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HomeMy WebLinkAbout10-20-2018 -Kumar Form 497to whole dollars. Amounts may be rounde 497 Contribution Report a. E m U) a) as 0 CO 0 N O c c , d o N EZ-- m = O6 co d E N.=_ O x w" z J 0 w 2 z z Rishi Kumar I.D. NUMBER (ifa AREA CODE/PHONE NUMBER 408 805 5993 STREET ADDRESS w 1. Contribution(s) Received AMOUNT RECEIVED 5000 D Check if Loan Rio Provide interest rate ❑ Check if Loan pie Provide interest rate ❑ Check if Loan o� Provide interest rate IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) CEO MADRAS CAFE CONTRIBUT CODE ' 00��8 zOOacn © 001- ?OOacn 0 ❑ ❑ 00E- -OO ?UOacn ❑ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Ramamoorthy Ramasamy a ww Qw O W W 10.20.18 **Contributor Codes 0 0 (a w a) .c c E 4) d) 0 a�i U o E z = o co CL c To c • _ 0 �a)�m0 na`>w m 5 3 E o E . o a cn I I I I I Z0oa_U) Reason for Amendment: