HomeMy WebLinkAboutForm 497- Maribeth Bushey-Lang for City Council 2013 (2013-10-31)N
-,IAMF OF A LER
Mariitang for San Rafael City Couridl 201@
ARU, CMEIPHONIE Hunt BER I I.D. NUMBER aaAALa)
( :1358370
R EET A DD RE&S
GI TY STATE
San Rafael CA
1. Co ntri buftn(s) Received
Type or print in ink
A-mounts may be rounded to w -h -ole dol Wrs.
Date of 10131113
This Filing
Report No. 497-10-4
Am endment
to Report No.
ZIP CODE (ex-gjrk
94901 No. of Pages I
DATE
FULL SAVE, STREET ADDRESS AWD ZIP CODE OF CONTRIBUTOR
CONTRIB43TOR
IF AN INDIVIDUAI, AIVOUK T
EN ER 0 r U PATI 0 N ANS} EtA P LOYER
RECTWED
Q F OMW-R-TEE, AVSD WrER I -D. U U V -SER 5
CODE
-','C
OF S E LF -04 F L OYED. EWER JVE <X-- EV S I N ESVI REGEVED
GSG Partners
IND
10130113
P-0- Box 2126
❑ C01A
$500.00
San Rafael,, CA 94912-2126
FX -1 OTH
0 ChecR it Loan
El PTY
1-1 SGC
lk�
Prom."de irklemst rhe
CAL-PDXr Inc.
IND
10/30/13
PO Box 1269
El 'Com
$500.00
N OVatO r CA 94948
0 OTS
0 Check if Loan
F1 PTY
Fj scc
r
Pto%ide merest raijB
IND
EJ COM
LI Uir-L C3 Check if Loan
01 PTY
S cc
Provide inferes:i_mne
-**Gonbibutor Codes
IND — ladiwidual
C.016 — Recipiimil Committee (other than PTY or SCG)
OTH — Other {e_g, bLtsirwess enf4ty)
PTY — Polibcaf Party
SCC — Smalt Coritributor Coamfttee
FPPC'Form 497 (MarcW201 I �
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