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2. Type of Statement:
❑ ❑
Preelection Statement
Semi-annual Statement
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6. Primarily Formed Ballot Measure Committee
Officeholder or Candidate Controlled Committee
NAME OF BALLOT MEASURE
NAME OF OFFICEHOLDER OR CANDIDATE
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OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
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12558 Palmtag Drive
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COMMITTEE NAME
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COMMITTEE ADDRESS
AREA CODE/PHONE
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COMMITTEE NAME
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STREET ADDRESS (NO P.O. BOX)
COMMITTEE ADDRESS
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AREA CODE/PHONE
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SUMMARY PAGE
Statement covers period
September 25, 2016
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October 22. 2016
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Schedule A, Line 3
Schedule B, Line 3
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Add Lines 1 + 2
Schedule C, Line 3
Add Lines 3 + 4
Monetary Contributions
Loans Received
SUBTOTAL CASH CONTRIBUTIONS
Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECE
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Payments Made
Schedule H, Line 3
Loans Made
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SUBTOTAL CASH PAYMENTS
Schedule F, Line 3
Accrued Expenses (Unpaid Bills)
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3. Nonmonetary Adjustment
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I. TOTAL EXPENDITURES MADE
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:urrent Cash Statement
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2. Beginning Cash Balance
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Column A, Line 3 above
3. Cash Receipts
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1. Miscellaneous Increases to Cash
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5. Cash Payments
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3. ENDING CASH BALANCE
16 must be zero
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Schedule B, Part 2
. LOAN GUARANTEES RECEIVED
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3. Cash Equivalents
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Outstanding Debts
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*Contributor Codes
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I.D. NUMBER
1348661
PER ELECTION
TO DATE
(IF REQUIRED)
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CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
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through October 22. 2016
ME OF FILER
Manny Cappello
AMOUNT
RECEIVED THIS
PERIOD
100.00
100.00
$250.00
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SUBTOTAL $
lonetary Contributions Received to wools sonars.
E INSTRUCTIONS ON REVERSE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Retired
Loan Officer
Giant Realty
Architect/President
Aedis Architect
CONTRIBUTOR
CODE *
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FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
John Hirokawa
20132 Chateau Drive
Saratoga, CA. 95070
Carol Yuan
20745 Canyon View Drive
Saratoga, CA. 95070
Thang Do
14901 Fruitvale Ave.
Saratoga, CA. 95070
DATE
RECEIVED
10/4/16
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*Contributor Codes
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AMOUNT PAID
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CODE OR DESCRIPTION OF PAYMENT
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(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
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SUBTOTAL $
Payments that are contributions or independent expenditures must also be summarized on Schedule D.
,chedule E Summary
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. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)
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. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)
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