HomeMy WebLinkAbout497 08/31/2016 Contribution Report Schelly Sustarsic497 Contribution Report
NAME OF FILER
Schelly Sustarsic
AREA CODEIPHONE NUMBER I.D. NUMBER (Inapplicable)
(
CITY
Seal Beach
1. Contribution(s) Received
Amounts may be rounded to whole dollars.
STATE ZIP CODE
CA 90740
Date of g/31/2016
This Filing
Report No. 1
❑ Amendment
to Report No
(explain below)
No. of Pages
HEMMED
AUG 3 12016
CITY CLERK
CITY OF SEAL BEACH
DATE
RECEIVED
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE"
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT
RECEIVED
8/10/2016
Schelly Sustarsic
X IND
❑ coM
❑ OTH
None
$3,000
p Check if Loan
❑ PTV
El scc
0.0 %
Provide interest rate
❑ IND
❑ cOM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
%
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
%
Provide interest rate
Reason for Amendment:
"Contributor Codes
IND — Individual
COM — Recipient Committee (other than PTY or SCC)
OTH — Other (e.g., business entity)
PTV — Political Party
SCC — Small Contributor Committee
FPPC Form 497 (Jul /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov