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HomeMy WebLinkAboutForm 497 - Eli Hill for San Rafael City Council D2 10-13-22497 Contribution Report NAME OF FILER Eli Hill AREA CODE/PHONE NUMBER STREETADDRESS CITY San Rafael 1. Contribution(s) Received Amounts may be rounded to whole dollars. Date of 10/12/2022 This Filing I.D. NUMBER (Wapplicable) STATE ZIP CODE CA 94901 Report No. 001 ❑ Amendment to Report No. (explain beluw) No. of Pages 0 CT 1 3 2022 iTY CLERK'S For Official Use Only Reason for Amendment: Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party IL SCC - Small Contributor Committee FPPC Form 497 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 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 (FPPC# pending) ❑ IND COM $1,500.00m 10/12/2022 Joanne Webster ❑ OTH ❑Check if Loan ❑ PTY San Rafael, CA 94901 ❑ 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 IL SCC - Small Contributor Committee FPPC Form 497 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov