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HomeMy WebLinkAboutForm 497 - Eli Hill for San Rafael City Council D2 11-07-22497 Contribution Report NAME OF FILER Eli Hill Amounts may be rounded to whole dol Date of 11/5/2022 This Filing V. NUMBER (AeppLcabl.) 1439056 1 Report No. 003 CITY STATE ZIP CODC San Rafael CA 94901 1. Contribution(s) Received ❑ Amendment to Report No. (explain below) 1 No. of Pages — NOV - 7 2022 1TY CLERK'S OFF Official Use Only DATE RECEIVED FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR [PAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT IIF COMMITTEE, AL SO ENTER ID. NUMBER) CODE' IIF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED Marin Professional Firefighters Political Action Committee ❑ IND $2,450.00 11/4/2022 ID 930791 m COM ❑ OTH ❑ Check if Loan ❑ PTY Sacramento, CA 95814 ❑ SCC % Provide interest rale ❑ IND ❑ COM ❑ OTH ❑Check if Loan ❑ PTY ❑ SCC % Provide interest rale ❑ IND ❑ COM ❑ OTH ❑Check if Loan ❑ PTY ❑ SCC Provide Interest rate LOTH - Codes idual pient Committee (other than PTY or SCC) r (e.g., business entity) Reason for Amendment: ical Party ll Contributor Committee FPPC Form 497 (Feb/2019) FPPC Advice: advice@fppc.ca.6ov (866/275-3772) www.fppc. ca.gov