497 Contribution Report 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of �'`.� Cf .:. � _
pp g p , � g 8/22/201•. � � (� � � � � �
Committee Su ortin Cu ertino Citizens Sensible Growth Initi This Filin . -
AREA CODE/PHONE NUMBER I.D.NUMBER(ilapplicable) 2 ' FOf OffiCi81 US2 011ly
1381645 Report No.
� AUG 2 2 2016 �,J
❑Amendment
21701 Stevens Creek Blvd., #1132 to Report No. _
l (explain below) CUPERTINO CITY CLE 3K
Cupertino CA 95014
I No.of Pages �
1. Contribution(s) Received
DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * ENTER OCCUPATION AND EMPLOYER RECEIVED
(IF SELF-EMPLOYED,ENTER NAME OF BUSINESS)
❑ coM 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
Re2son fof Amendment: SCC — Small Contributor Committee
FPPC Form 497(Jul/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov