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497 Late Contribution Report 6-13-13 Late Contribution Report Type or print in ink. p Amounts may be rounded to whole dollars. LATE CONTRIBUTION REPORT NAME OF FILER Date of nIZ D t ' �` CALIFORNIAN Homeowners to Preserve Encinitas, No on A This Filing 06/13/2013 • T �' °; "C� t- FORM AREA CODE/PHONE NUMBER 1.D_NUMBER(it applicable) 2013061346 (�5.j�N 14 AN : 4 U8 For Official Use Only (619)944-3834 1357594 Report No. STREET ADDRESS Amendment to Report No. CITY STATE ZIP CODE (explain below) Encinitas CA 92024-4408 No.of Pages_ 1 Late Contribution(s) Received DATE FULL NAME,MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER O IF AN INDIVIDUAL AMOUNT CCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE ' (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) RECEIVED 06/12/2013 Dan Ukkestad x❑ IND COO 2000.00 CA 92014-1920 ❑ PTY LLC ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ID: ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ID: ❑ SCC 'Contributor Codes IND-Individual PTY-Political Party COM-Recipient Committee(other than PTY or SCC) SCC-Small Contributor Committee OTH-Other Reason for Amendment: FPPC Form 497(June/01) Date Stamp FPPC Toll-Free Helpline:8661ASK-FPPC