HomeMy WebLinkAboutForm 497 - Revitalize San Rafael Libraries and Community Center Ad Committee's Top Funder San Rafael Public Library Foundation; 10-15-24497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date of 10/11/2021-,--) Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees Top This Filing AREA CODE/PHONE NUMBER I.D. NUMBER (Wapplicable) I ®tee 1467556 Report No. 104 rill 0 CT 2024 STREETADDRESS E] Amendment u uL to Report No. ' CITY STATE ZIP CODE (explain below) 1 C1 CLERKS OFFICE_ San Rafael CA 94901 No. of Pages 11. Contribution(s) Received For Official Use Only IF AN INDIVIDUAL, DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED Frank Noonan IND Retired 10,000.00 10/10/24 COM San Rafael, CA 94901 E] OTH 0 Check if Loan [:] PTY F1 SCC Provide interest rate ❑ IND ❑ COM ❑ OTH 0 Check if Loan ❑ PTY ❑ SCC Provide interest rate ❑ IND El COM ❑ OTH [I 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 L SCC - Small Contributor Committee FPPC Form 497 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov