497 Edwards CC W1 (09-24-19)2_R - Laserfiche WebLink

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C=) 497 Contribution Report Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT NAME OF FILER Date of Date Sl -]M= - Erin Edwards for City Council Ward 1 2019 This Filing 09/24/2019' y .. Q � � AREA CODE/PHONE NUMBER I.D. NUMBER (inapplicable) For Official Use Only Report No. 683377 -KA 2 4 2019 SEP ❑ OTH STREET ADDRESS D Check if Loan ❑ PTY ❑ Amendment to Report No. (explain below) , city 0� d�ijs• Y �4C�� di �° ; offif rru, 7 CITY STATE ZIP CODE ❑ SCC No. of Pages 1 i Provide interest rate Riverside CA 1. Contribution(s) Received DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE* IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED 09/21/2019 Sabrina Cervantes for Assembly 2020 ❑ IND 1,000.00 Sacramento, CAx Committee ID # 1 1 1 2 ❑ COM ❑ OTH D Check if Loan ❑ PTY ❑ SCC i Provide interest rate ❑ IND ❑ COM ❑ OTH D Check if Loan F] PTY F-1SCC o Provide interest rale ❑ IND ❑ COM ❑ OTH p Check if Loan ❑ PTY ❑ SCC Provide interest rate Reason for Amendment: 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 497 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov rn 1p 0 0 Lu 0 N v N O co M 0 z w LU LU U w