497 Contribution Report #1 – Contributions Received on 7-17-18 4�97 Gontribution Report Amounts may be rounded to whole dollars.
NAME OF FI�ER Date Of Date Stamp , � .
Mahoney for Couneil -2018 Th�s F;i;�g 9/24/201$ _ � •
�� -
AREA CODE/PHQNE NUMBER I.D.NUMBER(ifapplicable) .� �{` �_� �o�Oificia�Use Oniy
to Report No. _
CITY STATE ZIPCODE (explainbelow) � _ � - —
Cupe►-tino CA 95014 No.of Pages - _ � �
1. Contribution(sj Received
IFAN INDIVIDUAL,
DATE FULL NAME,STREET ADDRESS AND ZIP GODE OF CONTRIBUTOR CONTRIBUTOR AMOUNT
RECEIVED (�F COMMITTEE,ALSO ENTER I.D.NUMBER) CODE* ENTER OCCUPATION AND EMP�OYER RECEIVED
(IF SELF-EMPLOYED,ENTER NAME OF BUSINESS)
Orrin Mahoney Retired
❑ COM
❑ OTH x�Check if Loan
❑ PTY �
❑ SGC °�
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SGC %
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑Gheck if�oan
❑ PTY
❑ SCC �
Provide interest rate
**Contributor Godes
IND — Individual
COM— Recipient Committee(other fhan PTY or SCC)
OTH — Other(e.g.,business entity)
PTY — Political Party
Reason for Amendment: SCC — Small Contributor Committee
FPPC Form 497(1uIj2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov