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HomeMy WebLinkAbout2018.10.29_Headding_John_Form 497497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER John Headding/Horner Alexander Date of This Filing 10/29/18 Date Stamp RECEIVED City ofMorroBay OCT G 9 2018 City Clerk CALIFORNIA 497 FORM or •'icial se •ny Report No 2 AREACODEIFHONE NUMBER 805 I.D. NUMBER frlappticaiNej 1411645 III Amendment to Report No. S`REETADDRESS (explain1 below) No. of Pages CITY STATE Morro Bay CA ZIP CODE 93442 1. Contribution(s) Received DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER LD. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF•EMPLOYEO, ENTER NAME OF BUSINESS) AMOUNT RECEIVED 10/28/18 I i t sa Szymczak Rolling Hills Estates, CA 90274 Self Preservation Partners (former owner) 2,500.00 D Check if Loan ©IND ■ cam ❑ OTH • PTY ■ scc Provide interest rate 10/28/18 Susan Wood Sherman Oaks, CA 91423 Rye Street Apts Owner 2,500.00 0 Check if Loan • IND rI ccm OTH ❑ OTH • PTY ■ SCC g Provide interest rate ❑ Check if Loan % • IND ❑ COM • OTH • 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