HomeMy WebLinkAboutForm 497- Maribeth Bushey-Lang for City Council 2013 (2013-10-24)497 Contribution Report
"ME OF FJLER
Maribeth 8 ushey Lang fbir San Rafael City Councoll 2013
STREETADDRESS
STATE
San -Rafael CA
I. Contribution(s) Received
TYPO OT Ont in ink.
Am owits rnay be roundel to Nn/hoje crollam
Date Ad 10124113
This Fiffing
Report No., 111%-; r- r U-4
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I to Report No.
ZIP CODE
(explain beqow)
IDE
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DA 71 E: F UAL ftikME, STR_z_:F_TA1)E)R:a—.SAND ZIP CODE OF CONTRIBUTOR
RECUVED
VF CC M.WTf f -r-, ALS 0 = 14 TEE R r. D_ N U M B E
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10/23/13 Marin Professional Firms righters Political Action Committee
l" PPC #930791
5,55 Capitol Maf[ sufte 1425
Sacramento, CA 95814
10/23/13 San Rafael Charnbei- Cand idates PAC
FPPC #1231286
817 Mission Avenue
San Rafael, CA 94901
Reason fbiArnendment_9-
CWTWBUTOR I IF AN INDIVIDUkt,
ENTER OCCUPATION ANDr- FAO 'Laf ER
CODE A, F S P LF� E%1 P L IDY EE Q, -a W? 01 ARAE OF B U S 1)4 ESS)
AlsiOU"T
RECEWED
$1,00U0
Ef Check if Loran
PIrwid-0 wete!A wo
$2,500.00
Ej Check if Loan
:54
PM -Ade idereat rate
1-1 C11,eck if Loan
',Me interest i -ate
'Confributoir Godes
IND - Ind vidual
COM - Recipient Committee (other than P-1 y or SCC)
t�
OTH - Other (e.9, buness end)
PTY - PoJal Party
SCC - :Small Contributor Cornrrjifee
FPC Form 497 f UWW291 1)
FPPC To _Fre HelPtinel- a&6/ASK-FPI G (36(51275-3772)
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