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497 Contribution Report - Contributions Received on 10-11-16 497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER � �a p , , � - Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino � Date of 10/12/201�D � � � � � G' � � Citizens' Sensible Growth Initiative This Filing • - AREA CODE/PHONE NUMBER I.D.NUMBER(itapplicable) Of �CIB Se fl y p 9 1381645 Re ort No. j STREETADDRESS OCT 1 2 2016 ❑Amendment to Reporc No. ��n STATE ZIPCODE (explainbelow) CIIPERTINO CITY CLE;RK Cupertino CA 95014 No.of Pages 1 1. Contribution(s) Received DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, qMOUNT RECEIVED (IF COMMITfEE,AL50 ENTER I.D.NUMBER) CODE " ENTER OCCUPATION AND EMPLOYER RECEIVED (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) Cupertino Residents for Sensible Zoning Action Committee ❑ IND $1,067.70 10/11/2016 #1376003 B coM ❑ PTY ❑ scc Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC °° Provide interest ra[e ❑ 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) Reason forAmendment: P7Y — Political Party SCC — Small Contributor Committee FPPC Form 497(Jul/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov