HomeMy WebLinkAboutForm 497 - Carolina Martin for San Rafael School Board Trustee 2022 10-13-22 1497 Contribution Report
NAME OF FILER
Carolina Martin for San Rafael City Schools District 4 2022
AREA CODE/PHONE NUMBER I.D. NUMBER (dapplicable)
( 1449397
STREET ADDRESS
CITY STATE ZIP CODE
Antelope CA 95843
1. Contribution(s) Received
Amounts may be rounded to whole dollars.
Date of
This Filing 10/12/202
Report No. 10122022-1
❑ Amendment
to Report No.
(explain below)
No. of Pages 1
OCT 1 3 2022
ITY CLERK'S OFFI
CONTRIBUTION REPORT
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMIT -FEE, ALSO ENTER
California Federation of Teachers COPE
CONTRIBUTOR
CODE
IF AN INDIVIDUAL,
EONANDEE,
(IF ENTER
ENTEROCEMPLOYENTER NAME OF BUSINESS)
E
AMOUNT
RECEIVED
10/10/2022
1,075.00
❑ IND
Burbank, CA 91505
❑X COM
Committee ID # 741857
❑ OTH
❑ Check if Loan
In -Kind
❑ PTY
❑ JCC
%
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Reason for Amendment:
❑ Check if Loan
%
Provide interest rate
❑ Check if Loan
x
Provide interest rate
`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