497 Contribution Amendment to Report 1 - Contributions Received on 8/24/18 and 8/30/18t
497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER
c Date of t !z I, ) • - •
All Ca-I-� ` s -�- This Filing r v -
AREACODElPHONE NUMBER I.D. NUMBER (Wapplicable) t) Q O Icial Use Only
-7 r Report NO. ` t E P =61
�
STREETADDRESS
mendment � _
- to Report No.
WERTCITY STATE ZIP CODE (explain below) - s i = l
(�_ / ��- No. of Pages 2
1. Contribution(s) Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
*
[FAN INDIVIDUAL,
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(ENTER
IFSELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
c / -a
❑ IND
❑ GOM
f"
--
El SCC
pro
Provide interest rate
® IND
eA r:%% ;
)` 11t
_ _ lEJ
%�'�
❑ SCG
U
U�u`
Provide interest rate
f
c -if:
C- f.�
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
/ �� ".t,�.,�4 Vit-:kms.-€-z�>.�� � %z C.�t I,•"�
Reason for Amendment:
*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 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov