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Williams 497-2497 Contribution Report 1096638 Amounts may be rounded to whole dollars. NAME OF FILER Jennifer Williams for 2016Alameda Unified School District Board AREA CODE/PHONE NUMBER I.D. NUMBER (if applicable) (415)269-0900 STREET ADDRESS CITY Alameda 1384281 STATE ZIP CODE CA 94502 Date of This Filing 09/29/2016 Report No. 2 Amendment to Report No. (explain below) No. of Pages 1. Contribution(s) Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE,ALSO ENTER I D. NUMBER) 09/29/2016 Doric Realty, Inc. Alameda, CA 94502 Reason for Amendment: www.netfile.com 1 e Stamp ' 497 CONTRIBUTION REPORT CONTRIBUTOR CODE * 0 IND 0 COM OTH LIIPrT' LI SCC 0 IND COM 11] OTH [1] PTY Li SCC 0 IND 0 COM OTH EIIPTY Li SCC OCT 03 216 :4r CITY OF ALAtIvIEDA CITY CLERK'S OFFICE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) or Official Use Only AMOUNT RECEIVED 1,500.06 0 Check if Loan Provide interest rate 0 Check if Loan Provide interest rate: 0 Check if Loan Provide interest rate '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