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Cat Tucker - Form 460 - 2011/07/01 - 2011/12/31 COVER PAGE ate Stamp , l~~l"-~W. t\1'< tu:.":; co~, ;.;;0S~J!' ~. print in ink. Type or Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 5 of 1 Page Date of election If applicable: (Month, Day, Year) Statement covers period 07/01/2011 Official Use Only For from 12/31/2011 through SEE INSTRUCTIONS ON REVERSE Quarterly statement Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 o o o 2. Type of Statement: Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) o [Jl o o 2. 3. and 4. Measure Committees - Complete Parts 1, Primarily Fonmed Ballot Committee o Controlled o Sponsored (Also Complete Part 6) o Committee: [;ZJ Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Pelt 5) AI Recipient Type of 1 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) o o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee Treasurer(s) D. NUMBER 1298566 IF NO COMMITTEE) Committee Information 3. NAME OF TREASURER Carolyn Tognetti (OR CANDIDATE'S NAME CAT TUCKER FOR CITY COUNCIL COMMITTEE NAME MAILING ADDRESS 820 Carignane Drive AREA CODE/PHONE 408-842-8583 ZIP CODE 95020 STATE CA CITY Gilroy N'AME'Or=ASSI~rTANT TREASURER. IF ANY D. Cat Tucker MAILING ADDRESS AREA CODE/PHONE 408-842-8583 BOX) STATE ZIP CODE Gilroy CA 95020 MAiiJ'N'G ADDRESS (IF DIFFERENT) NO. AND S'i'R'EET OR P.O. BOX STREET ADDRESS (NO P.O. 820 Carignane Drive CITY 9440 Eagle View Way CiTY AREA CODE/PHONE 408-848-3439 ZIP CODE 95020 STATE CA Gilroy OPTIONAL: AREA CODE/PHONE ZIP CODE STATE CITY certify E-MAIL ADDRESS 4. 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. under penalty of perjury under the laws of the State that the foregoing is true and correct. Executed on FAX By By 01/23/2012 Date 01/23/2012 Date E-MAIL ADDRESS FAX OPTIONAL: Executed on Signature of ControlllngOfficenolder, Cendidate, stele Measure Proponent Signature of Controlling Officeholder, Candidate. Stele Measure Proponent FPPC Form 460 (January/O&) FPPC TolI.Free Helpline: 866/ASK.FPPC (86&/27&-3772) State of California By By Date Date Executed on Executed on Type or print in ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page - Part 2 - - 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee - NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Denise Cat Tucker N/A - BALLOT NO. OR LETTER JURISDICTION OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) o SUPPORT Gilroy City Council o OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 9440 Eagle View Way Gilroy CA j95020 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT DISTRICT NO. IF ANY OFFICE SOUGHT OR HELD 7. Primarily Formed Candidate/Officeholder Committee List names of officeho/der(s) or cand/date(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation sheets if necessary 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? DYES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE FPPC Form 460 (January/O&) FPPC TolI.Free Helpline: 866/ASK.FPPC (866/276-3772) State of California SUMMARY PAGE Statement covers period f 07/01/2011 rom Type or print In ink. Amounts may be rounded to whole dollars. Campaign Disclosure Statement Summary Page s- of 3 D. NUMBER 1298566 Page 12/31/2011 through SEE INSTRUCTIONS ON REVERSE NAME OF FILER CAT TUCKER FOR CITY COUNCIL Calendar Year Summary for Candidates Running in Both the State Primary and General Elections Column B CALENDAR YEAR TOTAL TO DATE Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Contributions Received to Date 71 through 6/30 100.00 5.000.00 5.100.00 o $ $ 100.00 o 100.00 o $ $ Schedule A, Line 3 Schedule B, Line 3 Monetary Contributions Loans Received SUBTOTAL CASH CONTRIBUTIONS $ $ Contributions Received Expenditures Made 20 21 +2 Schedule C, Line 3 Add Lines Nonmonetary Contributions TOTAL CONTRIBUTIONS RECEIVED 1. 2. 3. 4. 