Loading...
497 Contribution Report 4 - Contributions Received on 10-24-18 497 Contribution Report Amounts may be rounded to whole doilars. NAME OF FILER � � n ��1 DatB Stamp �� ( p� J Date of _ • • ' • � � '� � � i>` � This Filing � E � � � I� i tJ � ' a AREACODE/PHONE N�ER �� 1.D.NUMBER(ifapplicable) � p�; �� �..e,.�.� � i� For Official Use Oniy ` No.of Pages � lr�s �€�E € �`�� v; i� as`�� 1. Contribution(s} Received DATE FULL NAME,STREETADDRESSAND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR �FAN INDIVIDUAL, AMOUNT IF COMMITTEE,ALSo ENTER I.D.NUMBER ENTER OCCUPATION AND EM PLOYER RECEIVED , ( ) CODE'� RECEIVED (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) �..�� �f (\! " _N� ,����'� ' .��B�t���— € � ,, �� �� ❑ SCC � Provide in{er��te ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC °% Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC � Provide interest rate "*Contributor Codes IND — Individual COM— Recipient Committee(other than PTY or SCC) OTH — Other(e.g.,business entity) PTY — Political Party Reason for Amendment: SCC — Small Contributor Committee fPPC Form 497(JuIJ201b) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov