Laserfiche WebLink
497 Contribution Report <br />p <br />Type or print in ink. <br />Amounts be dollars. <br />may rounded to whole <br />497 CONTRIBUTION REPORT <br />NAME OF FILER <br />Date of <br />Date Stamp CALIFORNIA • <br />10/12/15 <br />Alicia Aguirre <br />This Filing <br />, <br />AREA CODE/PHONE NUMBER <br />I.D. NUMBER (if applicable)4 <br />Or cse n y <br />650. 366.9058 <br />1276471 <br />Report No. <br />STREETADDRESS <br />❑ Amendment <br />Ci,_ Tlr) tr <br />t: �• i <br />867 Edgewood Road <br />to Report No. <br />CITY STATE <br />ZIP CODE (explain below) <br />2 <br />Redwood City CA <br />94062 No. of Pages <br />1. Contribution(s) Received <br />DATE FULL NAME, STREET ADDRESS AND <br />ZIP CODE OF CONTRIBUTOR <br />CONTRIBUTOR <br />IF AN INDIVIDUAL, AMOUNT <br />ENTER OCCUPATION AND EMPLOYER <br />RECEIVED ( IF COMMITTEE, ALSO ENTER <br />I.D. NUMBER) <br />CODE * <br />(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED <br />Recology San Mateo County <br />❑ IND <br />10.12.15 225 Soreway Road <br />F1 COM <br />1500.00 <br />San Carlos, CA 94070 <br />❑X OTH <br />❑Check if Loan <br />❑ PTY <br />❑ SCC <br />% <br />Provide interest rate <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />Provide interest rate <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />io <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: <br />SCC — Small Contributor Committee <br />FPPC Form 497 (March/2011) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) <br />