CA Form 497 Contribution Report No. 6 - Ken Dyda 497 Contribution Report Amounts may be rounded to whole dollars
NAME OF FILER Date of Date Stamp CALIFORNIA 497
D\iic- wci L �-�l�1 This Filing 2.- S—4), 5RECEIVFORM
AREA CODE/PHONE NUMBER I D NUMBER(if applicable);( C? )1 3 47- CITY OF RANCHO PAL1I �� ;�.
Report No
- !al Use Only
STREET ADDRESS DEC 0 3 201:
0 Amendment
30 5c p CAet- t�%k,y, Oa to Report No
b
l
(expain elow) Cfly' C .I'-CITY STATE ZIP CODE FFICE
( laik)CA-6 PA-7"s LA.P1/3c; "L No of Pages
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
( ii c4-40 0714 3 Gto.e. Lwn H1 IND W l So 0
D �
12. -3- aao, o , goNzet,�- 13 t-voi(r P1 COM
i7t.., e-"i7 ‘t4 3 2_5 0 OTH 0 Check if Loan
0 g-trE-6 r- DAshdS3A,1 LLP ❑ PTY
S S F o 6vvl,r �1 �'t' f "f 10 SCC
Provide interest rate
Lc,r 4.1 LivS c 9a.)-7 ►
❑ IND
❑ COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑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