS)
FUndManager
Overlook Inve:stments Grc)up
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N1 &I ej i URI I Lq
I
4,900.00
0 Check if Loan
Proy-ide htwesi ra(e
0 C heck it Loan
Provide interest raie
'"Oontributor Codes
IND — Irldividual
COM — Recipient Cornrnfttee (othet than PTY or SCC)
OTH — Oter (e.g., busi-ness entity)
PTY — Political Party
SGO — SMa II ConWb utor Committee
FPPC Fonn 497 (March/2011)
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