HomeMy WebLinkAbout11-02-2018 - Zhao Form 497497 Contribution Report Type or print in ink.
Amounts may be rounded to whole dollars.
AMOUNT
RECEIVED
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
DATE
RECEIVED
497 CONTRIBUTION REPORT
CALIFORNIA
FORM
Date Stamp
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
For Offi cial Use Only
497NAME OF FILER
AREA CODE/PHONE NUMBER
STREET ADDRESS
CITY STATE ZIP CODE
I.D. NUMBER (if applicable)
1. Contribution(s) Received
IND
COM
OTH
PTY
SCC
Date of
This Filing
Report No.
Amendment
to Report No.
No. of Pages
FPPC Form 497 (March/2011)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
(explain below)
Reason for Amendment:
Check if Loan
%
Provide interest rate
Check if Loan
%
Provide interest rate
Check if Loan
%
Provide interest rate
**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
Yan Zhao For Council 2018
1358910
Saratoga CA 95070
11/2/2018
1
1 of 1
11/2/2018 Wing Wong
Saratoga CA 95070
X Housewife 1000.00