HomeMy Public PortalAboutForm 497 Ted Mertens 2022 (4)497 Contribution Report
NAME OF FILER
Elect Ted Mertens IW City Council 2022
Date of
10/15/2022
This Filing
Date Stamp
CALIFORNIA 49 7
FORM
For Official Use Only
Report No. 4
AREA CODE/PHONE NUMBER
760-776-8186
I.D. NUMBER fl oppM1aable)
1453220
� �"` `"'-
0 Amendment
to Report No
STREET ADDRESS
74972 Saguaro Lane
CITY STATE
Indian Wells CA
ZIP CODE
92210
(explain below)
No. of Pages
1
Amounts may be rounded to whole dollars.
Contribution(s) Received
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
IC COMMITTEEE.ALSO ENTER LID. NUMBER)
CONTRIBUTOR
CODE'
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(F SELF-EMPLOYED, ENrER NAME OF BUSINESS)
AMOUNT
RECEIVED
10/15/2022
Reed For Council 2022 ID#1369522
c/o Reed & Davidson LLP
5150S. Figueroa St.
Los Angeles, CA 90071
❑ IND
m COM
0 OTH
El PTY
0 SCC
1000.00
❑ Check it Loan
Provide interest rale
❑ IND
❑ COM
0 OTH
❑ PTY
❑ SCC
0 Check If Loan
%
Provide interest tete
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ Check if Loan
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: advIcegtfppc.ca.gov (866/275-37721
www.fppc.ca.gov