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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