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HomeMy WebLinkAboutForm 497 Citizens in Support of Measure D20 102620497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date of 10-26-2020 Date Stamp IF AN INDIVIDUAL, Citizens In Support of Measure D-20 This Filing 2010-01 FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR For Official Use Only AREA CODE/PHONE NUMBER I.D. NUMBER (if applicable) RECEIVED 1430938 Report No. RECEIVED RECEIVED STREETADDRESS SEIU Local 620 ❑ Amendment ��; 4 ZQ2� $1,000.00 to Report No. (explain below) CITY S ADERO CITY STATE ZIP CODE Atascadero CA 93422 No. of Pages CL R OFFICE 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 ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED {IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED SEIU Local 620 ❑ IND $1,000.00 ❑ COM 10/26/2020 Santa Barbara, CA 93105 m OTH El Check it Loan ❑ PTY ❑ SCC —210 Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC Provide interest rate ❑ 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 (866/275-3772) www.fppc.ca.gov