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497 Contribution Report Amounts may be rounded to whole dollars. <br />NAME OF FILER <br />Date of pDate <br />h if, <br />Stamp <br />IF AN INDIVIDUAL, <br />Gaby Plascencia Riverside City Council Ward 5 <br />This Filing 1 <br />9 <br />R ECO ';"E I "VE <br />0] V 171 <br />AREA CODE/PHONE NUMBER <br />I.D. NUMBER ffapplicabls) <br />RECEIVED <br />(IF COMMITTEE, ALSO ENTER I.D. NUMBER) <br />1407581 <br />Report No. <br />RECEIVED <br />For Official Use Only <br />OCT 0 q 2019 <br />STREET ADDRESS <br />[5X_1 IND$ <br />F] Amendment <br />1,000.00 <br />10/9/2019 <br />Rancho Cucamonga, CA <br />to Report No. <br />(explain below} I <br />City of Riverside <br />City Clef Office <br />El Check if Loan <br />CITY STATE ZIP CODE <br />Riverside CA <br />No. of Pages <br />1. Contribution(s) Received <br />* Contributor Codes <br />IND - Individual <br />COM - 'Recipient Committee (other than PTY or SCC) <br />OTH - Other (e.g., business entity) <br />Reason for Amendment: 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 />IF AN INDIVIDUAL, <br />DATE <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />CONTRIBUTOR <br />ENTER OCCUPATION AND EMPLOYER <br />AMOUNT <br />RECEIVED <br />(IF COMMITTEE, ALSO ENTER I.D. NUMBER) <br />CODE* <br />(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) <br />RECEIVED <br />-Martha Cuevas <br />[5X_1 IND$ <br />* 4r <br />1,000.00 <br />10/9/2019 <br />Rancho Cucamonga, CA <br />❑ COM <br />Ej OTH <br />.JJam� <br />El Check if Loan <br />E] PTY <br />❑04 <br />SCC <br />Provide interest rate— <br />❑ IND <br />ri COM <br />❑ OTH <br />0 Check if Loan <br />❑ PTY <br />SCC <br />% <br />Provide interest rate <br />E3 IND <br />❑ COM <br />❑ OTH <br />0 Check if Loan <br />❑ PTY <br />SCC <br />% <br />Provide interest rate <br />* Contributor Codes <br />IND - Individual <br />COM - 'Recipient Committee (other than PTY or SCC) <br />OTH - Other (e.g., business entity) <br />Reason for Amendment: 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 />