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497 Contribution Report - Contributions Received on 11-01-2016 Z
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497ContributionReport Amountsmayberou�dedlowholedollars. 497CONTRIBUTIONREPORT o
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NANfOFFILER Oate of r�� � �
NO ON C At��D YES ON 0 - CUPERTINO NH7GHBORS, E�UCATORS, AFID THE 9 11/02/201b �^ ` � � � �� � , •
CUPERTI.10 CHAI�ER OP COF1AtERCE FOR THE SENSIBL3 AJ(D SQSTAI)IhBLE Thls Filin I 1 f ' �
AREACODEIPHONE NU1.10ER I.D.NV�.IBER(��a.cyScst��) �< F orONicial Use Only =
Repor[No,Lc� ��Zoo � �
(415}389-6800 1383796 � � NOV - 3 2016
❑ Amendment T
235D KSRNER BLVD., SUJT?. 250 �O Re�J01't NO. _ �� z
�, , S7ATE ZIPCODE �explain6elcw} C PERTINO CITY CLfRK �
No. of Pages 1 �
SAN R�?ABL CA 9490] y
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'I. Cantribution(s) Received �
DA7E FULL NAA�E_STREE7 ADORESS AtJD ZIP COOE OF CONTRIBUTOR CONTRIBVTOR IFAN INDIVIDUAL, A"�tOUNT
ENTER OCCUPr1T10NAN0 EDi1PLOYER RECEIVEO
RECENED (IFOOIdf,1RTEE,hL50HfTEF1.0.:7U\!?ER) CODE t �IFSEIFFh'PLOYED,ENi6�PLNdE0i3U511iESSJ
11/O1/2016
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FIENLO PARK, CA 94025 � CONI
�x OTH ❑ Check i(Loan
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ISJJIE i.CD�2FS5) � SCC °b
Provide in[eiesl rale
11/O]/2076
❑ IND
NEHLO PARK. CIs 94025 � CflM A
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Provide tnlerest rale "'
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IN D-Individual o
COM-Recipient Commitiee(olt�er I han PTY or SCC) �
� a7H-01her(e.g.,business snlity)
Reason forAmendmenl: �.?"•V� PTY-PoliticalParly �,
2� I 5CC-Small Contributor Committee �
� � �� _ - -- �
``` � ��Z FPPC Forrn 497 (Janl2016)
IFPPC Advlce:advice@Fppc.ca.gov(866f2753772)
www.Ippc.ca.gov
www.neHile.com
