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Ezzy Ashcraft 497-2497 Contribution Report 1097346 Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT NAME OF FILER Marilyn Ezzy Ashcraf t for City AREA CODE/PHONE NUMBER (510)882-4536 STREET ADDRESS CITY Alameda Council 2016 1. Contribution(s) Received DATE RECEIVED I.D. NUMBER Of applicable) 1350030 STATE ZIP CODE CA 94501 Date of This Filing Report No. 2 10/05/2016 IJ Amendment to Report No. (explain below) No. of Pages FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER ID. NUMBER) 10/04/2016 Mathias Masem Alameda, CA 94501 Reason for Amendment: www.neffile.com 1 CONTRIBUTOR CODE * 9CT 05 201g CITY OF ALAMEDJ CITY CLERK'S OFFICE 0 Icial Use Only IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Physician IND Self El COM LI OTH PTY [11 SCC Provide interest rate AMOUNT RECEIVED 1,000.00 O Check if Loan [1] IND 11 COM LI OTH Ej PTY SCC 1] IND El COM OTH LIiPrT' 11 SCC O Check if Loan Provide interest role O Check if Loan Provide interest rote '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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov