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497 Contribution Report - Contributions Received on 10-16-16 ��� �f�9���'1��d°��i�il ���3�7�"� �+:�oz�nfs Gi�ay be rogenrlPd to+vhole daflar-s. h/'PJIE OF i'IL.�R .. . .. .. ..:... ... �._� fe .�,i �� `. t� f 7his�ilira_.. ._ ... ... ..... . :.. ... .--�__.. , ._._ _. . __...0 .,. . _. . .. r� � afe�� 1�/17/20"1� � V� L5 r U V �m '�- # (. ,' � F�C)E? �1RfK5 F�� G!�i° vOl1N,�iL. 2016 g ,.��{'�!� i f #� AREACOUE/PHONE NUNIBER �I.D.fJUMBER(iiapplrcablej � � 'i- r OiriCl;;l UaE Cnly I . �eport�fa. '` '� (���) � i���7��� OCT 1 7 2016 'U STREETADilRESS ❑�fi')8P1c"�t3lePtt to R���or;�o. /�� �„Y �T��E ZIPCODE (Fxpiain6elow) �/1JPERTiNO CITY CL�RK �il3.Of�p8y�$ � �U(��1�1l�10 .�i�i ���.)��- � � `�o �f�Yi'�Ci�3Uii�:! � ` � �C.'�GSV�t� (FAN INDIVIDUAL, DATF FULL NF�WtE,STREETADDRESS AND CIP GODE O�COIJTRiBUTOP. CONTRfHUTOR AhiOUf�!r RECEI!�ED (��r0'.t�117 iEE,A�SO ENTER I.D.t:Ub!3FR) `��F o: CNTFR OCCUPATION AtdO E51PLOYER �ECENED (IF SELFEMPLGYE 0,E1'TER�:AFdE OF BUSINFSS) ��cl�ari� !ov4��nthaf r�tirLd � � ��f� �' ❑Check if Loan [] F1Y ' ❑ SCC °' Provida in;zrest rate ❑ INU ❑ CONI ❑ OTf-i ❑Check if Loan ❑ PTl' i_] SCC � Provid�interest r:e ❑ W f] ❑ CUM ❑ OTH ❑Check if Loan ❑ �-f�' C� ���� Pro��ide interest r2te '�'��:C(11fI�UTOf CO�G'ST IND — Individual Cb�A- f-tecipien'.Cemmittee(other!han PTY"or SCC) OT{-I — Oiner(e.y.,business entity'� PTl' -- Politi:ai Party �e�son foY/lmendmenf: SCC — Smali Coniributor Comrnittee �PNC�orm��7(3�s1!s0i�j f=FF�C�di�ice:�ci�ice@f�pc.ea.gov(£�Gf/�7�-3`l`I2) LV4VVd.f�?�?L.C:'rl.hC:a'