497 Contribution Report - Contributions Received on 09-01-2016 - Amendment497 Contribution Report Amounls may be rounded to vihole dolTars.
')"j7C:C'NTo:IBLlTIOTh REFOFT
NAME OF FILER
NO ON C Ah!) YfS ON D - CU'fflRTlNO NEIGHEIORS, FDUCATORS, MID THE
CIIPER'TINO CHA!'!BER OF COrAMERCEl FOR T}:B SENSIBLE AND SUSTAINABLE
AREA CODEjPHDNE NUMBER 1.D. NLIMBER IN apprvah'il
(415) 389- 6800
STREIT AD!IRESS
338:1796
2]SD K3RNER BLVD., SUIT3 25iCl
CITY STATE ZIP CCN)E
SAN RAFAEL 34 9al
1- Contribution(s) Received
Report Nn. LcR .12DDA T li , r-rCf:'cial U311 0+II!)T
No. of Ppigp=s
D ATE
RECEIVE[)
FULL NAklE, STREET A €X)RESS AND ZIP CODE OF CONTRIBLITOR
llFa)I.l+.lrlTELAlSOF+lTFRID.F,L?JBlR] '
CONTRIBUTOR
CODE "
IF ANINDWDuAL,
EN'TER OCCUPATION ,'D 9APLOYER
li7Srlr rjJF'lOYEO,FJIIERNM)E D."F!li311lES'l}
A)AOUNT
RE €EIVED
)(IQ)/201(;C[IPERTJNO Ce_MBER PAC
:vz sob'zv Cahl"Rl)lmrlOr)i Aa71ries ay o>rmiiam'op Cl)+ 1)/4/2(})6
0 IN[)
[J COM
@ OTH
[] PTY
0 SCC
4,7B7jl
[I Check if Loan
%
Pro'iids inleresl rale
t s / o r / 2 016 CnPERT]ND C)4AMBER J'AC
qaii NOI:rTuY Cl')h)?lTlUT'lOr)i h071n0 BY ('liTR]][TmR 01) 11/4/20)4
0 IND
[X COM
0 0TH
0PTY
0 SCC
_, _-b D /' __ _ 1 _',
7,G87.3':
[] Check ir Loan
V,
Piovide inletesl tale
11 / Cl 1 / 2 01 G SAND F[ILL PROPERaT'Y CO>}PANY AfilD A?FJIJATR[) ENTIrl;?S
[1 IND
0 COM
[! OTH
(,:,-l(-'k
TO: Q'Y), c.,l<At
FAX: <!oq'S '7-"f-'+'=%4
2, SOD. O[:
7 Check if Loan
j=%-e=,-c-p=,=Riss-, -" "=yo+=""""'at"o-x"'-"""a"=o""=a"""""'p"'pa'b"""="a'ar
[] PTY
0 SCC
- {
')!
Pnoyids in!eiesl iale
pBB5()11 {()7 Amendmenj' TO JNCLUDE ADDI5'lONAL NO}T -MONETARY CONTRIBUTION
umuw rig ffiia rn m
-Conlribulor Codes
IND-Individual
COM - Recipient Commitlee (other lh an PTY OT SCC)
OTH - €lher (e.g, business enlity)
PTY - Polikal Party
SCC - Small Contribiiloi Commll(es
FPPC Fonri 497 (Jan!2016)
FPPC Advice: at$vice(Jppc.ca.gov (8fi6t276-3772)
www.fppc.ca.gov
497 Contribution Report Amounts may he rounded towhole dollars.
tlAMEOFFILER
NO ON C AND YES ON D - Cl)PERTI};O NEIGHBCIRS, B[IUCATORS, AND THE
CTTPERTI}JO [!47kl-tBRR OF COXMERC;3 FOR T!IE SENSIBLE AND SUSTAI}TABLE
Date of
This Filing 11/aS/2ol6
AREA CODEjPHONE NUMBER l.€. NUM8 ER (t a,o)<;taTh'el
(4 rsl :iag- ssaa
STRE ET ADDRE SS
llB3Th96
Report No. L'CR #1200A
2]50 KERNER BLVD., SUJ?E 250
CITY STATE 21 P CODE
[x Amendment
l0 Q8p0 (i N n, LCR gl20ClA
(exp'ain helov4
SAN RAFAEL 94901
No. of Pages
1. Contribution(s) Received
DATE
RECEIVED
FLlu NA),iE. STREET ADDRESS AND ZIP CC)CIE OF CONTRIBkffOR
llFCeMl.lm'EE AIS!%11T6R1D NukW:R)
CONTRIBUTOR
CODE *
IF AN INDJVIDUAL,
EN'jEROCCuPATIONAND EA(PLOYER
(II Stir iT.jl)LD'lFO, 91TE R IIA%IE OF 8uSlllESS)
I
Ar.lOUNT
RECEIVED
ii/€11/2016 5A)iD HJj-L PRCIPERTY COMPAXY AND AF)'ltlATED EINTlffES
A_%N- ND!I"E'l l'_l'/ C1N71'!) &:l?lOt) 2EC!I VED rl4R0-Jail ArP J 1-IAT'-D R)7J'J T}, VAL'LCD )ROJ'?Y (ralE't , fir
jl3AVJ _()DRESS)
0 IND
0 COM
[' OTH
0 PT/
[1 SCC
],aOn.O(
[1 Check i[ l_oan
%
Pia'iide inteiesl iale
0 IND
0 COM
[1 0TH
0 PTY
0 SCC
[] Check (l Loari
%
Ptoyide inleiesl gale
0 IND
0 COM
0 0TH
€PTY
[1 SCC
0 Ch eck ff Loan
%
Pttivide irilezesl ra(e
8By,(yl 1()7 Amelldl7l(311ra TO INCLIJDE ADDJTJ ORAL NOR-MONETARY CONTRIBUTION
www.netfi/e.com
Dale Slamp
497CONTF.BLfflO)- REFOFT
-Conkibutor Codes
IND-lnd'vidual
COM - Recipient Commillee (olher khan PTY or SCC)
OTH - Olher (eg., business enli(y)
P TY - Polilical Party
SCC-Small Can(ribu(orCornmillee
FP PC Form 4B'? (J a n/2016)
FPPC Advice: advice@fppc.cagov (E1661275-3772)
www.fppc.ca.gov