2017-11-01 Form 497 - Middleton• • 497 Contribution Report
Amounts may be rounded lo whole dollars.
Lisa Middleton for Palm Springs City Council 2017
AREA CODE/PHONE NUMBER
(760) 537-0060
STREET ADDRE88
Ln NUMBER (If appllcable)
1394265
Date of
Thia FIiing
Report No.
11/1/2017
Form 497
I /1031 •Amendment
to Report No. ----------------------------1 (explalnbelow)
CITY
Palm Springs
1. Contributions Received
STATE
CA
ZIP CODE
92262 No.of Pages 1
0
DATE FUU NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBLfTOR CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER} CODE"
Palm Springs Police Officers Association PAC •IND
1121 L St 0COM
10/31/2017 Ste 200 DOTH
Sacramento, CA 95814-3970 •PTY
ID: 951841 •sec
Palm Springs Police Officers Association PAC •IND
0COM 1121 L St
10/31/2017 Ste 200 DOTH
Sacramento, CA 95814-3970 0PTY
ID: 951841 •sec
Reason for Amendment:
111' HOV -I PH ~: r 8
IF AN INDIVIDUAL,
ENTER OCCUPATION ANO EMPLOYER
CIF SELF-EMPLOYED. ENTER NAME OF BUSINESS)
I
"Contributor Cod•
IND • Individual
•
AMOUNT
RECEIVED
$1,633.00 •Check if Loan
\f~tf~'.[~J'.::~~ijtit~%
ProYide i,..erest rate
$1,633.00 •Check if Loan
:ff /(tJ;Ci)f½J;j\;'. %
Provide lnlerest rate
COM • Reoipient Committee (other than PTY or SCC)
0TH • Other (e.g., business entity)
PTY • Political Party
SCC • Small Contril:iutor Committee