Laserfiche WebLink
Late Contribution Report Type or print in ink. <br />Amounts may be rounded to whole dollars. <br />NAME OF FILER <br />Mike Soubirous for Riverside City Council - Ward 3 2013 <br />AREA CODE/PHONE NUMBER <br />LID, NUMBER (if epprcable) <br />1355581 <br />STREET ADDRESS <br />Date of 04120/2013 <br />This Fit g lin <br />Report No. LCR- 201304 <br />❑ Amendment <br />to Report No. <br />CITY STATE ZIP CODE (explain below) <br />Riverside CA No. of pages 2 <br />Late Contribution(s) Received <br />DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) <br />04/19/2013 j Mrs. Rita M. Masuga <br />C C <br />March Air Force Base CA _ <br />ID: <br />04/19/2013 Mr. Michael P. Soubirous <br />Riverside CA <br />ID: <br />in <br />*Contributor Codes <br />IND - Individual PTY - Political Party <br />COM - Recipient Committee (other than PTY or SCC) SCC - Small Contributor Committee <br />OTH - Other <br />Reason for Amendment: <br />CONTRIBUTOR <br />CODE <br />0 IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />M IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />LATE CONTRIBUTION REPORT <br />Date Stamp CALIFORNIA <br />RECEIVE FORM 497 . <br />For Official Use Only <br />APR 22 2013 <br />CitY Clerks O fc Of Riere <br />112 <br />IF AN INDIVIDUAL <br />ENTER OCCUPATION AND EMPLOYER <br />(IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) <br />Police Officer <br />AMOUNT <br />RECEIVED <br />10000.00 <br />10000.00 <br />Date Stamp FPPC Form 497(June /01) <br />FPPC Toll -Free Heiptine: 866 /ASK -FPPC <br />0 <br />—I <br />W <br />m <br />n <br />0 <br />p <br />z <br />n <br />V <br />Co <br />co <br />rn <br />w <br />cJl <br />0 <br />.p <br />N <br />6 <br />N <br />O <br />C� <br />N <br />N <br />co <br />w <br />cn <br />0 <br />0 <br />0 <br />0 <br />N <br />