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Form 497 Late Contribution 5-16-13
Type or print in ink. dollars. BUTIM REPMT 3 I 497 Contribution Report Amounts may be rounded to whale 497 CIN[7R < Date Stamp • j + arn NAtA£IF FILER Lncin>tas Residents, Businesses and Taxpayers Dnpasing Prop- A Date Of This Fi&II$ 05116/2013 _ � tv �Or C7if-W USE�y W A.REkCOOElPtf NENLIMBER J.D.NUMBER fffaAuft8&W Report IQQ. I '� 760-632-36DO 135728H C SIREETADDHESS 0 Amendment C � 330 incinitas Blvd., Ste. 101 to Report No. CD STAIE Zip CODE { tails�ahw) t\7 CITY No.of Pages?-- - } cinitas, CA 92024 Cn 1. Contbufj©n{sj Received ri C-") ° --3 IF AN WDIVIDUAL, AtitMW Qo FULL NAME.$7{=E {ADDRESS AND Zip CODE OF CONITRISLfrOR CONTRIBUTOR CODE ENTEROCCUPATIONAND EMPLOYER RECEIVED rSELF43&�rfv.EtrtERtaAMEaFeusn�sst C� DATE t�FCant►amEw sti> E�ttff.atumEtzt 0 C7 RECEiYED H,250.D0 KtA Z OS/14/202.3 National Association of Realcars Find (#1344093) tfai3 Z CM QT}t N/A 0 Check Loan r r cs Chicago, IL 60613 © fqy In-Kind: Polling Data © SCC Provide interest rate D IND d Curs -� { p Check if Loan => © O x PTY SCC Ft*i"e interest rare two M Cam CD m O iH O Check if Loan F'v Q PW W rn © ,SCC i Provide interest rate `GortYibutor Codes Wo—mmdual COM—Recipient Committee(other than PTY or SCC) OTH—Oti}er(e.g.,business aflt M PTY—PatillCal Party SCC—Small CormbLderCommmee -n Reason for Amendment: FPAC Form 497 (MMartha011) o FPPC Tait-Free Heipline. 66WASK-FPPC(85£F275-3772} wwW.neff fe.Gent