Yuri Bohlen For Mayor Poway 2022 497 Contribution Report 11/03/2022497 Contribution Report
NAME OF FILER
AREA CODE/PHONE NUMBER
STREETADDRESS
CITY Po
Jj��y
1. Contribution(s) Received
Amounts may be rounded to whole dollars.
Date of / 2
This Filing /
I.D. NUMBER (dapplicable)
i q 5 L 2 i q Report No.
Date Stamp
RECEIVE® I For Official Use Only
❑Amendment NOV 0 3 2022
to Report No.
STATE ZIP CODE (explain below) f
CITY OF P0WAY
No. of Pages I ; .ITV u! ERKS OFFII
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IFAN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE'
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
1 z
J - -�L
j /
j �(% •L Gay
IND
❑l COM
/ (�
) /
�J 1�'S� e -
❑ OTH
❑ PTY
❑ Check if Loan
❑ SCC
°,°
(G��%
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
Reason for Amendment:
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