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497 Late Contribution Report (12) Amendment to Report 11
Late 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) FPPC Toll -Free Helpline: 6661ASK.FPPC 8661275 -3772