497 Contribution Report 4 – Contributions Received on 9-22-18 497 Contribution Report Amounts may be rounded to whole doilars.
NAME OF FILER Date Stamp , • . .
�ate o� 09/23/201 8
Savita Vaidh anathan Tnes F°i�ng E ;� �_ . -
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Y � �;� �� � �
AREACODE/PHONE NUMBER I.D.NUMBER(ifapplicable) R� � 5 � -� � For Official Use Oniy
Report No. '� �} E
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to Report No. � � :
��Ty STATE ZIP CdDE (explain below) � � _ '
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Cupet'tino CA 95014 No.of Pages � , � �� �
'i. Contribution(s) Receivec!
DATE FU�L NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CQNTRIBUTOR �F AN INDIVIDUAL, AMOUNT
RECEIVED pF COMMITTEE,ALSO ENTER LD.NUMBER) CODE * ENTER OCCUPATION AND EMPLOYER RECEIVED
(IF SELF-EMPLOYED,ENTER NAME OF BUSINESS)
Elmen Chen � itv� Memberships
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC �
Provide interest rate
Janette Stokley �X IND Executive Director 1,000
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC '
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC !
Provide interest rate
"`Contributor Codes
IND — Individual
GOM— Recipient Committee(other than PTY or SCC)
OTH — Other(e.g.,business entity)
PTY — Political Party
Reason for Amendment: SCC — Small Contributor Committee
FPPC Farm 497(Jul/2016)
FPPC Advice:advice@fppc.ca.gov(866f 275-3772)
www.fppc.ca.gov