Committee to Revitalize Our School 2014-10-22Type or print in ink.
497 Contribution Report Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT
1028836 . I j DateStamp IJUIJ-(J§(jj • I £) NAME OF FILER Date of
Committee to Revitalize Our School : Yes on Measure I This Filing 10/22/2014
AREA CODE/PHONE NUMBER l.D . NUMBER (ifapplicabla)
(510)759-3236 1364294
ReportNo.4 __ 97_-_6=--~~~-
STREET ADDRESS D Amendment
to Report No. ____ _
CITY STATE ZIP CODE (explain below)
Alameda CA 94501
No.of Pages~ __ 1 __ ~
1. Contribution(s) Received
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVED (IF COMMITIEE, ALSO ENTER l.D. NUMBER) CODE*
10/21/2014 Charles Kapelke
D IND
~lameda, CA 94501 D COM
0 OTH
D PTY
D sec
D IND
D COM
DOTH
D PTY
D sec
D IND
D COM
DOTH
D PTY o sec
Reason for Amendment:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
FIL
OCT2 212014
!~ 1(!
I ~
i / kt.k
CITY OF AUA MSDA
CITY CLERK'S OFF-ICE
IF AN INDIVIDUAL ,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
*Contributor Codes
IND -Individual
AMOUNT
RECEIVED
2,000.00
O Check if Loan
%
Provide interest rate
D Check if Loan
%
Provide interest rate
O Check if Loan
%
Provide interest rate
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)