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One Alamedan for Mediation 497-1497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER One Alamedan for Mediation (Enforceable) Yes on L1 AREA CODE/PHONE NUMBER (510) 865-7369 I.D. NUMBER (if applicable) 1391626 STREET ADDRESS CITY Alameda, CA 94501 1. Contribution(s) Received STATE ZIP CODE Date of 10/25/16 This Filing Report No El Amendment to Report No (explain below) No. of Pages 1 OCT 25 20 CITY OF ALA CITY CLERK'S iii ' tgie'll: I ef v.. 1. ,.. '' EDA -FICE DATE RECEIVED 10/11/16 10/18/16 10/24/16 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID, NUMBER) Jeff Cambra Alameda, CA 94501 Jeft Cambra Alameda, CA 94501 Jeft Cambra Alameda, CA 94501 CONTRIBUTOR CODE * 1g IND O COM • OTH LI PTY LI SCC gg IND O COM LIJ OTH • PTY • SCC Egi IND O COM O OTH ▪ PTY o SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (1F SELF-EMPLOYED, ENTER NAME OF BUSINESS) Self-employed Festival Productions Self-employed Festival Productions AMOUNT RECEIVED $400 0 Check if Loan Provide interest rate Self-employed Festival Productions $590.85 0 Check if Loan Provide interest rate $702.10 Check if Loan 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 (Jul/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov