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497 Contribution Report <br />Amounts may be rounded to whole dollars. <br />NAME OF FILER <br />Gaby Plascencia Riverside City Council Ward 5 <br />Date of 03/15/2019 <br />This Filing <br />Date Stamp <br />//�� <br />RECEIVE G C/ -C��C <br />MAR (, /(p 153 2010 <br />CI of Riverside <br />City Clerk's Office <br />CALIFORNIA 497 <br />FORM <br />1 <br />Report No. <br />AREA CODE/PHONE NUMBER <br />I.D. NUMBER (if applicable) <br />1407581 <br />For Official Use Only <br />❑ Amendment <br />to Report No <br />STREET ADDRESS <br />(explain below) , <br />No. of Pages <br />CITY STATE ZIP CODE <br />Riverside CA <br />❑ IND <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 />Charles and Naomi Avila <br />Self employed <br />❑ IND <br />The Tamale Factory <br />$1,000 <br />Riverside, CA <br />• COM <br />3663 Main Street <br />3/14/2019 <br />© OTH <br />Riverside, CA 92501 <br />❑ Check if Loan <br />❑ PTY <br />■ SCC <br />Provide interest rate <br />■ IND <br />0 COM <br />• OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />Provide interest rate <br />• IND <br />❑ COM <br />■ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <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 Form 497 (Feb/2019) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />