497 Contribution Report – Contributions Received on 10-9-16 i
�
497 Contribution Report Amounts may be rounded to whole doi�ars.
NAME OF FILER � � � ��(,�a,�� �
David Fung for City Council 2016 T�h s F ling 10/10/2016 � � � � •
AREACODEIPHONE NUMBER I.D.NUMBER(ifapplicable) �
2 or 0 iaa se On y
1383579 Report No. .r�
STREETADDRESS J 0 CT 1 0 2016
❑Amendment
to Report No. �
��n STATE ZIPCODE (explainbelow) �PERTINO CITY CL�RK
Cuper'tltl0 CA 95015 No.of Pages �
1. Contribution(s) Received
DATE FULL NAME,STREETADDRESSAND ZIP GODE OF CONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL, AMOUNT
RECEIVED (IFCOMMITTEE,AL50 ENTER I.D.fJUMBER) CODE * ENTER OCCUPATION AND EMPLOYER RECEIVED
(IF SELF•EMPLOYED,ENTER NAME OF BUSINESS)
Frank Geefay X� IND Retired, None
10/09/2016
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC �
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ 5CC %
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)
Reason forAmendment: PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 497(Jul/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
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