497 Contribution Report - Contributions Received on 11-03-2016 - Amendment (2) 497 Contribution Report
FULL NAME.STREETADDRESS AND ZIP CODE OFCONTRIBUTOR
CONTRIBUTOR
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CONTRIBUTION REPORT o,
NAM E OF FI LER
NO ON C AND YES 014 D - CUPERTINO 11EICHBORS, EDUCATORS, AM THE
CUPERTINO CHAMBER O? COMIERCE FOR THE SENSIBLE
Date of
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AND SUSTAINABLE
This Filing 12/15/2016
MEMO PARK, CA 94025
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am
AREA CODEPHONENUMBER I.O.NUMBER Faapprr-anre�
(415)389-6800 ]383796
Report No.LCR 111291A
OEC 1 5 2016
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or Official Use Only a
STREETAODRESS
2350 KERNER BLVD., SUITE 2SO
Q Amendment
❑x OTH
to Report No.LCR ..4224!A
(expfainbelaw)
PERTINO CITY CL RK
z
CITY STATE ZIP CODE
CA 94901
No. of Pages 1
z
1. Contribution(s) Received
DATE
RECEIVED
FULL NAME.STREETADDRESS AND ZIP CODE OFCONTRIBUTOR
CONTRIBUTOR
FF AN INDIVIDUAL,
(r CO\A'WTEEPLSOMU-A 10 NLUGERI
CODE
ENTER OCCUPATIONAND EMPLOYER
OF SELF-EWPLOYED,VITERNMAEOF SUSNESSJ
AMOUNT
RECEIVED
11/03/2016
SAND HILL PROPERTY COMPANY A1JD APPILIATED ENTITIES
24,750.00
2862 SA1ID HILL RD., STE 241
❑ IND
MEMO PARK, CA 94025
❑ COM
❑x OTH
O Check if Loan
ON-WJND7ARY CM-ml90TION Fr-°. TH3 FER10D 11/1 11/3/15; PDC31VED TlrROU�i ArT1L1ATE0 Frirl Y,
%r-'m F.-,omlf7 OWER, LLC (3:alc D-LOREZS)
PTY
❑ PTY
❑ SCC
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Provide inleresl rate
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❑ IND
TO: C (ti-, C t4rl<
❑ COM
�� '��, ���
❑ OTH
D Check if Loan
FAX,
❑ PTY
❑ SCC
ry
Provide intefesl cafe
❑ IND
❑ COM
❑ OTH
El PTY
0 Check if Loan
❑ SCC
Provide inleresl race
Reason for Amendment: AMENDMENT
REVISE AMOUNT OF NON-MONETARY CONTRIBUTTon
J*L-4�;-7 � 1z!is
www.netfi/e.com
`Conlributor Codes
IND-Individual
COM-Recipien(Commi(lee(other than PTY or SCC)
OTH- Other(e.g., business entity)
PTY-Pal itical Party
SCC-Small Conlributor Commillee
FPPC Form 497(Jan/2016)
FPPC Advice:advice@ippc.ca.gov(866/2753772)
wvnv.fppc,ca.gov
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