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Schedule�. <br /> �Illor��tary Con�rib�fiions Rec�iwed <br /> SEE�NSTRIJCTIONS ON REVERSE <br /> Type or print in ink. <br /> Amounts rr�ay ba eoundect <br /> to whole dollars. <br /> Ean Bain#or Ci#y Council 2011 <br /> pA� FULL NAM�,STREET A��R�SS AN[]ZkP CODE QF CONTRIBUTOR CONTR�BL#TOF2 ��AN INDIVIDUAL, ENTER <br /> RECEIV�� {i�coMnnlrt��,n�soetirertt.o.€�unne�tt� CODE* O�CUPAT{ONAI�S]EMP�.OYER <br /> (IF S�LF-EMPLOYE�.EfdTER NAME <br /> q�BliSINESS) <br /> Nikki i�uth �I�� <br /> $��21�� ❑GQ� Registered Nurse, Kais�r <br /> ❑OTH <br /> Retfwood City, CA 94062 ❑��rY <br /> ❑scc <br /> �in[b <br /> Jerry Hill ❑�a� California Siate <br /> 8112111 . ❑orH Assemblyrrsan <br /> San Mateo, CA 944a2 ❑�T� <br /> ❑scc <br /> ��Nt� <br /> Kaia �afcin and Bryan Beck �jCqNt � Uni�ersi#y Fundraising, <br /> 81'16/11 ❑�T� ' Nnfre Darr�e de Namur <br /> Redwood City, CA 94064 ❑�'�'Y <br /> ❑scc <br /> �. Richard Cohn ��N� <br /> 8/'[6111 ❑�pM Community Manager, <br /> ❑oT�t McAfee <br /> San Rafael, CA 949t}1 ❑��rY <br /> ❑scc <br /> Don Hors[ey �IND <br /> $1231'[1 ❑�o� San Mateo Caunty <br /> Redwaod Ciiy, CA 94D62 0��v �upervisor <br /> ❑scc <br /> sus��-ra�$ <br /> Schedule A Sut�ma�y <br /> 1. Amount reeaivetE this p�riod—i#ernizecf rrtonetary contributians. <br /> (Include all 5chedu[e A subtotals.)................................... <br /> .....................................................................$ <br /> 2, Amoun#r�cei��d this peripd—unitemized rnonetary contributions of less than$10� ............................. $ <br /> 3. Total moneiary contributions rec�ived this period. <br /> (Add Lines 1 and 2. Enter here and on the Sumrr�ary Fage,Column A, Lins 1.)....................... TC3TAL $ <br /> SCHEQULE A <br /> Stat�ment covers periocf � <br /> 711111 a' � � • <br /> from •� <br /> thraugh ������� � <br /> AMqUNT <br /> REG�IV��THiS <br /> P��10a <br /> Page af� <br /> I.D. NUMB�I� <br /> 1255762 <br /> CUMULATIVE TO DATE PER ELECTIQN <br /> CALENDAR YEAR TO dA7E <br /> (JAN.1-DEC.31) {1F REQU[R�EI) <br /> �oa I �ao <br /> �t ��. <br /> 250 ( 250 <br /> 10� <br /> 9D0 <br /> �� <br /> li <br /> *Contributor Codes � <br /> IND—Individua! <br /> COM—Ft�cipient Corr�mtiiee <br /> (other than PTY or 5CC) <br /> OTH—pther(e.g„ busir�ess entity) <br /> PTY—PoEiticaE Party <br /> SCC—Sma[I Contributor Committee <br /> FPPC Form 460(January105j <br /> FPPC Toll-Free Helpline;866IASK-FF'PC{866I275-3772j <br />