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Form 497 Late Contribution 6-17-13 f CITY OF ENCuflT ;, Type or print in ink C I T,� �'�_ # c 497 Contributla n Report Amounts may be rounded to wile dollem. N 7 z rt "E OF FILER �3te Of Gate Stamp a * , e —7 Encinitas Residents, Businesses and. Tar-payers OpposirWrop. A 4611712013 0 This Firing CAE16PE9t}YENU)dBER LD.1VUMBER(rraAo ahL. orQ axaf� my W Report No- AREA 1 1357286 Q STKi TADMESS 2 ©Amendment. o 0 CD to Report No. w -4 -- CITY STATE ZIP CODE ( below} C- co Encinitas, CA 92D24 No.of gages 1 Q -a 7t Z. Contdbution(s)Received CD o �- -v rn -� IF AN[NDMDUAt, �T � AMOUNT,) DATE FULL f AtF STREET AMRESS ANJP COVE OF C4TMU OR CONTRIBUTOR fx ER OCCUPATION AND EMPLOYER VFOOWMEFx-WBRrn.nu,Gft CODE REGENEB cn Z 06117/2013 Building industry As sac of San DiecCo PAC (479137081} � AND NIA 1.500.O1,500.04D TX1 C(?m z San s�ieao, cA 9212,3 n OTH IS D Check if Loan nF ❑ sec Pra%4da iwWmSt Tate IND fl com ❑ OTH p Check it Loan => p' x % z D SOC PMVW interest rate O ❑ IND rn COM c3 E] GTH 0 Check if Loan � E) PTY C-0 ❑ SOC Prttwlde iaierest rase `Conlributor Codes IND-trtdvidual COM-Redpiertt Committee(ohm than PTY orSCC) OTH-Other(e.g..business 9"MY) PTY-Political Party Reason for Amendment: SCC-SmaOGarrtribtttarCamrrr tee FPPC Form 497(March=11) o FPPC TbU-Free Hetpthie: awmSK-FPPC(866?276-3772) o wwta.netrde.com