2019-10-10 Form 497 - Garner497 Contribution Report
Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT
NAME OF FILER
Grace Garner For Palm Springs City Council District 1, 2019
AREA CODE/PHONE NUMBER
STREET ADDRESS
CITY
Palm Springs, CA 92262
1. Contribulion(s) Received
STATE
1.D. NUMBER QI eppl!cable)
1415211
ZIP CODE
DATE FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER I.D, NUMBER)
UFCW Local 1167, AFL-CIO-CLC
855 West San Bernardino Avenue
2019-10-10 Bloomington, CA 92316
ID: 1254111
Date o!This
Filing 10/10/2019
Report No. 379 -------• Amendment
to Report No. _a ____ _
(explain below)
No. of Pages 2 -----
CONTRIBUTOR
~te'f!'1 V £D ITY OF PJ\LH SP
CALIFORNIA 497
FORM
2019 OCT IO PM ~: 03
FFICE OF THE CITY LERH
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
For Officlal Use Only
AMOUNT
CODE• (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED
•IND 1,000.00
IZicoM
DOTH D Check if Loan •PTY % •sec Provide Interest Rate
Reason for Amendment: _____________________ ~--------------
• Contributor Codes
IND -Individual
COM -Recipient Committee (other than PTY or SCC)
0TH -Other (e.g., business entity)
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PTY -Political Party
sec -Small Contributor Committee
FPPC Form 497 (Fob/2019)
FPPC Advice: advlce@fppc.ca.gov (866/275-3n2)
www.fppc.ca.gov