HomeMy Public PortalAboutForm 497 Ivan Moad 2022 (2)497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER
Ivan Moad for City Council 2022
AREACODE/PHONE NUMBER
(619)587-4826
I.D. NUMBER (if applicable)
1450795
STREET ADDRESS
77475 Blackfoot Dr
CITY
Indian Wells
STATE ZIP CODE
CA
92210
Date of
This Filing 08/16/2022
Report No 22-1
❑ Amendment
to Report No
(explain below)
No. of Pages
1
Date Stamp
497 CONTRIBUTION REPORT
For Official Use Only
1. Contribution(s) Received
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL,
E ONANDEMPLOYERNTER NAME OF BUSINESS)
(IF SELF-EMPLOYED, ENTER
AMOUNT
RECEIVED
08/16/2022
Peter Dobblesteyn
President
2,000.00
• COM
• OTH
0 Check if Loan
■ PTY
■ SCC
%
Provide interest rate
• IND
• COM
• OTH
0 Check if Loan
■ PTY
■ SCC
%
Provide interest rate
• IND
❑ COM
• OTH
0 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 (8661275-3772)
www fppc.ca.gov