HomeMy WebLinkAboutMERRILL 497 5/25/16Typo of prim In ink.
497 Contribution Report Amounts may be rounded to whole dollars.
497 CONTRIBUTION REPORT
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No. of Popes i
1. Contribution(s) Received
DATE
FULL NAME, Sn1EEr ADORE99AND ZIP CODE OF CONTIUBU70R
COMRIBUfOR
IFANINWOUAL.
AMOUNT
ROECENED
RECEIVED
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❑ IND
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❑QoPTTY
❑ BCC
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❑ IND
❑ COM
❑ oTH
❑ Chock 0 Loan
❑ PTY
❑ scc
%
Pmms hMal nor
❑ IND
❑ COM
❑ OTH
❑ Check If Low
❑ PTY
❑ BCC
%
pnMm Megan row
Reewn for Amendment
"ConbUrke Coda
IND - Individual
COM- Recipient Commilbs(olher dwn PTY or SCC)
OTH - Other (e.9., business amity)
PTY - PaINWM perry
SCC - Small Conk"Wr Committee
FPPC Form 497 (ManNU50T1)
FPPC T N-Fne Halpllrn: fIMASK•FPPC (9091579 3773(