HomeMy WebLinkAboutForm 497 Citizens in Support of Measure D20 083120497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER
Date of 08/31/2020
Hate Stamp
IF AN INDIVIDUAL,
Citizens In Support of Measure D-20
This Filing
2008-01
FULL NAME, STREETADDRESS AND 71P CODE OF CONTRIBUTOR
.
AREACODElPHONE NUMBER
I.D. NUMBER (ifapp+fcaDle)
RECEIVED
-
CODE"
Report No.
RECEIVED
For Official Use Only
STREETADDRESS
m IND
❑ Amendment
S1,000.00
to Report No.
(explain below)
1
AUG 31 2020
CITY STATE ZIP GODS
Atascadero CA 93422
No. of Pages
CITY OF ATASCADERO
E3 Check if Loan
CITY CLERK'S OFFICE
1. Contribution(s) Received
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 (866/275-3772)
www.fppc.ca.gov
IF AN INDIVIDUAL,
DATE
FULL NAME, STREETADDRESS AND 71P CODE OF CONTRIBUTOR
CONTRIBUTOR
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
IIF COMMITTEE. ALSO ENTER W. NUMBER)
CODE"
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
m IND
Retired
S1,000.00
El COM
08/26/20
Atascadero, CA 93422
❑ OTH
E3 Check if Loan
❑PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCO
%
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
%
Provide interest rale
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 (866/275-3772)
www.fppc.ca.gov