Committee to Revitalize Our School 2014-10-27497 Contribution Report
1030043
NAME OF FILER
Type or print in ink.
Amounts may be rounded to whole dollars.
Date of
This Filing
Committee to Revitalize Our School: Yes on Measure I
AREA CODE/PHONE NUMBER
(510)759-3236
STREET ADDRESS
CITY
Alameda
1. Contribution(s) Received
DATE
RECEIVED
I.D. NUMBER (if applicable)
1364294
STATE ZIP CODE
CA
94501
10/27/2MM7:
Report No. 4 97 - 8
El Amendment
to Report No.
(explain below)
No. of Pages
Date Stamp
Cu-7,
;7'1.
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
10/27/2014 Local Union #595, I.B.E.W.
Dublin, CA 94568
Reason for Amendment:
O IND
O COM
OTH
• PTY
• SCC
O IND
0 COM
• OTH
• PTY
O scc
O IND
O COM
• OTH
• PTY
• SCC
497 CONTRIBUTION REPORT
CALIFORNIA A ci
FORM 62111,ij I
For Official Use Only
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
5,000.00
El Check if Loan
Provide interest rate
0 Check if Loan
Provide interest rate
0 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)