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HomeMy WebLinkAboutForm 497 - Rachel Kertz for Board of Education 2018 (2018-10-05)497 Contribution Report FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AND EMPLOYER ENTEROCOYED.E AMOUNT Amounts may be rounded to whole dollars. (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE * TERON (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) RECEIVED 10/04/2018 497 CONTRIBUTION REPORT NAME OF FILER Director of Strategic Programs Date of SUIMPF.rOMcaIUe ❑ COM Foundation ❑ OTH ❑ Check if Loan ❑ PTY Loan ❑ SCC Provide interest rale ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC i Provide interest rale ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC % Provide interest rate Reason for Amendment: www.netfile.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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov