Form 497 09-25-20 Report #2 497 Contribution Report Type or print in ink.
Amounts may be rounded to whole 497 CONTRIBUTION REPORT
NAME OF FILER Date of Date Stamp
Encinitas Residents for Measure H this Filing 09/25/2020 •_ •
AREA CODE/PHONE NUMBER I.D.NUMBER(if applicabl
6196984333 1431385 Report No. 2
❑ Amendment
to Report No.
CITY STATE ZIP CODE (explain below)
Encinitas CA 92024 No.of pages 1
1. Contribution(s) Received
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT
RECEIVED CONTRIBUTOR CODE** OCCUPATION AND EMPLOYER RECEIVED
IF SELF-EMPLOYED,ENTER NAME OF BUSINESS
UL Management LLC El IND
1295 W.Morena Blvd. ❑CoM $19,500.00
09/25/2020 San Diego,CA 92110
15`OTH ❑ Check if Loan
❑PTY
❑SCC
Provide Interest Rate
Reason forAmendment: —Contributor codes
IND-Individual
COM-Recipient Committee(other than PTY or SCC)
OTH-Other(e.g.,business entity)
PTY-Political Party
FPPC Form 497(March/2011)
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