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00 Check If Loan Provide Interest rete D COM D OTH D PTY 0 sec D AMOUNT IF SEL MPLOVEO ENTER NAME OF BUSli IE INO OPTY contributor Codes ReasonrorAmendment INO - Individual COM- Recipient Committee other than PTY or SCC OTH - Other e.g. business entity PTY - Political Party SCC - Small Contributor Committee FPPC Form 497 Mareh/2011 FPPC Toii Free Helpline 866/ASK-FPPC 866/275-3772 www. netlile. com tWiiE Of FI. ER AH 7 3 tl 1. -. pr. Report No. - ----- 1 --- - i l. I. D. NUMBER lf eJ. J oi....
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