Gilmore 2014-08-19Deane & Company
AUG /19 /2014 /TUE 04:50 PM
497 Contribution Report
NAME OF FILER
Gilmore far mayor 2014
AREA CODE/PHONE NUMBER
(916)285-5733
STREET ADDRESS
CITY
Sacramento
•
1. Contribution(s) Received
DATE
RECEIVED
W. NUMBER (if applicab(e)
1323448
Type or print in ink.
Amounts may be rounded to whole dollars.
STATE ZIP CODE
CA 95815
Date of
This Filing 08/19/2014
Report No. 7766123-cs
[1] Amendment
to Report No.
(explain below)
No. of Pages
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO EWER 1.0. NUMBER)
08/18/2014 Brad Shook
Alameda, CA 94501
Reason for Amendment:
www.neffile.com
1
CONTRIBUTOR
CODE *
IND
O COM
111 OTH
• PTY
• SCC
0 IND
O COM
LI OTH
PTY
O SCC
O IND
O COM
OTH
O FT(
• SCC
AUG i 9
to Cal Stamp 0 F
CITY CLER
CON'
I;•
ION REPORT
cAl.:Fi..--)R',\ItA
FORM
20a
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF.EMPLOYED, ENTER NAME OF BUSINESS)
or Official Use Only
AMOUNT
RECEIVED
President 1,000.00
Bladium, Inc.
Check if Loan
Provide Interest rate
0 Check if Loan
P14,
Provide interest rate
El Check if Loan
Provide interest rate
*Contributor Codes
IND— Individual
COM — Recipient Committee (other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
FPPC Form 497 (March/2011)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)