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497 Contribution Report
Type or print in ink
Amounts may be rounded to whole dollars.
NAME OF FILER
BOB SMITH FOR CITY COUNCIL 2014
1348652
STREET AD DRESS
Date of election: 1114114
I I
1. Contribution(s) Received
Date of °` __ - -*'
This Filing 10!7! 14 Z 14 OCT -I AN 1(j: L
Report No. 1 ry
❑Amendment
to Report No.
(explain below)
No. of Pages 1
497 CONTRIBUTION REPORT
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
�
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
RECEIVED
OFCOMMnTEE„ALSO ENTER ID_ NUMBER)
CODE
([F SUE-EMPLOYED. 80TER NAME OF BUSINESS)
S.C. ANDERSON, BUILDER
F-1 IND
1500.00
9/3114
❑x OTH
D Check if Loan
❑ PTY
❑ SCC
Proade nteest rate
KERN REFUSE DISPOSAL, INC.
❑ IND
1000.00
9!3(14
❑x OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide anteres[ rate
❑ IND
❑ COM
❑ OTH
D Cheek if Loan
❑ PTY
❑ SCC
Pnruude interest rare
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 (M8rcht2011)
FPPC Toll -Free Helpline. 66WASK -FPPC (86WVS-3772)