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Late Contribution Report Type or print in ink. Amounts may be rounded to whole dollars. LATE CONTRIBUTION REPORT Iv NlvIG yr rILr-K Mike Soubirous for Riverside City Council -Ward 3 2013 - -- Date of 09!0612013 Date Stamp CALIFORNIA `� AMOUNT This Filing LCR- 20130; � � E 11�E - :FORM AREA CODE/PHONE NUMBER . NUMBER (if applicable) 1.D abl 11355581 For Official Use Only California Real Estate PAC /BORPAC Candidate Support ❑ IND Report No. ❑ Amendment S E P 0 6 2013 STREET ADDRESS ❑X COM to Report No. (explain below) City of Riverside CITY STATE ZIP CODE Riverside CA No, of Pages 2 City C�1 Office Late Contribution(s) Received DATE RECEIVED FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF; SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED 09/06/2013 California Real Estate PAC /BORPAC Candidate Support ❑ IND 1000.00 ❑X COM ❑ OTH Los Angeles CA ❑ PTY ID: 890106 ❑ scc ❑ IND ❑ COM ❑ OTH ❑ PTY ID: ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ID: ❑ SCC *Contributor Codes IND - Individual PTY - Political Party COM - Recipient Committee (other than PTY or SCC) SCC - Small Contributor Committee OTH - Other I Reason for Amendment: Date Stamp FPPC Form 497(Junel01) FPPC Toll -Free Helpline: 866 /ASK -FPPC T1 0 M Pc n 0 p p r cn v CID w W cn 0 m 0 rn IV 0 W fV fV w rn 0 0 0 0 IV