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497 Contribution Report
Amounts may be rounded 10 ~ dolars_
We Love Palm Sprinqs -No on Measure C Date of
This Filing 4/23/2018
AREA CODE/PHONE NUMB&R
(213) 452-6565
I.D. NUMBER (If appllc.ble)
1401010 Report No. 042318A
STREET ADDRESS 0Amtndment
777 S. Figueroa St. Suite 4050 toRepottNo. ------=-------------------------l (explain bolow) ----
CITY STATE ZIP CODE
Los Angeles CA 90017 No. of Pages 2
1. Contributions Received
DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVED CIF COMMITTEE, ALSO ENTER tO_ NUMSER) CODE•
OIND
Natural Retreats us, LLC OcoM
04/20/2018 675 Peter Jefferson Pkwy 12]0TH
Ste 250 OPTY
Charlottesville, VA 22911-4656 Osee
01ND
Artemis Patrick 0COM
04/22/2018 300 Berry St DOTH
Unit 808 0PTY
San Francisco, CA 94158-1666 oscc
I2JINO
scott Stewart 0COM
04/22/2018 DoTH 407 Patrician Way
OPTY Pasadena, CA 91105-1029 oscc
"D .£:-1
.IT'r OF PALH S,ft ~ G
2018 APR 24 AM 7: 32
~FFICE OF Tli E C/1 y Ct.E~
IF AN INDIVIDUAL,
CALIFORNIA 497 FOf~M
For Olllclal Uao Only
AMOUNT ENTER OCCUPATlON AND EMPLOYER RECEIVED IIF SELF-EMPLOYED. ENTER NAME OF BUSINESS)
Sales Operations
Adroll
Filmmaker
RobotProof, Inc.
•conlributor Codes
INO ·lndiYidual
$5,000.00
0Cheek if loan
; .. ; .:~, .. :.;'~··· .t. ~,. .. -;~~-~~~ ,:.:;l .. .''t~ .. ~. %
Plovicle lnlerest rate
$500.00
0 Check if Loan
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Provide Interest rate
$500.00
0Check if Loan
:;-~ ',:~~~ .~ ~h ,£. ~ ~~: .\%
Provide Interest rate
ReasonfotAmandment: ______________________________ _
COM -Reclpr.nt Cammlllaa (alher lhan PTY or SCC)
Oll'i • OUlar ( I.A., buslnoas entity)
PTY • Pollical Party
SCC • Smau Conlributor CommiU.e
FPPC Fonn 497 (JuU2Dfll)
FPPC Advlca: advlce@fppe.ca.gov (16&127!-3772) ~.fppc:.ca.goy