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Schedule C <br /> Nonmonetary Contributions Received <br /> SEE INSTRUCTIONS ON REVERSE <br /> NAME OF FILER <br /> Friends of Jeff Gee <br /> Type or print in ink. <br /> Amounts may be rounded <br /> to whole aoilars. <br /> Statement covers period <br /> from %�1/09 <br /> through 9/19/09 <br /> Page� of_!?�! <br /> I.D.NUMBER <br /> 1315847 <br /> - CUMULATIVE TO <br /> IFAN INDIVIDUAL,ENTER AMOUNT/ PER ELECTION <br /> FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION Of DATE <br /> DATE OCCUPATION AND EMPLOYER FAIR MARKET TO DATE <br /> RECEIVED ZIP CODE OF CONTRIBUTOR CODE * (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (tF REQUIRED) <br /> (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BU5INESS) (JAN 1-DEC 31) <br /> ❑IND <br /> 8�29��g Alex Bulazo, City Baking �� Cookies <br /> Q]OTH $86.00 $229.00 �� <br /> South San Francisco, CA 94080 �pN <br /> ❑SCC <br /> 9/13/09 Disruptive Solutions 0�� Jerry Pierce Website Services $400.00 $400.00 �� <br /> �pTM Owner <br /> Redwood City, CA 94061 �pN <br /> pscc <br /> 9/09 Keech Properties, LLC ❑COM Max Keech Ad for Pilot $306.00 $306.00 <br /> Shores Children Center, Suite 500 �OTH Principai <br /> 1060 Twin Dolphin Dr. RWC, CA 94065 �pN <br /> pSCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> pscc <br /> Attach additional information on appropriately Iabeled confinuation sheets. SUBTOTAL$ 792.00 <br /> Schedule C Summary <br /> 1. Amount received this period—itemized nonmonetary contributions. <br /> (Include atl 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 /> • tli <br /> ! 11 <br /> 792.00 <br /> *Contributor Codes <br /> lND—individual <br /> COM—Recipient Comrr�ittee <br /> (other than PTY or SCC) <br /> OTH—Other(e.g.,business entity} <br /> PTY—Political Party <br /> SCC—Small Contributor Committee <br /> FPPC Form 460(January/05) <br /> FPPC Tolt-Free Helpline:866/ASK-FPPC(866/2?5-3772) <br />