HomeMy WebLinkAbout2022-09-15 Form 497 - Harnik497 Contribution Report
Amounts may be rounded to whole dollars. RE CEI VE 7
nrry . 497 CONTRIBUTION REPORT
NAME OF FILER
Date of
P A ) "1 T. C A
• '
Re -Elect Jan Harnik Palm Desert City Council 2022
This Filing 09/15/2022
O?`% SEP 16 AM 8: 00_
• _
For Official Use Only
AREA CODE/PHONE NUMBER
I.D. NUMBER (irappficabie)
�1322067
Report No. 220915.01
(
STREET ADDRESS
❑ Amendment
to Report NO.
(explain below)
CITY STATE ZIP CODE
No. of Pages 1
Indian Wells CA 92210
1. Contribution(s) Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D.NUMBER)
CODE *
(IFSELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
09/13/2022
Generations West Contruction
1,000.00
❑ IND
Palm Desert, CA 92211
❑ COM
❑x OTH
❑ Check if Loan
PTY
❑ S C
I
9r°
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
%
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)
"".fppc.ca.gov