Gilroy Growing Smarter - Form 497 - 11/07/2016497 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.
TDhis F ling 11/07/2016 0
I.D. NUMBER (dapplicable) 6 }
FPPC #1383355 Report No.
❑ Amendment a NOV 7 2016
to Report No.
STATE ZIP CODE (explain below) 1I�r c),��ii srics.
CA 95020 No. of Pages el GILRGY CA
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE '
FAN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER (IF
SELF- EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
11/06/2016
Carolyn Tognetti
Gilroy, CA, 95020
❑x IND
❑ coM
❑ OTH
Retired
$3100.00
❑ Check if Loan
❑ PTY
❑ SCC
i
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