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HomeMy WebLinkAboutForm 497 Citizens in Support of Measure D20 100120497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date of 10-1-20 Date Stamp WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Citizens In Support of Measure D-20 This Filing (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED . AREA GODEIPHONE NUMBER I.D. NUMBER ri/applicable} 1430938 Report No. 2009-03 RECEIVED For Official Use Only 7 STREETADDRESS ❑ Amendment LAI ti 2020 Atascadero, CA 93422 m OTH to Report No. (explain below) CITY OF ATASCADERO CITY STATE ZIP CODE Atascadero CA 93422 No. of Pages CITY CLERK'S OFFICE i. contributions) Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED Atascadero Professional Firefighters ❑ IND 2,000.00 ❑ COM 10/01/2020 Atascadero, CA 93422 m OTH ❑ Check if Loan ❑ PTY ❑ SCC Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC —210 Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC —210 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 (866/275-3772) www.fppc.ca.gov