HomeMy WebLinkAbout2019-10-14 Form 497 - Woods (2)497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER
Dennis Woods for Palm Springs City Council District 2, 2019 10/14/2019 Date of
This Filing
A"'R"'EA=c"'o=o=E/=PH~o==N=E~N~U~M=BE=R=------~1.=o~. N~U~M=B=ER-(if-,p-,,-;ca-.,-.)-----------1
Report No. ___ 1_0_C_IT_Y_ ( 1419200
STREET ADDRESS
•Amendment
to Report No. --~~=~
""c1"'1Y:-:------------------s==T."'AT=E=---::2:::IP,-,c"'o""D"'E------1 (explain below)
Palm Springs CA 92262 No.of Pages-----
1. Contribution(s) Received
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER J.D. NUMBER) CODE"
Ronald D. Stange (&I IND
2494 N Via Monte Vista • COM
10/13/2019 Palm Springs, CA 92262 • 0TH • PTY • sec
• IND • COM • 0TH • PTY • sec
• IND • COM • 0TH • PTY • sec
Reason for Amendment: ______________________________ _
Date Stamp
I ECEIYED
CALIFORNIA 497
FORM
F PALH SPRINGS For Official Use Only
F THE CITY CLERII
IF AN INDIVIDUAL.
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
Not Employed
N/A
• Contributor Codes
IND -Individual
AMOUNT
RECEIVED
1,000.00
D Check if Loan
,,
Provide Interest rate
D Check if Loan
%
Provide Interest rate
D Check if Loan
%
Provide Interest rate
COM -. Recipient Committee (other than PTY or SCC)
0TH -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