Committee to Revitalize Our School 2014-10-13 - 3497 Contribution Report
1027817
NAME OF FILER
Committee to Revitalize Our School
AREA CODE /PHONE NUMBER
(510)759 -3236
STREET ADDRESS
1520 Central Ave
CITY
Alameda
1. Contribution(s) Received
DATE
RECEIVED
10/09/2014
10/09/2014
I.D. NUMBER (if applicable)
1364294
STATE
CA
ZIP CODE
94501
Type or print in ink.
Amounts may be rounded to whole dollars.
Date of
This Filing 10/10/2014rm.
Report No. 497-3
❑ 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)
Northern California Carpenters Regional Council Issues PAC
Committee ID # 1219354
Sheet Metal Workers International Association Local 104
San Ramon, CA 94583
Reason for Amendment:
www.netfile.com
1
CONTRIBUTOR
CODE *
❑ IND
COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Date Stamp
497 CONTRIBUTION REPORT
CALIFORNIA!
FORM
�} 201'
Ci T'( OF AL._ MED/
In( CLERK'S OFFU: ;E
For Official Use Only
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
5,000.00
❑ Check if Loan
r
Provide interest rate
5,000.00
❑ Check if Loan
00
Provide interest rate
❑ Check if Loan
o�
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)