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Alameda Save Our Schools 497-9497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Alameda Save Our Schools - Yes on Measure B1 AREA CODE/PHONE NUMBER (510) 337-1149 I.D. NUMBER (if applicable) 1332297 STREET ADDRESS CITY Alameda 1. Contribution(s) Received STATE ZIP CODE CA 94501 Date of 10/6/16 This Filing 9 Report No ID Amendment to Report No. (explain below) 1 No. of Pages CALIFORI■IIA FORM 497 or e en DATE RECEIVED 10/5/16 FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID. NUMBER) [-rank Otis I-' I A Alameda, CA 94501 CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED O IND • COM OTH • PTY Lil SCC $1,999.00 O Check if Loan Provide interest rate I=1 IND O COM O OTH • PTY • scc O Check if Loan Provide interest rate O IND O COM El OTH O PTY El 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