497 Contribution Report - Contributions Received on 09-23-2016 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of (� 1��t���J � � - I �
Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino � 9/26/201: D L, V l'I
Citizens' Sensible Growth Initiative This Filing � _
AREA CODE/PHONE NUMBER I.D.NUMBER(i/applicable) 5 r ! -or icia se n y
1381645 � Report No.
STREET ADDRESS S E P 2 6 2016 �
t❑o Report Nont
CITY STATE ZIP CODE (explain below) C PERTINO CITY CLERK
No.of Pages 1 � I
'
1. Contribution(s) Received
DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,
RECEIVED (�F COMMITTEE,ALSO ENTER I.D.NUMBER) * ENTER OCCUPATION AND EMPLOYER AMOUNT
CODE (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) RECEIVED
Gregory L. Schaffer B IND Analog I.C. Designer $7,043.08
9/23/16
❑ OTH
❑Check if Loan
❑ PTY
❑ SCC i
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC i
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC r
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(1ul/2016)
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