497 Late Contribution
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Late Contribution Report
Ty pit or print In ink.
Amounts may ba rounded to whgle dolln.
NAME OF FILER
Oate of
This Fling ,
D
fBlfltR
{JI/1tJ'~
, 7fR.lr5N'f)$
P.REA CO[;ElPHONE NUMBER
'4n-6d--6) J>
STREET ADDRESS
1.0. t.lUMBER l'fepjlwsbfW
/ 3//7:)'; /
Report No.
o Amendment
to Report lila,
(~plaln bakrn?
1110. of Pages
CITV
M.e-,4
'GfI/ /V7)
Late Contribution(s) Received
CIj
ZIP CODE 4)
S'JI'y-.
DATE
RECEIVED
FUU. tIAtllE. ST~ET ADDRESS MiD ZiP ce'PE OF CONTRIBlfTOR
(IF CDMMnra,PUD eNm\ I.D. tlUrlBER)
/ j/t" ..c
t.J \ S, Ffi.'eff$H-r yYSTEI1 /':t:#C I
/ /1' ItJTlI .rrM(;// ~t.A-Ni>/ CA- '1f1.&tJ
~I-ItNf) 8 7>ilHtJ
Irf) Au>JM ~./ S/tN ~NCI<>C&'/Chi41
II~ ..-()
-Contributor Cltles
INn -Individual
COM _ Rttclpient CommUlee (albar lI1an PTY or SCC)
OTH - Other le.g., business en'.ily)
PTV - PQlilical Party
See-SmElII CcnlribulorCommiltea
/
CONTRIBUTOR
- CODE";
IF .W INDIVIDUAL.
ENfER DCCl!PATlONAND EMPLOYER
(IF S:u:.EMPLOYED. BITER NoW.E OF BII&INESS)
MIiOUNT
RECEIVED
o IND
o COM
MOTH
o PlY
o SCC
~ IND
D COM
o OTH
DPTY
osee
o INO
o COM
o OTH
o PTY
o SCC
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o Cl1ec1l ir bim .
7!Iff/ ,e!iif)
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o Chee\< if loan
o Check if loan
Reason for Amendment
FPPC Fonn 4117 (Jlnlll.ry/05)
FPPC 1tdl.free Heipllna: 8661ASK.fPPC (0681275-3772)