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Form 497 - Yes on Measure E (2013-10-31)NAME OF FILER Committee For A Safer San Rafael - Yes On Measure T AREA CODE/PHONE NUMBER I.D. NUMBER (ifapplicable) 415-456-4000 1359556 STREET ADDRESS 1000 4th Street Suite 666 CITY S TAT E San Rafael CA Late Contribution(s) Received Type or print in ink. Amounts berounded to whole dollars. Date 10/31/2013 This Filing T Amendment to Report No. ZIPCODE (explain below) 04001 No. of Pages 1 i_ • • it . ymgam 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 IND San Rafael Police Association PAC © COM 14/30/2013 PO Box 151557 OTH $5,000 San Rafael, CA 94915 PTY #831553 ❑ SCC ❑Check if Loan IND T COM T OTH T PTY T SCC p Check if Loan Fx� IND ❑ COM F� OTH PTY T SCC ❑ Check if Loan `Contributor Codes IND -- Individual PTY — Political Party COM -- Recipient Committee (other than PTY or SCC) SCC _ Small Contributor Committee OTH — Other FPPC Form s • FPPC Toll -Free Helpline: 866/ASK-FPPC • • i f