HomeMy WebLinkAboutForm 497 - SR Chamber of Commerce PAC497 Contribution Report Amounts may be rounded to whole dollars.
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AREA CODElPHONE NUMBER I.D- NUMBER {r/fapOicahle)
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STREETADDREsS
[—]Amendment
to Report No.
CITY STATE IEP CODE (explain below)
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2. Contribution(s) Made r
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OR RECIPIENT
MADE (IF COMMITTEE, ALSO ENTER I -D. NUMBER)
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CITY CLERK'S OFFICE
CANDIDATE AND OFFICE
OR AMOUNT OF MEASURE AND JURISDICTION CONTRIBUTION
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DATE OF ELECTION
(IF APPLICABLE)
Reason for Amendment:
FPPC Form 497(Feb/2019)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov