HomeMy WebLinkAboutNo on G San Luis Obispo 2014 - Form 497 - 09-26-14Type or print in ink.
497 Contribution Report Amounts may be rounded to whole dollars.
497 CONTRIBUTION REPORT
NAME OF FILER Date of Date Stamp '
NO ON G SAN LUIS OBISPO 2014 This Filing 2014 -09 -26
AREA CODEIPHONE NUMBER I.D. NUMBER (ifappllcable) Report No. 3 or Official Use Only
(805) 664 -0850 1370781 RECEIVED
STREETADDRESS
❑ Amendment
108 BROAD ST to Report No. SEP 2 6 2014
CITY STATE ZIP CODE (explain below) I
SAN LUIS OBISPO CA 93405 -1708 No. of Pages 1 SLO CITY CL "_Rt4
1. Contribution(s) Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECENED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
(IF SELF - EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
KEITH GURNEE
® IND
NONE
2014 -09 -25
108 BROAD ST
❑ COM
2,000.00
SAN LUIS OBISPO CA 93405 -1708
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
i
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
El COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
i
Provide interest rate
Reason for Amendment:
"Contributor Codes
IND — Individual
COM — Recipient Committee (other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 497 (March/2011)
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