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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 �0 l�1 This Filing 2--- S- 4)i 5RECEIVFORM AREA CODE/PHONE NUMBER I D NUMBER(if applicable) CITY OF RANCHO PAL. "I '+,�; ;( C7 ')1 333- 147- i ( Report No - !al Use Only STREET ADDRESS DEC 03 2019 0 Amendment to Report No b l(expain elow) Cfly' CLERKS CITY STATE ZIP CODE OFFICE ( 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 C440 Pdi Le'1 V L v 3t 3 G Lwn H 1 IND W l, So 0 I 2. '3 .ao, o , c ©mSDR..(7) 13 y j,(r PP,,, COM i7t,, e- � 4 3 a5 ❑ OTH ❑Check if Loan eldae% PTY ❑ SCC Provide interest rate Lc,r 4,"( '.' S Oak a.)-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