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Gilmore 2014-09-30FAX No, 19163331344 Deane & Company SEP/29/2014/MON 06:54 PM 497 Contribution Report NAME OF FILER Gilmore for Mayor 2014 AREA CODE/PHONE NUMBER (916)285-5733 STREET ADDRESS CITY Sacramento 1. Contribution(s) Received DATE RECEIVED 09/28/2014 I.D. NUMBER (if upplicable) 1323448 Type or print in ink. Amounts may be rounded to whole dollars. STATE ZIP CODE CA 95815 Date of This Filing 09/29/2014 Report No. 7766696-DS Amendment to Report No. (explain below) No. of Pages FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID. NUMBER) Janet Koike Berkeley, CA 94705 Reason for Amendment: www.netfile.com 1 CONTRIBUTOR CODE * ate ta CITY OF CITY CLERK CON1RIBUTION REPORT CALIFORNIA 497 FoRilit IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 101:Use Only AMOUNT RECEIVED Artistic Director 1,500.00 IND Rhythmix Cultural Works com Ell OTH 0 Check if Loan • PTY O SCC O IND • COM • OTH LI • PTY SCC O IND O COM • OTH PTY LI SCC Provide Interest rate Check if Loan Provide interest rate 0 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)