HomeMy WebLinkAboutForm 497 - Mahlke, Jennifer - 2020.10.10 (2)
)
%%%
Feb/2019
497
AMOUNT
RECEIVED
Check if LoanCheck if LoanCheck if Loan
2-611/11 Provide interest rateProvide interest rateProvide interest rate
FPPC Form 497 (
FORM
CALIFORNIA
po
fnbjm22;4:
czbu
IF AN INDIVIDUAL,
LT
- Individual- Recipient Committee (other than PTY or SCC)- Other (e.g., business entity)- Political Party- Small Contributor Committee
Date Stamp
.
* Contributor CodesINDCOM OTH PTY SCC
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
tnbmm!cvtjoftt!pxofsDHN
Sfdjfwfe21021031b/n/
INDCOMOTHPTYSCCINDCOMOTHPTYSCC
INDCOMOTHPTYSCC
CODE*
2
CONTRIBUTOR
210:031
Amendment
to Report No.
(explain below)No. of Pages
Date of Report No.
This Filing
Amounts may be rounded to whole dollars.
:28765
ZIP CODE
(if applicable)
DB
STATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
I.D. NUMBER
2539833
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
3967!Xbhpo!Usbjo!MbofEjbnpoe!Cbs-!DB!:2876
DATE
RECEIVED
:
PHONE NUMBERSTREET ADDRESSCITY Reason for Amendment: