Schedule D: Income - Gifts

California Form 700 (2016/2017) Fair Political Practices Commission
Email Advice: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 1 (866) ASK-FPPC - (866) 275-3772

Name:

Name of Source (Not an Acronym):

Address (Business Address Acceptable):

Business Activity, If Any, Of Source:

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Name of Source (Not an Acronym):

Address (Business Address Acceptable):

Business Activity, If Any, Of Source:

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Name of Source (Not an Acronym):

Address (Business Address Acceptable):

Business Activity, If Any, Of Source:

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Name of Source (Not an Acronym):

Address (Business Address Acceptable):

Business Activity, If Any, Of Source:

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Name of Source (Not an Acronym):

Address (Business Address Acceptable):

Business Activity, If Any, Of Source:

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Name of Source (Not an Acronym):

Address (Business Address Acceptable):

Business Activity, If Any, Of Source:

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Date (month, day, year):   Value $:  
Description of Gift(s):

Comments

[End of SCHEDULE D: Income - Gifts]