HomeMy WebLinkAbout2019-10-21 Form 497 - Woods497 Contribution Report Amounts may be rounde d to whole d ollars .
NAME OF FILER
Dennis Woods for Palm Springs City Council District 2 , 2019
Date of
T hi s F iling
1 0/2 0/20 19 R C E I V Ef1e Slamp
CIT'f OF /\L H SPRINGS
CALIFORNIA 497
FORM
A REA C O D E/PHO N E N U MBER
(
1.0 . N UMBER (ifappllcabfeJ
1419200 Report No . 110190CT21 PH \:58 For Officia l Use On ly
STREET ADDRESS
•Amendment OFF ICE O THE CITY CLE R''
to Report No . ____ _
-C I_TY __________________ Sl:-A-TE ___ Z_I_P _C_O O_E ____ ---1 (expl ain below )
Palm Springs CA 92262
1 No.of P ages ____ _
1. Contribution(s) Received
DATE F ULL NAME, STREET A DDRESS A N O ZIP C ODE OF C O NTRIBUTOR CONTRI BUTOR
RECEIVED (IF COMMITTEE, A LSO ENTER I .D. NUM BE R) CODE"
Robert C onnelly 18] IN D
Rancho Mi rag e , CA 92270 0 COM
10/19/201 9 454 Sunn ingdal e Drive 0 0TH
0 PTY • sec
0 IN D
0 CO M
0 0TH
0 PTY • sec
0 IN D
0 COM
0 0 TH
0 PTY • sec
Reason for Amendment: _______________________________ _
IF A N I NDIVI DUAL,
ENTER OCCUPATI ON A N D EM PLOYER
(IF SELF-EMPLO YED, ENTER NA M E OF BUSI NESS)
Graphic Designe r
Robert Conne lly
* Contributor Codes
IN D -Individual
AMOUNT
RECEIVED
9 ,125.00
D Check if Loan
%
Provide Interes t rate
D Check if Loan
%
Provide Interest rate
D Check if Loan
%
Provide Interest ra te
COM -Recipient Committee (other than PTY or SCC)
0TH -Other (e .g ., business entity)
PTY -Political Party
sec -Small Cont ributor Committee
FPPC Form 497 (Fe b/2019)
FPPC Advice: advice@f ppc.ca .gov (866/275-3772)
www.fppc.ca.gov