497 Contribution Report 3 - Contributions Received on 9-30-22497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER
Date of
Date Stamp
_
Govind Tatachari For Cupertino Council 2022
This Filing 09/30/2022
_
AREA CODE/PHONE NUMBER
I.D. NUMBER (if applicable)
Report No. 3
For Official Use Only
(
1452894
❑Amendment
Filed Date:
STREET ADDRESS
to Report No.
09/30/2022 07:41
(explain below)
PM
CITY STATE ZIP CODE
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,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
❑/ IND
500.00
Wayne and Joan Chin
❑ COM
8/31/2022
❑ OTH
Retired
N/A
❑ Check if Loan
❑ PTY
Cupertino CA 95014
❑ SCC
%
Provide interest rate
❑/ IND
500.00
Wayne and Joan Chin
❑ COM
9/30/2022
❑ OTH
Retired
N/A
❑ Check if Loan
❑ PTY
Cupertino CA 95014
❑ SCC
%
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
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 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov