HomeMy WebLinkAboutForm 497 A Better Atascadero 102208Type or print in ink.
Amounts maybe rounded to whole dollars.
Date ofr,
this, Filing=_ -10/.21/08
I.D. NUMBER (dapixicat)1e) Report No,1.
1304988
E] Amendment- .
to Report.:No
STATE ZIP CODE (explain below)
Ca 93422 No. of Page I s
497 CONTRIBUTION REPORT
Date
008oria
Official Use Only
CITY OF ATA CADERO
CITY CLERK' OFFICE
DATE
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IFAIIIINDIVIDUAL,
ENTER OCCUPATIONAND EMPLOYER
'AMOUNT
RECEIVED
RECEIVED
(IF CONIMIT'rEE. ALSO E14TEFA J.D. NUM I BER)
CODE
oF SELF-CMPLOYED. ENTER NAME OF BUSINESS)
IND
1000.00
10/2112008
-Al &.DoraBrown
com
Restaurant Owners
n'OTH
F] Check if Loan
PTY'
;SCC'
Provide interest tale
,
ZIND
1500.00
10/2)W8
Mission Oaks Annex
com
Commercial Property Owner
OTH
C] Check if Loan
PTY
F1 SCC
%
Provide interest rate
IND
El com',
OTH
Cil Check if Loan
PTY
SCC
Provide interest rate
Contributor Codes
IND -Individual
`COM - Recipient Committee (other than PTY or SCC)
OTH -,Oth(.,r (e.g.. business entity)
P
P y 0 'P3rty
T lili-al
SCC - Stii-,ill.CoiitribLitorCornmittee
FPPC Form 497 (November/07)
Z FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Type or printin ink.
Amounts maybe rounded to whole dollars..
_ a g Date of,
` 10/21108
g
This Filin •__
I.D. NUMBER (iiappicat)le). 1..
1304988 Report No.
r ' ❑ Amendment
to Reporf,No�
STATE ZIPCODE (explainbelow)
P
No. of.,ages _ 1
Ca 93422 -
497 CONTRIBUTION REPORT
ateRE G E I• . ,
i"
a _
L) /)008or Official Use Only
CITY OF ATA CAOERO
CITY CLERK' OFFICE
DATE
'- - -
FULL- NAME. STREET ADDRESS AND ZIP CODE.OF CONTRIBUTOR
LOIVTRIBUTOR
'
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
i
(Ir COtvllvuttEE,ALSO ENTER I.MNUMBER) -
CODE
(IF SELF-EMPLOYED ENTER 14AME OF BUSINESS)
o = 107Contribution, Report
l]' IND
NAME OF FILER
1000.00
A Better Atascadero
Al &-Dora Brown
ARE A_CODE)PHONENUMBER
n
STREET ADDRESS
-"n' OTH
CITY,
Atascadero Ca.
PTY;
i= J:-Contribution(s) Deceived
Type or printin ink.
Amounts maybe rounded to whole dollars..
_ a g Date of,
` 10/21108
g
This Filin •__
I.D. NUMBER (iiappicat)le). 1..
1304988 Report No.
r ' ❑ Amendment
to Reporf,No�
STATE ZIPCODE (explainbelow)
P
No. of.,ages _ 1
Ca 93422 -
497 CONTRIBUTION REPORT
ateRE G E I• . ,
i"
a _
L) /)008or Official Use Only
CITY OF ATA CAOERO
CITY CLERK' OFFICE
DATE
'- - -
FULL- NAME. STREET ADDRESS AND ZIP CODE.OF CONTRIBUTOR
LOIVTRIBUTOR
'
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
,RECEIVED
(Ir COtvllvuttEE,ALSO ENTER I.MNUMBER) -
CODE
(IF SELF-EMPLOYED ENTER 14AME OF BUSINESS)
l]' IND
1000.00
10/2112006
Al &-Dora Brown
[] COM
Restaurant Owners
-"n' OTH
(] Check if Loan
PTY;
`
j
'��j'SCC
r
Provide interest rale
'��
®, IND
150000
10/2)ItIl08
Mission Oaks Annex
17 .1
Commercial Property Owner
OTH
❑Check if Loan
-� PTY
-
SCC
%
Provide interest rate
"
F IfND
_
F,COM =
❑ Check if Loan
a
PTY
TQC
f SCC
Provide interest rate
_
Reason for Amendment.
Contributor Codes
IND— Individual
COM —Recipient Committee (other than PTY or SCC)
OTH - Other (e 9., business entity)
PTY—Politi-al Party ,`
-- SCC — Small Contributor Committee
FPPC Form 497 (November/07)
FPPC Toll -Free Helpline- 866/ASK-FPPC (866/276-3772)
z 49a Contribution Report
NAME,OF FILER
A Better Atascadero
'< AREACODE)PHONE NUMBER
STREETtADDRESS
r
CITY
Atascadero Ca.
f 1,.C-ontribution(s) Received
Type or print in ink.
Amounts maybe rounded to whole dollars.
Date of- 10/2,1/08'
This Filing,_
LD
1 . NUMBER (irapplicaole)
Report No.
304988, 1
Amendment;
to Report No.. 3
STATE ZIPCODE (explainbelow)
Ca 93422
No. of Pages
Date
�) 000gor Offic
CITY OF ATA CADERO
CITY CLERK' OFFICE
t16UTION REPORT
dM
DATE
-
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
UONTRIBUTOR
"
IF AN INDI`lIOUAL'
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
RECEIVED
(IF coiadi rEE,ALSOEN'TERI.D.NUMOER)
L;ODE
(IF SELF-EMPLOYED ENTER NAME OFOUSNESS)
-
0, IND
1000.00
10/21/2008
AI &_Q6ra Brown
[ COM
Restaurant Owners
F, - OTH
Check if Loan
--
❑ PTY,
.SCC
Provide interest rate
® IND
150000
10/2YLt08
Mission Oaks,Annex
I17,.COM
Commercial Property Owner
i] OTH
❑ Check if Loan
'PTY
SCC
%
Provide interest rate
q
❑ IND
0 COM.-
[� OTH.
❑ Check if Loan
PTY
SCC
r.
i
Provide interest rate
Contributor Codes
e IND — Individual
COM'- Recipient Committee (other than PTY or SCC)
OTH - Other (e.g. business entity)
PTY - Politi-al Party
Reason for Amendment. SCC - Small.ContributorCommittee
- - - - FPPC Form 497 (November/07)
FPPC Toll -Free Helpline 8661ASK-FPPC (8661276-3772)
{ i
i