Loading...
HomeMy WebLinkAboutMERRILL 497 5/12/16AW) 497 Contribution Report 41) TAN, or prlM In Ink. Amounre may be Founded to whob dollars. 487 ,) NAME OF RLER pp MERR FO,¢ Af* 2016 Dab O7 -rZ �r RIB mp 4 . ILL yOR This Filling 16 t ®0 AY 12 AM 9124 Or AREA COOFRNONE NUMBER I.D. NUMBER(swp ) 1383Y519 Report No. ty6plo -. UAKL ❑ pon yi iLLG CI l Y CLERK STI:EE7 ADDRESS � No. to (erlpMM No. of Pages OhnkBLoan CRY 0 PTY � 1. Contribution(s) RwAlved DATE RECEIWO FULL NAME. STREET ADDRESS AND DP CODE OF CWTRIBUTOR OF LOMMn1ERMR0FNrFA i.D.xwaEm CONTRIBUTOR CODE IFANINDINDUAL. ENTER OCCUPATION AND EMPLOYER pMWM RECENED plaEtFEMIOYW,emen nMa areuNXeM) Gbote57wv /78vpl4fL SOiY4,/L6f ❑ IND ❑ DOM ty6plo -. OTH OhnkBLoan `Iy ll 0 PTY � / ❑ scc PioWW Y1NRr1 M ❑ IND ❑ COM ❑ OTH ❑ Check VLoan ❑ PTY ❑ SCC % Pialb FNmI rid ❑ IND ❑ DOM ❑ OTH 0 Check N Loan ❑ PTY ❑ SCC % Rake M rid -7 "ConolbNOr Coon IND - Individual COM- ReclPWCaminhW(o#,w I:wn PTYor SCC) OTH - Diner (e.g.. boalrMx enkty) Reason hN Amendment PTY — Poakel Pany SCC — Sma9 Comflo ar Commit" FPPC Form 497 (MarehrAll) FPPC Tu14Fne NNpfire: 996/ASK4RRPC (9/1@768778)