497 Late Contribution report
Late Contribution Report
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ZIP CODE
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LATE CONTRIBUTION REPORT
NAME OF FI.ER
Date Stamp
1.0. NUMBER (I1eppbb1e)
1).-.1-737
Report No.
STATE
clr
o Amendment
to Report No.
(expIlin beIaw)
No. of Pages
OCT 2 5 2007
UPERTINO CITY C
AJLL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL, AMOUNT
DATE ENTER OCCUPATION AND EMPLOYER
RECEIVED (F COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (F 1El.f.aIPI.OYED, ENTER NAME OF ~ RECSVED
fflNO 1yY\( ~ ",-O...Q 4. bw\.1-€-~
C C f"Vl DOOM I~ "..
\oJ-s/~7 r! 1- ~\Afvk-e:f K~ o OTH
DPTY
Vt?. (0,. v? 11-4' cA 9 f-6tt7 D see o Check if Lo8n .
/ D INO
DOOM
D OTH
DPTY
D SCC o Check if Loan
D IND
DOOM
D OTH
DPTY
D sec o Check If Loan
"Conlrb.dor Codes
IND -1ndividu8I.
COM - Recipient Committee (otherth8n PTY or SCC)
OTH - other (e.g., business entity)
PTY - Political Party
SCC - SmaH Conbibutor CommitIee
Reason for Amendment
:..
. FPPC Fomi 411 (JiI..... lrlll)
FPPC ToII-F,.. Helpline: I88IASK-FPPC (1IfI271-3772)
..