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497 Contribution Report <br />NAME OF FILER <br />Alicia Aguirre <br />AREA CODE/PHONE NUMBER <br />(650) 366-9058 <br />STREET ADDRESS <br />867 Edgewood Road <br />CITY <br />Redwood City <br />1. Contribution(s) Received <br />Type or print in ink. <br />Amounts may be rounded to whole dollars. <br />Date of 08/17/2015 <br />This Filing <br />I.D. NUMBER (Uappllcable) <br />Report No. <br />1276741 <br />497 CONTRIBUTION REPORT <br />Date Stamp <br />CALIFORNIA <br />FC RM • <br />i <br />Vlaa se n <br />❑ Amendment AUG JL 2015 <br />to Report No. <br />STATE ZIP CODE (explain below) CITY OF PEh-.,!V ''jD CiT'Y <br />CA 94062 No. of Pages CITY CLERIC <br />DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) <br />Eric Lochtefeld <br />08/14/2014 <br />Redwood City, CA 94062 <br />Reason for Amendment: <br />CONTRIBUTOR <br />IF AN INDIVIDUAL, <br />ENTER OCCUPATION AND EMPLOYER <br />AMOUNT <br />CODE * <br />(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) <br />RECEIVED <br />❑X IND <br />CEO <br />❑ COM <br />Golden Fox Venues <br />$2000.00 <br />❑ OTH <br />} <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />% <br />Provide interest rate <br />❑ IND <br />❑ COM <br />❑ OTH ❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />Provide interest rate <br />❑ IND <br />❑ COM <br />❑ OTH ❑ Check if Loan <br />❑ PTY <br />❑ SCC % <br />Provide interest rate <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 />SCC — Small Contributor Committee <br />FPPC Form 497 (March/2011) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) <br />