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HomeMy WebLinkAboutForm 497 - Kate Colin for City Council 2013 (2013-09-13) #17 Type or print in ink. S 497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date of 9-13-2013 J7 D'W Stamp - FRIENDS OF KATE COLIN FOR SAN RAFAEL CITY COUNCIL 2013 This Filing AREA CODE/PHONE NUMBER I.D. NUMBER (if aAotyabie) 1357514 Report N©. STREET ADDRESS C1 Amendment to Report No. CITY STATE ZIP CODE (explain Wow) San Rafael CA 94901 No. of Pages 1. Contribution(s) Received U. #[M[Rm M1 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED OF COMMITTEE, ALSO ENTER LD- NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER CODE OF SELF-EMPLOYED, EWER NAME OF BUSINESS) RECEIVED San Rafael Firefighters P.A.C. (FPPC #891308) IND 9-12-2013 PO Box 2519 com 1500 San Rafael, CA 94912 OTHp Check if Loan PTY scc Provide interest rate El IND com OTH 0 Check if Loan El PTY [I scc Provide interest rate El IND El com El OTH Check if Loan El PTY El scc % Provide interest rate 'Contributor Codes IND - IndWuaI COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) Reason for Amendment- PTY - Political Party SCC - Small Contributor Committee FPPC Form 497 (March/2011) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)