CA Form 497 Contribution Report No. 1 - Eric Alegria 497 Contribution Report Amounts may be rounded to whole dollars
NAME OF FILER 9 - Date of /D: Date Stamp CALIFORNIA
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AREA CODE/PHONE NUMBER I D NUMBER(if applicable) RECEIVED
For Official Use Only
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CITY STATE ZIP CODE (explain below)
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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
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❑ IND
❑ COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC ok
Provide interest rate
❑ IND
p COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC ok
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