HomeMy WebLinkAbout2019-10-21 Form 497 - Woods(2)497 Con tribution Report
NAME OF FILER
Dennis Woods for Palm Springs City Council District 2 , 2019
AREA CODE/PHONE NUMBER
(
1.0. NUMBER (II spp//cable)
1419200
Amounts may be rounded to whole dollars.
Date of
This Filing 1011712019 R
~IT Y Of
Report No. __ 1_12Hl0.+al9HO*C
C EI y el!)e Stamp
J\LH SPRINGS
21 PM I: 51
CALIFORNIA 497
FORM
For Official Use Only
STREET ADDRESS
D Amendment OF FICE 01 THE CITY CLE Kt<
to Report No . ____ _
-CI_TY __________________ S_T_A-TE ___ Z_I_P _CO_D_E ____ --i (explain below)
Palm Springs CA 92262
1
No .of Pages -----
1 . Contribution(s ) Rec eived
DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO E NTER 1.0. NUMBER) CODE"
John Park I&) IND
68135 Alva Ct • COM
10/1 7/2019 Cathedral City, CA 92234 0 0TH
0 PTY • sec
John Park I&) IND
68135 Alva Ct 0 COM
10/17/2019 Cathedral City, CA 92234 0 0TH
0 PTY • sec
• IND • COM
0 0TH
0 PTY • sec
Reason for Amendment: _______________________________ _
IF AN INDIVIDUAL.
ENTER OCCUPATION AND EMP LOYER
(I F SELF-EMPLOYED, ENTER NA ME OF BUSINESS)
Owner
Shamrocks Irish Pub
Owner
NYPD Restaurant & Bar
* Contributor Codes
IND -Individua l
AMOUNT
RECEIVED
1,000.00
D Check if Loan
%
Provi de Interes t rate
1 ,000 .00
D Check if Loan
%
Provid e in tere st rate
D Check if Loan
%
Provide Interest rate
COM -Recipient Committee (ot her than PTY or SCC)
0 TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
FPPC Form 497 (Fe b/2019)
FPPC Advice: ad vice@fppc.ca.gov (866/27 5-3772)
w ww.fppc.ca.gov