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► NAME OF SOURCE (Nat an Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />BUSINESS ACTIvITY, IF ANY, OF SOURCE <br />DATE(mm/dd/yy) vALuE <br />$ <br />► NAME OF SOURCE (Not an Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />SCHEDULE D <br />Income — Gifts <br />DESCRIPTION OF GIFT(S) <br />BUSINESS ACTIvITY, IF ANY, OF SOURCE <br />DATE(mmldd/yy) vALUE DESCRIPTION OF GIFT($) <br />/ / $ <br />► NAME OF SOURCE (Not an Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />BUSINESS ACTWITY, IF ANY, OF SOURCE <br />DATE(mmlddlyy) vALuE <br />/ / $ <br />Comments: <br />DESCRIPTION OF GIFT(S) <br />Name <br />Maricela Vallejo <br />► NAME OF SOURCE (Not an Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />BUSINESS ACTIvITY, IF ANY, OF SOURCE <br />DATE (mmlddlyy) vALuE DESCRIPTION OF GIFT($) <br />$ <br />► NAME OF SOURCE (Not an Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />BUSINESS ACTIvITY, IF ANY, OF SOURCE <br />DATE(mmldd/yy) vALuE DESCRIPTION OF GIFT(S) <br />/ $ <br />► NAME OF SOuRCE (Nolan Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />BUSINESS ACTIvITY, IFANY, OF SOURCE <br />DATE (mm/dd/yy) vALuE DESCRIPTION OFGIFT(S) <br />$ <br />$ <br />FPPC Form 700 (2018/2019) <br />FPPC Advice Email: advice@fppc.ca,gov <br />FPPC Toll•Frea Helpline: 856/275-3772 "w.fppc.ca.90v <br />Paaa, 17 <br />$ <br />$ <br />/ / $ <br />► NAME OF SOURCE (Not an Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />BUSINESS ACTWITY, IF ANY, OF SOURCE <br />DATE(mmlddlyy) vALuE <br />/ / $ <br />Comments: <br />DESCRIPTION OF GIFT(S) <br />Name <br />Maricela Vallejo <br />► NAME OF SOURCE (Not an Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />BUSINESS ACTIvITY, IF ANY, OF SOURCE <br />DATE (mmlddlyy) vALuE DESCRIPTION OF GIFT($) <br />$ <br />► NAME OF SOURCE (Not an Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />BUSINESS ACTIvITY, IF ANY, OF SOURCE <br />DATE(mmldd/yy) vALuE DESCRIPTION OF GIFT(S) <br />/ $ <br />► NAME OF SOuRCE (Nolan Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />BUSINESS ACTIvITY, IFANY, OF SOURCE <br />DATE (mm/dd/yy) vALuE DESCRIPTION OFGIFT(S) <br />$ <br />$ <br />FPPC Form 700 (2018/2019) <br />FPPC Advice Email: advice@fppc.ca,gov <br />FPPC Toll•Frea Helpline: 856/275-3772 "w.fppc.ca.90v <br />Paaa, 17 <br />