497 Evans 2016 Report 6 - 10/21P, EG"E I V E D
Type or print in ink. CITY OF LA QUINTA
497 Contribution Report Amounts may be rounded to whole dollars. CALIFORNIA
497 CONTRIBUTION REPORT
NAME OF FILER
Date of
Dale Slamp
.
ELECT LINDA EVANS LA QUINTA MAYOR 2016
This Filing 10/21/16 70f
6
OCT 21 jH 0 39
�
AREA CODE/PHONE NUMBER I.D. NUMBER (if applicable)
For Official Use 01,y
13656647
Report No.
STREETADDRESS
El Amendment
to Report No.
(explain below)
CITY STATE ZIP CODE
LA QUINTA CA 92253
No. of Pages
1. Contribution(s)
Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF
AMOUNT
AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
ENTER
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
(IENTER NAME OF BUSINESS)
RECEIVED
BUILDING INDUSTRY ASSOCIATION OF SC PAC
❑ IND
10/21/16
Cj COM
1,000.00
LOS ANGELES, CA 90071
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
ONE ELEVEN LA QUINTA, LLC
❑ IND
10/21/16
❑ COM
1,000.00
LA QUINTA, CA 92253
Q OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ 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 (March/2011)
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