Gilmore 2014-10-30497 Contribution Report
NAME OF FILER
Gilmore tor Mayor 2014
AREA CODEIPHONE NUMBER
(916)285-5/33
STREET ADDRESS
1181 Tribute Road, Suite K
CITY
Typo or print in ink.
Amounts may be rounded to who clatters,
\
1.D. NUMBER Of appiicaWe)
1323448
STATE ZIP CODE
CA
95815
Date of
This f iling
!WWI No. 61505-"
o Amendment
to Report No.
(eXplain below)
No. of Pages
0/29/2014
CODE OF CONTRTOR
1. Contribution(s) Received
FULL NAME, STREET ADDRESS AND ZIP IBU
(IF commirres, ALSO ENTERLD.NUMSER)
DATE
RECEIVED
10/25/2014 'aldiurn Sports and Fitness Club
900 West
Alameda, CA 94501
In-Kind Contribution
2 Bradley
10/29/014 C. Shook
416 Tideway Drive
Alameda, CA 94501
Reason for Amendment:
www.netfile.com
497CONT tBLITIONREPO T
'A“:ft.14Pk. 497
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'cial Use Only
CONTRIBUTOR
CODE
O IND
O COM
0 OTH
0 p-re
0 SCC
CITY OF ALAME
CiV CLERKS 0 F
IF AN INDIVIDUAL,
ENTER CUPATION AND EMPLOYER
OCCUPATION OF
OF SELF-EMPLOYED, ENT ER MAME BUSINESS)
Owner
0 IND Bladium
0 com
o OTH
0 PTY
o SCC
O IND
o COM
o OTH
O Fr{
O SCC
AMOUNT
RECEIVED
2,561./6
0CliedOtLoan
Prevideinterestrate
3,000.00
OaeckilLoan
provide tel rate
0 Gbed01 Loan
A
WwidelMemstrate
`Contributor Codes
COM - Recipient Committee (other than PTV o SCC)
IND-Individual
OTH - Other (e.g., business entity)
PTY Political Party
SCC -Small Contributor Committee
F PAC Form 497 (MarchI2011)
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