HomeMy Public PortalAboutForm 497 Report No. 3497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER
Partners for a Safe Claremont
Date of
This Filing 04-11-2018
3
Date Stamp
RECEi 1W.
For Official Use Only
AREA CODE/PHONE NUMBER
I.D. NUMBER ff applicable)
909 262-9922
1403060
Report No.
APR 201
STREETADDRESSAmendme
2058 N Mills Ave Suite 430
toReport Nont
(explain below)
CITY CLERK
OTY OF CLAREMO
Cems, 9 Y
IT.
CITY STATE ZIP CODE
Claremont CA 91711
No. of Pages 2
1. Contribution(s) Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IFAN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
Claremont Lincoln University
El IND
5,000.00
04-11-2018
250 W First Street Suite 330
com
ElOTH❑X OTH
❑Check if Loan
Claremont, CA 91711
❑ PTY
❑ SCC
Provide interest rate
West Coast Arborists, Inc
❑ IND
1,000.00
Elom
04-11-2018
2200 E Via Burton Street
XOOTHTH
E] Check if Loan
Anaheim, CA 92806
❑ PTY
❑ SCCo
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
i
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 (1ul/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER
Date Of
Date Stamp
o .
Partners for a Safe Claremont
04-11-2018
This Filing I
3
N/A
a
For Official Use Only
AREA CODE/PHONE NUMBER
I.D. NUMBER (dappiicable)
909 262-9922
1403060
Report No.
❑ Amendment
STREETADDRESS
2058 N Mills Ave Suite 430
to Report No.
(explain below)
2
CITY STATE ZIP CODE
Claremont CA 91711
No. of Pages
2. Contribution(s) Made
DATE
MADE
FULL NAME, STREETADDRESS AND ZIP CODE OF RECIPIENT
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CANDIDATEOARND OFFICE
MEASURE AND JURISDICTION
AMOUNT OF
CONTRIBUTION
DATE OF ELECTION
(IFAPPLICABLE)
N/A
I
i
I
Reason for Amendment: FPPC Form 497 (Jul/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov