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CA Form 497 Contribution Report No. 1 - Unite Here Local 11 497 Contribution Report Amounts may be rounded to whole dollars NAME OF FILER Date Stamp CALIFORNIA Unite Here Local 11 (Nonprofit 501(c) (5) ) Date of 11/11/2019 497 This Filing FORM NUMBER I.D. (if applicable) RECEIVED For Official Use Only AREA CODE/PHONE NUMBER pp ) Report No. (213) 481-8530 1405171 p 111119A CRY OFRANCHO PALOSVERDE. STREET ADDRESS III Amendment 464 S. Lucas Avenue Suite 201 to Report No. NOV 11 2019 (explain below) CITY STATE ZIP CODE Los Angeles CA 90017 No.of Pages 2, � CITY CLERKS OFFICr 6. 1. Contributions Received DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER COMMITTEE,ALSO ENTER I D NUMBER) CODE RECEIVED RECEIVED (IF (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) ❑ IND UNITE HERE Local 11 ,fir ❑COM $38, 000. 00 09/03/2019 464 Lucas Ave DOTH ❑Check if Loan # 201 ❑PTY „,,,!!!,4„,-4,:,: €t ttFtt t t= _.>>=cit�_ �__: ,,,,,,--v Los Angeles, CA 90017-2074 � t=c z;��� °�° < t=ttVu }t ct�� ❑SCC Provide interest rate ❑ IND UNITE HERE Local 11 ❑COM $70, 000. 00 10/04/2019 464 Lucas Ave ✓❑OTH ❑Check if Loan # 201 ❑PTY c',-60V,, ”;14 tt .t< Y t� ,fit ;`_% Los Angeles, CA 90017-2074 ❑SCC P 1,�T nt es , Provide interest rate ❑ IND UNITE HERE Local 11 ❑COM $20, 000. 00 11/08/2019 464 Lucas Ave ✓❑OTH ❑Check if Loan # 201 ❑PTY Los Angeles, CA 90017-2074 µ`ti`,,^'✓'tn{{,'w _-I% — g ❑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(Jul/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov 497 Contribution Report Amounts may be rounded to whole dollars a I NAME OF FILER Date of wt" ' �� CAL!FORNIA Unite Here Local 11 (Nonprofit 501(c) (5) ) This Filing 11/11/2019 Q�RANCr���A�Q'�/ 497 g �1TY FORM AREA CODE/PHONE NUMBER I.D.NUMBER(if applicable) Ov 1 1'2019 For Official Use Only (213) 481-8530 1405 171 Report No. 111119A STREET'ADDRESS Amendment 464 S. Lucas Avenue Suite 201 to Report No. IN CLERKS OFFICE (explain below) CITY STATE ZIP CODE No.of Pages 2 Los Angeles CA 90017 Cr 2. Contribution(s) Made DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF RECIPIENT CANDIDATEORND OFFICE AMOUNT OF DATE OF ELECTION (IF COMMITTEE,ALSO ENTER D.NUMBER) CONTRIBUTION (IFAPPLICABLE) MADE _ I MEASURE AND JURISDICTION Yes on B - South Bay Women' s Hospitality Working Project, Sponsored by UNITE HERE Conditions Ordinance 11/08/2019 Local 11 City of Rancho Palos 11/05/2019 777 S Figueroa St Verdes $20, 000. 00 000. 00 Ste 4050 NO: B Los Angeles, CA 90017-5864 ID: 1404950 Reason for Amendment: FPPC Form 497(JUU2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov