HomeMy WebLinkAbout2019-10-14 Form 497 - Woods497 Contribution Report
NAME O F FI LER
Dennis Woods for Palm Springs City Council District 2, 201 9
AREA COD E/PHONE N UM BER
(
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1
Palm Springs CA 92262 No.of Pages ____ _
1. Contribution(s) Re ceiv ed
DATE FULL NAM E , ST REET ADDRESS A N D ZIP CODE OF CONTRI BUTOR CONTRI BUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER 1.0 NUMBER) CODE"
United Food a nd Commercial Workers Union Local 11 67 PAC 0 IND
PO Box 1167 IZ) COM
10/10/2019 Bloomington, CA 9231 6 0 0TH
ID : 1254111 • PTY • sec
0 IND
0 COM
0 0TH
0 PTY • sec
• IN D • COM
0 0TH
0 PTY • sec
Reason for Amendment: _______________________________ _
IYE D
D a te Stamp
LH SPRING S
CALIFORNIA 49 7
FORM
PH 5: 27
For O ffi c ial Use O nly
IF A N INDIVIDUAL,
ENTER OCCUPATION AND EM PLOYER
(IF SEI.F•EMPLOYED, ENTER NAME OF BUSINESS)
* Contributor C od es
IND -Ind ividual
A M OUNT
RECEIVED
1 ,000.00
D C heck if Loan
%
Provide Interest rale
D C heck if Loan
%
Provide Interest rate
0 C heck if Loa n
%
Provide I ntere st rate
CO M -Recipie nt Commi ttee (othe r than PTY or S CC)
0TH -Othe r (e.g., business entity)
PTY -Politic al Party
sec -Small Contributor Committee
FPPC Form 497 (Fe b/2019)
FPPC Advice: advice@fppc.ca.gov (866/275-3 772)
www.fppc.ca.gov