CA Form 497 Contribution Report No. 1 - Dave Emenhiser 497 Contribution Report t Type or print in ink.
P Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT
NAME OF FILER Date Stamp
vfl✓ F ter- / Date of q-15--240i/
� CALIFORNIA 497
7U6/15 i R G7T�C04,ciz.. 20/7 This Filing `r1�moi/ RECEIVED FORM
AREA CODE/PHONE NUMBER / I.D.NUMBER(if applicable)
L'M—i or•'cla 1seeny
aro-./V-g 4/o y _ i 31 ?2s- Report No. CL Y OF RANCHO PALOS VERDES
ty
STREET ADDRESS /�
0 Amendment SEP 15 2097
to Repportort No.
ClClrh STATE ZIP CODE (explain below)
LL✓•r-K( Altus"s eriX T / - 910, C2 Q1 No.of Pages i
/ `.
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)
4/rcar A. AE25o.L ® IND
R'`r- 20`7 ❑ COM %soca. 0.0
❑ OTH kErigeb 0 Check if Loan
Ali.) va I ito S Uc12.6c3; CA 9,07s-- ❑ PTY
❑ SCC
Provide interest rate
❑ IND
O COM
O OTH ❑Check if Loan
❑ PTY
❑ SCC
Provide interest rate
O IND
❑ COM
❑ OTH 0 Check if Loan
❑ PTY
❑ SCC
Provide interest rate
**Contributor Codes
IND - Individual
COM- Recipient Committee(other than PTY or SCC)
r OTH - Other(e.g.,business entity)
Reason for Amendment: -Z-- -) Ki .1 �o[.)7")12/jt{,7o,J Tc PA/A)714)! 6j /'GS t 2 PTY - Political Party
SCC - Small Contributor Committee
r ieS.r CfbtfP4/cLI iqt beg ex-Pe-305e-
FPPC Form 497(March/2011)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)