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Terri Aulman - Form 460 - 2012/01/01 - 2012/09/30 - AmendmentRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if applicable: from January 1, 2012 (Month, Day, Year) through September 30, 2012 I November 6, 2012 1, Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Pert 5) 0 Sponsored (Also Complete Part 6) El General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1348250 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 4. TERRI AULMAN FOR GILROY CITY COUNCIL 2012 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE GILROY CA 95020 SAME OPTIONAL: FAX / E -MAIL ADDRESS Date Stamp Type of Statement: ❑ Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) COVER PAGE CALIFORNIA .- • Page 1 of 2 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Reporting the occupation of a contributor - Thomas Anglo - that was not known at time of original filing. Treasurer(s) NAME OF TREASURER DENISE BROLIN MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E -MAIL ADDRESS STATE ZIP CODE AREA CODE /PHONE Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true Proponent or Responsible Othosr of Sponsor Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/276 -3772) State of California Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers perio­'d_,___11 CALIFORNIA to whole dollars. I January 1, 2012 FORM • ' from — 2 2 through September 30,2012 Page of NAME OF FILER I.D. NUMBER TERRI AULMAN FOR GILROY CITY COUNCIL 2012 1348250 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND KAI LAI ❑COM RETIRED 9/6/12 855 W. EIGHTH STREET [I OTH 99.00 99.00 99.00 GILROY, CA 95020 ❑ PTY ❑ SCC THOMAS ANGLO ®IND ❑COM RETIRED 20.00 9/17/12 7031 EAGLE RIDGE DR. ❑ OTH 20.00 20.00 GILROY, CA 95020 ❑ PTY ❑ SCC KRISTINE HUNT MIND ❑CoM EXECUTIVE 9/19/12 2632 CHERRY LANE ❑ OTH CONTRA COSTA 100.00 100.00 100.00 WALNUT CREEK, CA 94597 ❑ PTY TAXPAYERS ASSOC ❑ SCC CRAIG STRAUB MIND ❑COM MAINTENANCE TECH 9/20/12 1430 PARTRIDGE DRIVE ❑ OTH DELTAAIRLINES 50.000 50.00 50.00 GILROY, CA 95020 ❑ PTY ❑ SCC JOE GAGLIARDI ®IND ❑COM MANAGER 9/21/12 P.O. BOX 1659 ❑ OTH GAGLIARDI 250.00 250.00 250.00 GILROY, CA 95021 ❑ PTY PROPERTIES ❑ SCC SUBTOTAL$ 519.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Parry SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)