Harris 497-5497 Contribution Report
NAME OF FILER
Gray Harris for Alameda School Board 2016
AREA CODEJPHONE NUMBER LO. NUMBER (if napticeble)
510.552.6521 1383636
1226 Fountain St
CITY STATE ZIP CODE
Alameda CA 94501
1. Contribution(s) Received
Amounts may be rounded to whole dollars.
DATE
RECEIVED
1111/16
Date of
This Filing 11 /1 /1 (5-,1
4
Report No.
D Amendment
to Report No.
(explain below)
No. of Pages
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Association
2027 Clement Ave #B
Alameda CA 94501
#1326421
Contribution Exceeds $1,000
Reason for Amendment'
Date Stamp
NOV 0 2016
CITY OF ALAMEDA
CITY CLERK'S OFFICE
CONTRIBUTOR
CODE *
O IND
COM
LI OTH
PTY
LI SCC
• IND
El COM
El OTH
CI PTY
Lil SCC
O IND
O COM
OTH
• PTY
SCC
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS/
AMOUNT
RECEIVED
3,047.20
Check if Loan
Provide Interest rate
0 Check if Loan
Provide interest rate
1:1 Check if Loan
Provide interest rale
"'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
UPC Advice: advice
FPPC Form 497 (Ju1/2016)
ppc.ca.gov (866/275-3772)
www.fppc.ca.gov