497 Contribution Report - Contributions Received on 09-01-2016 �
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497 Contribution Report Amountsmay6eroundedtovrholedollars_ � � ^a�� � — A 3 �'
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NA�IEOFFILER Date of � � • •
C�O ON C AND YES ON D - CUPERTIJ:O NL�IGHBORS, $011CATORS, AJCD THE 9 09/02/20]6 I �
COPERT7T�0 CHAI4BER OP COP4•fEftCE F02 7HB S3NSIBLH r�hD SUSTAINABLE ?his Filin � • ' �
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Report No.tcR kezs �
(415J389-6800 13B3796 �
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235a KERTIER BL,�., SUITE 25o f❑o Report No�t C1IPERTINO CITY CLERK ,
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CITY STATE 21P CODE (exptain helaw) � �
SAN RT�PAEL CA 99901 NO. Of PaJE'S 1 �
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1. Contribution(s) Received �
IF AN INOIVIDUAL,
pA7E FULL IWME,STREET AODRESS AND 7JP COOE OF CONTR7BUTOR CO�V7R18UTaR h"�tOUtdi
RECEIVED (1F00l.tAlffTi�,N,SDF1�17ER1D11U1A6�fl) CODE k EtJTEROCCUPATIONANDEMPLOYER RECElVEO
(iF�ELF-E\1PlOYLD.Et77F32 MPhIE OF BUSINE S3}
D9/O1/2016 AND A?PIL7ATPD B1TT1TIS5 2,500.00
2882 SAND HILL RD., STE 241 ❑ IND
�13PTL,0 PARK, CA 99025 I � CQM
�x OTH ❑ Check i(Loan
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ISFIi4 AOCRL357 � SCC �i°
Provide interesl rale
09/03/2026
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14EIdL0 PARK, CA 94025 � COM Ct��,,.� JF C A
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I�N16 ADDP,:SS) � SCC �
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09/Ol/2016
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I•1ETfl,O PARK, CA 94025 � CD�,n
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F70PERtY OA:.'ER. !.V_' (SAM3 AnnpE�5) � SCC °ri. o
Provlde Interesl rale �
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COM-Re�ipient Commillee(other lhan PTY or SCC) �
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Reason for Arnendment: SCC-SmallConlributorCommittee '�
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� . y FPPC Form 497(Jan12U16)
��C� FPPC Advice:advice�ippc.ca.gov(86612753772)
www.fppc.ca.gov
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