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2014/01/01 - 2014/05/30 - AFSCME - Form 497Late Contribution Report Type or print in ink. p Amounts may be rounded to whole dollars. LATE CONTRIBUTION REPORT NAME OF FILER Date of Date Stamp WOfficial 5 -30 -14 q0nly AFSC ME Local 101 AFL -CIO PAC This Filing AREA CODE /PHONE NUMBER I.D. NUMBER (dapplicable) 408 - 206 -6764 821697 Report No. 2014 -01 �� ;�,, N ?pl STREET ADDRESS d 1150 North First Street E] to �RKS'r to Report No. CITY STATE ZIPCODE (explain below) Pages 1 of 2 No. of Pa San Jose CA 95112 9 Late Contribution(s) Received DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR F COMMITTEE, ALSO ENTER I.D NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF SELF- EMPLOYED, ENTER NAME OF BUSINESS) ❑ IND Local 101 AFSCME Trust ❑ 5 -29 -14 1150 North First Street OTH OTH 35,000.00 San Jose, CA 95112 ❑ PTY ❑ SCC E] Check if Loan ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ Check if Loan ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC E] Check if Loan `Contributor Codes IND — Individual PTY — Political Party QOM — 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 Type or print in ink. Late Contribution Report Amounts may be rounded to whole dollars. LATE CONTRIBUTION REPORT NAME OF FILER Date of 5 -30 -14 Date Stamp � � �! • AFSCME Local 101 AFL -CIO PAC This Filing - AREA CODE /PHONE NUMBER I.D. NUMBER (6applicable) 2014 -01 or Icia"se' Only 408 - 206 -6764 821697 Report No. STREET ADDRESS 1150 North First Street ❑Amendment to Report No. CITY STATE ZIPCODE (explain below) San Jose CA 95112 No. of Pages 2 of 2 Late Contribution(s) Made DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT CANDIDATE AND OFFICE AMOUNT OF DATE OF ELECTION MADE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) MEASURE AND JURISDICTION CONTRIBUTION (IF APPLICABLE) South Bay Central Labor Council COPE Mailer for Cortese for Mayor 2014 5 -29 -14 2102 Almaden Road, Suite 114 35,000.00 06 -03 -14 San Jose, CA 95125 FPPC #744711 06 -03 -14 Reason for Amendment: FPPC Form 497 (Jan/03) FPPC Toll -Free Helpline: 866/ASK-FPPC - 8661275 -3772