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HomeMy WebLinkAboutForm 497 - Maureen (Mo) de Nieva-Marsh497 Contribution Report NAME OF FILER Maureen De Nieva AREA CODE/PHONE NUMBER STREETADDRESS CITY San Rafael 1. Contribution(s) Received Amounts may be rounded to whole dollars. Date of 08/07/2024 This Filing I.D. NUMBER (ifapplicable) #1471286 1 Report No. Amendment to Report No. . STATE ZIP CODE (explain below) CA 94901 No. of Pages _ lv ; _ 7 ? 24 For Official Use Only IFAN INDIVIDUAL, DATE FULL NAME, STREET ADDRESS 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 Joseph Henderson m IND Director, CHESS Health $1,000 Los Angeles, CA 90046 El COM 08/06/24 ❑ 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 % 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