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497 Contribution Report Amounts may be rounded to whole dollars. <br />497 CONTRIBUTION REPORT <br />NAME OF FILER <br />Date of <br />Date Stamp <br />_ <br />• <br />Monrow Mabon for Riverside City Council 2021 <br />This Filing03/22/2021 <br />RECEIVED <br />• <br />AREA CODE/PHONE NUMBER <br />I.D. NUMBER (ifapplicab/e) <br />For Official Use Only <br />Sacramento, CA <br />Committee ID # 1434571 <br />x COM <br />Report No. 1 <br />1428458 <br />MAR 2 2 2021 <br />STREET ADDRESS <br />❑ PTY <br />❑ Amendment <br />to Report No. <br />(explain below) <br />City of Riverside <br />City Clerk's Office <br />i <br />CITY STATE ZIP CODE <br />No. of Pages 1 <br />Covina CA <br />❑ IND <br />1. Contribution(s) Received <br />DATE <br />RECEIVED <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />(IF COMMITTEE, ALSO ENTER I.D. NUMBER) <br />CONTRIBUTOR <br />CODE * <br />WAN INDIVIDUAL, <br />ENTER OCCUPATIONAND EMPLOYER <br />(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) <br />AMOUNT <br />RECEIVED <br />03/22/2021 <br />Jose Median for Assembly 2022 <br />❑ IND <br />1,000.00 <br />Sacramento, CA <br />Committee ID # 1434571 <br />x COM <br />❑ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />i <br />Provide interest rate <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />i <br />Provide interest rate <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />i <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@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />