497 Contribution Report - Contributions Received on 10-12-16 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER e
Parth Bharwad This Fi ing 10/12/2016 � � � � �/ � � �� � � � •
AREA CODE/PHONE NUMBER I.D.NUMBER(ilapplicab�e) ` 0 �CIB S@ ft y
1386483 Report No. '
STREETADDRESS 0�+� 1 2 2016 V
❑Amendment
to Report No. _
CITY STATE ZIPCODE (explainbelow) �UPERTINO CfTY CL�.ERK
Cupertino CA 95014 No.of Pages I I
1. Contribution(s) Received
DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT
ENTER OCCUPATION AND EMPLOYER
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) RECENED
Viraj Bharwad ❑X IND Montecito Preschool
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC �
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC �
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC i
Provide interest rate
"Contributor Codes
IND — Individual
COM— Recipient Committee(other than PTY or SCC)
OTH — Other(e.g.,business entity)
Reason forAmendment: PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 497(Jul/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov