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497 Contribution Report - Contributions Received on 9-20-2016 497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER • " Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino Date of U/2!/2G /� � ((�� ��f (� � • Citizens' Sensible Growth Initiative This Filing � '�� v v t� � . AREA CODE/PHONE NUMBER I.D.NUMBER(ilapplicable) 4 ';. Of ICIe Se Il y I 1381645 1 RQPort No. (�, � � J LI SEP 2 1 2016 '� � I ❑Amendment 21701 Stevens Creek Blvd., #1132 to Report No. � � CITY STATE ZIPCODE � (explainbelow) 1 CU�ERTINO CITY CLFF��` I� I Cupertino CA 95014 No.of Pages � 1. Contribution(s) Received IF AN INDIVIDUAL, AMOUNT DATE � FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER RECEIVED RECEIVED (IF COMMITTEE,A�SO ENTER I.D.NUMBER) CODE * (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) Cupertino Residents for Sensibte Zoning Action Committee ❑ IND $1,098.20 / # ❑ OTH ❑Check if Loan Cupertino, CA 95014 ❑ PTY ❑ scc ' Provide interest rate ❑ IND ❑ COM ❑ OTH ❑Check if Loan ❑ PTY ❑ SCC � Provide interest rate ❑ IND ❑ COM ❑ OTH ❑Check if Loan ❑ PTY ❑ SCC � 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) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov