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09-08-2020 AFTAB Form 497FPPC Form 497 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 497 Contribution Report NAME OF FILER AREA CODE/PHONE NUMBER I.D. NUMBER (if applicable) Amounts may be rounded to whole dollars. STREET ADDRESS CITY DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED Reason for Amendment: (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 1. Contribution(s) Received STATE ZIP CODE CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT Check if Loan Check if Loan Check if Loan % % % Provide interest rate Provide interest rate Provide interest rate RECEIVED ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)CODE* IND IND IND COM COM COM OTH OTH OTH PTY PTY PTY SCC SCC SCC Date of Date Stamp For Official Use Only This Filing Report No. Amendment to Report No. No. of Pages (explain below) CALIFORNIA FORM 497 * Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee