2022-08-08 - Form 497 - Renee Brown497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER
Date Of 08/06/2022
Date Sta
e •
Stephanie Renee Brown
This Filing
3
rEli:
e
For
AREA CODE/PHONE NUMBER
LD. NUMBER (d eppticabre)
7605340149
Report No.
21122AU"
Amendment
rz
-
Official Use Only
STREET ADDRESS
2020 North Magnolia Road
to Report No.
(explain below)
No. of Pages
CITY STATE ZIP CODE
Palm Springs CA 92262
1. Contribution(s) Received
IF AN INDIVIDUAL,
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMnTEE, ALSO ENTER I.D. NUMBER)
CODE'
(IF SELFEMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
Harold Matzner, PO Box 2084, Palm Springs, CA 92263
O ND OM
Entrepreneur; Philanthropist
S4,900.00
08/05/2022
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
°/6
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
%
Provide Interest rate
Reason for Amendment:
Contributor Codes
IND - Individual
COM - Recipient Committee (other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 497 (Feb/2019)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov