HomeMy WebLinkAbout497 - 10/25/2024 - No. 17_ Redacted (PC)497 Contribution Report
NAME OF FILER
Ch en g 4 Arcadia fo r Arcad i a City Coun cil 2024
AREACOD8PHONENUMBER
(213) 4 89 -47 92
STREET ADDRESS
1250 1 Imperial Hwy. Ste. 200
I.D . NUMBER (if applicable)
1 4250 0 3
Amounts may be rounded to whole dollars.
Date of
This Filing 10/24/2024
Report No. _1 7 _____ _
D Amendment
to Report No. _____ _
-C-ITY ____________________ ST_A_T_E ___ Z-IP_C_O_D_E ____ ___, (ex pl ai n bel ow)
No r wa lk CA 906 5 0
No.of Pages __ _::::1 __ _
1. Contribution(s) Received
DATE FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVED (IF COM MITTEE , ALSO ENTER I.D. NUMBER) CODE*
10/24/2024 Tracy Cheng
1 8835 Ambe rly Pl. Kl IND
Row l and Heights, CA 91748 □ COM
□ 0TH
□ PTY
□ sec
□ IND
□ COM
□ 0TH
□ PTY
□ sec
□ IND
□ COM
□ 0TH
□ PTY
□ sec
Reason for Amendment: ------------------------------------
Date Stamp
RECEIVED
CITY OF ARCADIA
CI TY CLER K
IF AN INDIVIDUAL,
497 CONTRIBUTION REPORT
CALIFORNIA 49 7
FORM
For Official Use Only
AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED (IF SELF-EMPLOYED. ENTER NA ME OF BUSINESS)
Mark eting Director
KCAL Insurance Agency
·contributor Codes
IND-Individual
1 ,000 .00
D Check if Loan
%
Provid e in terest rate
□ Check if Loan
%
Provid e int eres t ra te
D Check if Loan
%
Provi de in teres t rate
COM -Recipient Comm ittee (other than PTY or SCC)
0TH -Other (e .g ., business entity)
PTY -Political Party
sec -Small Contributor Committee
FPPC Form 497 (Feb/2019)
FPPC Advice: advice@fppc.ca .gov (866/275-3772)
www.fppc.ca.gov