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497 Contribution Report <br />Amounts may be rounded to whole dollars. <br />NAME OF FILER <br />,74 <br />AREA CODEIPHONE NUMBER La MUMBER apAricable) <br />) <br />STREET ADDRESS <br />, <br />4_ ,r <br />c:TY <br />1. Contribution(s) Received <br />STATE ZIP CODE <br />Date of <br />This Filing <br />c <br />Report No. <br />El Amendment <br />to Report No. <br />explain below) <br />No. of Pages <br />Date <br />g 44. <br />a p <br />LriV <br />%.4." <br />CALIFORNIA 497 <br />FORM <br />DATE <br />RECEIVED <br />r <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />oF cormryEE,ALso ENTER 1.0, NumBER) <br />. = <br />k.L.4 gY444 4-44i-nr4-" <br />' <br />./(CleAl <br />CONTRIBUTOR <br />CODE <br />6-Hr-1/tic <br />IND <br />COM <br />OTH <br />PTY <br />SCC <br />ITJ IND <br />COM <br />• OTH <br />Li PTY <br />Lil SCC <br />IF AN INDIVIDUAL <br />ENTER OCCUPATION AND EMPLOYER <br />oF SELF-EMPLOYD. ENTER NAME OF BUSINESS) <br />AMOUNT <br />RECEIVED <br />Check <br />Provide interest rate <br />Check if Loan <br />Provide interest rate <br />E IND <br />E COM <br />7 OTH <br />• PTY <br />SCC <br />E Check if Loan <br />Provide interest rate <br />Reason for Amendment: <br />**Contributor Codes <br />IND — Individual <br />COM — Redpient 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 (Jul/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />