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Terri Aulman - Form 460 - 2012/10/01 - 2012/10/20Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE fro Type or print in ink. Statement covers period I Date of election if applicable: m October 1, 2012 (Month, Day, Year) through October 20, 2012 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall Q Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored O Small Contributor Committee Q Political Party /Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1348250 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) TERRI AULMAN FOR GILROY CITY COUNCIL 2012 STREET ADDRESS (NO P.O. BOX) CA 95020 408 - 391 -6268 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 777 FIRST STREET PMB #200 CITY STATE ZIP CODE AREA CODE /PHONE GILROY CA 95020 SAME November 6, 2012 1 COVER PAGE Date Stamp CALIFORNIA , O. • aa� 212 C�ER� f Page 1 of 8 For Official Use Only 2. Type of Statement: Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER DENISE BROLIN ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE TERRIAULMAN OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) GILROY CITY COUNCIL Type or print in ink. RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 Page 2 of 8 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION F-1 SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidates) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Campaign Disclosure Statement To calculate Column B, add Type or print in ink. amounts in Column A to the corresponding amounts from Column B of your last 0.00 SUMMARY PAGE Summary Page Amounts may be rounded to whole dollars. figures that should be subtracted from previous Statement covers period - , ' period amounts. If this is the first report being filed 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). October 1, 2012 FORM from through October 20, 2012 Page 3 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER TERRI AULMAN FOR GILORY CITY COUNCIL 2012 1348250 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 2425.00 $ 5983.00 2. Loans Received ....................... ............................... Schedule B, Line 3 0.00 612.00 1/1 through 6/30 7/1 to Date ' . SUBTOTALCASH CONTRIBUTIONS ......................... " Add Lines 1 +2 $ 2425.00 $ 6595.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0.00 0.00 21. Expenditures r TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 2425.00 $ 6595.00 Made $ $ Expenditures Made 6. Payments Made ....... ............................... 7. Loans Made ............. ............................... 8. SUBTOTALCASH PAYMENTS ............... 9. Accrued Expenses (Unpaid Bills) .......... 10. Nonmonetary Adjustment ...................... 11. TOTAL EXPENDITURES MADE .............. ...... Schedule E, Line 4 $ ...... Schedule H, Line 3 .......... Add Lines 6 + 7 $ .......... Schedule F, Line 3 ......... Schedule C, Line 3 ....... Add Lines 8 + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 1653.00 $ 0.00 1653.00 $ 0.00 0.00 1653.00 $ 743.00 1 5080.00 0.00 5080.00 0.00 0.00 5080.00 612.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) To calculate Column B, add 2425.00 amounts in Column A to the corresponding amounts from Column B of your last 0.00 1653.00 report. Some amounts in Column A may be negative 1515.00 figures that should be subtracted from previous period amounts. If this is the first report being filed 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 612.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may De rounaea Statement covers period CALIFORNIA to whole dollars. October 1, 2012 from • • October 20, 2012 4 8 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER TERRI AULMAN FOR GILORY CITY COUNCIL 2012 1348250 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) BIND 10/01/12 BRUNO FILICE E]oTH RETIRED 50.00 50.00 50.00 1441 CARMEL DRIVE SAN JOSE, CA 95125 El PTY ❑ SCC ❑IND 10/1/12 GILPAC FPPC #1347327 OCOM COMMITTEE 250.00 250.00 250.00 7471 MONTEREY STREET E] OTH G I LROY, CA 95020 ❑ PTY ❑ SCC WIND 10/1/12 ANTHONY EREDIA ❑COM RETIRED 250.00 250.00 250.00 1600 WALNUT ST. SUITE B E] OTH BERKELEY, CA 94709 ❑ PTY ❑ SCC WIND DAVID PROFITT ❑COM ENGINEER 10/4/12 916 ST. JOSEPH AVE. ❑OTH STANFORD HOSPITAL 250.00 250.00 250.00 LOS ALTOS, CA 94024 ❑ PTY ❑ SCC MICHELLE PROFITT WIND ❑COM RETIRED 10/4/12 916 ST. JOSEPH AVE. ❑ OTH 250.00 250.00 250.00 LOS ALTOS, CA 94024 ❑ PTY ❑ SCC SUBTOTAL$ 1050.00 Schedule A Summary Amount received this period — itemized monetary contributions. (include all Schedule A subtotals.) ............. ............................... 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...... TOTAL $ 2425.00 2425.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. October 1, 2012 • • - 1 from through October 20, 2012 page 5 of 8 NAME OF FILER I.D. NUMBER TERRI AULMAN FOR GILORY CITY COUNCIL 2012 1348250 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND RENE COLEMAN ❑COM TEACHER 10/4/12 2283 PRUNERIDGE AVE. ❑OTH SANTA CLARA UNIFIED 250.00 250.00 250.00 SANTA CLARA, CA 95050 E] PTY SCHOOL DISTRICT ❑ SCC BEVERLY AMBROSE ®IND ❑COM RETIRED 10/5/12 1089 LOYOLA CT. ❑OTH 250.00 250.00 250.00 SANTA CLARA, CA 95054 ❑ PTY ❑ SCC BRIAN COLEMAN ®IND ❑COM SELF EMPLOYED 10/5/12 200 SERRA WAY STE. 36 ❑ OTH KEY MAKER 250.00 250.00 250.00 MILPITAS, CA 95035 -5246 E] PTY ❑ SCC JOHN FILICE ®IND ❑ COM RETIRED 10/1/12 7888 WREN AVENUE D -143 ❑ OTH 150.00 150.00 150.00 GILROY,CA 95020 ❑ PTY ❑ SCC PETER FILICE EXEMPTION TR FBO CRAIG ❑IND ❑COM INVESTMENT TRUST 10/4/12 7888 WREN AVE. STE. D -143 0 OTH FUND 50.00 50.00 50.00 GILROY, CA 95020 ❑ PTY ❑ SCC SUBTOTAL $ 950.00 `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary GontributionS Received Amounts may be rounded Statement covers period to whole dollars. October 1, 2012 CALIFORNIA FORM • from October 20, 2012 6 8 through 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 ZI DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE,ALSAND I.D.N CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND PETER FILICE EXEMP TR FBO CANDACE ❑ INVESTMENT TRUST 10/4/12 7888 WREN AVE. D -143 TH ®OTH FUND 50.00 50.00 50.00 GI LROY, CA 95020 ❑ PTY ❑ SCC ARIANA STAUBLE ®IND ❑COM ADMIN 10/7/12 6452 POPPYFIELD ST ❑oTH SELF EMPLOYED 25.00 25.00 25.00 GILROY, CA 95020 ❑ PTY ❑ SCC CHARLES MUNGER, JR VIIND ❑COM PHYSICIST 10/15/12 1423 HAMILTON AVENUE ❑ OTH STANFORD LINEAR 250.00 250.00 250.00 PALO ALTO, CA 94301 ❑ PTY ACELERATOR CENTER ❑ SCC ARMINTA JENSEN ❑IND ❑COM RUGGERI JENSEN 10/16/12 8055 CAMINO ARROYO ® OTH AZAR & ASSOCIATES 100.00 100.00 100.00 GILROY, CA 95020 ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 425.00 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) SCHEDULE B - PART 1 Schedule B — Part 1 Amounts unt ' . -b .-r o maay y be rounded Statement covers period Loans Received to whole dollars. October 1, 2012 CALIFORNIA ' • from FORM October 20, 2012 7 8 SEE INSTRUCTIONS ON REVERSE through page Of NAME OF FILER I.D. NUMBER TERRI AULMAN FOR GILORY CITY COUNCIL 2012 1348250 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAMEOFBUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE TERRI AULMAN ❑ PAID CALENDAR YEAR 1512 BIANCA WAY $ $ 612.00 0 , $ 3112.00 $ 3112.00 ❑ FORGIVEN PER ELECTION** GILROY, CA 95020 RATE $ 612.00 $ 0 $ 12/31/12 $ 0.00 09/14/12 $ 3112.00 DATE DUE DATE INCURRED tv IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION ** RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PERELECTION ** RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0.00$ 0.00 $ 612.00 $ 0.00 Schedule B Summary 1. Loans received this period ................... ............................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ............................... ............................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. (Enter (e) on Schedule E, Line 3) $ 0.00 1 11 NET $ 0.00 (May be a negative number) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Type or print in ink. Payments Made Amounts may be rounded y to whole dollars. Statement covers period from October 1, 2012 2012 SEE INSTRUCTIONS ON REVERSE through October 20, Page 8 of 8 NAME OF FILER I.D. NUMBER TERRI AULMAN FOR GILORY CITY COUNCIL 2012 1348250 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphernalia /misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMITTEE, ALSO ENTERLD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SOUTH BAY AD DISTRIBUTION 8339 CHURCH STREET SUITE 215 CMP 792.00 GILROY, CA 95020 ABD PROMOTIONS / GILROY PROMO PRODUCTS P.O. BOX 2688 CMP 786.00 GILROY, CA 95021 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) SUBTOTAL$ $ 1578.00 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 75.00 0.00 1653.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)