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rn <br /> 497 Contribution Report Amounts may he rounded to whole dollars. Iv <br /> 497 CONTRIBUTION REPORT <br /> 0 <br /> NAME OF FILER Date Stamp <br /> Date of CALIFORNIA <br /> Gabriel DeLuna for Chino Hills City Council 2018 This Filing 08/27/2018 FORM <br /> � A o <br /> I.D.NUMBER(irapplicable) ] �, / E. For Official Use Only oD <br /> Report No.1 <br /> 1408345 AUGSTREET ADDRESS AK 27 2018 . <br /> ❑Amendment <br /> P -n <br /> to fte ort No. x <br /> CITY STATE • ZIP CODE (explain below) ay Clerk's Department <br /> No.of Pages 1 Qr 1.a5�.irl, <br /> 1. Contribution(s) Received <br /> DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR )FAN INDIVIDUAL, AMOUNT <br /> ENTER OCCUPATION AND EMPLOYER RECEIVED <br /> • RECEIVED (IF COMMITTEE.ALSO ENTER LD.NUMBER) CODE r (IF SELF-EMPLOYEDVENTER NAME OF BUSINESS) <br /> 08/27/2018 Vismar Corporation dba Excellence Vision Real Estate 2,500:00 <br /> Ili IND <br /> ❑ COM <br /> ❑x OTH ❑Check if Loan <br /> ❑ PTY <br /> ❑ SCC <br /> Provide interest rate <br /> v <br /> ❑ IND <br /> ❑ COM <br /> ❑ OTH ID Check if Loan <br /> ❑ PTY <br /> ❑ SCC <br /> Provide interest rate <br /> • <br /> ❑ IND <br /> ❑ COM <br /> ❑ OTH ❑ Check if Loan <br /> ❑ PTY <br /> ❑ SCC <br /> Provide interest rale <br /> "Contributor Codes <br /> IND—Individual <br /> COM—Recipient Committee(other than PTY or SCC) <br /> OTH—Other(e.g-, business entity) <br /> PTY—Political Party <br /> Reason for Amendment: SCC—Small Contributor Committee <br /> FPPC Form 497(Jan/2016) <br /> FPPC Advice:advlce(fppc.ca.gov(866/275-3772) <br /> www-ippc.ca.gov <br />