HomeMy WebLinkAboutForm 497 - Natu Tuatagaloa for Board of Education 2018 (2018-10-15)497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of p S p \W
Natu Tuatagaloa for Board of Education 2019 This Filing
10-15-2018 D 1J
AREACODE/PHONE NUMBER I.D. NUMBER (if applicable) 3 se n y( FPPC# 1410736 Report No.
; �STREEfADDRESSAmendment OCT X18
to Report No.
CITY STATE ZIP CODE (explain below) CITY CLERK'S OF7!cta
San Rafael CA 94901 No. of Pages 1
1. Contribution(s) Received
DATE
FULL NAME, STREETADDRESS 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
Amy Garber, President
❑ IND
$1'200.00
Visions Management
❑ COM
10-15-2018
❑ 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 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov