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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 />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />(IF COMMITTEE, ALSO ENTER I.D. NUMBER) <br />Date of <br />This Filing <br />5/2/2019 <br />AMOUNT <br />RECEIVED <br />Date Stamp <br />MAY 0 2 2019 <br />City of Riverside <br />�J <br />CitylOffice <br />Clerk's <br />CALIFORNIA <br />FORM V <br />For Official Use Only <br />Report No. <br />4 <br />RECEIVED <br />AREA CODE/PHONE NUMBER <br />I.D. NUMBER (ifapplicable) <br />1407581 <br />■ IND <br />0 Amendment <br />to Report No <br />1,000 <br />■ COM <br />STREET ADDRESS <br />Pomona, CA <br />CITY STATE <br />Riverside CA <br />ZIP CODE <br />(explain below) <br />No. of Pages <br />1 <br />■' OTH <br />0 Check if Loan <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 />OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) <br />AMOUNT <br />RECEIVED <br />Rodriguez for Assembly 2020 <br />ID#1414249 <br />■ IND <br />1,000 <br />■ COM <br />Pomona, CA <br />5/1/2019 <br />ID#1414249 <br />■' OTH <br />0 Check if Loan <br />❑ PTY <br />© SCC <br />Provide interest rate <br />❑ IND <br />_ ,_<= <br />❑ COM <br />■ OTH <br />0 Check if Loan <br />■ PTY <br />■ SCC <br />Provide interest rate <br />❑ IND <br />■ COM <br />■ OTH <br />0 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 />