HomeMy WebLinkAbout2022-11-09 Form 497 - Harnik497 Contribution Report Amounts may be rounded to whole dollars.
497 CONTRIBUTION REPORT
NAME OF FILER
Date of
Date Stamp
.
a
Re -Elect Jan Harnik Palm Desert City Council 2022
This Filing 11/09/2022
R0. 221108.01
Report N
/� V I�
• '
For Official Use Only
AREA CODE/PHONE NUMBER
I.D. NUMBER (itapplicable)
(916)476-6926
1322067
❑ Amendment
V �f
STREET ADDRESS
45-025 Manitou Drive
to Report No.
(explain below)
M
CITY STATE ZIP CODE
No. of Pages 1
N
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 *
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
11/08/2022
Twenty -Nine Palms Band of Mission Indians
2,500.00
46200 Harrison P1.
❑ IND.
Coachella, CA 92236
❑ COM
❑x OTH
❑ 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 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