Gilroy Growing Smarter - Form 497 - 10/20/2016497 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.
Date of 20 October
This Fit ling
I.D. NUMBER (ifapplicable)
FPPC #1383355
STATE ZIP CODE
CA 95020
Report No. —
❑ Amendment
to Report No.
(explain below)
No. of Pages —
5
1
OCT 2 01016
DATE
RECEIVED
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
*
CODE
WAN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
20 October 1-1
Z,'
David Collier
Gilroy CA 95020
X❑ IND
El coM
❑ OTH
❑ PTY
Retired
$2,000
❑ Check if Loan
❑ SCC
i
Provide interest rate
20 October.ib
Carolyn Tognetti
Gilroy CA 95020
X❑ IND
El coM
❑ OTH
Retired
$2,000
❑ Check if Loan
2-016
❑ PTY
❑ scc
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