Rasmussen, C. 10.18.- 12.31.2020 Semi-annual 460

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Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received LW MIUM UU114 s. Statement covers period CALIFORNIA 460 from October 18, 2020 FORM page 4 of 5 SEE INSTRUCTIONS ON REVERSE through December 31, 2020 NAME OF FILER I.D. NUMBER Chris Rasmussen 1424889 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Calvin Chow OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 10/22/20 m IND Retired/Retired 100.00 100.00 100.00 298 Portola Dr #264 ❑ COM ❑ OTH San Francisco, Ca. 94131 ❑ PTY _❑ scc ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 100.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 100.00 Mal 3. Total monetary contributions received this period. 100.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ *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 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc,ca.gov