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One Alamedan for Mediation 497-2497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER One Alamedan for Mediation (enforceable); Yes on L1 AREA CODE /PHONE NUMBER (510) 865 -7369 I.D. NUMBER (if applicable) 1391626 STREET ADDRESS CITY Alameda STATE ZIP CODE CA 94501 Date of 10/27/16 This Filing Report No. Dat r. tamp Amendment to Report No. (explain below) 001 1 No. of Pages OCT 2 7 201E CITY OF ALAMEDA ;ITY CLERK'S OFF 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 10/11/16 Jeff Cambra Alameda, CA 94501 ig IND ❑ COM ❑ OTH ❑ PTY ❑ scc Self- Employed Festival Productions $400 ❑ Check if Loan vc Provide Interest rate 10/18/16 Jeff Cambra Alameda, CA 94501 ig IND ❑ COM ❑ OTH ❑ PTY ❑ scc Self- Employed Festival Productions $591 ❑ Check if Loan Provide interest rate 10/20/16 Jeff Cambra Alameda, CA 94501 ig IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Self- Employed Festival Productions $702 ❑ Check if Loan Provide interest rate Contribution date listed in error 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