HomeMy WebLinkAboutForm 497 - Maribeth Bushey for Council D3 2022; 11-10-2022497 Contribution Report
NAME OF FILER
Re -Elect Maribeth Bushey San Rafael City Council District 3 2022
AREA CODEIPHONE NUMBER I.D. NUMBER (Wapplicable)
( 1452093
STREETADDRESS
CITY STATE 7_IP C01
San Rafael CA 94901
1. Contribution(s) Received
Amounts may be rounded to whole
Date of 11
This Filing _
Report No, MB4SR-7
❑ Amendment
to Report No.
(explain below)
1
No. of Pages —
NOV 1 0 2022
CLERK'S OFFIC
For Official Use Only
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
Marin Professional Firefighters PAC (ID #930791)
❑ IND
2450.00
11/08/2022
m COM
Sacramento, CA 95814
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rale
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
o/
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 (Feb/2019)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov