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Home My WebLink AboutVEREEN 497 03/19/13497 Contribution Report AREA CODE/PHONE NUMBER ( No. of Pages 497 CONTRIBUTION REPORT DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL' ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED � / DOV1clt� V erect irl D<'ND J 1o60,00 :2—)1- Zo) El Com ❑ OTH Check if Loan (/^ / ❑ PTY O SCC Provide interest rate Re) q odd G- 'NOS %pg IND -$100.0 d El COM �� ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC Provide interest rate F_ c t_ n e_ `ie r e,e-o l IND ` ❑ OTH ❑ Check if Loan �� ❑ SCC Provide interest rate Reason for Amendment: "Contributor Codes IND — Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Forth 497 (March/2011) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772) 497 Contribution Report Type or print in ink. P Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT NAME OF FILER 2013 Date of Date Stamp This Filing AREA ClODEIPHONE NUMBER / I.D. NUMBER (i ppNcable) "or Pa Wse ( Report No. STREETADDRESS /�/� ❑ Amendment to Report No. CITY No. of Pages 1. Contribution(s) Received DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED S h i rl e.y R. . IND ❑ El O OTH TH El PTY ❑ scc 1,0(), o 0 ❑ Check if Loan Provide interest rate f4e.Ar-a J L....ekr 0❑ IND od ( COM ❑ OTH ❑ PTY ❑ SCC ❑ Check if Loan Provide interest rate �1 c.k� .*rtcare sand "IND O coM $26-'00 � ❑ OTH ❑ PTY ❑ SAC p Check if Loan Provide interest rate Reason for Amendment: "Contributor Codes 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 (March/2011) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772)