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497 Fitzpatrick 2020 Report 1 - 10/19497 Contribution Report NAME OF FILER Kathleen Fitzpatrick for La Quinta City Council 2020 AREA CODE/PHONE NUMBER I D NUMBER (Ifapplicable) 6265904580 1426501 STREETADDRESS CITY STATE La Quinta CA 1. Contributions) Received Amounts may be rounded to whole dollars. Date of 10/19/2020 This Filing Report No. I ❑ Amendment to Report No T ZIP CODE (explain below) 92253 No. of Pages Date Stamp RECEIVED OCT 19 2020 CITY OF LA CIUINTA CITY CLERK.. DEPARTMI For Official Use Only Reason for Amendment: Donation $1000 or more * 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 (866/275-3772) www.fppc.ca.gov IF AN INDIVIDUAL, DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED Cole Burr IND ❑ COM Burrtec $1000 10/19/2020 ❑ OTH Owner E] Check if Loan Temecula, CA 92592 ❑ PTY ❑ SCC Palm Desert, CA 92260 % Provide interest rate Tracy Burr IND ❑ COM Burrtec $1000 10/19/2020 ❑ OTH Owner [:]Check if Loan Temecula, CA 92592 PTY ❑ SCC Palm Desert, CA 92260 Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC Provide interest rate Reason for Amendment: Donation $1000 or more * 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 (866/275-3772) www.fppc.ca.gov