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497 Late Contribution Report (7)I-- Late Contribution Report Type or print in ink. Amounts maybe rounded to whole dollars. Date Of MC COY FOR COUNCIL 214, ROBERT I This Filing 09/14/2014 AREA CODEIPHONE NUMBER I.D. NUMBER roappkzbia) ( 11369332 Report No. 7 STREET ADDRESS No, of Pages Late Contribution(s) Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 10. NUMBER) 09/14/2014 Dominic Chan Q Cathy Tsang 911412014 "Contributor Codes IND — Individual PTY — Political Party COM — Recipient Committee (other than PTY or SCC) SCC — Small Contributor Committee OTH — Other Reason for Amendment: Date Stamp U15 n W. 1'I OCT 14 [014 TINO CITY LATE CONTRIBUTION REPORT TA Official Use CONTRIBUTOR CODE + IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT T (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) K❑ IND ❑ COM Retired ❑ OTH 2000.00 ❑ PTY ❑ SCC p Check if Loan © IND CoM Homemaker ❑ OTH 2000.00 ❑ PTY ❑ SCC © Check if Loan ❑ IND ❑ COM OTH ❑ PTY ❑ SCC f"l Check if loan FPPC Form 497 (Jan/03) FPPC Toll-Free Helpline: 866/ASK-FPPC 8661275-3772