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SCfI@C�U�@ Ci Type or print in ink. <br /> Nonmonetary Contributions Received Amounts may be rounded — <br /> to whole doliars. Statement covers period <br /> from 1/1/05 <br /> SEE INSTRUCTIONS ON REVERSE <br /> through 6/'��� <br /> �Ft����vr�s o % R�bwoo� c r�T Y P RC. <br /> IFAN INDIVIDUAL,ENTER <br /> FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF <br /> DATE OCCUPATION AND EMPLOYER <br /> RECEIVED Z�P CODE OF CONTRIBUTOR CODE* ��p SELF-EMPLOYED.ENTER GOODS OR SERVICES <br /> (IF COMMITTEE,AlSO ENTER I.D.NUMBER) NAME OF BUSINESS) <br /> Page � <br /> I.D.NUMBER <br /> 1266668 <br /> AMOUNTI CUMULATIVE TO <br /> FAIR MARKET DATE <br /> VALUE CALENDAR YEAR <br /> (JAN 1-DEC 31) <br /> BGA Media ❑IND Fundraiser <br /> 1/9/05 p,0. Box 2812 pCOM donation-web 250 250 <br /> Redwood City, CA 94064 �p�, design <br /> ❑scc <br /> 1/9/05 Peggy Bruggman pcoM Attorney Fundraiser 200 200 <br /> 330 Alden St, poTH Morrison and Foerster donation-wine <br /> Redwood City, CA 94063 �pN <br /> pscc <br /> Laura Wuest Photographs ��N� Fundraiser <br /> 1/9/05 P.O. Box 834 ��pM donation - 405 405 <br /> Redwood City, CA 94064 �pn photographs <br /> pscc <br /> Ernie Goitein ��ND retired Fundraiser <br /> 1/9/05 167 Almendral Ave. poTH donation- 300 300 <br /> Atherton, CA 94027 �pn. chainsaw <br /> ❑scc <br /> Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 1,155 <br /> Schedule C Summary <br /> 1. Amount received this period—itemized nonmonetary contributions. <br /> (Include all Schedule C subtotals.).....................................................................................................................$ <br /> 2. Amount received this period—unitemized nonmonetary contributions of less than$100 ....................................$ <br /> 3. Total nonmonetary contributions received this period. <br /> (Add Lines 1 and 2. Enter here and on the Summary Page,Column A,Lines 4 and 10.) ......................TOTAL $ <br /> 3584 <br /> 459 <br /> 4043 <br /> of 4 <br /> PER ELECTION <br /> TO DATE <br /> (IF REQUIRED) <br /> "Contributor Codes <br /> IND-Individual <br /> COM-Recipient Committee <br /> (other than PTY or SCC) <br /> OTH-Other(e.g., business entity) <br /> PTY-Political Party <br /> SCC-Small Contributor Committee <br /> . � <br /> FPPC Form 460(January/OS) <br /> FPPC Toll-Free Helpllne:866/ASK-FPPC(866/2T5-3772) <br />