Hettich 497-3497 Contribution Report
NAME OF FILER
0\ -
AREA COD / NE NUMBER
Amounts may be rounded to whole dollars.
Date of
This Filing
N-2 CALIFORNIA Any
IIIPQF
1" 41'4 tcia Vse
?I/ 97 —61z7
.D. NUMBER (if applicable)
STREET ADDRESS
CITY
1. Contribution(s) Received
STATE ZIP CODE
Ci■ 92/7)(
Report No
Amendment
to Report No
(explain below)
No. of Pages
OCT 1 9 2016
CITY OF ALAMEDA
CITY CLERK'S OFFICE
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
c) Ut-4--c,"), AtAA,v, C .,,sc i c:_' ei atm-Jo 6e s 4
0_ 0 (44,1,/1/0-4'-e, C., i \D 5X1 a. 1 I 2 5;
,
0 IND
0 COM
CI OTH
0 PTY
0 Check if Loan
%
•SCC
Provide interest rate
0 IND
0 COM
Li OTH
[I] PTY
0 SCC
0 Check if Loan
%
Provide interest rate
Reason for Amendment.
**Contributor Codes
IND — Individual
COM — Recipient Committee (other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 497 (Jul/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov