497 Contribution Report

Amounts may be rounded to whole dollars.

NAME OF FILER

NO ON V, ENOUGH IS ENOUGH: DON'T TAX OUR GROCERIES, WITH MAJOR FUNDING

BY AMERICAN BEVERAGE ASSOCIATION CALIFORNIA PAC
AREA CODE/PHONE NUMBER

Date of
This Filing

497 CONTRIBUTION REPORT

Date Stamp

10/26/2016

I.D. NUMBER (if applicable)

(415)389-6800

1382995

STREET ADDRESS

CITY

SAN RAFAEL

STATE

ZIP CODE

CA

94901

Report No. LCR #1130

E-Filed
10/26/2016
17:12:24

Amendment
to Report No.

Filing ID:
162090886

CALIFORNIA
FORM

497

For Official Use Only

(explain below)

No. of Pages

1. Contribution(s) Received
DATE
RECEIVED

10/26/2016

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR

(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

AMERICAN BEVERAGE ASSOCIATION CALIFORNIA PAC (NON-PROFIT 501 (C)(6))

San Rafael, CA 94901

CONTRIBUTOR
CODE *

IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)

AMOUNT
RECEIVED

2,000,000.00

IND
X COM
OTH
PTY
SCC

Check if Loan
%
Provide interest rate

IND
COM
OTH
PTY
SCC

Check if Loan
%
Provide interest rate

IND
COM
OTH
PTY
SCC

Check if Loan
%
Provide interest rate

*Contributor Codes

Reason for Amendment:

www.netfile.com

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 497 (Jan/2016)

FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov