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497 Contribution Report 8-22-16 � 0 3 497 ontri U�IOOI epor� Amounts may be rounded to whole dollars. j 49�CONTRIBUTION REPORT � NAME OF FILER Dat2 Of LJ 6 �t��tat� �' � _ , • N D I ���'�'�'jl��ll '•. I ^ �yj I Priends of 3arry Chang A9ainsC the Recall This Filing �8�22��-� � ' '+{���i�l i �' AREA CODElpHON[NUMBER I D.NUMBER�Aappl�cab�o) I For Official Use Only Report �Jo.oez22o15 a At�r � � �O�c ( 1385778 H U V U � STREElADDRESS ❑ Amendment to Report No. CITY S7ATE ZIPCODE (explainbelow) GUP =RTlNO CITY CLERK f�o. of Pages 1 . . . . . , , , . , . , .. 'i. Gonfribufion(s) Receivec9 DATE FULL NAME,STREET ADDRESS AND ZIP CODF OF CONTRIBUTOR CONTRIBUTOR IF AN iNDIVIDUAL, qMOUNT RECEIVED IiF�7nAh7ITfEE,ALSOEN7ERID NUA18ER1 COCE ' ENTER OCCUPATIONAND EMPLOYER RECENED (IF SELF-E�.1PlOYFD,ENT[R NAME OF BUSWESS) OB/22/7_016 Associeted RL�ilders and ContracLors Northern Caliio:rnia Chapter PAC 4,200.00 � ❑ OTH ❑ Check if Loan p ❑ PN `� ❑ SCC i � Provide interesl rate � � IND ❑ COM [] OTH [] Check if�oan � PTY ❑ 5CC � Provide interest rate o rn ❑ IND N ❑ COM N N [� OTH ❑ Check if Loan � � P71' rn ❑ SCC i � Provide interest rale W O N 'Contribulor Codes IND-Individual COM-Recipient Committee(oiher than PTY or SCC) � OTH-Other(e.g., business entity) rv Reason for Amendment: PTY-PoiiticalParty ° SCC-Small Contributor Committee V v 0 0 FPPC Form 497(Janl2016) N FPPC Advice:advice@fppc.ca.gov(866(275-3772) o 0 www.fppc.ca.gov N www.ne�le_com