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497 Contribution Report
Amounts may has rounded td Whote dollars.
497 CONTRIBUf10 N REPORT
NAMEOFFILER
I Date of
082 Stsh,
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RECFPiED I. 4.90ENTER 4C.MIAAfiEn�
08/12/201 A
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This Filing—
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FOrO?[ial Use Only
AREA CODEiPHONE NUMBER
ID, NUMBER [Na ehbi
8 13er
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Report NI. O ""-T .�i
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_1364015
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0 Amendment
STREETADDRESS
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'I to Report No.
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❑ Check R Loan
CITY STATE 2PCODE
No. of Pages T
Ll SCC
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Pwice nlsrnel Tie
1. Contributions) Received
DATE FUL' NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL,
ENTER OCCUPAPON AND EMPLOYER
ANOUNT
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RECFPiED I. 4.90ENTER 4C.MIAAfiEn�
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8 13er
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OTH
❑ Check R Loan
❑ Pry
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Pwice nlsrnel Tie
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❑IND
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❑ PTY
❑ SCC
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❑ PTY
❑ SCC
Reason for Amendment_
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-OOnRlbutm Cotles
IND- Intlranual
COM- Recipient Committee (other than PTY or SCC)
01H - Other leg., business entity)
PTY - Political PeTy
SCC -Eros Contnbnor Comm tee
"IND Form 497 tJ.Tua )
FPPC Adii adA.@fp kc ca.gov (86(ifY75J772)
www.fPPCOa.pov