2022-07-21 - Form 497 - Renee Brown497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF Fl R
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Date Of
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This Filing
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T Y OFP UI SPRIN �
AREACOD /PHONE U BER
I. D. NUMBER (If applicable)
For Official Use Only
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Report No.
022 JUL Z 1 P $q 9: 3
STREETADDRESS
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❑Amendment
FICE OF I H� - !'jf'i' I"
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to Report No.
CITY
STATE ZIP CODE
(explain below)
No. Pages
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cp�J- C'/2
of
1. Contribution(s) Received
L
DATE
RECEIVED
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I. D. NUMBER)
CONTRIBUTOR
CODE"
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF- EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
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CO M
❑OTH
I—] PTY
❑SCC
'
❑Check if Loan
pro
Provide interest rate
ace el upj,(w- Aotyy A3$3 GSA �x
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o IND
❑ OTH
❑ PTY
❑ scc
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❑Check if Loan
pro
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ Check if Loan
❑ SCC
Provide interest rate
Reason for Amendment:
" Contributor Codes
IND - Individual
COM - Recipient Committee (other than PTY or SCC)
OTH - Other (e.g., business entity)
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