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497 Plascencia CC W5 (04-25-19)_R
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5/22/2019 3:19:41 PM
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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 4/25/2019 <br />This Filing <br />Date Stamp <br />APR 2 5 <br />City of IVeS <br />City Clerk's <br />2019 <br />side <br />Office <br />CALIFORNIA 497 <br />FORM <br />For Official Use Only <br />Report No. <br />1`y <br />AREA CODE/PHONE NUMBER <br />I.D. NUMBER (if applicable) <br />1407581 <br />Local Union 440/IBEW <br />STREET ADDRESS <br />■ Amendment <br />to Report No <br />(explain below) 1 <br />No. of Pages <br />CITY STATE ZIP CODE <br />Riverside CA <br />1,000 <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 />International Brotherhood of Electrical Workers <br />Local Union 440/IBEW <br />■ IND <br />1,000 <br />■ COM <br />Riverside, CA <br />4/24/2019 <br />■ OTH <br />0 Check if Loan <br />■ PTY <br />❑X SCG <br />Provide interest rate <br />Professor <br />■ IND <br />Riverside Community College <br />■ COM <br />OTH <br />0 Check if Loan <br />• PTY <br />■ SCC <br />Provide interest rate <br />■ IND <br />■ COM <br />■ OTH <br />ID 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 />
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