2018-04-26 Form 497 - We Love PSN
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497 Contribution Report
We Love Palm Springs - No an Measure C
AREA CODEIPHONE NUMBER I.O, NUMBER (It applicable)
(213) 452-6565 1401010
STREETADDRESS
777 S. Figueroa St. Suite 4050
Amounts may be rounded to whole dollars.
Date of 9/25/2018
This Filing
Report No. 042518A
[-]Amendment
to Report No.
(explain below]
CITY STATE ZIP CODE No. of Pages 1
Los Angeles CA 90017
1. Contributions Received
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Douglas Urbanski
04/24/2018 1993 S Mesa Dr
Palm Springs, CA 92264--2604
Reason for Amendment:
CONTRIBUTOR
CODE
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
IF SELF-EMPLOYED. ENTER NAME OF BUSII
0 IND
❑ COM
❑OTFf
Producer
❑0T
Douglas Urbanski
❑SCC
For Oita Joi Use Only
=� s
� I c=o
m -<
ITt
m 3 C
$2,000.00
❑ Check if Loan
%
Provide interest rate
"Contributor Codes
IND - Individual
COM - Recipient Committee (other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Polwcal Party
SCC - Small Contributor Committee
FPPC Form 497 (JuMI G)
FPPC Advice: advke®fppc.es.g (wsfp=pc.ca.9ov