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Late Contribution Report <br />Type or print in ink. <br />Amounts may be rounded to whole dollars. <br />NAME OF FILER <br />Mike Soubirous for Riverside City Council - <br />Ward 3 2013 <br />Date of <br />This Filing <br />10/01/2013 <br />AREA CODEIPHONE NUMBER <br />I.D. NUMBER (if applicable) <br />1355581 <br />Report No. <br />LCR- 20931( <br />STREET ADDRESS <br />❑ Amendment <br />to Report No. <br />(explain below) <br />CITY STATE ZIP CODE <br />Riverside <br />CA <br />No. of Pages ---Z <br />Late Contribution(s) Received <br />ATE <br />FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />CONTRIBUTOR <br />;RECEIVED <br />(IF COMMITTEE, ALSO ENTER LD. NUMBER) <br />CODE <br />1!2013 <br />Mrs. <br />�BettySpdnggs <br />❑ IND <br />❑ COM <br />Riverside <br />CA <br />1771 OTH <br />El <br />ID. <br />PTY <br />❑ SCC <br />❑ IND <br />❑ COM <br />❑ OTH <br />ID. <br />El PTY <br />❑ SCC <br />❑ IND <br />❑ COM <br />❑ OTH <br />ID: <br />❑ PTY <br />❑ SCC <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 />Date Stamp <br />RECEIVE <br />OCT 11 2013 <br />City of RiversidE <br />City Clerk's Offic <br />1/2 <br />LATE CONTRIBUTION REPORT <br />CAL IFORNIA <br />FORM 49 7 <br />or For Official Use Only <br />IF AN INDIVIDUAL <br />ENTER OCCUPATION AND EMPLOYER AMOUNT <br />(IF SELF - EMPLOYED, ENTER NAME OFBUSINESS) RECEIVED <br />fired 500.00 <br />Date Stamp FPPC Form 497(June /01) <br />FPPC Toll -Free Helpline: 8661ASK -FPPC <br />