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Hettich 497-1497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Matt Hettich AREA CODE/PHONE NUMBER (714) 473-9273 STREET ADDRESS Alameda STATE ZIP CODE Ca 94502 Date of ing 1 0/18/2016 This Fil Report No 3 Ei Amendment to Report No (explain below) No. of Pages Date Stamp OCT 1 8 2016 CITY OF ALAMEDA CITY CLERK'S OFFICE CALIFORNIA A 07 FORM 61' -,hir or tfc cia Ise an 1. Contribution(s) Received DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF.EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED 10/18/2016 Political Action Classified Employees of California School Employees 0 IND COM LI OTH • PTY • SCC 1300.00 0 Check if Loan Provide interest rate O IND El COM C1 OTH El PTY El scc 0 Check if Loan Provide interest rate O IND EJ COM LI OTH C1 PTY LJ SCC 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