HomeMy WebLinkAboutHANSON 497 8/12/1649 J 7 Contribution bution Re�pport LER
Y,"FII, I, I, ��Asv * �' E OF
ARE/PHONE ACODEIPHONE NUMBER
��
1. Contributions) Received
ID. NUMBER RIEA'.nN.W
iaa�zgo
Type or prick in ink
Amounts may be rounded to whole dollam.
Date of
This Filing
Report No.
❑ Amendment
to Report No.
E (explain hek RN
No. of Pages
CONTRIBUTION REPORT
16 AUG 12 FM �'I'�A
SAnLif5i I LA ul1 CA_ERK
DATE
FULL NAME. STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
RECEIVED
nR COMMmFE.uED ErvreR m. rvuneEW
CODE
nr EE�r- EMPLOYED. ENTER NAME OF eusw\ESISI
If 4. 1ti
�1 n L Q
7/'I IAA Nfi �h P1 FJ�(1.
OM
(�BZa
❑ OTH
/'
❑Check if Loan
� (
❑ PTY
❑ SCC
/
Provide mreree sere
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTV
❑ SCC
PrwNe froi es rem
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTV
❑ SCC
PPRMWP ;nleresl rete
Reason for Amendment:
^Contributor Codes
IND — Individual
COM — Recipient Committee (other than PTV or SCC)
OTH — Other (e.g., business entity)
PTV — Political Party
SCC — Small Contributor Committee
FPPC Form 497 (March/2011)
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