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497 Contribution Report <br />Amounts may be rounded to whole dollars. <br />497 CONTRIBUTION REPORT <br />NAME OF FILER <br />Date of <br />Date Stamp <br />CALIFORNIA <br />Monrow Mabon for Riverside City Council 2021 <br />This Filing 05/12/2021 <br />5 <br />RECEIVE <br />• <br />FORM <br />For Official Use Only <br />AREA CODE/PHONE NUMBER <br />I.D. NUMBER (Ifappllcabie) <br />Los Angeles, CA <br />Committee ID # 743794 <br />Report No. <br />1428458 <br />[_1 Amendment <br />MAY 12 202 <br />❑ Check if Loan <br />RE <br />STREET ADDRESS <br />c/o <br />to Report No. <br />(explain below) <br />side <br />City of Riverside <br />CITY STATE ZIP CODE <br />No. of Pages 1 <br />City Clerk's Office_ <br />% <br />Covina CA <br />1. Contribution(s) Received <br />DATE <br />RECEIVED <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />(IF COMMITTEE, ALSO ENTERLD.NUMBER)CODE <br />CONTRIBUTOR <br />IF AN INDIVIDUAL, <br />ENTER OCCUPATION AND EMPLOYER <br />(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) <br />AMOUNT <br />RECEIVED <br />05/12/2021 <br />Service Employees Int'1 Union Local 721, CTW, CLC State & Local <br />F-1 IND <br />4,500.00 <br />Los Angeles, CA <br />Committee ID # 743794 <br />COM <br />❑ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />% <br />Provide interest rate <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />% <br />Provide interest rate <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />of <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 />