497 Contribution Report – Contributions Received on 08-15-16 and 8-16-16 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of t�'� � ����\\��] � ', � � �
This Filin 8/16/2C�" � ��= V • - �
Committee Supporting Cupertino Citizens' Sensible Growth Initia s ��
AREA CODE/PHONE NUMBER I.D.NUMBER(i�applicable) 1 or iaa se n y
1381645 Report No.
� AUG I U ZO��
❑Amendment
21701 Stevens Creek Blvd., #1132 to Report No. ,
ZIPCODE (explainbelow) 1 CUf'ERTINO CITY CLEF�K
Cupertino CA 95014 No.of Pages _ ' ,
1. Contribution(s) Received
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT
ENTER OCCUPATION AND EMPLOYER RECEIVED
RECEIVED pF COMMITTEE,ALSO ENTER I D.NUMBER) CODE * (IF SELF-EMPLOVED,ENTER NAME OF BUSINESS)
❑ coM not employed � l�'���, c�1
8/15/2016 ❑ OTH ❑Check if�oan
Cupertino, CA 95014
❑ PTY
❑ SCC �
Provide interest rale
❑ coM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC �
Provide interest rete
❑ 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 for Amendment: � SCC — Small Contributor Committee
FPPC Form 497(Jul/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov