497 Pena 2018 Reports 2 & 3 - 10/16 (2 forms)497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER
COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018
AREACODE/PHONE NUMBER ! I.D. NUMBER (if applicable)
STREETADDRESS
11370057
CITY
LA QUINTA
STATE ZIP CODE
CA 92253
Date of
This Filing 10/16/2018
l
Report No
❑ Amendment
to Report No
(explain below)
No. of Pages
1
Date Stamp
1 CITY OF IAA OUINTA
CITY CLERK DEPARTME�JT
RECEIVED
OCT 16 Bois
1. Contribution(s) Received
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I D NUMBER)
CONTRIBUTOR
CODE *
IF UAPT ONAND INDIVIDUAL,
ENTER OCCUPATION ENTE NAMEM EMPLOYER
(IF SELF-EMPLOYED, ENTER OF BUSINESS)
AMOUNT
RECEIVED
FORTUN'S KITCHEN + BAR LLC
❑IND
❑ coM
1,000
10/16/18
KIRKLAND, WA 98033
0 Check if Loan
X OTH
■ PTY
❑ SCC
%
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
°'
Provide interest rate
❑ IND
❑ COM
❑ OTH
0 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 (Jul/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
COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018
Date of
This Filing 10/16/2018
Date Stamp
CALIFORNIA
FORM 497
or ■ -Icia Ise ■ny
RECEIVED
OCT 16 2018
CITY OF LA OUINTA
CITY CLERVEF'ARTl41EN
AREA CODE/PHONE NUMBER
I.D. NUMBER (if applicable)
Report No
1370057
STREET ADDRESS
■Amendment
to
Report No
CITY STATE ZIP CODE (explain below) 1
LA QUINTA No. of Pages
4
CA 92253
1. Contribution(s) Received
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D NUMBER)
CONTRIBUTOR
CODE *
IFANT ON AND E
ENTER OCCUPATION ENTER NAMEM EMPLOYER
(IF SELF-EMPLOYED, OF BUSINESS)
AMOUNT
RECEIVED
10/16/18
CA REAL ESTATE PAC
CA ASSOCIATION OF REALTORS
525
ANGELES, CA 90020
❑IND
❑ coM
1,000
❑Check if Loan
°'
X OTH
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ Check if Loan
%
• OTH
❑ PTY
❑ SCC
Provide interest rate
❑ 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 (.1ul/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov