Form 497 Contribution Statement Type or print in(nk En
497 Contribution Report A mountemnybe mended to whole dollam. 497 CONTAIBIITIONRHORT ml ml
MAWOFFILER Data of CI RI( IFORN CZ)
Alen IarcLbecker for City Council 2014 This Flfing o9110/zo14 e . No
ARFACOOEWKOMNUN6ER iD.Nl1MBER(r4)pfrnCh} Report No-3 2)14 SEP I I PM 2: 4 !
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STREETADDRESS 0
[]Amendment
to Report No. ^�
CrfY STATE ZIP CODE (wPUlbbooM p
eneiaitee CA 92074 No.of Pages 3 -9
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1.Contributions) Received o
II'MINONMUAL
DATE FULL NAkO;,STREET ADORFSS AND ZIP CODE OF WNRNRIfTOR CONTRIflUTUR ENTER OCCUPATIOMAND EMPLOYER ECENS Q.AMDUW
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09/09/2014 4180 B.
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❑ OTH ❑Check 6loan
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❑ PTY v
❑ SCC %
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❑ OTH ❑Check if Loan rw
❑ PTY W
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'ConblbotoT Codes
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COM-RodpiarACwnn+tloo(other than PTY or SCC)
OTH-01her(o.g,business on61y)
Reason for Amendment• PTY-PoliaCPaAy
SCC-Srna6 ConhSMAor ConmMce
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FPPC Form 497 (MorchI2011) O
FPPC TOIFFme Holpllnvi 6661ASK-FPPC(566127S3T72)
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