HomeMy WebLinkAboutDrake - Form 497_2024-10-03_Redacted497 Contribution Report Amounts may be rounded to whole dollars.
AMOUNT
RECEIVED
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
DATE
RECEIVED
497 CONTRIBUTION REPORT
CALIFORNIA
FORM
Date Stamp
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
For Official Use Only
497NAME OF FILER
AREA CODE/PHONE NUMBER
STREET ADDRESS
CITY STATE ZIP CODE
I.D. NUMBER (if applicable)
1. Contribution(s) Received
IND
COM
OTH
PTY
SCC
Date of
This Filing
Report No.
Amendment
to Report No.
No. of Pages
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
*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
(explain below)
Reason for Amendment:
Check if Loan
%
Provide interest rate
Check if Loan
%
Provide interest rate
Check if Loan
%
Provide interest rate
www.netfile.com
FPPC Form 497 (Feb/2019)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Drake for SLO City Council 2024
1466996
Santa Barbara CA 93101
10/03/2024
18
1
10/02/2024 John Drake
San Luis Obispo, CA 93401 X
Project manager
Heal, Inc.
1,750.00
E-Filed
10/03/2024
19:27:03
Filing ID:
212240230