HomeMy WebLinkAboutGRAY 497 10/02/20497 Contribution Report Amounts may be rounded to whole dollars. -
NAME OF FILER --Date
-City
Date of 10/2/20
Stamp
Patty Gray for Council 2020
This Filing
PG -12
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
AREA CODEIPHONE NUMBERI,D
NUMBER (Wapplicable)
For Official Use Only
(
142710,7
;Report No.
E] Amendment
OCT -2 N1 3:
3 All'\ E 11%
3 1
STREETADDRESS_______
to Report No.
(explain below)
Insurance Broker,
01A
CITY STATE ZIP CODE
.,No. of Pages.
Insurica
W
1. Contribution(s) Received
IFAN INDIVIDUAL,—
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D; NUMBER)
CODE*
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
Michael Moore
[jF] IND
F-1 Com
Insurance Broker,
$1,000
10/1/20
❑ PTY
El SCC
Provide interest rate
❑ IND
❑ COM
E] OTH
0 Check if Loan
❑ PTY
❑ SCC
Q
Provide interest rate
Z3 IND
COM
OTH
E] Check if Loan
PTY
F11 SCIS
Provide interest rate.
Contributor Codes
IND - Individual
COM - Recipient Committee (other than PTY or SCC)
OTH - Other (e.g., business entity)
Reason for Amendment: PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 497 (Feb/2019)
FPPC Advice: advice@fppc.ce.gov (866/275-3772)
www.fppc.ca.gov