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Williams 497-4497 Contribution Report Amounts may be rounded to whole dollars. 1101667 NAME OF FILER Date of Jennifer Williams for 2016Alameda Unified School District Board This Filing 11/01/2016 AREA CODE/ I.D. NUMBER of applicable) Report No.4 1384281 (415)269-0900 STREET ADDRESS 22 Shannon Circle cm, STATE ZIP CODE o Amendment to Report No. (explain below) No. of Pages Alameda 1. Contribution(s) Received FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CA 94502 DATE RECEIVED 11/01/2016 (IF COMMITTEE, ALSO ENTER I D. NUMBER) Alameda Education Association Political Action Committee 2027 Clement Ave Suite Alameda, CA 94501 Committee ID 1326421 Reason for Amendment: www.netfile.com 497 CONTRIBUT ON REPORT CALIFORNIA 497 7 FORM ir4 For Official Use Only CITY OF ALAMEDA C''../ITY CLERK'S OFFICE CONTRIBUTOR CODE * 0 IND COM • OTH D Fre • SCC O IND O COM OTH 0 PTY SCC 0 IND O COM O OTH D pTY SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED 3,047.20 0 Check 4 Loan Provide interest rate 0 Check if Loan Provide interest rate 0 Check if Loan Provide interest rate *Contributor Codes (ND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business ent(ty) PTY — Political Party SCC — Small Contributor Committee FPPC Form 497 (JanI2016) FPPC Advice: advice@fppc,ca.gov (866/275-3772) www.fppc.ca.gov