HomeMy WebLinkAbout497 - 10/23/2024 - No.4 (DA)_ Redacted497 Contribution Report Type or print In Ink.
Amounts may be rounded to whole dollars.
NAME OF FILER Date of
DAVID ARVIZU This FIiing OCT 23 2024
--------------------------------i AREA CODE/PHONE NUMBER I.D. NUMBER (hppliceble) 4 Report No. _____ _ 626 627 6503 1472040
STREET ADDRESS 181 Amendment
1321 HIGHLAND OAKS DR to Report No. __ 2 __
-CI_TY __________________ Sl:-A--TE ___ Z_l...,.P...,.COD-,--E,------i (explain below)
ARCADIA CA 91006 No.ofPages ___ 1 __ _
1. Contribution(s) Received
FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR DATE
RECEIVED (IF COMMITTEE , ALSO ENTER 1.0. NUMBER) CODE*
0 IND
0 COM
0 0TH
0 PTY
□ sec
0 IND
0 COM
0 0TH
0 PTY
□ sec
0 IND
0 COM
0 0TH
0 PTY
□ sec
f A d t THE PURCHASE OF THIS ITEM WAS CANCELLED AND THE MONEY RETURNED .
Reason or men men :--------------------------------
ate Stamp
RECEIVED
CITY OF ARC DIA
CI TY CL ER K
IF AN INDIVIDUAL ,
497 CONTRIBUTION REPORT
CALIFORNIA 497
FORM
• I • y
AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS )
••contributor Codes
IND -Individual
0 Check If Loan
%
Provide Interest rate
D Check if Loan
%
Provide Interest rate
0 Check If Loan
%
Provide Interest rate
COM -Recipient Committee (other than PTY or SCC)
0TH -Other (e .g., business entity)
PTY -Political Party
sec -Small Contributor Committee
FPPC Fonn 497 (March/2011)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)