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497 Edwards CC W1 (09-05-19)_R
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SEP/05/2019/THU 01:09 PM Deane & Company FAX No, <br />P. 001/001 <br />497 Contribution Report Amounts may be rounded to whole dollars. <br />497 CONTRIBUTION REPORT <br />NAME OF FILER Date of Date Stamp 0 <br />Erin Edwards for city Council Ward 1 2019 This Filing 09/05/201.9 <br />AREA CODE/PHONE NUMBER I.D. NUMBER (7rapplicable) Report No. 683378 -KA RECEIV or Official Use Only <br />�1406052 <br />❑ Amendment SEP 0 5 01 <br />to Report No. <br />CITY STATE ZIP CODE (explain below) City of Riverside <br />Riverside CA No. of Pages 1 City Clerk's Of! ice <br />1. Contribution(s) Received <br />DATE <br />RECEIVED <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />CONTRIBUTOR <br />ENTER OCCIFANINDIVIDUAL. UPATION AND EMPLOYER <br />AMOUNT <br />(IF GOMMITT`15E, ALSO ENTERIM, NUMBER) <br />CODE <br />(IFSELF-EMPLOYED, ENTER NAME OF BUSINESS) <br />RECEIVED <br />09/05/2019 <br />United Food & Commercial workers Union (UFCW) Local 1167 <br />1,000.00 <br />❑ IND <br />Bloomington, C <br />FX -1 COM <br />Committee ID # 1 1 <br />E] OTH <br />Q Check if Loan <br />F-1 PTY <br />F-1 SCC <br />Provide interest rate <br />7 IND <br />7 com <br />7 OTH <br />Q Check if Loan <br />❑ PTY <br />❑ SCC <br />Provide interest rat <br />❑ IND <br />F COM <br />❑ OTH <br />E] Check if Loan <br />❑ PTY <br />El SCC <br />% <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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