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Schedule A <br />Amounts may be rounded <br />SCHEDULE A <br />nc� w�i�ie u"I`n�a. <br />Monetary Contributions Received <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />P <br />from l0//9 <br />CALIFORNIA <br />FORM 460 <br />71 <br />through. /'I 7rcf <br />Page <br />of <br />NAME OF FILER <br />a6Vie- c <br />(.D. NUMBERr <br />DATE <br />RECEIVEDCODE <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />(IF COMMITTEE,ALSO ENTER I.D. NUMBER)OCCUPATION <br />CONTRIBUTOR <br />* <br />IFAN !NDMVIDUAL, ENTER <br />AND EMPLOYER <br />{IF SELF-EMPLOYED. ENTER NAME <br />OF BUS€ FESS} <br />AMOUNT <br />RECEIVED THIS <br />PERIOD <br />CUMULATIVE TO DATE <br />CALENDAR YEAR <br />(JAN. 1 - DEC. 31) <br />PER ELECTION <br />TO DATE <br />(IF REQUIRED) <br />❑ IND <br />❑ COM <br />❑ OTH <br />• PTY <br />❑ SCC <br />• IND <br />• COM <br />• OTH <br />• PTY <br />❑ SCC <br />• IND <br />• COM <br />• OTH <br />❑ PTY <br />❑ SCC <br />❑ IND <br />❑ CDM <br />OTH <br />❑ PTY <br />❑ SCC <br />• IND <br />• COM <br />• OTH <br />❑ PTY <br />❑ sec <br />SUBTOTAL $ <br />Schedule A Summary <br />1. Amount received this period — itemized monetary contributions. <br />(Include all Schedule A subtotals.) $ <br />2. Amount received this period — unitemized monetary contributions of less than $104 $ <br />3. Total monetary contributions received this period. <br />(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ <br />'Contributor Codes <br />!ND — Individual <br />COM — Recipient Committee <br />(other than PTY or SCC) <br />OTH — Other (e.g., business entity) <br />PTY — Political Party <br />SCC — Small Contributor Committee <br />FPPC Form 460 {Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />