Gilmore 2014-09-29SEP/27/2014 /SAT 04:31
497 Contribution Report
NAME OF FILER
Gilmore for Mayor 2014
AREA CODE /PHONE NUMBER
(916)285-5733
STREET ADDRESS
1787 Tribute Road, Suite K
CITY
Sacramento
1. Contribution(s) Received
DATE
RECEIVED
ID. NUMI3ER at applicable)
1323448
Type or print in ink.
Amounts may be rounded to whole dollars.
STATE ZIP CODE
CA
95815
Date of
This Filing 09/27/2014
Report No, 7766683-0s
o Amendment
to Report No.
(explain be(ow)
No. of Pages
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
09/26/2014
100 Hegenberger Road, Suite 150
Oakland, CA 94621
Committee ID it 1294190
09/26/2014
100 Hegenberger Road, Suite 150
Oakland, CA 94621
Committee ID # 1294190
Reason for Amendment:
www.netfile.com
CONTRIBUTOR
CODE *
0 IND
COM
• OTH
• PTY
• SCC
O IND
COM
• OTH
PTY
• SCC
O IND
0 COM
• OTH
LIIPT'(
• SCC
Date Stamp
L
497 CONTRIBUTION REPORT
c4L.IFORtsilA AG7
FORM
nr'46or
For Official Use Only
SEP 2 9 2014
CITY OF ALPVIED
CITY CLERK'S OFFI E
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
1,000.00
Check if Loan
Provide interest rale
200.00
0 Check if Loan
Provide Interest rate
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)