Form 497 08-15-2020 Report #1 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of Date Stamp .
•
Citizens for Public Safety And Safe Access This Filing 8/15/2020 _
AREACODEIPHONE NUMBER I.D.NUMBER(if applicable) 1 For Official Use Only
(858)598-4215 1338342 Report No.
STREETADDRESS
❑Amendment
to Report No.
CITY STATE ZIP CODE (explain below)
Carlsbad CA 92008 No.of Pages 1
1. Contribution(s) Received
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL, AMOUNT
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * ENTER OCCUPATION AND EMPLOYER RECEIVED
(IF SELF-EMPLOYED,ENTER NAME OF BUSINESS)
UL Holdings, Inc. ❑ IND 20,000
8/14/2020 ❑ coM
San Diego, CA 92110 ❑X OTH ❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate❑ IND
❑ COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC
Provide interest rate
- 1 �
❑ 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 forAmendment: SCC — Small Contributor Committee
FPPC Form 497(Jul/2016) .
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date Of 8/15/2020 Date Stamp -
Citizens for Public Safety And Safe Access This Filing . -
AREACODElPHONE NUMBER 1.D.NUMBER(if applicable) 1 For Official Use Only
(858)598-4215 1338342 Report No.
STREET ADDRESS
❑Amendment
5938 Priestly, Suite 200 to Report No.
CITY STATE ZIP CODE (explain below)
Carlsbad CA 92008 No.of Pages 1
2. Contribution(s) Made
DATE FULL NAME,STREETADDRESS AND ZIP CODE OF RECIPIENT CANDIDATE AND OFFICE AMOUNT OF DATE OF ELECTION
O
MADE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CONTRIBUTION (IF APPLICABLE)
MEASURE AND JURISDICTION
Reason for Amendment: FPPC Form 497(Jul/2016)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov