Type or print in ink.

Late Contribution Report Amounts may be rounded to whole dollars.

LATE CONTRIBUTION REPORT
NAME OF FILER Date Stamp CALIFORNIA
IN-N-OUT BURGERS

AREA CODE/PHONE NUMBER I.D. NUMBER (if applicable)

Date of
This Filing 08/28/2018 FORM 497
For Official Use Only
486046 Report No. GE-1106#1

Page1 of 3
STREET ADDRESS
Amendment
to Report No.
(explain below)
CITY STATE ZIP CODE
IRVINE CA 92612 3
No. of Pages

Late Contribution(s) Received

IF AN INDIVIDUAL
DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED

IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC

*Contributor Codes
IND - Individual PTY - Political Party
COM - Recipient Committee (other than PTY or SCC) SCC - Small Contributor Committee
OTH - Other

Reason for Amendment:

FPPC Form 497(June/01)

FPPC Toll-Free Helpline: 866/ASK-FPPC

2287034-0
 Type or print in ink.
Late Contribution Report Amounts may be rounded to whole dollars.
LATE CONTRIBUTION REPORT
NAME OF FILER Date Stamp CALIFORNIA
IN-N-OUT BURGERS

AREA CODE/PHONE NUMBER I.D. NUMBER (if applicable)

Date of
This Filing 08/28/2018 FORM 497
For Official Use Only
486046 Report No. GE-1106#1

Page2 of 3
STREET ADDRESS
Amendment
to Report No.
(explain below)
CITY STATE ZIP CODE
IRVINE CA 92612 3
No. of Pages

Late Contribution(s) Made

CANDIDATE AND OFFICE
DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF RECIPIENT OR AMOUNT OF DATE OF ELECTION
MADE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) MEASURE AND JURISDICTION CONTRIBUTION (IF APPLICABLE)

08/27/2018 California Republican Party California Republican Party $25,000.00 11/06/2018

Sacramento, CA 95814

ID# 810163 Memo Reference: EXP:S497:12

Reason for Amendment:

FPPC Form 497(June/01)

FPPC Toll-Free Helpline: 866/ASK-FPPC

2287034-0
 Memo Reference: EXP:S497:12
Non Candidate Support

2287034-0