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Schedule A Type or print In Ink. SCHEDULE A <br />Moneta Contributions Rived Amounts may be rounded Statement covers period <br />Monetary Received to whole dollars. • • J , ' <br />from January 1, 2017FP'g' <br />e . <br />SEE INSTRUCTIONS ON REVERSE <br />through June 30, 2017 Aof 1 <br />NAME OF FILER I.D. NUMBER <br />Re -Elect Gee for Council 2013 1315847 <br />DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION <br />RECEIVED (IF OOMMITfl E,ALSO ENTERIM.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE <br />(IFSELF-EMPLOYEO,ENrE ME PERIOD (JAN. 1 • DEC. 31) (IF REQUIRED) <br />OFSUSINESS) <br />None <br />❑IND <br />❑COM <br />❑ OTH <br />❑ PTY <br />❑SCC <br />MIND <br />❑COM <br />❑OTH <br />❑ PTY <br />❑ SCC <br />❑IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />❑IND <br />❑COM <br />❑ OTH <br />❑ PTY <br />❑SCC <br />❑IND <br />❑COM <br />❑OTH <br />❑ PTY <br />❑SCC <br />SUBTOTAL$ <br />Schedule A Summary <br />1. Amount received this period — itemized monetary contributions. <br />(Include all Schedule A subtotals.)........................................................................................................ $ <br />2. Amount received this period —unitemized monetary contributions of less than $100 ............................. $ <br />3. Total monetary contributions received this period. <br />(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ <br />*Contributor Codes <br />IND—Individual <br />COM— Recipient Committee <br />(other than PTY or SCC) <br />0 OTH — Other (e.g., business entity) <br />PTY—Political Party <br />SCC—Small Contributor Committee <br />FPPC Forth 450 (January/05) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) <br />