HomeMy WebLinkAbout2022.10.26_Headding_John_Form 497(2)497 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
05
RECEIVED
City of Morro Bay
For Official Use Only
AREA CODEIPHONE NUMBER
I.D. NUMBER (itapplicable)
1411645
Report No.
O C T 2 6 2022
STREETADDRESS
❑ Amendment
to Report No.
(explain below) 1
City Clerk
CITY STATE ZIP CODE
Morro Bay CA 93442
No. of Pages
1. Contribution(s) Received
IF AN INDIVIDUAL,
DATE
FULL NAME, STREET ADDRESS 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
Hemant Patel
m IND
Small Business Owner
$1,000
10/26/22
❑ COM
Psi Hospitality
Morro Bay, CA 93442
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
%
Provide interest rate
❑ IND
❑ COM
❑ OTH
Cl 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 Parry
SCC - Small Contributor Committee
FPPC Form 497 (Feb/2019)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov