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HomeMy WebLinkAboutKeen, Tori - 497 Form 082624497 Contribution Report Amounts may be rounded to whole dollars. 497 CONTRIRUTION REPORT NAME OF FILER Tori Keen for Atascadero City Council 2029 Date of This Filing 08/26/2024 Date Stamp �""FrEIVED . AREA CODE/PHONE NUMBER I.D. NUMBER (ifappiicabie) !ForOfficial Use Only ar K Report No. 08262024-1 Teacher Atascadero Unified School 1,000.00 1970439 AUG � 6 2024 District STREET ADDRESS � ❑ OTH ❑ Amendment ❑ PTY to Report No. OF AT A5C�(�pER CITY STATE ZIP CODE (explain below) CLERKS OFFICE i Provide interest rate No. of Pages 1 1. Contribution(s) Received DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMIT -TEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED 08/23/2024 ar K © IND Teacher Atascadero Unified School 1,000.00 ❑ COM District ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC i Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC r Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC i Provide interest rate Reason for Amendment: `Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 497 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov