HomeMy WebLinkAbout2018-10-19 Form 497 - Harnik497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER
Re -Elect Jan Harnik for Palm Desert City Council 2018
AREACODEIPHONE NUMBER
I.D NUMBER (itappHcabie)
(
�1322067
STREETADDRESS
CITY
STATE ZIP CODE
Palm Desert,
CA 92261
1. Contribution(s) Received
Date of 10/19/18
This Filing
Report No. 18-6
❑ Amendment
to Report No.
(explain below)
No. of Pages ONE
RECEIVED
PAL RT, f'
2010 OCT 19 bH ID:
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL,
ENTER IFAND EMPLOYER
AMOUNT
RECEIVED
(IF COMMiMFE, ALSO ENTER I D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
Palm Ventures PA-1 LLC
❑ IND
2500.00
10/18/2018
30875 Date Palm Drive, Suite C2
❑ com
Cathedral City, CA 92234
❑x OTH
p Check if Loan
❑ PTY
❑ scc
%
Provide interest rate
❑ IND
❑ com
❑ OTH
❑ Check if Loan
❑ PTY
❑ scc
%
Provide interest rate
❑ IND
❑ com
❑ OTH
❑ Check if Loan
❑ PTY
❑ scc
Provide inlerest 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
5CC — Small Contributor Committee
FPPC Form 497 (Jul/20161
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov