Form 497 Filed 10-29-14 Type or print in ink.
497 Contribution Report Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT
NAME OF FILER Date of
AZ ZD/� This Filing ( q • -
AREA CODE/PHONE NUMBER 1 Ld NUMBER(if applicable) %_U �OCT 29 PH 4• Or Official Use my
— -7 9� Report No.
STREET ADDRESS
El Amendment
to Report No.
CITY STATE ZIP CODE
(explain below)
((-t ��S LA '7-/ 214 No.of Pages
1. Contribution(s) Received
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT
RECEIVED (IF COMMITTEE,ALSO ENTER I.D NUMBER) CODE " ENTER OCCUPATION AND EMPLOYER RECEIVED
;�� (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS)
6a Dj(2 0 LOVM�y ✓�/`�DC dll 10Ar ❑ IND ,/ 10D,0 b
CS D� ��3 [t OM
I
f Z 8/Z ❑ OTH ❑ Check if Loan
❑ PTY❑ SC C
Provide interest rate
6
❑ IND
❑ COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC io
Provide interest rate
-Contributor Codes
IND - Individual
COM- Recipient Committee(other than PTY or SCC)
OTH - Other(e.g.,business entity)
PTY - Political Party
Reason for Amendment: SCC - Small Contributor Committee
FPPC Form 497(March/2011)
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