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HomeMy WebLinkAboutForm 497 - Revitalize San Rafael Library and Community Centers - Yes on P; 09-04-24497 Contribution Report NAME OF FILER Revitalize San Rafael Library and Community Centers - Yes on P AREA CODE/PHONE NUMBER I.D. NUMBER (Wapplicable) 1467556 STREETADDRESS Type or print in ink. Amounts may be rounded to whole dollars. Date of 8/30/202 This Filing CITY STATE ZIP CODE San Rafael CA 94901 1. Contribution(s) Received N 497 CONTRIBUTION REPORT DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED Friends of the San Rafael Public Library ❑ IND 9/3/2024 ❑ COM 7500 San Rafael, CA 94901 ❑X OTH ❑Check if Loan ❑ PTY ❑ SCC Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC Provide interest rate Reason for Amendment: *'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 497 (March/2011) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)