Vella 497-1:1LIOWpUOWVJOI uosee
sopoo JoInqutuo0,,,
C)
0
ri•
CD
C)
CD
CD
a
podaH uonncipluo0 L61'
Amounts may be rounded to whole do
8/30/2016
DATE
RECEIVED
Vikram Bajaj
Sunnyvale, CA 94086
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
cn-000E
enTOOE
CONTRIBUTOR
CODE *
DOD • •
EDO •
•111001N
0 0
O--100
0 ig
en-000E
0 Mg
Chief Scientific Officer
Verily (Google Life Sciences),
Google, Inc.
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
Ei Check if Loan
0 Check if Loan
1250.00
0 Check if Loan
AMOUNT
RECEIVED
C)
0
ri•
CD
C)
CD
CD
a
podaH uonncipluo0 L61'
Amounts may be rounded to whole do