November 3, 2020 Candidate Packet - Flipping Book Version

497 Contribution Report

Amounts may be rounded to whole dollars.

497

Date Stamp

NAME OF FILER

Date of This Filing

CALIFORNIA FORM

AREA CODE/PHONE NUMBER

I.D. NUMBER (if applicable)

For Official Use Only

Report No.

STREET ADDRESS

Amendment

to Report No. No. of Pages (explain below)

CITY

STATE

ZIP CODE

2. Contribution(s) Made

CANDIDATE AND OFFICE MEASURE AND JURISDICTION OR

DATE MADE

FULL NAME, STREET ADDRESS AND ZIP CODE OR RECIPIENT

CONTRIBUTION AMOUNT OF

DATE OF ELECTION (IF APPLICABLE)

(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

Reason for Amendment:

FPPC Form 497 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov