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FORM 496 Name: Telephone: Address: Postal Code: Mailing Address: (If different from above) WORK/VOLUNTEER EXPERIENCE: BACKGROUND: (special skills, interests, languages spoken...) TIME AVAILABLE: Weekly
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The telephone number for this office is: NAME (Last Name or Middle Initial) 1. 2. Address Telephone FORM 496 NOTIFY IN EMERGENCY: Telephone: Children will be kept in the same classroom for the duration of the school day unless they are attending special classes. If you think the child may be traumatized, notify the school as soon as possible. Children are held back from school. Call 911. (Emergency Number) NAME (Last Name) 1. 2. Address Telephone FORM 497 NAME (Last Name or Middle Initial) 1. 2. Address Telephone FORM 498 NOTIFY EMERGENCY: Telephone: Notify the school in the event of a problem. NOTIFY THE SCHOOL in the event of a medical emergency or if you are feeling unwell. TELL THE SCHOOL IN THE event of the need for any type of medical assistance. E-mail: Please check the Emergency Alert Box for information. Name (Last Name) 1. 2. Address Telephone FORM 499 NAME (Last Name) 1. 2. Address Telephone FORM 499 PERSON TO CALL IN EMERGENCY: Telephone: (No children enrolled as of February 1, 2012.) 3-1-1 NAME (Last Name) 1. 2. Address Telephone FORM 500 NAME (Last Name) 1. 2. Address Telephone FORM 501 NAME (Last Name) 1. 2. Address Telephone FORM 502 PERSON TO CALL IN EMERGENCY: Telephone: (No children enrolled as of February 1, 2012.) NOTIFY AND RETURN TO THE SCHOOL: Telephone: Please check the Emergency Alert Box for information. NAME (Last Name) 1. 2. Address Telephone FORM 510 NAME (Last Name) 1. 2. Address Contact Person: Please click here to give information on the next available person. NOTIFY AND RETURN TO THE SCHOOL: This contact person is in charge of the emergency telephone service in the school. Name (Last Name) 1. 2. Address Telephone FORM 511 NAME (Last Name) 1. 2. Address Telephone FORM 512 NAME (Last Name) 1. 2. Address Telephone FORM 513 NAME (Last Name) 1. 2. Address Telephone FORM 514 NAME (Last Name) 1. 2. Address School: If you know the number, please let us know. Please enter your student's full name: Name (Last Name) 1. 2.

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Form 496 is used to report contributions of $100 or more received by a slate mailer organization or a candidate-controlled committee in support of or in opposition to a state or local candidate or measure. The form includes information about the donor, recipient, and the amount contributed.
Slate mailer organizations (SMOs) and candidate-controlled committees (CCCs) that receive contributions of $100 or more in support of or in opposition to a state or local candidate or measure are required to file Form 496.
To fill out Form 496, you need to provide the information about the recipient committee or organization, donor(s), contribution amount, and purpose of the contribution. You can obtain the form from the appropriate government agency or download it from their website. Follow the instructions provided with the form to ensure accurate and complete reporting.
The purpose of Form 496 is to provide transparency and disclosure of contributions made to slate mailer organizations and candidate-controlled committees in support of or in opposition to state or local candidates or measures. It helps to track campaign financing and prevent potential corruption or undue influence.
Form 496 requires reporting of information such as the recipient committee or organization's name and contact information, the donor's name and contact information, the amount of the contribution, the date received, and a description of the purpose of the contribution.
The specific deadline to file Form 496 in 2023 may vary depending on the election cycle and local regulations. It is recommended to consult the appropriate government agency or check their website for the most accurate and up-to-date deadline information.
Penalties for the late filing of Form 496 can vary depending on the jurisdiction and the extent of the delay. Common penalties may include financial penalties proportional to the amount of contributions received, potential legal consequences, and reputational damage. It is important to comply with the filing deadlines to avoid these penalties.
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