HomeMy WebLinkAboutForm 497 - Rachel Kertz for City Council 2024; 10-02-24497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER
Committee
Date of 10/01/2 IE
Z t
VnE
to Re-elect Rachel Kertz for San Rafael City Council 2024
This Filing
3
_
AREA CODE/PHONE NUMBER
I.D. NUMBER (d applicable)
1473447
Report No.
For Official Use Only
r n. n, r,
24
STREETADDRESS
❑ Amendment
to Report No.
(explain below)
�d
fC
6J OFFICE
CITY STATE ZIP CODE
Novato CA 94945
No. of Pages
�
1. Contribution(s) Received
IF AN 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
Marin Professional Firefighters Political Action Committee
❑ IND
$2,500
10/Ol/2024
COM
Sacramento, CA 95814
❑ 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