HomeMy WebLinkAboutForm 497 - Rachel Kertz for City Council 2024; 09-04-24497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER
Committee to Re-elect Rachel Kertz for San Rafael CityCouncil 2024
Date of 09/03/2024Kc
This Filing
a t V
v
_ , •
01
-
AREACODE/PHONE NUMBER
15. NUMBER (ifapplicable)
1473447
Report No.
S E P 2024
For Official Use Only
STREETADDRESS
❑ Amendment
to Report No.
(explain below)
CLERK'S OFFICE
CITY STATE ZIP CODE
Novato CA 94945
I
No. of Pages
1. Contribution(s) Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IFAN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMITTEE, ALSO ENTER I D NUMBER)
CODE`
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
Mike McGuire for Insurance Commissioner 2026
❑ IND
1,000.00
09/03/2024
m COM
Oakland, CA 94607
❑ 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