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497 Contribution Report <br />Amounts may be rounded to whole dollars. <br />NAME OF FILER <br />PhilipFalcone for Riverside CityCouncil Ward 1 2019 <br />Date of 3/6/19 <br />This FilingRECEIVED <br />Date Stamp <br />MAR 0 6 2019 <br />City of Riverside <br />CityClerk's Office <br />CALIFORNIA <br />FORM 4 n 7 <br />— <br />For Official Use Only <br />Report No. <br />AREACODE/PHONE NUMBER <br />I.D. NUMBER Ofappllcable) <br />1402303 <br />STREET ADDRESS <br />• Amendment <br />to Report No. <br />(explain below) <br />No. of Pages <br />CITY STATE ZIP CODE <br />Riverside CA <br />I• COM <br />1. Contribution(s) Received <br />DATE <br />RECEIVED <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />(IF COMMITTEE, ALSO ENTER I.D. NUMBER) <br />CONTRIBUTOR <br />CODE* <br />IF AN INDIVIDUAL, <br />ENTER OCCUPATION AND EMPLOYER <br />(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) <br />AMOUNT <br />RECEIVED <br />Naomi Avila <br />Owner — The Tamale Factory <br />Restaurant <br />$1000 <br />►i IND <br />3/6/19 <br />Riverside, CA <br />I• COM <br />■ OTH <br />• Check if Loan <br />• PTY <br />■ SCC <br />% <br />Provide interest rate <br />■ IND <br />• COM <br />• OTH <br />• Check if Loan <br />■ PTY <br />■ SCC <br />% <br />- <br />Provide interest rate <br />• IND <br />• COM <br />■ OTH <br />• Check if Loan <br />■ PTY <br />IN SCC <br />Vo <br />Provide interest rate <br />Reason for Amendment. <br />* Contributor Codes <br />IND - Individual <br />COM - Recipient Committee (other than PTY or SCC) <br />OTH - Other (e.g., business entity) <br />PTY - Political Party <br />SCC - Small Contributor Committee <br />FPPC Ferri 497 (Fah/21119) <br />