HomeMy WebLinkAboutForm 497- Randy Warren for City Council 2013 (2013-10-17) #3C14
CD
497 Contribution Report
NAME OF FIL-r=R
RANDY WARREN FOR CITY COUNCIL 2013
EL AREA C-ODEJPHONE NUMBER I.D. NUMBER (Vappkatfe)
4152253258 1359636
STREET ADDRESS
Crry STATE
SAN RAFAEL CA
1. Co ntri buti o n (s) Receive d
Type i,
lype or print 'in ink -
Amounts may be rounded to whole doilars.
Date of
This Filing 1011712013
Report No. 3
El Amendment
to Report No.
ZIP CODE (explain below} 2
94903 No.&Pages
DATE FUt LNAME, STREET AD 13RE-SS AN 0 ZI P CO DE OF GONTRl' BUTOR
JIF COMMITME, ALSO ENTER I.D. NUME�R)
RECEVED
CONTRIBUTOR
CODE
Committee To Recall Susan Adams F] IND
10116113 470 Cedar Hill Road FX1 COM
San Rafael CA 94903 n OTH
❑ PTY
F-1 SCC
RIND
D com
❑ OTH
0 PTY
0 SCG
Reason for Amend ment:
■
i -car
ep
L-1
I I a A
I 110NMX*j:qWq1
13000-00
0 Check if Loan
&L
Provide interesl rate
M Check ff Lnn
Prcqlde WeTesl rlaie
"'Contrib utor Codes
IND - Individual
COM- Recipient Committee (other than PTY ox SCC)
OTH - Other (e.g., business entity)
PTY Polio Party
SCC Small ContributoT Committee
FPPC Form 497 (Karel /21)11)
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