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497 Contribution Report R4 - Contributions Received on 9-22-20 497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date of Date Stamp _ Kitty Moore for Council 2020 This Filing 09/22/2020 _ AREA CODE/PHONE NUMBER I.D.NUMBER(if applicable) For Official Use Only 1428355 Report No. R4 STREET ADDRESS ❑Amendment Filed Date: to Report No. 09/22/2020 06:46 CITY STATE ZIP CODE (explain below) PM Cupertino CA 95014 No. of Page 1 1. Contribution(s) Received DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE** ENTER OCCUPATION AND EMPLOYER RECEIVED (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) ❑/ IND 2,000.00 Gre or Schaffer ❑ COM 9/22/2020 ❑ OTH Retired Lj Check if Loan ❑ PTY Cupertino CA 95014 ❑ SCC Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC Provide interest rate —Contributor Codes IND —Individual Reason for Amendment: COM—Recipient Committee(other than PTY or SCC) OTH —Other(e.g.,business entity) PTY —Political Party SCC —Small Contributor Committee FPPC Form 497(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov