Committee to Revitalize Our School 2014-10-28497 Contribution Report Type or print in ink.
Amounts may be rounded to whole dollars.
1030213
NAME OF FILER Date of
Committee to Revitalize Our School: Yes on Measure I This Filing 10/28/2014
AREA CODE/PHONE NUMBER 1.D. NUMBER (if applicable)
(510) 759-3236 I 1364294
Report No.4 __ 97_---=9 ____ _
STREET ADDRESS D Amendment
to Report No. ____ _
CITY STATE ZIP CODE I (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*
10/28/2014 ZFA Structural Engineers
D IND
Santa Rosa, CA 95404 D COM
IB] OTH
D PTY
D sec
D IND
D COM
DOTH
D PTY
D sec
D IND
D COM
0 OTH
D PTY
D sec
Reason for Amendment:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-
497 CONTRIBUTION REPORT
DaFpI ].-. CALU: n~<Nl,1 . 4·' 9 7
·, F~R~.1 '
OCT For Officia~seOnly 8 2014 1:~ .;
I "
..I. ::.:
CITY O~ ALAMEDA
CITY CLERK'S OFFICE
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
*Contributor Codes
IND-Individual
AMOUNT
RECEIVED
1,000.00
D Check if Loan
%
Provide interest rate
D Check if Loan
%
Provide interest rate
D 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)