HomeMy WebLinkAboutForm 497 - Revitalize San Rafael Libraries and Community Center Ad Committee's Top Funder San Rafael Public Library Foundation; 10-17-24497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of 10/17/2
Revitalize San Rafael Libraries & Community Center - Yes on P Ad Committees TOP This Filing —
AREA CODE/PHONE NUMBER I.D. NUMBER (Wapplicable) 105
1467556 Report No. —
STREETADDRESS
Amendment
to Report No. —
CITY STATE ZIP CODE (explain below)
San Rafael CA 94901 No. of Pages —
1. Contribution(s) Received
2 024
For Official Use Only
[FAN 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
Joe O'Hehir
91 IND
Retired
1000.00
F-1 COM
10/16/2024
M OTH
0 Check if Loan
❑ PTY
❑ SCC
—210
Provide interest rate
El IND
❑ COM
❑ OTH
El Check if Loan
F-1 PTY
F-1 SCC
Provide interest rate
F-1 IND
El COM
El OTH
0 Check if Loan
❑ PTY
❑ SCC
—210
Provide interest rate
Reason forAmendment:
* Contributor Codes
IND - Individual
COM - Recipient Committee (other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
L SCC - Small Contributor Committee
FPPC Form 497 (Feb/2019)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
