Form 497 09-20-2020 Report #3 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date Stamp _
Citizens for Public Safety And Safe Access This Filing 9/20/2020
•
AREA CODE/PHONE NUMBER I.D.NUMBER(i/applicable) 3 For ICia Use On y
(858)598-4215 1338342 Report No.
STREETADDRESS
El Amendment
to Report No.
CITY STATE ZIP CODE (explain below)
Carlsbad CA 92008 No.of Pages 1
2. Contribution(s) Made
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF RECIPIENT CANDIDATEORND OFFICE AMOUNT OF DATE OF ELECTION
MADE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CONTRIBUTION (IFAPPLICABLE)
MEASURE AND JURISDICTION
Encinitas Residents for Measure H, Measure H
9/19/2020 15,000.00 11/3/2020
Encinitas, CA 92024
FPPC ID: 1431385 p
FPPC Form 497(Jul/2016)
Reason for Amendment: FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov