HomeMy WebLinkAboutGOH 497 8/17/16m
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497 Contribution Report Amounts may he rounded to 9MOta dollars.
NAME OF FILER
Data Of
8117116
Data Shanp
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Karen Goh for Mayor
This Filin s
Report No. 2U
18 AUG 11 PM 4f
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AREAMORPHCRENUMB£R
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1384218
[]Amendment
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1,250.00
STREErADORESS
STATE ZIP CODE
OATS
FULLNAMESrR ADDRL SANOZIPCODEOFCONMRUFOR
COWRIBUOR
TAN INpMDUAL,
DITEROC PAMQHANp EI.tPLOYER
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RECENEO
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RFCENED
Good Samaritan Hospital
O IND
NIA
1,250.00
Reason forAmendmenf: _..
�XI OTH
DChech If Loan
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❑ PTY
❑ scc
PrsrviEe vlleek IBIC
❑ IND
❑ com
❑ OTH
❑Check d Loan
L] PTV
❑ SCC
Pmrldx i0w mle
❑ IND
❑ com
I] OTH
D Check If Lean
❑ PTY
❑ SCC
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"Contributor Codes
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IND - I
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COM- ipisal
than PTY er SCCI
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OTH - Other (e.9-. bosineas ¢ntity)
PTY - Pady
Reason forAmendmenf: _..
Srnalal
SCC- Smfla COnldbu[or Cpmmltlee
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FPPC form 497 Uut/WM)
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FPM Advice: adsicenfppc.o.BOY (86 12F 3772)
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