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2019-10-15 Form 497 - Garner497 Contributio n Report Amounts may be rounded to who le dolla rs. NAME OF FILER Grace Garner For Palm Springs City Council Dis trict 1, 2019 AREA CODE/PHONE NUMBER STREET ADDRESS CITY Palm Springs, CA 92262 1. Contribution(s) Received STATE 1.0. NUMBER (If applicable) 141 5211 ZIP CODE DATE FULL NAME, STREET ADDR ESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Palm Springs Modern Heritage Fund PO Box 4758 2019-10-14 Palm Springs, CA 92263 Date of This Filing 10/15/2019 R fate Stamp C/ y OF p~~i ~~R/ Report No. 397 D Amend-m-en-t __ _,.,20 9 OCT / 5 PH 4: J to Report No. o OFF/ E OF ---THE CITY CLE -,,. (explain below) . , No.of Pages_2 ____ _ CONTR IBUTOR IF AN INDIVIDUAL, AMOUNT CODE• ENTER OCCUPATION AND EMPLOYER RECEIVED (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DINO 2,500.00 DcoM IBloT H D Check if Loan 0PTY __ % •sec Provide Interest Ra te Reason for Amendment:------------------------------------- • Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) POWIM'ed by ISPolltlcaJ.oom PTY -Political Party sec -Small Contribu to r Committee FPPC Form 497 (Feb/2019) FPPC Advice: acMce@lppc.ca.gov (866/275-3n2) www.fppc.ca.gov