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497 Plascencia CC W5 (05-16-19)_R
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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 2019 <br />Date of 5/15/19 <br />This Filing <br />Date Stamp <br />RECEIVE <br />MAY 16 2019 <br />City of Riverside <br />City Clarks Office <br />CALIFORNIA <br />FORM <br />For Official Use <br />(i 97 <br />Only <br />Report No. 7 <br />p <br />AREACODE/PHONE NUMBER <br />I.D. NUMBER (if applicable) <br />1407581 <br />Self Employed <br />Owner-Adelanto Air Expressway <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 />PTY <br />1. Contribution(s) Received <br />DATE <br />RECEIVED <br />FULL NAME, STREETADDRESSAND 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 />5/15/19 <br />Martha Cuevas <br />® IND <br />Self Employed <br />Owner-Adelanto Air Expressway <br />$1,000 <br />u COM <br />OTH <br />■ Check if Loan <br />PTY <br />i, SCC <br />Provide interest rate <br />•I IND <br />• COM <br />1I OTH <br />■' Check if Loan <br />$'', PTY <br />SCC <br />Provide interest rate <br />IND <br />COM <br />•' OTH <br />■ Check if Loan <br />® PTY <br />0 SCC <br />Provide interest rate <br />Reason forAmendment- <br />Clear Page <br />Print <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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