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HomeMy WebLinkAbout2019-10-16 Form 497 - Pettit497 Contribution Report NAME OF FILER Alfie Pettil for City Council, District 3, 2019 Amounts may be rounded to whole dollars. Oct. 16, 28]t y R EC E!J"lf'~P FPALH SPRINGS CALIFORNIA 497 FORM Date of This Filing -;-;AR"'E'"'A"C"O;::;D .:r"'e"H"'o"'NE"'N"'U,;:M;;;B"'ERs------rlc=.o,-_ N"'U,,.M"'a"'ER,-o"", ~--=_,,-c,-,,---------1 No. of Pages ----- 1. Contributlon{s) Received DATE FULL NAME. STREET ADDRESS A!ID ZIP CCOE. OF CCNTRIBUTOR CONTRIBUTOR RECENED (IFCOl.!JJfTTEE, .\l.00£tHER i.D. NrJflBER} COOP Afan P. Pettit - OCOM 10-15-2019 DOTH OPTY •sec Gary Miller POBox595 18( IND Kelseyville, CA i,5451-0595 •COM 10-15-2019 00TH 0 PTY • sec Election date: November 5, 2019 0 IND •COM • 0TH 0 PTY • sec Reason forAmendment: ____________________________ _ IF AN INOIVJDUAt, ENTER OCCUPATION AND EMPLOYER l,TF SEl.f,.&~F't.O\'ED, EITTER N.VJE OF BUSHJESS) Self-employed Entertainer !Alfie Pettit Unknown Unsolicited mail-in conbibution No known confact•infonnation • Contributor Codes IND -Individual AMOUNl RECEIVED 1,500.00 !ill Check n Lo,n 0 " Pl'IMda lnlete$1 rate 1,000.00 0 Check if Lo,n o/, f'n:Mde ln!crosl rate D Check if Loan o/, Pl'W.de lnteres1 rate COM -Recipient Committee (olher lhan PTY or S CC} 0TH -Other (e.g., busil>8SS entity) PTY -Po°lillcal Party sec -Small contlibutor Committee FPPC form 497 {FEb/2019) FPPC Advioe: advia:@fppc.ca.goo (866/275-37721 www.fppc.ca.gov