CA Form 497 Contribution Report No. 7 - Greg Royston 497 Contribution Report Type or print in ink.
p Amounts may be rounded to whole dollars.
497 CONTRIBUTION REPORT
NAME OF FILERDate of ' mer • 7 CALIFORNIA 497
Gregory Royston - Royston for Rancho Palos Verdes City Council 2015 10/23/15
This Filing CITY OF RANCHO PALOS v` FORM
AREA CODE/PHONE NUMBER I.D.NUMBER(if applicable) 7 or 0 icia Ise On y
1378542 Report No. OCT 2 3 2C1
5
STREET ADDRESS
0 Amendment
to Report No.
CITY STATE ZIP CODE (explain below) "IT1( CLERK'S
1
Rolling Hills Estates CA 90274 No.of Pages
1. Contribution(s) Received
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT
IF COMMITTEE,ALSO ENTER I.D.NUMBER) ENTER OCCUPATION AND EMPLOYER
RECEIVED ( CODE * (IF SELF-EMPLOYED.ENTER NAME OF BUSINESS) RECEIVED
David Hayden retired
10/23/15 IND 1000.00
RPV CA 90275 ❑ 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
Reason for Amendment: SCC - Small Contributor Committee
FPPC Form 497(March/2011)
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