Action Alameda to Elect DeHaan, Bail and Thomson 497Type or print In Ink. late Contribution Report Amountll may be rounded to whole dollars.
NAME OF FILER
AREA CODE/PHONE NUMBER l.O. NUMBER (H spplicable)
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STREET ADDRESS 0 Amendment :
-----------------s-TA_T_E ___ z_1P_c_o_D_E ___ --1 (explain belllw)
~~6c.. °' C\.Ac:;:)C \ No. of PatJes _ __,_\ __
Late Contribution(s) Received
DATE
RECEIVED
\ \ h \o(o
·contributor Codes
IND-Individual
FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 1.D. NUMBER)
"KD NJ.\6. µ . ~ N( \ ~
S
::\-
.
PTY -Political Party
COM -Recipient Committee (other than PTY or SCC)
OTH-Other
SCC -Small Contributor Committee
CONTRIBUTOR
CODE*
§IND
COM
0 OTH
OPTY o sec
0 IND
0 COM
0 OTH
OPTY o sec
"
0 IND
0 COM
0 OTH
OPTY o sec
LATE CONTRIBUTION REPORT
Date Stamp
IF AN INDIVIDUAL. AMOUNT ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED
\-Z~~ lC:CO.oD
I
I
FPPC Form 497 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
late Contribution Report Type or print In Ink.
Amounts may be rounded to whole dollars. i
LATE CONTRIBUTION REPORT -N-AM_E_O_F_F_ILE __ R ________________________________________________ 'i"':D-at_e_o~f:--~------:--~--r-..... --o:t:S;;;;;------
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AREA CODE/PHONE NUMBER 1•
Report No. -=-.L->-:.-..:..-
STREET ADDRESS O Amendment
~\CL~ Cf\ C\A "S6\ No. of Pases ~\L----
DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR
RECEIVED
\q ~t{b~
•contributor Codes
IND-Individual
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
\J\.o.d \'t '{\ ~v.r~"'''
>\
.
PTY -Political Party
COM -Recipient Committee (other than PTY or SCC)
OTH-Other
SCC -Small Contributor Committee
CONTRIBUTOR
CODE*
E IND
0 COM
0 OTH
[j PTY o sec
0 IND
0 COM
0 OTH
OPTY o sec
: 0 IND
0 COM
0 OTH
OPTY
0 sec
Reason for Amendment:~-----------------------------~
IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
?~r~ $tbt::O.t:f:::>
I
I
FPPC Form 497 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC