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497 Late Contribution Report (12) Amendment to Report 11Late Contribution Report
NAME OF FILER
MC COY FOR COUNCIL 2014, ROBERT
AREA CODEIPHONE NUMBER I.D. NUMBER pspowbie)
(
CITY STATE
No. of Pages 1
TE CONTRIBUTION REPORT
JAN - 2 2015
UPERTIN7 CITY CLLRK
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 1.0, NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
(IF SELF- EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
10/28/2014
Mark
ni
IND
❑ COM
Self Employed
111 asue Court
❑ OTH
KT Properties
2500.00
Ga tos,
Los Gattosos, , CA 95032
El PTY
[] SCC
© Check if Loan
❑ IND
❑ COM
[] OTH
❑ PTY
❑ SCC
© Check if Load
❑ IND
❑ COM
[] OTH
[] PTY
❑ SCC
❑ Check if Loan
"Contributor Codes
IND — Individual PTY — PoliGral Party
"OM — Recipient Committee (other than PTY or SCC) SCC — Small Contributor Committee
DTH — Other
Reason for Amendment: Entered name of business
FPPC Form 497 (Jan103)
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