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HomeMy WebLinkAboutForm 497 - Rachel Kertz for City Council 2024; 09-19-24497 Contribution Report NAME OF FILER Committee to Re-elect Rachel Kertz for San Rafael City Council 2024 AREA CODE/PHONE NUMBER I.D. NUMBER (ifapplicable) 1473447 STREETADDRESS Amounts may be rounded to whole dollars. Date of 09/ 19/202 This Filing Report No. 1 CITY STATE ZIP CODE Novato CA 94945 1. Contribution(s) Received ❑ Amendment to Report No. _ (explain below) No. of Pages 1 c ; � 1 202 C_ For Official Use Only IF AN INDIVIDUAL, DATE FULL NAME, STREETADDRESS 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 Aaron Lamstein ® IND 1,000.00 09/19/2024 ❑ com San Rafael, CA 94901 L 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