HomeMy WebLinkAboutForm 497- Maribeth Bushey-Lang for City Council 2013 (2013-09-03)L7
IN
M
C\4
M
CD
CD
NAME OF FILER
Mabet Bushley. Lang for San Rafael City Council
AR 00DE]PHONP NUMBER 11-13- NUMBER (ff
7358370
STREET ADDRESS
CITY STATE
San Rafael CA
Type or print in ink.
Amounts may be roundad to whole ciollars.
Date of 09/03 013
This Hing
Report No. 497-09-1
OAmendment
to Report No.
ZIP CODE JeVlain below)
94901 No. of Pages
DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUT).'R
RECEIVED I f F CO WMrFTEX— AlJ ENTER r -D. N U M B ERj
Leo P. Isotalo
San Rafaef, CA 94901
Leo P. lsotalo
W, 1
San Rafael, CA 94901
poswfax Note
..�f
-rd ot
Reason for kmendment JD a -
It
7671
CONTRIBUTOR
CODE *
4!97 COWMI13UTICW REPORT
rNec&Rve
IF AN INDRADUAL
ENTER OGGUPATION AND EMPLOYER
OF 4 --"ELF- EIV FLOY ED, EWER UNLI E OF 8 Me M MS)
Retired
ag=
a4vVIIII
$500.00
D Check if Loan
Pn)Adc- rnterurA ra:,�=-
$500.00
C1 Chauck if Loan
Provide hww jz�=.
El Check a Loan
1�4
IW
P(Wilm interest rale
**CDntdbijtor Codes
IND Intih4dual
C 1 'plent Cornrnittee (other than pTy 01- SGC)
OTH - Other (e.g., business entity)
PTY - Poliucaf Party
SCC - Smal I CDntnlufor Committee
FPPC Form 497 (March 011)
FPPC Toll -Free Helplifne: 8661ASK-.FPPC (86612-M3772)