HomeMy WebLinkAboutForm 497 - Gary Phillips for Mayor 2011 (2011-10-28)NAME npFILER
Gary Phillips for Mayor 2O11
AREA CODE/PHONE NUMBER
§TRECT ADDRESS
onr
San Rafael
Type mprint mink.
I.D.Amounts may be rounded to whole dollars.
Date of 10-28-11
This Filing
NUMBER (dapplicable)
R 1
1339680 �o Nu___-
El Amendment
mReport No.
____.
ST�Tlf IF CODE (explain below)
CA 94901 | No. ofPages
____�
omE| FULL NAME, STREET ADDRESS AND ZIP CODE m'CONTRIBUTOR
RECEIVED (IF COMMITTEE ALSO ENTER I.D. NUMBER)
San Rafael Firefighters 10-27-11
FPPCNo. 8Q13OO
P.O.Box 251A
|
San Rafael, CAQ4012
*urCONTRIBUTION REPORT
�Am/wmwouA�
CONTRIBUTOR
| CODE ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
[] IND
[] com
UOTH
D. PTY
LJ sCc
r
AMOUNT
RECEIVED
$3000
E] Check if Loan
Provide interest rate
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-Contributor Codes
IND — Individual
COM — Recipient Committee (other than PTY or SCC)
PTY — Political Party
SCC — Small Contributor Committee
FppoForm 4s7(Mvrcmon11)
FPIPCToll-Free Helpline: 866mx-FPPC(866/275-3772)