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Form 497 - Yes on Measure E (2013-10-25)
NAME OF FILER Committee For A Safer San Rafael - Yes On Measure E AREA CODE/PHONE NUMBER I.D. NUMBER (Wap#icable) 415-456-4000 1350556 STREET ADDRESS 1000 4th Street Suite 600 CITY S TAT E San Rafael CA Late Contribution(s) Received Type or print in ink. Amounts may be rounded to whole dollars. Date of 10/2512013 This Filing Report No. 12 (j Amendment to Report No. ZIPCODE (explain below) 94901 No. of Pages 1 mz� Time', City Cke:;A's xf Ly 0 r IrOX91111 H= 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 r-1 IND Jones Hall A Professional Law Corporation ❑ COM 10125/2013 650 California St. X OTH $1500 ' 18th Floor PTY San Francisco, CA 94108 ❑ SCC E] Check if Loan © IND [� COM F-1 OTH F] PTY Q SCC ❑ Check if Loan FXJ IND F-1 COM ❑ OTH ❑ PTY ❑ SCC [❑ Check if Loan "Contributor Codes IND — Individual PTY — Political Party QOM — Recipient Committee {other than PTY or SCC} SCC — Small Contributor Committe( OTH — Other FPPC Form 497 {Jan/03} FPPC Toll -Free Helpline: 866/ASK-FPPC 866/275-3772