HomeMy WebLinkAboutSULLIVAN 497 10/18/16497 Contribution Report Amounts may be rounded to whole dollars.
ttAME OF FILER
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Date Sfamp
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AMOUNT
RECEIVED
This Flling
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Reason for
"Contributor Codes
IND - Individual
COM- Redpient Commidee (omrMan PTYor SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contdbutor Commiaee
FPPC Form 497 (lul/3036)
FPPC Advice: advice @ fppcca.Hav(966 /375 -3773)
www.fppc.rs.ga,
497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF HLER
.` C
Date OL \I,
This Filing U
Data Stamp
• . � a
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AREACOD ONE NUMBER
D. NU ER pepPpneW)
�N J
Report No.- 1.SaLYL
UJOID
Or a Se n
❑ COM
t4 OTH
❑ PTY
❑ Amendment
❑ Check H Loan
to Report No.
(a loinb )
x
CITY
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No. of Pages
❑ IND
1. Contribution(s) Received
DATE
RECEIVED
FULL NAME, BTREETADDRESB AND TIP CODE OF CONTRIBUTOR
RIRUTOR
R WaanTFF use ENIERm N Blau
CONTRIBUTOR
CODE
AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
pi BFIFFMPLOY ®.FNTEReNNE Cf BU$HE581
AMOUNT
RECEIVED
❑ IND
UJOID
�
❑ COM
t4 OTH
❑ PTY
❑ Check H Loan
D SCC
x
PmvNe Indreel rata
❑ IND
D COM
❑ OTH
D Check H Loan
❑ PTV
❑ SCC
x
PnNtle imertsl 2b
D IND
❑ COM
❑ OTH
❑ PTV
D Check H Loan
❑ SCC
x
PnvBe inbroel RIe
"Contributor Codes
IND – InEMdual
COM– Recipient COmmitlea(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY – Pollboal Party
SCC – Snmll Contributor Committee
FPPC Form 497 (Jul/2016)
FPPC Advice: advice @ropcce.iiov (E66 /275 -3772)
www.roM.ce.eaY