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HomeMy WebLinkAboutForm 497 Heather Moreno 102320497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date Of 10/23/2020 Date Stamp IF AN INDIVIDUAL, Friends of Heather Moreno for Atascadero Mayor 2020 This Filing 10232020 FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR -, AREACODEIPHONE NUMBER I.D. NUMBER pfappfcabfe) RECEIVED (IF COMMITTEE. ALSO ENTER LD. NUMBER) 1400944 Report No. RECEIVED For Qfftcial Use Only STREETADDRESS IND ❑ COM Amendment OC 232020 32020 10/22/2020 to Report No. (explain below} 1 CITY OF ATASCADER []Check if Loan CITY STATE ZIP CODE Atascadero CA 93422 No. of Pages 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 LD. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED Robert Johnson IND ❑ COM Retired $2,100.00 10/22/2020 ❑ OTH []Check if Loan ❑ PTY ❑ SCC Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ heck 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