Form 497 Contribution Report (2) m
497 Contribution Report m p Amounts maybe rounded W Whole dollars, ("I T7 497CONiT218UFiONREPORT
tw7 NAME OF RLER Date of imp.' `- " •'
Gaspar for Mayor 2016 Thin Filing 08/22/2916 ( nt , r -
AREA CODEPHONENUMBER L➢.NUMBER(f,,y Ne) For ial UsBOnly
Report No.3
(760)632-3600
STREETADDRESS
❑x Amendment
to Report No.3
CITY STATE ZIPCOOE (.xpahnbekrr4
3
Encinitas CA 9202a No.of Pages
1.Contribution(s) Received
z
H
D DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IFANINDIVIg1AL, AMOUNT
K RECEIVED UrrCIHpT�aE,A15oiNnRID.AVxEW CODE A ENTER OCCUPATION AND EMPLOYER RECEIVED
A 08/17/2016 Paol Gaspar x ND Physical Therapist/Owner 775.00
Q ❑ Gaspar Doctors of Physical
cinitas, CA 92024 ❑ CDM Therapy
O - ❑ OTH ❑ Check if Loan
Ln ❑ PTY
❑ SCC %
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑Check it Loan
❑ FTY
❑ SCC %
Provide ieteresl rate
H
❑ IND
N ❑ COM
m
r➢ ❑ 07-H ❑Check it Loan
W ❑ PTY
ti ❑ SCC x
Provide interest rate
M
m
*Contributor Codes
m IND-Individual
-+ COM-Reciplent Committee(otherthan PTY or SCC}
OTH-Other(e.g,business amity)
D _
m Reason for Amendment Correct In-kind Date for Piling Fee 5 G-Small COntnhutor Cominittee
N
N
N
� FPPC Form 497(Janl2018)
m FPPC Advice:advioa ftImca.gov(86W27"772)
www.fppc.ca.gov
www.nettNe.com