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HomeMy WebLinkAboutForm 497 Heather Moreno 091220497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date of 9/12/2020 Date Stamp - Friends of Heather Moreno for Atascadero Mayor 2020 y This Filing 09122020 FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR I � AREA CODEIPHONE NUMBER I.D. NUMBER (ifapplicable) RECEIVED 1400944 Report No. RECEIVED For Official Use Only STREETADDRESS California Real Estate Political Action Committee #890106 ❑Amendment S�� 2 z�2� $1,000.00 9/11/2020 to Report No. (explain below) 1 ITY OF ATASCADERO CITY STATE ZIP CODE Atascadero CA 93422 No. of Pages ITY CLERIC'S OFFICE 1. Contribution(s) Received Reason forAmendment: . 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 ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER I.U. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED California Real Estate Political Action Committee #890106 E] INQm COM $1,000.00 9/11/2020 ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC —210 Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC —210 Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC Provide interest rate Reason forAmendment: . 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