497 Contribution Report - Contributions Received on 08-26-2016 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of � ((�a�ta�1" "// � . � - •
Committee Supporting Cupertino Citizens'Sensible Growth Initiative This Filing
8/29/201 i D v � �� . - �
AREA CODE/PHONE NUMBER I.D.NUMBER(i�applicable) r3 �Of ICIB S2 Il y
1381645 Report No.
AUG 2 9 2016
❑Amendment
21701 Stevens Creek Blvd., #1132 to Report No. __ 1
(explainbelow) CUPERTiNO ClTY CLE.RK
No.of Pages 1
Cupertino CA 95014 ,
1. Contribution(s) Received
IF AN INDIVIDUAL, AMOUNT
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER
RECEIVED QF COMMITTEE,ALSO ENTER LD,NUMBER) CODE * (IF SELF-EMPLOVED,ENTER NAME OF BUSINESS) RECEIVED
❑ conn n/a
Cupertino, CA 95014 ❑ 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 �
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