HomeMy WebLinkAbout2018-10-23 Form 497 - Harnik497 Contribution Report
NAME OF FILER
Re -Elect Jan Harn_ik_ for Palm Desert City Council 2018
AREA CODEIPHONE NUMBER I.D. NUMBER (dawkabb)
( 1322067
STREETADDRESS
Amounts may be rounded to whole dollars.
P. O. Box 3943__
CITY STATE 21P CODE
Palm Desert, CA 92261
1. Contribution(s) Received
Date of L 1 1 V r L L MWIM-Upro t
This Filing 10/23/18 P L H DESERT. r
Report No. 18-7 2010 JOCT 23 AM 8: 37
❑ Amendment
to Report No.
(explain below)
No. of Pages O N E
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
OFCOMMn`TEE,ALSO ENTER IO.NUMBER)
CONTRIBUTOR
CODE"
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF SELF-EMPLOYED, EWER NAME OF BUSINESS)
Mark Nickerson
❑x IND
Farmer/Agriculture
10/22/2018
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide Interest rates
❑ IND
❑ com
❑ OTH
❑ Check if Loan
❑ PTY
Cl SCC
%
Provide interest tale
❑ IND
❑ cOM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
Reason forAmendment:
"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 (Jul/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc-p.gov