Form 496 10-21-2022 Report #39844496 Independent Expenditure Report
Amounts may be rounded to whole dollars. CITY OF E NCIN1EtT�in rZ01=nlnr=nrrGvocninMIDc DMDnDT
NAME OF FILER
D
v
Service Employees International Union Local 221 Independent Expenditure
Date of
PAC
This Filing 10/21/2022
OCT 24 AM 8: 54
PForOffiiciial
q0nly
AREA CODE/PHONE NUMBER
I.D. NUMBER (dapplicable)
(
1298155
Report No. 39844
STREET ADDRESS
El Amendment
to Report No.
(explain below)
CITY STATE ZIPCODE
San Diego CA 92111
No. of Pages 2
1. List Only One Candidate or Ballot Measure
2. Independent Expenditures Made Attach additional information on appropriatelylabeledcontinuation sheets.
DATE
DESCRIPTION OF EXPENDITURE
AMOUNT
10/20/2022
14ailer
Cumulative to date total $15000.00
7,500.00
Reason for Amendment:
FPPC Form 496 (Feb/2019)
netfile.com FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
496 Independent Expenditure Report
Service Employees International Union Local 221 Independent Expenditure PAC
3. Contributions of $100 or More Received*
496 INDEPENDENT EXPENDITURE REPORT
I.D. NUMBER (lfapplicable)
1298155
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER OCCUPATION
AND EMPLOYER
AMOUNT
INTEREST RATES
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE**
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
10/20/2022
Service Employees International Union Local 221
❑ IND
20,000.00
If loan,
PAC
Diego, CA 92111
❑ COM
❑ OTH
enter interest rate, if any
CommitteeSan
Committee ID# 1298154
❑ PTY
SCC
❑ IND
If loan,
❑ COM
El OTH
enter interest rate, if any
❑ PTY
❑ SCC
❑ IND
If loan,
❑ COM
El OTH
enter interest rate, if any
❑ PTY
❑ SCC
IND
❑ COM
If loan,
El OTH
enter interest rate, if any
❑ p n'
❑ SCC
❑ IND
❑ COM
If loan,
❑ OTH
enter interest rate, if any
❑ PTY
❑ SCC
❑ IND
If loan,
❑ COM
❑ OTH
enter interest rate, if any
❑ PTY
❑ SCC
—Contributor Codes
`Major donor and independent expenditure
committees that do not receive contributions IND — Individual
are not required to complete Part 3. COMOTH —Recipient Committee (other than PTY or SCC)
OTH —Other
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 496 (Feb/2019)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Peter Weichers
From: Jeremiah Ivans <Jlvans@olsonremcho.com>
Sent: Friday, October 21, 2022 6:51 PM
To: City Clerk
Subject: Service Employees International Union Local 221 Independent Expenditure PAC Form
496
Attachments: FPPC496.pdf
[NOTICE: Caution: External Email]
Good Afternoon,
Attached please find a from 496 for the Service Employees International Union Local 221 Independent Expenditure PAC
ID #1298155.
Thank you,
Please note my working hours are now 8am to noon. I will reply to all a -mails received after noon on the next
business day.
If this is an urgent matter please e-mail compliance(cDolsonremcho.com
Jeremiah Ivans
Senior Specialist
Olson; Remcho
555 Capitol Mall, Suite 400
Sacramento, California 95814
(916) 442-2952 - phone
(916) 442-1280 - fax
iivansCa olsonremcho.com
www.olsonremcho.com
CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged
information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use, or disclosure is
prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the
intended recipient, please contact the sender and destroy all copies of the communication.