HomeMy WebLinkAboutNANCE 497 03/20/17 (2)497 Contribution Report Amounia may
be rounded to whole dollars.
Date of
ete mp a
/ 6
OF FlLER
This Filing
�
' '
0 Pig 3: 00
1�1�
AREA DEIPHONE NUMBER LD.NUMBER (emgNaN.l
Report No.
or
a ea y
� �8
STREEt AD REBS
❑ Amendment
to Report No.
No. of Pages
1. Contribution(S) Received
OATS FULL NAME.STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
IIF COMMIREE. eI�ENIER I.D.MIXIOEAI
CONTRIBUTOR
CODE
IF AN INDIVIDUAL,
ENTEROCCUPATONANDEMPLOVER
IIF9FLF £X0.0YE4ENYcRNWEOFBIRIXE99I
AMOUNT
RECEIVED
RECEIVED
eN v^^o sslD ry s a4V P
El IND
3,00e�.00
�1
2v r
❑PTY
❑SCC
PFmtee im nmA rare
❑ IND
Cl COM
0 OTH
❑ Check if Loan
El PTY
%
❑ SC.0
ProrIJe IM eel mto
❑ IND
❑ DOM
❑ OTH
0 Check H Loan
❑ PTY
❑ SCC
Pm 1. rela%
Reason for Amendment
"COnbibulat COdee
IND - Individual
COM- Redpienl Commihee(atlwr than PTY or SCC)
OTH - Other (e.9., business emtty)
PTY - PoMical Party
SCC- Smell COninbulor Commiaee
FPPC Form 497liui/2016)
FPPC Advice: advicepfppc.ce.rAV (e66/27S3fl2)
www.fppc.ce.6ov