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497 Contribution Report – Contributions Received on 10-26-16 497 Contribution Report Amounts may be rounded to whole doliars. NROD SINKS FOR CITY COUNCIL g �( (� QM (� Date of Date Stamn � . � V� L� U l/ l� • 2016 This Fi�in 10/27/201 D � . � AREA CODE/PHONE NUMBER I.D.NUMBER(ifapplicable) 4 i O r I C I a S e n y ( 1387675 Report No. STREETADDRESS 0 CT 2 7 2016 ❑Amendment to Report No. CITY STATE ZIPCODE (explain below) 1 CI�PERTINO CITY CLE 3K Cupertino CA 95014 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 (IF SELF-EMPLOYED,ENTER NAME Of BUSINESS) RECEIVED Thorsten von Stein QX IND Consultant ❑ OTH ❑ Check if Loan ❑ 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 forAmendment: SCC — Small Contributor Committee FPPC Form 497(1ul/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov