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497 Contribution Re art Typo or print in ink. <br /> � Amounts may be rounded to whole dollars. <br /> _ NTFiIBU710N REPORT <br /> NAME OF FfLER Dato Of ; Date Stamp , <br /> r- Committee to Elect Ernie Schmidt for Kedwood City Covncil '1013 09(2512013 ' , , , <br /> Q This Filing , <br /> ARCA CODCfPl10NL NUMBEF�' f.P.NUMBER(irayplicablo� n�; f 0 C18 sB fl�--`"'���� ����"���- <br /> ReportNo. o�znis �,rp -� � ���3 <br /> (650� 275-A391 1357109 J:L �, <br /> STREET ADDRESS "' <br /> 2816 Jefferson fivenve ❑A�11e11(1f11Ent - <br /> to Rcport No. <br /> clfY STATE ZIPCO�E {explainhelow) r <br /> � xeawood ciey, ca eaabz No.of Pages, i�,-�� �• "�"`�"� "�"� <br /> a� . <br /> c� <br /> N1.Contribution(s) Received <br /> 0 <br /> � <br /> �n iF Arv iNnwinuni, <br /> QATE FULL NAME,STREET ApDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR �NTCR OCCUPATION AfBQ EMPLOYER Ah�OUPlT <br /> RECEIVED (IF GoMMlTTEE ALSO ENTEH�.O.NUMBEI� CODF'" ��p��.EMPlOYED.FltTER NAME Of 6t1SME55) RECE{VED <br /> 09/2a/2013 C J Construction � tND 1,500:00 <br /> 2913 Laurel Street ❑ �+�M <br /> Napa, ca 99558 � OTH �Check if Loan <br /> ❑ PTY <br /> n SCC � <br /> Provida interesf rate <br /> Oy/z9/zUli Annlone�te etergion O I�D office Managcr � I,SOU.uo <br /> ❑ C�� <br /> � OTH Jad ElkhouYy DDS �ClltlCk If LUiill <br /> P7apa, CA 94558 <br /> ❑ PTY <br /> ❑ SCC �^ <br /> P�ovide interest rale <br /> � IND <br /> n COM <br /> ❑ OTH �Check it Loan <br /> � PTY <br /> � � 5CC % <br /> Providq interost�ale <br /> U <br /> J <br /> U 'COntribuior Codes <br /> 2 <br /> IND—Individual <br /> COM—Recipient Commifi9e(o�1er tftan PTY or SCC) <br /> OTH—Other(c.g.,businass en6ty) <br /> Q- Reason for Amendment: PTY—Political Party <br /> p SCC—Small Conhibutnr Committsa <br /> 0 <br /> � <br /> O <br /> � FPPC Form 497 {MarchI2011) <br /> FPPC Toll-Free He{pline: S661ASK-FPPC�866/275.3772} <br /> � <br /> N <br /> °- www.netfile.com <br /> m <br /> � <br />