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HomeMy WebLinkAboutForm 497- Maribeth Bushey-Lang for City Council 2013 (2013-10-01)I 497 Contribution ReportType or p ri rit in ink Amounts may bel rounded to whole dotlars. 497 C014TIRIBUTION REPORT U0,01E OF FILER Date of Date St�m Madbeth Bushey Lang for San Rafael City Council 2013 This Fitting 10-7- 13 AREA C0DEfPHG.NE NW BEES. I -D. NUMBER crfpei;-ab&�) 497-10-01 r Mal us� 358370 Report No. U i STREET ADDRESS: D Amertcfment to Report No. cr-ty STATE ZIP GODS (exp) a i n b el my) San Rafael CA 95901 No. of Pages 1. Contribution(s) Received DATE FULL UWE, STREET ADDRESS AND ZIP CODE OF C014TRLBUTOR RECEIVED III IF OW MI T TE E- AWD ENTER I A Iq LJ hi SEP j CONITR[BUTOR CODE k IF AN I NDlkfl DUAL, ENTER OG-CUPA'"ONAND EMPLOYER AfAOUNT (4F S E LF- EJA RLOYE D, E NTM f" E OF EUS! NZ S S-.. RECEfVEID California Real Estate Pol'ifiGal Action Committee f —1 IND 1015f 13 525 S. Virgil Avenue Fx-i com $1 �000.00 Los Angeles, CA 90020 [-] OTS FPS' # 890106 171 chi if Loan 0 PTY F] SCC PMvide irtlews( F�!a Marin Builders Assoclaficin IND 1014113 Political Action Committee (BAPAG) C011A $13000.00 660 Las Gallin as Avenue D OTH San Rafael, CA 94903 [-1 PTY El Che& Cf Loan FPPC 9 1358370 E! SCC Ftm-ide interest taN, San Rafael Poke Association El IND 1014/13 Polffical Action Fund N coo $35000.00 PO Box 151557 F1 OTH San Rafael, CA 94916-1557 f-1 PTY El Check, if Loan FPPC 831553 F1 sec Pmvi6e- irvierest rale 'Contiibutor Codes 7(371 we, 0 pages IND - IndMutial 1. post-ir- F - ax Note Frorn M& -- R6Ciplent Connn'�tttee (otber than PTY or SOC) TO It . OTH - Other(e-g., business enj N I) Fteason for Amendment....... GG p., A *' (' U4 PTY - Polfficaf Party Smontri SCG — all CbutDr Cornmitt-&e Ph ---------- 7--�-7- Fax# 57 ,a Ail 5; FRPC Form 491 (March/201 4) FPPC Toll-Froe Helpline., 66VASK-FM J8661275-3772)