Form 460 - Recipient Committee Campaign Statement Cover Page Page 12

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Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received
Amounts may be rounded
Statement covers period
CALIFORNIA
460
to whole dollars.
FORM
07/01/2016
from
12/31/2016
through
12
50
Page
of
I.D. NUMBER
NAME OF FILER
Lisa Bartlett for Supervisor 2018
1359658
AMOUNT
PER ELECTION
IF AN INDIVIDUAL, ENTER
CUMULATIVE TO DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
DATE
RECEIVED THIS
TO DATE
OCCUPATION AND EMPLOYER
CALENDAR YEAR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
*
RECEIVED
PERIOD
(IF REQUIRED)
(IF SELF-EMPLOYED, ENTER NAME
(JAN. 1 - DEC. 31)
OF BUSINESS)
12/12/2016
Shaheen Sadeghi
CEO
500.00
500.00 P2018
$500.00
IND
X
Lab Holdings
COM
OTH
PTY
SCC
12/13/2016
Ruth DeNault
Merchant
1,000.00
1,000.00 P2018
$1,000.00
X
IND
DeNault's
COM
OTH
PTY
SCC
12/14/2016
Terry S. Adams
Engineer
250.00
250.00 P2018
$750.00
IND
X
SA Recycling
COM
OTH
PTY
SCC
12/14/2016
Julie Broderick
Area Director
1,000.00
1,000.00 P2018
$1,250.00
IND
X
Signature Flight Support
COM
OTH
PTY
SCC
12/14/2016
Patrick Munoz
Attorney
1,900.00
1,900.00 P2018
$1,900.00
X
IND
Rutan & Tucker
COM
OTH
PTY
SCC
SUBTOTAL $
4,650.00
*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 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)

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