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Schedule C Type or print in ink. SCHEDULE C <br /> Nonmonetary Contributions Received Amounts may be rounded <br /> to whole dollars. Statement covers period CALIFORNIA 460 <br /> from 7/1/09 FORM <br /> 9/19/09 <br /> through Page 12 of 16 <br /> SEE INSTRUCTIONS ON REVERSE . <br /> NAME OF FILER I.D.NUMBER <br /> JOHN SEYBERT 1313963 <br /> CUMULATIVE TO <br /> IF AN INDIVIDUAL,ENTER AMOUNT/ PER ELECTION <br /> FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE <br /> DATE OCCUPATION AND EMPLOYER FAIR MARKET TO DATE <br /> ZIP CODE OF CONTRIBUTOR CODE * GOODS OR SERVICES CALENDAR YEAR <br /> RECEIVED (IF SELF-EMPLOYED,ENTER VALUE (IF REQUIRED <br /> (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) (JAN 1-DEC 31) ) <br /> DISRUPTIVE SOLUTIONS ❑IND WEODESIGN <br /> 9/11/09 1028 EDEN BOWER LANE ®OTM 400 400 400 <br /> REDWOOD CITY CA 94061 ❑PTY <br /> ❑SCC <br /> KEECH PROPERTIES, LLC ❑IND ADD IN PILOT <br /> 9/17/09 1060 TWIN DALPHIN DRIVE ®oTM 306 306 306 <br /> REDWOOD CITY CA 94065 ❑PTY <br /> ❑SCC <br /> EIND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 706 .rI , <br /> Schedule C Summary *Contributor Codes <br /> 1. Amount received this period—itemized nonmonetary contributions. 706 IND—Individual <br /> (Include all Schedule C subtotals.) $ COM-RecipientCommittee <br /> (other than PTY or SCC) <br /> 2. Amount received this period—unitemized nonmonetary contributions of less than$100 $ 0 OTH—Other(e.g.,business entity) <br /> PTY—Political Party <br /> 3. Total nonmonetary contributions received this period. 706 SCC-Small Contributor Committee <br /> (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Lines 4 and 10.) TOTAL $ <br /> FPPC Form 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br />