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Hettich 497-2497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Matthew Hettich AREA CODE/PHONE NUMBER 714-473-9273 I.D. NUMBER (if applicable) 1386003 STREET ADDRESS CITY Alameda 1. Contribution(s) Received STATE ZIP CODE Ca 94502 Date of 10/13/2016 This Filing 2 Report No El Amendment to Report No (explain below) 1 No. of Pages S OCT 1 8 2016 CITY OF ALAME CITY CLERK'S OH CALIFORNIA 497, POPP!! DA ICP or 01' c a Ise *n DATE RECEIVED 10/13/2016 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER W. NUMBER) Alameda Education Association PAU General Purpose Committee #1326421 CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED O IND 21 COM ▪ OTH • PTY LI scc 1442.95 Check if Loan Provide interest rate O IND COM • OTH LI PTY • SCC 0 Check if Loan Provide interest rate 0 IND O COM O OTH • PTY O SCC El 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