HomeMy WebLinkAboutSULLIVAN 497 10/13/16A07 Cnnfrihi firm Renort Amounts may be rounded to whole dollars.
NAME OF FILER r
Jacquie Sullivan for City Council - 2016
Date of 1 0/13/2016
This Filing
3
Report No.
Dale Stamp
23
AREACODEIPHONE NUMBER
I.D. NUMBER(,eppuceek)
950347
i (
_
❑ Amendment
3,
(y CLERK
7..-
STREETADDRESS
to Repon No. 6AKLn
$1,000
CITY STATE ZIP CODE
(explain below) 1
No. of Pages
® OTH
1. Contribution(s) Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL ,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
RECEIVED
(ir COMMITTEE AL50 ORTER I D. NUMBER)
CODE
(IF SELMPLOYED, ENTER NPME Or BUSINESS)
F E
Political Party
SCC-
ern Buse Isposa, nC.
❑ IND
$1,000
® OTH
❑ Check if Loan
❑ PTV
❑ SCC
PmvMe ime-est rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Pryvtleinte,M0 21e
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTV
❑ SCC
Pm.ide inm,m Use
Reason for Amendment'.
FPPC Form 497 (Jul /2016)
FPPC Advice: advice@fppc.ca.eov (866/275 -3772)
www.fppaca•gov
" COntrbutor Codes
IND -
Individual
COM-
Recipient Committee (other than PTY or SCC)
0TH-
Other (a g., business entity)
PTY -
Political Party
SCC-
Small Contributor Committee
FPPC Form 497 (Jul /2016)
FPPC Advice: advice@fppc.ca.eov (866/275 -3772)
www.fppaca•gov