Gilroy Growing Smarter - Form 497 - 09/19/2016497 Contribution Report
NAME OF FILER
David J. Lima
AREA CODE /PHONE NUMBER
STREETADDRESS
CITY
Gilroy
1. Contribution(s) Received
Amounts may be rounded to whole dollars.
Tate of 09/17/2016 WN
r1obb3t
This Filing
I.D. NUMBER (ifapplicable)
FPPC #1383355 Report No. 3
❑ Amendment to Report No.STATE ZIP CODE (explain below) CA 95020 No. of Pages
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IFAN INDIVIDUAL.
ENTER OCCUPATION AND EMPLOYER
(IF SELF- EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
09/17/2016
Committee for Green Foothills
3921 E. Bayshore Road
Palo Alto, CA, 94303
❑ IND
❑ coM
❑x OTH
$5000
❑ Check if Loan
❑ PTY
❑ scc
Provide interest rate
❑ IND
❑ com
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
i
Provide interest rate
❑ IND
❑ coM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
i
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 (Jul/2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov