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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 ( _________________ "'"".S::::l::"'.".AT::::E:----:Z:"'.".IP::-C::-O::::D::::E:-------1 (explain below ) 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