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C <br />497 Contribution Report Amounts maybe rounded to whole dollars. <br />NAIdE OF FILER W v -,i -A -j' -ZOIIq <br />Date of <br />i% ' }� <br />` <br />Date StampWForOffic-W <br />" r0>' i Y r' i OvnCi <br />This Filing , <br />e Only <br />I <br />PHONE NUMBER I.D. NUTABER ffrapciicaEfel <br />NJ <br />F�eport No. <br />❑ Amendment <br />SEP 2 0 2019 <br />STREETADDRESS <br />❑ IND <br />to Report No. <br />City of Riverside <br />CITY STATE ZIP CODE <br />(explain Wow) <br />City lefWs Office <br />12 I•� <br />No. of Pages <br />1. Contribution(s) Received <br />DATE <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />CONTRIBUTOR <br />CODE" <br />IF A14 INDIVIDUAL, <br />ENTER OCCUPATION AND EMPLOYER <br />�F &ELF f7�FLAYID.fNTER NA��OFBLCJNESSI <br />AMOUNT <br />RECEIVED <br />RECEIVED <br />OF0OMMiTT� ALSO L14TER I.D. "..\'EER} <br />ry-z ►'�frd`I-� Mfr-��i'�1Y1-i :°r/ <br />❑ IND <br />7✓) <br />1 <br />"i <br />('-t)'0,� (-iv a �� <br />❑ OTH COM <br />❑ Check it Loan <br />❑ PTY <br />G <br />CA4� - �G <br />❑ SCC <br />Provide interest rete <br />❑ IND <br />❑ COM <br />❑ OTH <br />[:]Check if Loan <br />❑ PTY <br />❑ SCC <br />Protide interest rate <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />Provide interest rate <br />Reason forAmendment: <br />I Contributor Codes <br />IND - Individual <br />COM - Recipient Commiftee (other than PTY or SCC) <br />OTH Other (e.g., business entity) <br />PTY - Political Party <br />SCC - Small Contributor Committee <br />F PPC Forin 497 1 Feb/2019) <br />FPPC Advice: adivioe@Ippc.ra.gov (666/275-3772) <br />www.fppc.ca.gov <br />I Us <br />m <br />O <br />z <br />w <br />LU <br />L.) <br />LU <br />W <br />