Brian Pepin for Central Committee 2024 497 Contribution Report 10/07/2022497 Contribution Report
NAME OF FILER
Brian Pepin for Central Committee 2024
AREA CODE/PHONE NUMBER
Amounts may be rounded to whole dollars.
Date of
This Filing 10/06/2022 08:04
7.NUMBER (it applicable) Report No. 901
1423310
Date Stamp
RECEIVED
STREET ADDRESS Amendment 0 7 2022
o Report No. OCTt�
CITY STATE ZIP CODE (explain below)
OWAY
Poway, CA 92064
No. of Pages 2 IT`(I CLEETY RKtS OFFIC E
1. Contribution(s) Received
497 CONTRIBUTION REPORT
For Official Use Only
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE •
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
Sycuan Citizens for Good Government
❑ IND
374 North Coast Highway 101 Ste 2
® COM
3,000.00
2022-10-05
Encinitas, CA 92024
OTH
� Check if Loan
PTY
ID: 1320014
SCC
El
i
I
Provide Interest Rate
Reason for Amendment:
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• Contributor Codes
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 (Feb/2019)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
497 Contribution Report
NAME OF FILER
Brian Pepin for Central Committee 2024
AREA CODE/PHONE NUMBER
STREET ADDRESS
CITY
Poway, CA 92064
2. Contribution(s) Made
Amounts may be rounded to whole dollars.
Date of
This Filing 10/06/2022 08:04
I.D. NUMBER (if applicable)
Report No.
1423310
Amendment
o Report No.
(explain below)
STATE ZIP CODE
No. of Pages 2
Date Stamp
497 CONTRIBUTION REPORT
For Official Use Only
DATE
MADE
FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CANDIDATE AND OFFICE
OR
MEASURE AND J
JURISDICTION
O
CONTRIBUTION
DATE OF ELECTION
(IF APPLICABLE)
Reason for Amendment:
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FPPC Form 497 (Feb/2019)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov