contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date of Date Stamp CALIFORNIA Citizens and Taxpayers Opposed to Lilac Hills Ranch Measure This Filing FORM AREA CODEIPHONE NUMBER ID. NUMBER (if applicable) Off. I IU I or 89 1389048 Report No. 4 STREET ADDRESS DAmendment Filed Date: CITY STATE ZIP CODE (exp'ain be'ow) AM Escondido CA 92026 No- of Page 4 1. Contribution(s) Received IF AN INDIVIDUAL DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR AMOUNT RECEIVED (IF COMMITTEE. ALSO ENTER ID. NUMBER) CODE RECEIVED IND 25,000.00 Palomar Investors LLC CA Entit #200922410005 COM 10/9/2016 cm Check if Loan PTY 0/ Carlsbad CA 92008 0 SCC Provide interest rate IND COM 0TH Check if Loan PTY 0/ SCC Provide interest rate IND COM 0TH Check if Loan PTY 0/ 0 SCC Provide interest rate MContributor Codes A t_ IND Individual 9350? or me? me? - COM Recipient Committee (other than PTY or SCC) OTH Other business entity) PTY Political Party SCC Small Contributor Committee FPPC Form 497 (Jam'2016) FPPC Advice: advice@fppc.ca.gov (866]275-3772) contribution Report Amounts may be rounded to whole dollars. 0F FILER I I DaIte oIfI 10/10/2016 Date Stamp CALIFORNIA CItIzens and Taxpayers Opposed to Ranch Measure FORM AREA CODEIPHONE NUMBER ID. NUMBER (if applicable) 4 I I I 1389048 Report No_ or se STREET ADDRESS DAmendment Filed Date: to Report No_ CITY STATE ZIP CODE (explain below) AM Escondido CA 92026 No- of Page 4 2. Contribution(s) Made DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT AND AMOUNT OF DATE OF ELECTION MADE (IF COMMITTEE, ALSO ENTER ID. NUMBER) OR CONTRIBUTION (IF APPLICABLE) MEASURE AND JURISDICTION Reason for Amendment: FPPC Form 497 (Jam'2016) FPPC Advice: advice@fppc.ca.gov (866]275-3772)