5. $ for State Summary $ Expenditure Limit Candidates 22. Cumulative Expenditures Made" (If Subject to Voluntary Expenditure Umll) Total to Date Date of Election (mm/dd/yy) 100.00 o o o o o o 5 $ $ $ 100.00 o o o o o o $ Add Lines 3 + 4 Expenditures Made 6. Made $ Schedule E, Line 4 Schedule H, Line 3 Payments Loans Made SUBTOTAL CASH PAYMENTS Accrued Expenses (Unpaid Bills) 7. $ Add Lines 6 + 7 8. Schedule F, Line 3 Schedule C, Line 3 9. 10. Nonmonetary Adjustment 11. TOTAL EXPENDITURES MADE $ $ $ ---1---1_ "Amounts in this section may be different from amounts reported in Column B. To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (i any). 651.94 100.00 o o 751.94 - o $ Add Lines 8 + 9 + 10 Current Cash Statement Balance Cash 14. Miscellaneous 15. Cash Payments 16. ENDING CASH BALANCE $ Previous Summary Page, Line 16 Column A, Line 3 above Beginning Cash Receipts 12. 13. Line 4 Column A, Line 8 above Schedule to Cash Increases $ Add Lines 12 + 13 + 14, then subtract Line 15 16 must be zero. If this is a termination statement, Line $ Schedule B. Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse 17. LOAN GUARANTEES RECEIVED FPPC Form 460 (January/OS) FPPC TolI.Free Helpline: 866/ASK.FPPC (866/275-3772) 5,000.00 $ $ Add Line 2 + Line 9 in Column B abo'Ve Outstanding Debts 19. SCHEDULE A Statement covers period iii from 07/01/2011 through ---.!2/31/2011 Page t./ of S I.D. NUMBER 1298566 - AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED Type or print in ink. Amounts may be rounded to whole dollars. Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER CAT TUCKER FOR CITY COUNCIL IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) CONTRIBUTOR CODE .. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) DATE RECEIVED $100.00 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) .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 $100.00 - - - - - 100.00 - 100.00 - 0 - 100.00 Engineer JDS-Uniphase Iil]lND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC OIND DCOM DOTH DPTY DSCC RON KIRKISH 6480 Barron Place Gilroy. CA 95020 10/05/11 SUBTOTAL $ Schedule A Summary 1. Amount received this period - itemized monetary contributions (Include all Schedule A subtotals.) . $ $ TOTAL $ Amount received this period - unitemized monetary contributions of less than $100 1 Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page. Column A, Line 2. 3. Type or print in Ink. SCHEDULE B - PART Schedule B - Part 1 Amounts may be rounded Statement covers period RNIA 46 Loans Received to whole dollars. 07/01/2011 M from th h 12/31/2011 Page -5- of -5:-. SEE INSTRUCTIONS ON REVERSE roug _ - - - NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 1298566 - (b) -,;r- IF AN INDIVIDUAL, ENTER Ie) FULL NAME. STREET ADDRESS AND ZIP CODE AMOUNT AMOUNT PAID INTEREST OF LENDER OCCUPATION AND EMPLOYER RECEIVED THIS PAID THIS (IF SELF.EMPLOYED, ENTER OR FORGIVEN (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD · PERIOD D. Cat Tucker Product Manager o PAID CALENDAR YEAR 9440 Eagle View Way Applied Materials $ 0 5,000.00 ~% $ 5,000 $ 0 Gilroy, CA 95020 o FORGIVEN RATE PER ELECTION" 5,000.00 0 0 01/05/08 0 OS/27/07 I 5,000.00 $ tlill IND o COM o OTH o PTY o SCC DATE DUE DATE INCURRED - - o PAID CALENDAR YEAR $ - _% $ I o FORGIVEN RATE PER ELECTION .. $ - I to IND o COM o OTH o PTY o SCC DATE DUE DATE INCURRED - o PAID CALENDAR YEAR $ _% o FORGIVEN RATE PER ELECTION" DATE INCURRED DATE DUE SCC o PTY o o OTH o COM IND to $ $ $ SUBTOTALS $ (Enter (e) on Schedule E. Line 3) o $ Schedule B Summary Loans received this period .............................. (Total Column (b) plus unitemized loans of less 1 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 o $ ................ than $100 Loans paid or forgiven this periOd ..................................... (Total Column (c) plus loans under $1 00 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 2. o (May ba a naga~va numbor) $ NET Net change this period. (Subtract Line 2 from Line 1.) ......... Enter the net here and on the Summary Page, Column A, Line 2 3. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) also must be reported on Schedule A. "Amounts forgiven or paid by another party If required.