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Alameda Save Our Schools 497-4497 Contribution Report NAME OF FILER Alameda Save Our Schools - Yes on Measure B1 Amounts may be rounded to whole dollars. AREA CODE/PHONE NUMBER (510) 337-1149 I.D. NUMBER (if applicable) 1332297 STREET ADDRESS CITY Alameda STATE ZIP CODE CA 94501 Date of 9/06/2016 This Filing Report No. 4 1:3 Amendment to Report No. (explain below) No. of Pages 1 ate Sta p CALIFORNIA IZI, 2,11 497 or • 'icia Ise en P 1. Contribution(s) Received DATE RECEIVED 9/5/16 9/5/16 FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Lum School P IA Alameda, CA 94501-6024 Kelly Jo Scott Alameda, CA 94501 CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED O IND O COM ▪ OTH PTY LJ SCC IND O COM O OTH • PTY SCC None - homemaker $1,499.00 O Check if Loan Provide interest rate $1,000.00 O Check if Loan Provide interest rate O IND O COM • OTH • PTY O SCC O 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