HomeMy WebLinkAboutForm 497 - Jon Marker for Board of Education 2018 (2018-09-20)497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER
Date of
09/20/2018
D D e t
•
Jonathon Haskell MarkerThis
Filing
004
(IF COMMITTEE, ALSO ENTER I.O. NUMBER)
1F,,Xaenly
AREA CODE/PHONE NUMBER
I.D. NUMBER ffapplicable)
(
1408768
Report No.
El Amendment
SEP L
$1000.00
STREETADDRESS
to Report No.
(explain below)
12
CITY CLERKS OF
ICE
CITY STATE ZIP CODE
San Rafael CA 94901
No. of Pages
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.O. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
Grace Dearborn
❑X IND
$1000.00
❑ conn
09/20/18
San Rafael, CA 94903
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rale
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
SCC
Provide interest rate
IND
J COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rale
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 (Jul/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER Date of
Date Stamp
-
This Filing ___
-
AREA CODE/PHONE NUMBER 1. D. NUMBER (if applicable)
Or cial Use On y
Report No.
STREETADDRESS
❑ Amendment
to Report No.
CITY STATE ZIP CODE (explain below)
No. of Pages
2. Contribution(s) Made
DATEI FULL NAME, STREETADDRESS AND ZIP CODE OF RECIPIENT I CANDIDATE AND OFFICE
MADE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OR
MEASURE AND JURISDICTION
Reason for Amendment:
AMOUNT OF DATE OF ELECTION
CONTRIBUTION (IFAPPLICABLE)
FPPC Form 497 (Jul/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov