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Form 497 - Yes on Measure E (2013-10-07) Amendment"Ica 10 LOA :4:4 NAME OF FILER Date of CALIFORNIA 10/7/2013 Committee For A Safer San Rafael - Yes On Measure E This Filing FORM 497 I.D. NUMBER (Wapplicable) AREA CODE/PHONE NUMBER 6 For Official Use Only 415 Report •No. -456-4000 1359556 STREET ADDRESS © Amenort dment 6 1000 4th Street Suite 600 to RepNo. 7 ATE ZIPCODE (explain below) CITY ST No. of Pages San Rafael CA 94901 Late Contribution(s) Received 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_j IND Marin Builders Association PAC rK-j com 10/3/2013 660 Las Gallinas Avenue F-1 OTH $1,000 San Rafael, CA 94903 PTY #1359556 ❑ SCC E] Check if Loan IND com OTH F1 PTY SCC n Check if Loan IND com OTH M PTY [:] SCC ❑ Check if Loan *Contributor Codes IND — Individual PTY — Political Party COM — Recipient Committee (other than PTY or SCC) SCC — Small Contributor Committef OTH — Other Reason for Amendment- - Changed donation amount from $5,000 to the correct number of $1,000 and fixed the Report No., changing it from 5 to, the corrected, 6. FPPC Form 497 (Jan/Ozzi FPPC Toll -Free Helpline: 866/ASK-FPP 866/275-377rie