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497 Contribution Report
We Love Palm Springs -• No on Measure C
AREA CODETPHONE NUMBER I.D. NUMBER (If applicable)
(213) 452--6565 1 1401010
STREET ADDRESS
777 S. Figueroa St. Suite 4050
CITY
Los Angeles
9. Contributions Received
Amounts may be roundod to whole dollars, R E C E 1 Y E D
Date of i r I FORM I I is)
This Filing 6/3/2018 t
2 i9 JUN -4 AM B: 2 I 7r-oriciaruseonhr
Report No. 05 D91 a
❑✓ Amendment i' -; I
to Report No. 1
(emlain below)
STATE ZIP CODE No. of Pages 1
CA 90017
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMrrTEE, ALSO ENTER I.D. NUMBER)
CODE •
IF SELF-EMPLOYED ENTER NAME OF BUSINESS
RECEIVED
❑✓ IND
❑COM
$250-00
Shon Tomlin
❑OTH
President
❑Cheek if Loan
04/24/2018
258 N Saturmino Der
❑PTy
Groove Inc.
,_,•
Palm Springs, CA 92262-6544
��
❑SCC
Provide Interest rate
✓❑ IND
❑COM
$600.00
05/06/2018
Shon Tomlin
258 N Saturmino Dr
❑ OTH
President
❑check if Loan
Palm Springs, CA 92262-6594
❑
Groove Inc.
t..,;:�v,-�; x„
t�%
❑ SCC
ArovWe Interest rate
❑ IND
❑COM
$400.00
Shan Tomlin
❑OTH
President
❑CheckifLoan
05/08/2018
258 N Saturmino Dr
❑PTY
Groove Inc.
�tY �F :..�„
Palm Springs, CA 92262-6544
;.v ��: N
❑SCC
Provide Interest rate
Reason for Amendment Contributions Amended.
•Contributor Codes
IND - M&Mdual
COM - Reciprent4:om ittee (othor than PTY or SOC)
OTH-Other (e.g, b"ness entity)
FTY - Political Party
SCC - Small Contributor Committee
FPPC Form 497 (JuM16)
FPPC Advice: advkaWppc.cag #215.3772)