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HomeMy WebLinkAboutRIVERA 497 11/3/14Type or print in ink. 497 Contribution Report Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT NAME OF FILER Date of Da Stam - a Hov - a� 9: o t ' Rivera for City Council 2014 This Filing 10/31/2014 • - AREA CODFJPFiONE NUMBER I.D. NUMBER (trappRcabW 5 j Y �L For Official Use Only Report No. 7767641 -KO ( 1354555 STREET ADDRESS Amendment 1. Contribution(s) Received Reason for Amendment: www.neffile.com 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY —Political Party SCC —Small Contributor Committee FPPC Form 497 (March/2011) FPPC Toll-Free Helpline: 866 /ASK -FPPC (8661275 -3772) IF AN INDIVIDUAL, AMOUNT DATE FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR * ENTER OCCUPATIONAND EMPLOYER RECEIVED TTEE.AOENTER I.D. M MBER) RECEIVED PFCOhYA LS CODE (IF SELF�MPLOYED. ENTER NAME OF BUSINESS) 1,000.00 10/31/2014 FBT, Inc. ❑ IND ❑ COM x OTH ❑ ❑ Check if Loan ❑ PTY ❑ SCC Provide interest rate Devinder Singh ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC te Provide interest rate ❑ IND ❑ COM ❑ OTH © Check if Loan ❑ PTY ❑ SCC % Provide Interest rate Reason for Amendment: www.neffile.com 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY —Political Party SCC —Small Contributor Committee FPPC Form 497 (March/2011) FPPC Toll-Free Helpline: 866 /ASK -FPPC (8661275 -3772)