HomeMy WebLinkAboutForm 497 - Rachel Kertz for City Council 2024; 10-17-24497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER
Date of 10/17/2024
D S rTl
- I ,
Committee to Re-elect Rachel Kertz for San Rafael City Council 2024
This Filing
4
AREA CODE/PHONE NUMBER
I.D. NUMBER (I/applicable)
1473447
Report No.
For Official Use Only
STREETADDRESS
❑ Amendment
to Report No.
TY CLERK'S OFFICE
(explain below)
C
CITY STATE ZIP CODE
1
Novato CA 94945
No. of Pages
1. Contribution(s) Received
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
SRCC Candidates PAC
❑ IND
2000.00
10/17/2024
m COM
San Rafael, CA 94901
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
California Real Estate Political Action Committee (CREPAC)
IND
1000.00
10/17/2024
c/o Reed & Davidson, LLP
m
❑ OTH
❑ Check if Loan
❑ PTY
Los Angeles, CA 90071
❑ 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