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Save Our City 497-2497 Contribution Report NAME OF FILER Save Our Cityl Alameda No on B1 2016 AREA CC3DEIPHONE NUMBER LO, NUMBER (fr as,-Aoarrssl 510-522-0231 928 Taylor Ave CITY Alameda 1. Contribution(s) Received DATE RECEIVED 10/112016 10/1/2016 n/a 1350235 Amounts may be rounded to whole dollars. STATE ZIP COOE CA 94501 Date 0 10/1/2016 This Filing Report No. o Amendment to Report No. (explain below) No. of Pages FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR of cokturt arz I U triamtler.0 Suite 205 Alameda, CA 94502 Suite 205 Alameda, CA 94502 n/a Reason for Amendment: 2 CITY OF ALAMEDA CITY CLERK'S OFFICE CONTRIBUTOR CODE * O IND O COM OTH • PTY • scc 0 IND O COM • OTH LIIP1Y • scc 0 IND O COM OTH DPry O sce, IF Art INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF sr,LF-CMFLOYED, ENTER NAME OF PUSifTE) AMOUNT RECEIVED $4,000.00 Check it Loan Provide .TilereST rale $5000.00 Li] Check if Loan Provide interest rate s*** U Check if Loan Provide interest rate "Contributor Codes IND - COM - Recipient Committee (other than PTY or SCC) OTH - Other (e,g,, business entity) PTY - Political Party SCC — Srnoll Contributor Corinnilletit FPPC Form 497 (11.11/2016) FPPC Advice: adviceEofpgc.ca,uov (866/Z7S-377Z) www.fppc.ca.gov