The URL can be used to link to this page

Home My WebLink AboutForm 497 Tori Keen 092120497 Contribution Report Amounts may be rounded to whole dollars. NAME OF F ER '� - ��(/` i �C M-70 Date of C� 7 This Piling I w No. L r C- E] Amendment Date Stamp RECEIVED �� 2020 I •I.D. WForicial se Only NUMBER (ifeppficable)?'/1��Report `TT S1 T CONTRIBUTOR to Report No AMOUNT RECEIVED CITY STATE ZIP CODE q,�q (explain below) No of Pages )T( OF ATASCADERO iTY CLERKS OFFICE RECEIVED - 1. Contributions) 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 I866/275-3772) www.fppc.ca.gov IF AN INDIVIDUAL, DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED (iF COMMITTEE,ALSO ENTER1.0 NUMBER) CODE' (IF SELF-EMPI.OYEU, ENTER NAME OF BUSINESS) RECEIVED F_11e� �er�ud U ?erv>tSOr X0ElIND C71 Cr * rq ► COM OTH -'p _,5q'� ❑ ©Check if Loan ❑ PTY �j 4 p SCC 10 Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC % Provide Interest rate 0 IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC 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 I866/275-3772) www.fppc.ca.gov