HomeMy WebLinkAboutSLO Citizens for Measure G - Form 497 - 09-17-14Late Contribution Report TypeorprintininL
P Amounts may be rounded to whole dollars.
LATE CONTRIBUTION REPOKT
NAME OF FILER Date Stamp Date of
SLO CITIZENS FOR MEASURE G This Filing
09/17/2014
AREA CODE/PHONE NUMBER I.D. NUMBER (1amicabNe) 2 For Official Use Only
805 - 544 -7774 1368735 Report No. RECEIVED
STREET ADDRESS
1175 BUCHON STREET
Amendment
to Report No. SEP 17.201¢
CITY STATE ZIPCODE (explain below)
SAN LUIS OBISPO CA 93401 No. of Pages 1 SLD C1 C+LER
Late Contribution(s) Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
OF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
IND
MINDBODY INC
N/A
16/2014
4051 BROAD STREET
OTH
1,000.00
SAN LUIS OBISPO, CA 93401
❑ PTY
❑ SCC
p Check if Loan
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
p Check if Loan
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Check if Loan
`Contributor Codes
IND — Individual PTY — Political Party
COM — Recipient Committee (other than PTY or SCC) SCC — Small Contributor Committee
OTH — Other
Reason for Amendment:
FPPC Form 497 (Jan/03)
FPPC Toll -Free Helpline: 866/ASK -FPPC
8661275 -3772