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497 Contribution Report 6 - Contributions Received on 10-31-18 497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER - Date Of �� ' � . Date Stamp , • t,�.�t "� ` � . �; �� This Filing �� r� �, • - 1 4' �� � I� E' ��f ;� AREACODE/PHONE NUMBER I.D.NUMBER(ifapplicab/e) ��l� � � ` �—~ � ; ` For O�cial Use Only 1. Contribution(s) Received DATE FULL NAME,STREETADDRESSAND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR �FAN INDIVIDUAL, AMOUNT RECENED (IF COMMITTEE,ALSO ENTER I:D.NUMBER) CODE* ENTER OCCUPATION AND EMPLOYER RECEIVED . . QF SELF-EMPLOYED,ENTER NAME OF BUSINESS) ����`I ��Y� 4' IND ��.�y�,CL�� ����� ���GvU �e � ❑ COM ��� ! `�j� f�- �� ❑ OTH �"�� � * ❑Check if Loan � � � �'� "� ❑ scc �-�L��'h �.-��'il�1'�� � Provide interest rete ❑ 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 forAmendment: SCC — Small Contributor Committee FPPC Form 497(Jul/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov