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497 Contribution Report <br />Amounts may be rounded to whole dollars. <br />NAME OF FILER <br />Date of <br />This Filing <br />Date Stamp <br />CALIFORNIA A 97 <br />FORM �} <br />For Official Use Only <br />Report No. <br />AREA CODE/PHONE NUMBER <br />I.D. NUMBER (d applicable) <br />STREET ADDRESS <br />■ Amendment <br />to Report No. <br />(explain below) <br />No. of Pages <br />CITY STATE ZIP CODE <br />2. Contribution(s) Made <br />DATE <br />MADE <br />FULL NAME, STREET ADDRESS AND ZIP CODE OR RECIPIENT <br />(IF COMMnTEE, ALSO ENTER I.D. NUMBER) <br />CANDIDATE AND OFFICE <br />O <br />MEASURE ANDJURISDICTION <br />AMOUNT OF <br />CONTRIBUTION <br />DATE OF ELECTION <br />(IF APPLICABLE) <br />Reason for Amendment: <br />FPPC Form 497 (Feb/2019) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />