HomeMy WebLinkAboutForm 497- Maribeth Bushey-Lang for City Council 2013 (2013-09-23)NAME OF FILER
Maribeth Bushey Lang for San Rafael City Council 2013
AREA CODE/PHONE NUMBER I.D. NUMBER (if applicable)
358370
STREET ADDRESS
CITY STATE
San Rafael CA
Type or print in ink.
Amounts may be rounded to whole dollars.
Date of 09-23-13
This Filing
Report No. 497-09-3
Amendment
to Report No.
ZIP CODE (explain below)
94901 No. of Pages
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUT01
(IF COMMITTEE, ALSO ENTER LID, NUMBER)
RECEIVED
Joe Shekou
San Rafael, CA 94901
09/22/13 Roy Howell E
San Rafael, CA 94901
Reason for Amendment:
[oil "OHMM,
$1,000.00
Check if Loan
Provide interest rate
$1,000.00
E] Check if Loan
Provide interest rate
IF AN INDIVIDUAL,
CONTRIBUTOR
ENTER OCCUPATION AND EMPLOYER
CODE
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
IND
I Property Manager
com
Bay Park Real Estate
$1,000.00
Check if Loan
Provide interest rate
$1,000.00
E] Check if Loan
Provide interest rate