HomeMy WebLinkAbout497 - 09/19/2022_ Redacted (TJH)497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER _
Date of
Date Stamp
This Filing
�
AREACODE/PHONE NUMBER
I.D. NUMBER (Yapplicable)
Report No.
RECEIVED
For official use only
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❑
ITY OF ARCADIA
S EETADDRESS
Z �� � �
ReportNo.Amendment
to Report No.
(explain below)
SEP 1 g 2022
CITY STATE ZIP CODE
C t o-T-
a 1
No. of Pages I
CITY MANAGER
1. Contribution(s) Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE"
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
I cac\
CoM
_'5fq
QZ—z
szo
❑ OTH
�a(e,
Check if Loan
SCC
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:
O
* 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