HomeMy WebLinkAboutForm 497 - Police Association PAC (2013-09-12)Type or print in ink.
497 Contribution Report Amounts may be rounded to whole dollars.
497 CONTRIBUTION REPORT
NAME OF FILER
Date of
Date Stamp
CALIFORNIA
DATE OF ELECTION
9/12/13
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
497
San Rafael Police Association
This Filing
FORM
Measure E
Kece v
9/11/13
P.O. Box 150166
57000-00
AREA CODEIPHONE NUMBER
I.D. NUMBER (if applicable)
San Rafael, CA 94915
For Official Use Only
Report No.
415-720-3526
El Amendment
2013
STREET ADDRESS 11
1520 Fifth Avenue
to Report No.
(explain below)
me.
CITY STATE ZIP CODE
San Rafael CA 94901
No. of Pages
cit'y '� tu-rk's office
2. Contralbution(s) Made
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT
CANDIDATE AND OFFICE
OR
AMOUNT OF
DATE OF ELECTION
MADE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
MEASURE AND JURISDICTION
CONTRIBUTION
(IF APPLICABLE)
Committee for a Safer San Rafael
Measure E
9/11/13
P.O. Box 150166
57000-00
11/5/2013
San Rafael, CA 94915
FPPC# 1359556, FID# 901009207
Reason for Amendment-
FPPC Form 497 (March/2011)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)