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497 Contribution Report 9 - Contributions Received on 10-8-22497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date of Date Stamp _ Sheila Mohan For Cupertino City Council 2022 This Filing 10/08/2022 _ AREA CODE/PHONE NUMBER I.D. NUMBER (if applicable) Report No. 9 For Official Use Only ( ❑Amendment Filed Date: STREET ADDRESS to Report No. 10/08/2022 10:03 (explain below) AM 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 1,000.00 Talat Hasan ❑ COM 10/7/2022 ❑ 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 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