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Amounts may be rounded to whole dollars. <br />dQ7 r0NTP!AI rr!nNI Pr-Pr)PT <br />NAME OF FILER <br />Date of <br />Date Stamp <br />IF AN INDIVIDUAL, <br />OCCUPATION AND EMPLOYER <br />Erin Edwards for City Council Ward 1 2019 <br />This Filing 09/27/2019 <br />a-%E4%E IVE <br />PRI, <br />locialk 0 <br />MUS.Only <br />AREA CODE/PHONE NUMBER <br />I.D. NUMBER (irap#iai*) <br />09/27/2019 <br />�1406052 <br />%a <br />ficial <br />Report No. 957751-AStj <br />I <br />Sacramento, cA <br />com <br />2 7 2019 <br />STREET ADDRESS <br />Committee ID # 1414629 <br />E] Amendment <br />SEP <br />to Report No. <br />(explain below) <br />City ot"Riverside <br />CITY STATE ZIP CODE <br />Riverside <br />No. of Pages 1 <br />city clefws office <br />CA <br />El SCC <br />1. Contribution(s) Received <br />DATE <br />RECEIVED <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />(IF COMMITTEE ALSO ENTER LD. NUMBER)ENTER <br />CONTRIBUTOR <br />IF AN INDIVIDUAL, <br />OCCUPATION AND EMPLOYER <br />AMOUNT <br />CODE <br />(IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) <br />RECEIVED <br />09/27/2019 <br />Jose Medina for Assemblv 2020 <br />1,000.00 <br />F1 IND <br />Sacramento, cA <br />com <br />Committee ID # 1414629 <br />❑ OTH <br />0 Check if Loan <br />171 PTY <br />El SCC <br />% <br />Provide interest rate <br />Ej IND <br />F1 COM <br />E] OTH <br />❑ Check if Loan <br />E] PTY <br />❑ SCC <br />Provide interest rate <br />❑ IND <br />El COM <br />OTH <br />E] Check if Loan <br />❑ PTY <br />❑ SCC <br />Provide interest rate <br />Reason for Amendment: <br />"Contributor Codes <br />IND—individual <br />COM — Recipient Committee (otherthan PTY or SCC) <br />OTH — Other (e.g., business entity) <br />PTY—Political Party <br />SCC — Small Contributor Committee <br />FPPC Form 497 (Feb12019) <br />FPPC Advice: advice@,fppc.ca.gov (8661275-3772) <br />www.fppc.ca.gov <br />10 <br />0 <br />0 <br />z <br />LU <br />U <br />w <br />Of <br />