CA Form 497 Contribution Report No. 2 - Dave Emenhiser ( s,-;/.
497 Contribution Report Amounts may be rounded to whole dollars.
NAME FILER &I3. - Of Date Stamp CALIFORNIA
T,,f�Flling /D-2/4/7FORM
AREA CODE/PHONE NUMBER I.D. M ifR(,f,pplicable) RECEIVED
For Official Use Onl
v0 /9/
Report No. RDES y
BEY OF RANCHO PALOS VE
STREET ADDRESS
co ,/ 5,,,Lto , 72 /4.4, /..76
❑Amendment OCT i 2019
to Report No.
CITY • STATE ZIP CODE (explain below)
,• No.of PagesCLERK'S OFFIC�?`7 �Tl(
1. Contribution(s) Received
IF AN INDIVIDUAL,
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE* (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) RECEIVED
".----/
//, , • P/ 4 Q INDAPatND EM
CM
OTH
/ /,77 . 1/A 49 rtp°. ; '41 1W4.i 0 Check if Loan
❑ PTY
„Ai s SCC
• Provide interest rate
ifzL:IZez4;14.44 PIC9. eo n
/,04,/, o,-70,L ❑ IND
COM
y
0 OTH j]Check if Loan5�5
� --
- �jiD ❑ PTY
S
/ , �b El %,� Provide interest rate
O IND
o COM
❑ OTH 0 Check if Loan
❑ PTY
❑ SCC
Provide interest rate
*Contributor Codes
IND - Individual
COM - Recipient Committee(other than PTY or SCC)
OTH - Other(e.g.,business entity)
Reason for Amendment: PTY - Political Party
SCC - Small Contributor Committee
)
FPPC Form 497(Feb/2019)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov