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Type or print in ink. <br /> 497 Contri bution Report Amounts may be rounded to whole dollars. <br /> 497 CONTRIBUTION REPORT <br /> NAME OF FILER Date Stamp <br /> Date of 10/24/15 � � � � � <br /> Shelly Masur for Redwood City Council 2015 This Filing <br /> AREACODE/PHONE NUMBER I.D.NUMBER(ifapplicable) 3 � _ ICIe S0 y <br /> 650/814-0349 1376624 Report No. - p � <br /> � <br /> STREETADDRESS <br /> 440 Birch Street t❑o Report Nont ()CT 2 6 2015 <br /> GTY STATE ZIP CODE (explain below) <br /> Redwood City CA 94062 No.of Pages � � <br /> � :.: z.. :..., <br /> 1. Contribution(s) Received � ° � �� <br /> IFAN INDIVIDUAL, <br /> DATE FULL NAME,STREETADDRESSAND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT <br /> RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) RECEIVED <br /> 10/23/15 Harbor Village Mobile Home Park ❑ IND 1000.00 <br /> 871 38th Avenue ❑ COM <br /> Santa Cruz, CA 95062 � OTH <br /> ❑ Check if Loan <br /> ❑ PTY <br /> ❑ SCC % <br /> Provide interest rate <br /> ❑ IND <br /> ❑ COM <br /> ❑ OTH ❑ Check if Loan <br /> ❑ PTY <br /> ❑ SCC % <br /> Provide interest rete <br /> ❑ IND <br /> ❑ COM <br /> ❑ OTH ❑ Check if Loan <br /> ❑ PTY <br /> ❑ SCC °� <br /> Provide interest rate <br /> �*Contributor Codes <br /> IND — Individual <br /> COM— Recipient Committee(other than PTY or SCC) <br /> OTH — Other(e.g.,business entity) <br /> PTY — Political Party <br /> Reason for Amendment: SCC — Small Contributor Committee <br /> FPPC Form 497(March12011) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br />