497 497 Contribution Report – Contributions Receied on 08/12/2016 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER
Date of 9 ��d �� �t� L� ���`U rI V � �• . � •
�a,� �j�Q��(InIG�� This Filin D
AREACODE/PHONE NUMBER I.D.NUMBER(ifapp�icable) �
�3�D��3 ReportNo. _ j
STREETADDRESS AUG 1 7 20�0 � '
❑Amendment j
to Report No. �_.. . �
CITY STATE ZIPCODE (explainbelow) CUPERTINO CITY CL� ��(
�v��U C� ��j y No.of Pages
1. Contribution(s) Received �
DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT
RECEIVED (IF COMMITTEE.ALSO ENTER I.D.NUMBER) CODE * ENTER OCCUPATION AND EMPLOYER
QF SELF-EMPLOYED,ENTER NAME OF BUSINESS) RECEIVED
��4121110 ��� g�a��� LJ IND P $ 2� � c�
❑ COM � �-QY�'l�°IU�-Q.�
�
❑ PTY
❑ SCC i
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC °�
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC i
Provide interest rate
"*Contributor Codes
IND — Individual
COM— Recipient Committee(other than PTY or SCC)
OTH — Other(e.g.,business entity)
PTY — Political Party
Reason for Amendment: SCC — Small Contributor Committee
� FPPC Form 497(Jul/2016)
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