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Polly Low - 497
Late Contribution Report Amounts ma bpe or print in ink. e rounded to whole dollars. LATE CONTRIBUTION REPORT NAME OF FILER Date of �1 ! a • Polly Low For Rosemead Council 2011 This Filing 3/1/2 11 �� y'I e (IF enl-EMKMED. ENTER N E OF WMNEM CICY 1 OF ROSE1 OF OI(icial Use Only AREA COOE/PHONE NUMBER I.D. NUMBER Pargx'aoe) 1273880 Report No. ❑ Amendment =AR' Self Employed STREET ADDRESS to Report No. (expaiI bekw4 CI y CLERK S UFF CE GTY STATE ZIPCODE Rosemead CA 91770 No. of Pages 1 BYE -- Late Contribution(s) Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE • IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED RECEIVED (IFCOMAmEE, AL50 vOEn ill. NUrmER) (IF enl-EMKMED. ENTER N E OF WMNEM 0 IND Yeung Sai Yeung [] COM Self Employed $1000.00 3/1/11 ❑ OTH Teamwork Telecom Inc. Rosemead CA 91770 n PTY SCC ❑ Check if Loan © IND George W Huang COM Self Employed $1380.00 3/1/11 OTH Modem Furniture San Gabriel CA 91775 ❑ PTY SCC ❑ Check if Loan IND COM p OTH ❑ PTY SCC ❑ Check if Loan *Contributor Codes IND — Individual PLY — Political Party OOM — Recipient Committee (other than PTY or SCC) SCC —Small Contributor Committee OTH —Other Reason for Amendment: FPPC Form 497 (Jan/03) FPPC Toll-Free Helpline: 866 /ASK-FPPC 86612754772