HomeMy WebLinkAbout2018-10-12 Form 497 - Harnik497 Contribution Report Amounts may be rounded to whole dollars.
uI; cFMVED
NAME OF FILER —ER ' t Date of_
Re -Elect Jan Harnik for Palm Desert City Council 2018 This Filing 10/1 0 Y C DESERT ' '
AREACODE/PHONE NUMBER I.D NUMBER prappkabAe) 18_ PM 5' or cia Se
( �1322067 Report No. C 2
STREETADDRESS
❑ Amendment
to Report No
CI —
TY STATE ZIP CODE (explain below)
Palm Desert, CA 92261
No. of Pages ONE
1. Contribution(s) Received
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I D. NUMBER)
CONTRIBUTOR
CODE "
'FAN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
{IF SELF-EMPLOYED, ENTER NAME OF BUSINESS.
Robert Glast
R IND
Retired
❑ OTH
❑ Check it Loan
❑ PTY
❑ SCC
%
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ sCC
%
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ 5CC
%
Provide interest rate
Reason for Amendment:
"Contributor Codes
IND -- Individual
COM — Recipient Committee (other than PTY or 5CC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 497 (!ul/2016)
FPPC Advice: advice@fppc.ca.gov 1856/275-3772)
www.fppc.mSov