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HomeMy WebLinkAbout497 - 09/16/2022_Redacted (MC)497 Contribution Report Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT NAME OF FILER Date of Date Stamp CALIFORNIA , 09/16/2022 , Cao 4 Arcadia City Council 2022 This Filing _ RECEIVED • AREA CODE/PHONE NUMBER I.D. NUMBER (Wapplicable) For Official Use Only Report No. 1 (213)489-4792 �1443037 STREET ADDRESS Amendment S E P 1 6 2022 ❑ 12501 Imperial Hwy. Ste. 200 to Report No. CITY STATE ZIP CODE (explain below) CITY OF ARCADIA Norwalk CA 90650 No. of Pages 1 CITY CLERK � 1. Contribution(s) Received CONTRIBUTOR CODE * ❑x IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Reason for Amendment: IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Retired None AMOUNT RECEIVED 1,000.00 ❑ Check if Loan Provide interest rate ❑ Check if Loan Provide interest rate ❑ Check if Loan Provide interest rate *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 (8661275-3772) www.fppc.ca.gov