2017-10-23 Form 497 - Middleton-• 497 . Contribution Report
Amounts may be rounded to whole dollars.
Lisa Middleton for Palm Springs City Council 2017
AREA CODE/PHONE NUMBER
(
1.D. NUMBER llf applicable)
1394265 Report No. Form 4 97
•Amendment
to Report No. ------------------------------1 (explain below)
STREET ADDRESS
CITY
Palm Springs
1. Contributions Received
STATE
CA
ZIP CODE
92264 No. of Pages
111023
1
lt7 OCT 23 PH I: 21+
OF ICE OF THE CITY CLER \<.
•
CALIFOR"-JIA 497
FORM
ForOffcial Usa Only
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE*
IF AN INDIVIDUAL,
ENTER OCCUPATION ANO EMPLOYER
OF SELF-EMPLOYED , ENTER NAME OF BUSINESS\
AMOUNT
RECEIVED
10/02/2017
10/15/2017
10/23/2017
Reason for Amendment:
Committee to Elect Ginny Foat
1673 N.Palm Canyon Drive
Palm Springs, CA 92262
Committee to Elect Ginny Foat
1673 N.Palm Canyon Drive
Palm Springs, CA 92262
Committee to Elect Ginny Foat
1673 N.Palm Canyon Drive
Palm Springs, CA 92262
C] IND •COM
00TH
0PTY •sec
•IND •COM
00TH •PTY •sec
QJND •COM
l2JOTH
0PTY •sec
•Contributor Codes
IND -Individual
$500.00 •Check if Loan
Provide intereat rate
$200.00 •check if Loan
\~:-~;;(~~iit~i\:t?Jii?t:i:::%
Provide interest rate
$500.00
D Check if Loan
{iliit{;:J\:IfJJft %
Provide intere11t rate
COM -Recipient Committee (other than PTY or SCC)
0TH • Other (e.g., business entity)
PTY • Political Party
sec • Small Contributor Committee
FPPC Fonn '97 (JuL'2018)
FPPC Aclvk:e: advice@fppc.ca.gov (8681275-3772) www.fppc.ca.gov