497 Contribution Report 3 - Contributions received 09-20-24497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER
Date of
Date Stamp
,
Kitty Moore for Council 2024
This Filing 09/20/2024
Report No. 3
For Official Use Only
AREA CODEIPHONE NUMBER
I.D. NUMBER (if applicable)
(
1471218
DAmendment
Filed Date:
STREET ADDRESS
to Report No.
09/201202410:19
(explain below)
PM
CITY STATE ZIP CODE
Cupertino CA 95014
No. of Page 1
1. Contribution(s) Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE **
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
RECEIVED
(IF
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
] IND
1,000.00
Susan Moore
] COM
9/2012024
] OTH
on e Retired
None
] Check if Loan
] PTY
Cupertino CA 95014
] 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
Reason for Amendment: 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 (Jan120t6)
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www.fppc.ca.gov