497 Evans 2016 Report 4 - 10/18497 Contribution Report
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rECEIVED
Type or print in ink. CITY �CyS1F LA QUINTA
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Amounts may be rounded to whole dollars. AL) F oRNIA
497 CONTRIBUTION REPORT
NAME OF FILER
Date of 10/18/116
Date Stamp
1 �ELECT
LINDA EVANS LA QUINTA MAYOR 2016
This Filing _ _
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CODE/PHONE NUMBER
I.D. NUMBER (ifapplicable)
to Report No.
(explain below)
CITY STATE ZIP CODE
LA QUINTA CA 92253
No. of Pages 1
1. Contribution(s) Received
DATEI FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER)
10/18/16 I NACHHATTAR CHANDI
INDIO, CA 92203
Reason for Amendment:
I
CONTRIBUTOR IF AN INDIVIDUAL, I AMOUNT
CODE'` ENTER OCCUPATION AND EMPLOYER RECEIVED
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
x❑ IND CHANDI GROUP, USA
❑ 2,500.00
COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC %
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC %
Provide interest rate
"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 (March/2011)
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