Report History
This Original filed:	12/3/2009 12:37:39 PM	{displayed below}

Report of Bank Deposit (C3) - $250.00 on 11/9/2009
filed 12/3/2009 12:37:39 PM by Abbot Taylor

Committee Name	Citizens For David Bloom
Mailing Address	3822 42nd Ave. NE Seattle, WA 98105
Office Sought	CITY COUNCIL MEMBER
Candidate	DAVID BLOOM
Treasurer

Source of Funds	First Date Received	Last Date Received	Amount	Aggregate
Anonymous	//	//	$ 0.00	$274.00
Candidate	//	//	$ 0.00	$ 0.00
Loans	//	//	$ 0.00
Miscellaneous	//	//	$ 0.00

Source of Funds	First Date Received	Last Date Received	Number	Amount
Contributors of $25 or Less				$ 0.00

Itemized Contributions - Required for Contributors of more than $25.00
Receipt Date	Name & Address	Employer & Occupation	Amount	Aggregate
11/5/2009	DIANE SCHMITZ SEATTLE, WA 98125	GROUP HEALTH SEATTLE, WA DIRECTOR	$100.00	$350.00
11/5/2009	PAUL BENZ EVERETT, WA 98203	LUTHERAN PUBLIC POLICY OFFICE SEATTLE, WA DIRECTOR	$50.00	$275.00
11/5/2009	JOY SMITH SEATTLE, WA 98125	SEATTLE SCHOOLS SEATTLE, WA PROJECT MANAGER	$50.00	$150.00
11/5/2009	CYDNEY GILLIS EVERETT, WA 98201		$50.00	$50.00
Subtotal - Itemized Contributions			$250.00

Total Deposit	$250.00
Deposit Date	11/9/2009

Report Certified By	Abbot Taylor
Date Certified	12/3/2009 12:37:39 PM
Treasurer's Daytime Telephone Number

http://web6.seattle.gov/ethics/filings/popfiling.aspx?prguid=DB86A6DE-5ED3-4D4E-9D32-DCA507C6223D