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497 Contribution Re ort Type or print In ink. <br /> p Amounts may be rounded to whole dollars. <br /> 497 CONTRIBUTION REPORT <br /> NAME OF FILER Date of Date Stamp � . <br /> (an Bain for City Council 2Q15 This Filing 9/18/15 � � i • <br /> �-�:;., • <br /> AREACODEIPHONE NUMBER I.D.NUMBER(ifapplicable) �� - { or iGa se ny <br /> 650-361-8528 1255762 Report No. ��r�� . �" � '�' <br /> � <br /> STREETADDRESS ` <br /> ❑Amendment - � <br /> �,��� �� �4���9 � <br /> 1772 Anamor Street to Report No. ; <br /> CITY STATE ZIP CODE (explain below) y <br /> G!�"'1 C��- ; : , <br /> Redwood City CA 94061 No.of Pages ' -�� <br /> t'E��'�s: <br /> 1. Contribution(s) Received ' �-����-- <br /> OATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRtBUTOR CONTRIBUTOR �F AN INDIVIDUAL, AMOUNT <br /> RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * ENTER OCCUPATION AND EMPLOYER RECEIVED <br /> (IF SELF£MPLOYED,ENTER NAME OF BUSINESS) <br /> San Mateo County Association of Realtors ❑ IND <br /> 9/17/15 850 Woodside Way ❑ COM 3,500 <br /> San Mateo, CA 94401 <br /> �X OTH Q Check if Loan <br /> ❑ PTY <br /> ❑ SCC �° <br /> Provide iMerest rate <br /> ❑ IND <br /> ❑ COM <br /> ❑ OTH ❑ 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 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 — Smali Contributor Committee <br /> FPPC Form 497(March/2011) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) <br />