241024 Form 497 Bhence 2024 (Amendment)•
Amounts may be rounded to whole dollars.
497 Contribution Report
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For Official Use Only
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NAME OF FILER
Blaze Bhence
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FPPC): 1473139
AREA CODE/PHONE NUMBER
714-394-0794
TADDRESS
190 Elizabeth Co
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1. Contribution(s) Received
AMOUNT
RECEIVED
$1,000.00
['Check if Loan
Provide interest rate
$2,500.00
❑ Check if Loan
Provide interest rate
❑ Check if Loan
%
Provide interest rate
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
retired
Cypress PD POA office
CONTRIBUTOR
CODE*
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FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Tim Yerian
87952 Grindlay Street
Cypress, CA 90630
Cypress Police Officers Association
5275 Orange Avenue
Cypress, CA 90630
DATE
RECEIVED
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497 Contribution Report
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NAME OF FILER
Blaze Bhence
I.D. NUMBER (ifapplic
FPPC): 1473139
AREA CODE/PHONE NUMBER
714-394-0794
TADDRESS
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2. Contribution(s) Made
DATE OF ELECTION
(IF APPLICABLE)
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AMOUNT OF
CONTRIBUTION
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CANDIDATE AND OFFICE
OR
MEASURE AND JURISDICTION
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FULL NAME, STREET ADDRESS AND ZIP CODE OR RECIPIENT
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
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