HomeMy WebLinkAboutForm 497- Lucia Martel Dow for San Rafael School Board 2022; 10-18-22497 Contribution Report
Amounts may be rounded to whole dollars.
CONTRIBUTOR
ENT ER IF AN INDIVIDUAL, OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMITTEE, ALSO ENTER I D. NUMBER)
497 CONTRIBUTION REPORT
NAME OF FILER
Date of��
•
0 d '
Lucia Martel Dow for San Rafael School Board 2022
This Filing 10/18/2022
D
v
AREA CODE/PHONE NUMBER
I.D. NUMBER (if applicable)
Immigrant Legal Resource Center
San Rafael, CA 94903
"ial Use Only
Report No. 221017-1
❑ OTH
❑ Check if Loan
(
1442869
❑ PTY
OCT 1 8
202
1. Contribution(s) Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
ENT ER IF AN INDIVIDUAL, OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMITTEE, ALSO ENTER I D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
10/17/2022
Lucia Martel Dow
Nonprofit Director
2,000.00
❑X IND
Immigrant Legal Resource Center
San Rafael, CA 94903
❑ COM
❑ 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
r
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)
www.fppc.ca.gov