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HomeMy WebLinkAbout2018.10.29_Addis_Dawn_Form 497497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Dawn Addis for City Council 2018 Date of This Filing 10/29/2018 Date Stamp RECEIVED City of Morro Bay OCT 2 9 2018 City Clerk CALIFORNIA FORM 497 Or • ciaIUse •n y Report No 1 AREA CODE/PHONE NUMBER I.D. NUMBER (if applicable) 1406734 ■ Amendment to Report No. STREET ADDRESS (explain below) No. of Pages 1 CITY STATE ZIP CODE Morro BayCA 93442 1. Contribution(s) Received DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED Ti rr R • IND 1,000.00 ■ COM 10/28/2018 Los Angeles, CA 90027 © OTH ❑ Check if Loan ■ PTY ■ SCC % Provide interest rate Teresa& William Szymczak Owners, Preservation Partners © IND 1,000.00 ■ COM Rolling Hills Estates CA90274 10/28/2018 ■ OTH ❑ Check if Loan ■ PTY ■ SCC % Provide interest rate • IND • COM • OTH ❑ Check if Loan ■ PTY ■ SCC % 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 (Jul/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov