CA Form 497 Contribution Report No. 1 - Stephen Perestam 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of 9/19/2022 Date Stamp CALIFORNIA 497
Stephen Perestam This Filing FORM
AREA CODE/PHONE NUMBER I.D.NUMBER(if applicable) RECEIVE E
310-600-7906 1450917 Report No. (Z For Official Use Only
CITY OF RANCHO PALM S VERDES
STREET ADDRESS
30565 Palos Verdes Drive East ❑Amendment SEP 20 2042
to Report No.
CITY STATE ZIP CODE (explain below)
Rancho Palos Verdes CA. 90275 No. of Pages 1
CITY CLERK'S OFFICE
1. Contribution(s) Received
IF AN INDIVIDUAL,
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE* (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) RECEIVED
James York m IND Farmer, 1,000
9/16/2022 2 Horseshoe Lane ElCOTOH York Properties
Rolling Hills Estates,Ca.90274 ❑ El Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC'. 0/0
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)
Reason for Amendment: PTY Political Party
SCC - Small Contributor Committee
FPPC Form 497(Feb/2019)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov