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HomeMy WebLinkAboutForm 497 Citizen in Support of Measure D20 102820497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date of 10-28-20 Date Stamp A , Citizens In Support of Measure D-20 This Filing 201D_02 FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR - AREA CODE/PHONE NUMBER I.D. NUMBER (ifapplicable) For Official Use Only (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 1430938 Report No. ❑ Amendment RECEIVED sTREETADDREss IND to Report No. {explain below) UL 1 2 8 2020 CITY STATE ZIP CODE ❑ COM CITY OF 10/28/2020 Atascadero CA 93422 No. of Pages yS OFFICE CITY CLERKS S OOFFICE ❑Check if Loan 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 Waste Mana etnent & Affiliated Entities IND $2,000.00 ❑ COM 10/28/2020 Sun Valley, CA 91352 m 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 p10 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