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Late Independent Expenditure Report LATEINDEPENDENTEXPENDITUREREPORT <br /> <br />3. Contributions of $100 or More Received* <br /> <br /> DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AMOUNT <br /> RECEIVED (tF COMMITFEE, ALSO ENTER I.D. NUMBER) CODE ** AND EMPLOYER INTEREST RATES <br /> [] IND <br /> ~/,~ [] COM If loan, <br /> · [] OTH enter interest rate, if any <br /> [] PTY <br /> [] scc .% <br /> [] lng <br /> [] COM If loan, <br /> [] OTH enter interest rate, if any <br /> [] PTY <br /> [] scc .% <br /> [] IND <br /> [] COM tf loan, <br /> [] OTH enter interest rate, if any <br /> [] <br /> [] SCC -% <br /> [] ~ND <br /> [] COM If loan, <br /> [] OTH enter interest rate, if any <br /> [] PTY <br /> [] scc -% <br /> [] IND <br /> [] COM If loan, <br /> [] OTH enter interest rate, if any <br /> [] PTY <br /> [] scc % <br /> [] ~ND <br /> [] COM If loan, <br /> [] OTH enter interest rate, if any <br /> [] PTY <br /> [] SCC % <br /> **Contributor Codes <br /> *Major donor and independent expenditure <br /> committees that do not receive contributions IND- Individual <br /> are not required to complete Part 3. COM - Recipient Committee (other than PTY or SCC) <br /> OTH-Other FPPC Form 496 (Junel01) <br /> PTY-PolificalParty FPPC Toll-Free Helpline: 866/ASK-FPPC <br /> SCC - Small Contributor Committee 8661275-3772 <br /> <br /> <br />