HomeMy WebLinkAboutSULLIVAN 497 09/29/16497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER
Date Of 9/29/2016
Date Stamp
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF EMPLOYED, ENTER NAME OF BOBINEcr)
Jacquie Sullivan for City Council
This Filing
3
Frank and Arlana St. Ma-ir
e -
For Official Use Only
AREACODE/PHONENUMBER
I. D. NUMBEROapgwam.)
950347
Report No.
2,500.00
9/29/2016
El El OOTH
lnvrshTK
❑Check if Loan
❑ PTV
❑ SCC
%
Palm imerem rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
L SCC
ProR,0 MBDMI me
❑ IND
❑ COM
❑ OTH
❑ Check H Loan
❑ PTY
❑ SCC
n
Provide interest Me
Reason forAmendment
"Contributor Code.
IND - Individual
COM- Recipient Committee (other than PTY or SCC)
OTH- Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 497 (luV2016)
FPPC Advice: advice @fppc.o.gov (866/275 -3772)
www.fppcUa,gov