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Form 497 - Yes on Measure E (2013-09-12) #3NAME OF FILER Committee For A Safer San Rafael - Yes On Measure E AREA COC>E/PHONE NUMBER I.D. NUMBER (ifapplicable) 415-4566-4000 1359555 STREET ADDRESS 1000 4th St., Suite 000 CITY STATE San Rafael CA Late Contribution{s} Received Type or print in ink. Amounts be rounded to whole dollars. Date + • /12/2013This Filin i T Amendment to Report No. ZIP CODE (explain below) 94901 No. of Pages 1 Date Stamp iilWll��ii S 01") 13 , 3 /"M/ o- s r. 0 t3ATE FULL NAME, STREET ADDRESS AND ZIP CGDE OF CONTRIBUTOR ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED RECEIVED (IF COMMITTEE, ALSO (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) IND 9/11/2013 San Rafael Airport LLC T COM $5000 2157-A East Francisco Blvd. ® OTH ' San Rafael, CA 94901 PTY F] SCC ❑ Check if Loan IND ® COM Fj OTH T PTY F] SCC ❑ Check if Loan 0 IND COM OTH PTY SCC ❑ Check if Loan *Contributor Codes IND -- Individual PTY — Political Party COM -- Recipient Committee (other than PTY or SGC) SCC — Small Contributor CommitteE OTH — Other .. Form 497 FPPC Toll-Free # # # • s 866/275-3772