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497 Contribution Report - Contributions Made on 08-10-16 D c �v � 497 Contribution Report Amountsmayberoundedtowholedollars, i 497CONTRIBUfIONREPORT o, NA�1E OF F1LER Date of ��aT� � ' 9 OB/11/2016 � � � � � L ' � ' SRJ(D HILL PROPSRYY COT1Prl1i`J AlfD AFPIL7ATED E)�iTISS 1 This Fifin n • • � AREACODF�PHONENU616ER I.D.NUl�16ER(AappA_aD��) `! ForOfCcialUseOnly N I Repart No.urt qs•�a I i � � (650}399-1500 � r c � /� STREETAD�RESS AUV � � �O�U i V ' �+ � Amendment � i � 2862 SAND HILL 30AD, STB. 291 f0 RepDlt HO. � __ l z STA7E Z�P CODE {explain t��a„> P�RTI NO C ITY C L E R K � � 2 _� " P1BNL0 PAR}; CA 94025 �O.Of P8g25 __ _ r � � a � 2. ConEribution(s) Made � DAiE fUIL NAAIE,STREET ADDRESS AND ZIP CODE QF RECIAIENi CANOIDATEOA�ND OFFICE AA10UfYi OF DATE OF EIECTIOfV dMDE (IFOORIA1fTTEE,P1JS06YTER19tIltVBER] p�EqSUREANDJURISDICTION CONTflIBUTION (IFAPPLICP.BLE� 08/10/2016 C(IPBRT1n0 N2IGHBORS, HDUCATORS, AN❑ 'i'HE CCOC POR T�P VALLA.�O 'ID'n?7 CBNTER SPHC1?IC PLA1� 533,151.00 SE1�SIBLE AND SUSTAINABLB REVITAL72RTI0)1 OP VALLCO {ID}� 7NIT7ATIVE San Rafael, CA 99901 :IOA`-V�V31'A➢.)' CUh'7N13VIfCtI; :J.DE 6Y APlLLIATEO E17I7'Y, VALLOO 7.'.OfEN7'! Qn�73H L].0 (W'3 ALDRESS :S f'l lSfi) 08/10/2016 CUPBRT]Jf0 NE7GHBORS, $DUCA�RS, ANO T}3E CCOC ?03 THS VALLOO TOWi�I CENTHR S➢ECIF7C PLJ�] 40,0OO.OD SHNSIBLE AND SUSTAIJdABLE R%VITAL3ZATI01] OF VALLCO (ID� SNITIATJVB � San Rafael, CA 99901 m m rn m ESI']it49oO 1NK1tN FLZ 7T:E Pc7t7G� B/] � B/]1/16: 141Li BY D.f'il13A7ZD CNT77Y, V.�11C0 PP.O?6P.TY OMiER � A LS.0 (S.HC AUDP3SS ti T713P.1 C.�'}� OF G�/}Nro TO: t:� G 1•-� . FAX; CYos� ��-���3G� � � � � 0 0 � 0 T ReasonforArnendment- 2{� �- ' �� � � �1���. � FPPC Form 497(Jan12016) �,{yQ FPPC Advice:advice@Fppc_ca,gov(Bfi61275-3772) '1 v�ww,fppc.ca_gov www.netfile.com