HomeMy WebLinkAbout2016-09-23 Form 497 - Kelly497 Contribution Report
Kathleen Kelly for Palm Desert City Council 2016
AREA CODEIPHONE NUMBER I.D. NUMBER (dappikeNs)
( 11386895
CITY
Palm Desert
1. Contribution(s) Received
Amounts may be rounded to whole dollars.
CA 92260
Date of 9.23.16 C,� Y '61EW ttjIFi" I C E
This Filing ALM E)ESER T - C t.
Report No. 1 816 SEP 23 PH 3: 20
❑ Amendment
to Report No.
(explain below)
No. of Pages 1
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
IIFCOMMITECALSOENTER I.D.NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF SELF-EMPLOYED. ENTER NAME OF 6UBMESSt
Peter M. Scheer, D.D.S., M.S.
0 IND
Oral & Maxillofacial Surgeon
39935 Vista Del Sol
❑ coM
$1,000
9.23.16
Rancho Mirge, CA 92270
❑ OTH
Self-employed
❑ Check if Loan
❑ PTY
❑ SCC
%
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
e
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 (Jul/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov