Gilroy Growing Smarter - Form 497 - 09/23/2016497 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.
I.D. NUMBER (dapplicabie)
FPPC #1383355
STATE ZIP CODE
CA 95020
Date of
This Filing 09/23/2016
Report No. 4
❑ Amendment
to Report No.
(explain below)
No. of Pages 1
B
SEp23'J, z
DATE
RECEIVED
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
(IFCOMMITTEE,ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
09/23/2016
Carolyn Tognetti
Gilroy, CA, 95020
X❑ IND
❑ corm
❑ OTH
Retired
$1150
❑ Check if Loan
❑ PTY
❑ 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 (Jul /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov