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Form 497 - Yes on Measure E (2013-10-24)Late Contribution Report NAME OF FILER Committee For A Safer San Rafael - Yes On Measure E AREA CODE/PHONE NUMBER I.D. NUMBER (ifap#icabfe) 415-455-4000 1359555 STREET ADDRESS 1000 4th Street Suite 500 CITY STATE San Rafael CA Late Contribution(s) Received Type or print in ink. Amounts may be rounded to whole dollars. Date of 10/24/2013 This Filing .z1 Report No. n Amendment to Report No. ZIP CODE (explain below) 94901 No. of Pages 1 Date Stamp CP Ar euived i e� akY �A, 41-o -1 Office J o ty of el e. v � � - For Official Use Only 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 C] IND � HA Advisors LLC � COM 10123/2013 4040 Civic Center Dr. Ste. 200 � OTH $1'000 San Rafael, CA 94903 F1 PTY F1 SCC ❑ Check if Loan F] IND San Rafael Firefighters PAC COM 10/23/2013 P.O. Box 2519 OTH $5,000 San Rafael, CA 94912 r] PTY #891308 SCC ❑ Check if Loan IND Marin Professional Firefighters PAC © C0 10123/2013 555 Capitol Mall, Ste 1425 OTH $2'000 Sacramento, CA 95814 PTY #930791 ❑ SCC ❑ Check if Loan *Contributor Codes IND — Individual PTY — Political Party CCDM — Recipient Committee (other than PTY or SCC) SCG — Small Contributor CommitteE OTH — Other FPPC Form j ♦ i FPPC Toll -Free Helpline: * # * y • i 8661275-3772 • !