CA Form 497 Contribution Report No. 3 - Krista Johnson 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of Date Stamp CALIFORNIA n
Krista Johnson for RPV City Council 2017 This Filing 10/23/2017 RECEIVED FORM
77
AREACODEIPHONE NUMBER I.D.NUMBER(if applicable) CITY OF RANCHO PALOS - a'ficial Use enly
310 508-3201 1398133 Report No.
STREET ADDRESS OCT 2 3 2017
❑Amendment
to Report No. 00111100..._...
CITY STATE ZIP CODE (explain below) CITY CLERK'S OF ICE
Rancho Palos Verdes CA 90275 No.of Pages
1. Contribution(s) Received
IDUAL.
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN VE AMOUNT
CODE ENTER OCCUPATIONENTERN AND EMPLOYER BUSINESS
RECEIVED
RECEIVED (IF COMMITTEE.ALSO ENTER Lb.NUMBER) * (IF SELF-EMPLOYED, NAME OF BUSINESS)
Krista Johnson ID IND Self Employed
10/23/2017 ❑ CohnStarrock Business 1,000.00
Rancho Palos Verdes, CA 90275 ❑ OTH Financial Services CI Check if Loan
❑ PTY 0.00
❑ scc
Provide interest rate
❑ IND
❑ COM
❑ OTH 0 Check it Loan
❑ pry
❑ SCC a�
Provide interest rate
❑ IND
❑ COM
I ❑ OTH
111 PTY 0 Check if Loan
❑ SGC
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(Jul/2016)
FPPC Advice:advice@fppc.ca.gov(866/27S-3772)
www.fppc.ca.gov