497 Contribution Report – Contributions Received on 10-8-16 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of 10/9/201 n r-' �u�t�mp n � � , •
This Filing t� U • �
Jerry Liu for City Council 2016 L�
AREA CODE/PHONE NUMBER I.D.NUMBER(ifapplicable) � For Official Use Only
Report No. � i
1386578 OCT 1 0 2016
STREETADDRESS
❑Amendment
eOpRB bOlo No. �U�ERTINO CITY CLE{�K
CITY STATE ZIP CODE
No.of Pages �
Cupertino CA 95014 �
1. Contribution(s) Received
IFAN INDIVIDUAL,
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT
RECEIVED QF COMMITTEE ALSO ENTER I D-NUMBER) CODE * (IF SELFEMPLOYED,ENTER NAME OF BUSINESS) RECEIVED
Frank Geefay ❑X IND Retired 1000.00
10/8/2016
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC �
Provide interesl rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC �
Provide interesl rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC �
Provide interesl rate
"'Contributor Codes
IND — Individual
COM— Recipient Commiitee(other than PTY or SCC)
OTH — Other(e.g.,business entity)
PTY — Political Party
Reason forAmendment: SCC — Small Contributor Committee
FPPC Form 497(1ul/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov