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497 Plascencia W5 (01-25-2024) Amendment_R
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497 Contribution Report <br />Amounts may be rounded to whole dollars. <br />NAME OF FILER <br />Date of 1125/2024 <br />Date Stamp <br />f ' <br />Re-elect Gaby Plascencia Riverside City Council Ward 5 - 2024 <br />This Filing <br />- E <br />. <br />AREA CODEIPHONE NUMBER <br />I.D. NUMBER (ifapplicablej <br />1407581 <br />Report No. <br />For Official Use Only <br />Local 721, CTW, CLC, State & Local <br />❑ IND <br />JAN 2 5 2024 <br />-$1,000 <br />STREETADDF2ESS <br />Los Angeles, CA <br />® Amendment <br />to Report No. 3€t' <br />of Riverside <br />1/16/2024 <br />(explain below) <br />City Clerils Office <br />CITY STATE ZIP CODE <br />1 <br />❑ PTT' <br />Riverside CA <br />No. of Pages <br />8CC <br />9. Gontribution(s) Received <br />DATE <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />CONTRIBUTOR <br />[FAN INDIVIDUAL, <br />ENTER OCCUPATION AND EMPLOYER <br />AMOUNT <br />RECEIVED <br />(IF COMMITTEE, ALSO ENTER I.Q. NUMBER) <br />CODE' <br />(IF SELF-EMPLOYED, EWER NAME OF BUSINESS) <br />RECEIVED <br />Service Employees International Union <br />Local 721, CTW, CLC, State & Local <br />❑ IND <br />-$1,000 <br />Los Angeles, CA <br />❑ COM <br />1/16/2024 <br />1 #743794 <br />❑ OTH <br />ElCheck if Loan <br />❑ PTT' <br />8CC <br />Provide interest rate <br />® IND <br />® COM <br />❑ OTH <br />© Check if Loan <br />❑ PTY <br />❑ SCG <br />Provide interest rate <br />❑ IND <br />® COM <br />❑ OTH <br />© Check if Loan <br />❑ PTY <br />❑ SCC°1° <br />Provide interest rate <br />* Contributor Codes <br />IND - individual <br />COM - Recipient Committee (other than PTY or SCC) <br />This amendment is to cancel REPORT No. 3. Check for $1,000 got cancelled OTH - Other (e.g., business entity) <br />Reason for Amendment:eerflptjeyeesef,get PTY - Political Party <br />SCG - 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 />
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