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Form 497 - Yes on Measure E (2013-10-17) Amendmenti •1111111111, ! '�! NAME OF FILER Committee For A Safer San Rafael - Yes On Measure E AREA CODEIPHONE NUMBER I.D. NUMBER fta plicable) 415-455-4000 1359550 STREET ADDRESS 1000 4th Street Suite 000 CITY STATE San Rafael CA Type or print Amounts may be rounded to whole i • ! Date of .. • 10/17/2013 This Filing Reco'ved DATE FULL NAME, STREET ADDRESS 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 f -I IND Kimley-Horn and Associates, Inc. F1 COM 1011012013 100 W. San Fernando Street, Suite 250 n OTH $1,000 San Jose, CA 95113 ❑ PTY [:] SCC ❑ Check if Loan © IND [� COM OTH F] PTY ® SCC ® Check if Loan 0 IND 0 COm F� OTH ❑ PTY ❑ SCC Check if Lean *Contributor Codes IND — Individual PTY — Political Party �CaOIVI -- Recipient Committee {other than PTY or SCC} SCC — Small Contributor Committee CATH Other Reason for Amendment: FPPC Form,: FPPC Toll -Free Helpline: 866/ASK-FPP :..