CA Form 497 Contribution Report No. 2 - Dave Emenhiser 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of Date Stamp CALIFORNIA
DAA/E-EMi�H iS (n12cc7y GO�l�G/L 2a/7 This Filing -R-11 FORM 497
AREA CODEIPHONE NUMBER /I.D.NUMBER(If applicable) �4�— RECEIVED
8ycf /3412 S'4 or•"cm Ise •n y
3i0-444- Report No.
STREET ADDRESS //
El Amendment
to Report No. SEP 1 9
17
CITY STATE ZIP CODE (explain below)
[OL.—i4g e., ML.--5 & ?!J 'S, CLQ %774f No.of Pages 1
1. Contribution(s) Received
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * ENTER OCCUPATION AND EMPLOYER RECEIVED
(IF SELF-EMPLOYED,ENTER NAME OF BUSINESS)
'- /1 $1tkJ 11 S ems_ E IND CI COM Zia/A/4W GJ9•J /300.s?
~,!$-17 � Go ❑ OTH bra le,te aiS'
❑Check if Loan
�jyvcdfc7 V�D�j CA
-rtO,Z?S ❑ PTY �
C] scc °
Provide interest rate
O IND
❑ COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC %
Provide interest rate
O IND
❑ COM
❑ OTH ❑Check if Loan
El PTY
❑ SCC %
Provide interest rate
**Contributor Codes
IND - Individual
COM- Recipient Committee(other than PTY or SCC)
OTH - Other(e.g.,business entity)
Reason forAmendment: 6"0"041/447704-1OtI L ;4CrV 69/7./.0 'Pp 4A�/$a�' OA eiwzno•? 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