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497 Contribution Report Amounts may be rounded to whole dollars. <br />AQ7 C (1NTRIRI rrIC1NI RFPr1RT <br />NAME OF FILER <br />Date of <br />Date Stamp <br />. <br />Monrow Mabon for Riverside City Council 2021 <br />This Filing05/25/2021 <br />f X <br />;. <br />® • <br />0 <br />For Official Use Only <br />AREA CODE/PHONE NUMBER <br />I.D. NUMBER (Yapp/icable) <br />Washington, DC _ <br />Committee ID # C00498667 <br />Report No. 7r <br />1428458 <br />E]c/o Amendment <br />MA' 25 202E <br />❑ Check if Loan <br />STREET ADDRESS <br />to Report No. <br />(explain below) <br />city G"' <br />- <br />CITY STATE ZIP CODE <br />No. of Pages 1 <br />afy Cie <br />% <br />Covina CA <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 EMPLOYENTER NAME OF BUSINESS) <br />(IF SELF-EMPLOYED, ENTER <br />E <br />AMOUNT <br />RECEIVED <br />05/21/2021 <br />Takano for Congress <br />F-1 IND <br />1,000.00 <br />Washington, DC _ <br />Committee ID # C00498667 <br />X 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.qov <br />