HomeMy WebLinkAboutForm 497 - Mahlke, Jennifer - 2020.10.14
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Feb/2019
497
AMOUNT
RECEIVED
Check if LoanCheck if LoanCheck if Loan
2-111 Provide interest rateProvide interest rateProvide interest rate
FPPC Form 497 (
FORM
CALIFORNIA
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IF AN INDIVIDUAL,
- Individual- Recipient Committee (other than PTY or SCC)- Other (e.g., business entity)- Political Party- Small Contributor Committee
Date Stamp
LT
* Contributor CodesINDCOM OTH PTY SCC
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
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Sfdfjwfe21025031.
INDCOMOTHPTYSCCINDCOMOTHPTYSCC
INDCOMOTHPTYSCC
CODE*
2
CONTRIBUTOR
2102503131
Amendment
to Report No.
(explain below)No. of Pages
Date of Report No.
This Filing
Amounts may be rounded to whole dollars.
:2876
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
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DATE
RECEIVED
:
ADDRESSCITY Reason for Amendment: