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RECIPIENT COMMITTEE CAMPAIGN STATEMENT INSTRUCTIONS: A check mark indicates an amendment is required. <br />FORM 460 AMENDMENT REQUEST File your amended statement at: <br />f <br />FPPC - (866) ASK-FPPC / advice@fppc.ca.gov <br />Statement Verification Date: q /2y,�'t_o -4L <br />Period Covered by Statement: 7 _/1 2020 to 9 /19 2020 <br />Craver Page <br />o Period covered (for all schedules) <br />o Address was incomplete <br />O Signature missing <br />o Treasurer information was incomplete <br />O Other - see comments section <br />Na,rrc: Lissette Es inoza-Garnica <br />AMENDMENT REQUEST FORM <br />-Summary Page <br />O Column A, Line does not match with applicable <br />schedule <br />o You indicated that schedule(s) were attached. However, <br />the schedules were not attached to the statement. <br />O Lines were left blank in column A or B <br />O Other - see comments section <br />Schedule A <br />O Date received column was lett blank <br />• Street address for contributor(s) was incomplete <br />o Contributor code was not marked for contributor(s) <br />o Occupation & employer column was left blank or incom- <br />plete for individual contributor(s) <br />o Amount received this period was missing <br />O Cumulative to date column (Jan 1 - Dec 31) was missing <br />■ Summary section was incomplete <br />O Other - see comments section <br />Schedule B <br />O Street address for contributor(s) was incomplete <br />o Contributor code was not marked for contributor(s) <br />O Occupation & employer column was left blank or incom- <br />plete for individual contributor(s) <br />o Outstanding balance beginning this period was left blank <br />o Amount received this period was left blank <br />O Amount paid or forgiven this period was left blank <br />O Outstanding balance at close of this period was left blank <br />or incomplete <br />O Interest paid this period was left blank or incomplete <br />o Original amount of loan was left blank or incomplete <br />o Date incurred for original loan amount was missing <br />o Cumulative to date column (Jan 1 - Dec 31) was missing <br />o Summary section was incomplete <br />O Guarantor information was incomplete <br />o,Other - see comments section <br />Scheeltile C <br />o Date received column was left blank <br />O Street address for contributor(s) was incomplete <br />o Contributor code was not marked for contributor(s) <br />o Occupation & employer column was left blank or incom- <br />pletc for individual contributor(s) <br />o Description of goods/services was missing <br />o Amount/fair market value was missing <br />O Cumulative to date (Jan 1 - Dec 31) was missing <br />o Summary section was incomplete <br />O Other - see comments section <br />Schedule D <br />O Date was missing <br />O Support/oppose box was not marked <br />O Type ofpayment was missing <br />O Description (if required) was missing <br />O Amount this period was missing <br />O Cumulative to date column (Jan 1 - Dec 31) was missing <br />o Summaiy section was incomplete <br />O Other - sec comments section <br />Schedule E <br />■ Street address of payee was incomplete <br />o A code or description of payment was missing <br />• Amount paid was missing <br />* Summary section was incomplete <br />o Other - sec comments section <br />Schedule F <br />O Strcct address of creditor was incomplete <br />O A code or description of payment was missing <br />O Outstanding balance beginning of this period was missing <br />O Amount incurred this period was missing <br />O Amount paid this period was missing <br />o Outstanding balance at close of this period was missing <br />O Summary section was incomplete <br />o Other - see comments section <br />continued on other side... <br />Toll-free Helpline - (866) ASK-FPPC <br />__,....___,__....._ __..1— <br />