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

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Schedule C Amounts may be rounded crlNFni u F (I Nonmonetary Contributions Received Statement covers period _ A 0 1 October 16, 2020 from W page 6 of 10 SEE INSTRUCTIONS ON REVERSE through ,December 31, 2020 AME F FILER I.D. NUMBER Chris Rasmussen 1424889 DATE FULL NAME, STREET ADDRESS AND ZIP CODE CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, AL AL ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED. ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 - DEC 31) 10/31/ Mountian Mike Pizza ❑ IND Pizza 1 1,000.00 1,000.00 1,000.00 2020 Jefferson Plaza ❑ COM Z OTH Redwood City, Ca. 94061 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 1,000.00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. 1,000.00 (Include all Schedule C subtotals.)........................................................................................................... ........$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100. . ................................ $ ` 0.00 3. Total nonmonetary contributions received this period. 1,000.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...... ,,.............. TOTAL $ . *Contributor Codes 1 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