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497 Gardner (03-27-19)_R
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5/22/2019 3:54:28 PM
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3/27/2019 10:08:04 AM
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Late Contribution Report <br />LATE CONTRIBUTION REPORT <br />NAME OF FILER <br />Mike Gardner for City Council Ward 1 2019 <br />Date of <br />This Filing 03/27/2019 <br />Date Stamp <br />ECE <br />/>* <br />MAR AR 2 ? <br />2019 <br />Chi o€ <br />City� Vers kie <br />CALIFORNIA A 97 <br />FORM '} <br />For Official Use Only <br />AREA CODE IPHONE NUMBER <br />LD. Number (if applicable) <br />1256312 <br />Report No. Lctz-2019032E <br />1 Amendment to <br />STREET ADDRESS <br />1,000.00 <br />Check if Loan <br />% <br />CITY STATE ZIP CODE1 <br />Riverside. CA <br />No, of Pates: <br />Late Contribution(s) Received <br />DATE <br />RECEIVED <br />FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />CONTRIBUTOR <br />CODE " <br />IF AN INDNIDUAL, OCCUPATION <br />& EMPLOYER ar BUSINESS NAME <br />IF COMMITTEE - ID NUMBER <br />RECENED <br />03/26/2019 <br />Maxi Foods <br />Riverside CA <br />OTH <br />1,000.00 <br />Check if Loan <br />% <br />Provide interest rate <br />Contributor Codes <br />IND - Individual <br />COM -Recipient Committee (Other than PTY or SCC) <br />OTH - alter (e.g. business entity <br />PTY - Political Party <br />SCC - Small Contributor Committee <br />PPM Forts 497Venn i:41S) <br />FPPC Toll -Free Helpline: 866TASl(-FPPC <br />86N275-3712 <br />6T0Z/LZ/E0 <br />
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