2020-09-14 Form 497 - Middleton497 Contribution Report
Amounts may be rounded to whole dollars.. _ RECEIVED 497 CONTRIBUTION REPORT
NAME OF FILER
Lisa Middleton For Palm Springs City Council District 5, 2020
AREA CODE/PHONE NUMBER I.D. NUMBER (If solcable)
1 1394265
STREET ADDRESS
ur ALMD&FAWGS
Date of This
FlIUg 09/13/2020 ILUL 4M i : 34
Report No. 198
of r ICE OF THE I31 TY CLE ?y
❑ Amendmemt
to Report No.
(explain below)
:RY STATE ZIP CODE ( No. of Pages 2
Palm Springs, CA 92264
1. Corttlibutlon(s) Received
For Official Use 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 AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
Wintek
❑IND
2045 East Tahquitz Canyon Way
❑ COM
4,200.00
2020-09-10
Palm Springs, CA 92262
® OTH
Q Check if Loan
❑ PTY
❑ SCC
Provide Interest Rate
* Contributor Codes
IND — Individual
Reason for Amendment: COM — Recipient Committee (other than PTY or SCC)
OTH —Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
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FPPC Form 497 (Feb/2019)
FPPC Advice: advice@fppc.ca.gov (866 275-3772)
—.tppc.ca.gov
497 CoWbution Report
Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT
NAME OF FIB ER Date of This Date Stamp ROffftal
Lisa Middleton For Palm Springs City Council District 5, 2020 RNng 09/1312020AREA CODE/PHONE NUMBER I.D. NUMBER (if applicable) Report NO.760-330-7023 1394265gOnty STREET ADDRESS ❑ Amendment
840 East Biltmore Place t0 Report No.
(explain below)
CITY STATE ZIP CODE NO. Of ?ages 2
Palm Springs, CA 92264
2. Contribution(s) Made
DATE
MADE
FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CANDIDATE AND OFFICE
MEASURE ANOR DJURISDICTION
AMOUNT OF
CONTRIBUTION
DATE OF ELECTION
(IF APPLICABLE)
Reason for Amendment:
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FPPC Form 497 (Feb=19)
FPPC Advice: advice@1ppc.ca4M (86&275-9772)
www.tppcca-gov
FORM
REFERENCE
NOTES
CA 497
Cover
In -kind contribution; viewing of polling. Timely filed; clerk office closed 9/11-13.
FPPC Foam 497 (LWdII2011)
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