HomeMy WebLinkAboutGOH 497 09/26/16d.97 Cnntrihution Renort Amountamay be rounded to whole dof fan.
NAME OF FILER
Karen Goh for Mayor
Date of
This Filing 9125116
.28
Data Stamp
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A EACOOFfPHONE NUMBER
I.D. NUMBER M•nrroeaxl
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CODE
Report " °'
f6 SEP 26 AM 8: 04
to Report No.
9124116
CnY STATE Z CODE
IasVlWn DaR'M
1
❑ Chack if Loan
No. of Pages
p PTY
1. Contribution(s) Received
DATE
FULL NAME,STN£ETADDRE5SAND ZIP CODE OF CONFRIBUFOR
CONTRIBUTOR
IFAN INDIVIDUAL.
TIONIA IA L,
ENTER OCCUPATIONAND EMPLOYED
MOUNT
RECEIVED
RECEIVED
pr coNNmEEalaR SxreP m. POe..1
CODE
OF SELFENPIMEa emsx xauear eusme>st
Nazar Kooner
® IND
Farmer -
1,000.00
❑ OTH
❑ Chack if Loan
p PTY
❑ scc
PArlae Imm�n �
Manbir Singh, M.D.
0 IND
Physician
521.00
❑ oTH
❑ Chackil Loan
❑ PTY
❑ 5CC
prmefe mvrt rnr
Sams Market
0 IND
N/A
® oTH
❑Check g Loan
❑ PTY
❑ scc
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Reason for Amendment:
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- C°nbibUW Coles
IND - Individual
COM- Renl C°mmffiee (eUler than PTY Or SGC)
0TH - Olher (e.¢, "mess entity)
Pry - Po roet pally
SCC- Small CWFYWIer CommMee
PINK Form 497 (1u 1/2016) m
FPPC Advice :advice @fppc.ca.pov(366 /275 -3772)
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