HomeMy WebLinkAbout2022.10.26_Headding_John_Form 497497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER
Date of 10/26/22
Date Stamp
•
John Headding for Mayor/Homer Alexander Filer
This Filing
04
,
-
AREA CODE/PHONE NUMBER
I.D. NUMBER (itapplicable)
1411645
Report No.
RECEIVED
For Official Use Only
City of Morro Bay
STREET ADDRESS
El Amendment 03to
Report No.
(explain below)
1
OCT 2 6 2022
CITY STATE ZIP CODE
Morro Bay CA 93442
No. of Pages
1. Contribution(s) Received
IF AN INDIVIDUAL,
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE'
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
Jalpa Patel
m IND
Small Business Owner
$1,000
10/25/22
❑ COM
Twin Dolphin Hospitality
Morro Bay, CA 93442
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
%
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
%
Provide interest rate
Reason for Amendment: Incorrect report number
* 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 (866/275-3772)
www.fppc.ca.gov