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497 Contribution Report Amounts may be rounded to whole dollars. <br />497 CONTRIBUTION REPORT <br />NAME OF FILER Date of DateStamp A <br />Andy Melendrez for Mayor 2020 This Filing 02/11/2020 <br />AREA CODEIPHONE NUMBER I.D. NUMBER ffapplicable) Report No. 16 R E C` E I Vo E For Official Use Only <br />STREETADDRESS 1421003 FEB 112029 <br />n Amendment <br />to Report No. City of Riverside <br />CITY STATE ZIP CODE (explain below) City ClefWs Office <br />Riverside CA No. of Pages <br />1. Contribution(s) Received <br />DATE <br />RECEIVED <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />(IFCOMMITTEE, ALSO ENTER I.D. NUMBER) <br />CONTRIBUTOR <br />CODE <br />IF AN INDIVIDUAL, <br />ENTER OCCUPATION AND EMPLOYER <br />(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) <br />AMOUNT <br />RECEIVED <br />02/10/2020 <br />Andargachew Shawel <br />IND <br />Homemaker <br />M/A <br />1,000.00 <br />Placentia, CA <br />D COM <br />El OTH <br />0 Check if Loan <br />F� PTY <br />F-1 SCC <br />Provide interest rate <br />IND <br />F-1 COM <br />[—] OTH <br />Check if Loan <br />F-1 PTY <br />F� SCC <br />% <br />Provide interest rate <br />F-1 IND <br />F� com <br />El OTH <br />E] Check if Loan <br />M PTY <br />r-1 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@fppe.ca.gov (8661275-3772) <br />www.fppc.ca.gov <br />