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2017-10-26 Form 497 - Middleton497 Contribution Report Amounts may be rounded to whole dollars. Lisa Middleton for Palm Springs City Council 2017 Date of ThisFillng Report No. AREA CODE/PHONE NUMBER ( 1.0. NUMBER (If appllcable) 1394265 ------111016;t:"ff STREET ADDRESS •Amendment '-' 1 to Report No. -----------------------------~ (explain below) CITY Palm Springs STATE CA ZIP CODE 92264 No.of Pages 1. Contributions Received DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Aftab Dada 10/26/2017 400 E Tahquitz Canyon Way 400 E.Tahquitz Canyon Way Palm Springs, CA 92262-6605 Frederick Noble & Affiliated Entities 10/25/2017 2045 E Tahquitz Canyon Way Palm Springs, CA 92262-7003 Reason for Amendment: 1 CONTRIBUTOR CODE' IZ]IND •COM DOTH 0PTY •sec 01ND 0COM IZ]OTH 0PTY •sec --------------------------------- JNb (ML IFORl'I :~ 497 FOR M For Official Use Only E OF THE Cl ( y CLL ._, IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Hotel Hilton Manager Palm Springs • Contributor Codes IND -Individual $1,000.00 D Check if Loan % Provide interest rate $7,226.09 •Check if Loan % Provide interest rate COM -Recipient Committee (other II-en PTY er SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee FPPC Form 497 (Jult2tl1 B) FPPC Advice; advlce@fppc.ca.gov (8661276-3772) www.fppc.ca.gov