Laserfiche WebLink
497 Contribution Report Amounts may be rounded to whole dollars. <br />NAME OF FILER <br />Date of 9/03/2022 <br />Date Stamp <br />• - <br />• <br />FRANK J NAVARRO <br />This Filing <br />2 <br />(DECEIVED <br />- <br />For Official Use Only <br />AREACODE/PHONE NUMBER <br />I.D. NUMBER (dappllcabre) <br /> <br />1448866 <br />Report No. <br />Amendment <br />[]Amendment <br />SEPlO 3� 2022 <br />STREETADDRESS <br /> <br />to Report No. <br />(explain below) <br />1 <br />®«of, <br />OFFICE OF THE <br />CITY STATE ZIP CODE <br /> <br />No, of Pages <br />CITY CLERK <br />1. Contribution(s) Received <br />IFAN INDIVIDUAL, <br />DATE <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />CONTRIBUTOR <br />ENTER OCCUPATION AND EMPLOYER <br />AMOUNT <br />RECEIVED <br />(IF COMMITTEE, ALSO ENTER I.D. NUMBER) <br />CODE* <br />(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) <br />RECEIVED <br />LOS AMAYA SERVICES LLC <br />❑ IND <br />❑ COM <br />$1000.00 <br />9/02/2022 <br />1257 N. MT VERNON AVE <br />OTH <br />❑ Check if Loan <br />COLTON, CA 92324 <br />❑ PTY <br />❑ SCC <br />Provide interest rate <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑Check if Loan <br />❑ PTY <br />❑ SCC <br />Provide interest rate <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />Provide interest rate <br />Reason forAmendment: <br />* Contributor Codes <br />IND - Individual <br />COM - Recipient Committee (other than PTY or SCC) <br />OTH - Other (e.g., business entity) <br />PTY - Political Party <br />SCC - Small Contributor Committee <br />FPPC Form 497 (Feb/2019) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />