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497 Contribution Report
AREA CODEIPHONE NUMBER
STREETADDRESS
777 S. Figueroa St. Suite 4050
CITY
Los Angeles
1. Contributions Received
Amounts may be rounded to whole dollars.
I.D. NUMBER (if applicable)
STATE ZIP CODE
CA 90017
[]Amendment
to Report No.
(explain below)
No. of Pages 2
2010 APR I I PM 6: 55 For Oftirwuse Ordy
jFFICc Or I hE C1 I Y C t R:-
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
RECEIVED
(IF COMMITTEE, ALSO ENTER I.O. NUMBER)
CODE'
IF SELF-EMPLOYED. ENTER NAME OF -BUSINESS
❑ IND
Acme House Company
❑COM
$9,770.00
04/10/2018
1733 N Palm Canyon Dr
❑✓OTH
❑Check if Loan
Ste D
❑PTY
%
Palm Springs, CA 92262-2957
❑SCC
Provide interest rate
❑✓ IND
❑COM
$1,000.00
Kimberly Hertel
❑ OTH
Hospitality
❑Check if Loan
04/10/2018
226 N Airlane Dr
❑PTY
Kimberly Hertel
Palm Springs, CA 92262-6969
%
❑ SCC
Provide interest rate
✓❑ IND
Michael Kofman
❑COM
$3,500.00
04/10/2018
1111 E Palm Canyon Dr
❑OTH
President
❑Check if Loan
Unit 205
❑N p
Oasis Rentals Inc
Palm Springs, CA 92264-9109
❑SCC
Yo
Prrnida interest rate
Reason for Amendment:
'Contributor Codes
IND - Individual
mutt - Rp ip lent r'nn.mWaa (nthnr than M nr 3CC1
OTH - Other (e.g.. business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 497 (JuU2016)
FPPC Advice: advke®fppc.ca.go„v1118rB� 7 7 2)