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Cat Tucker - Form 460 - 2012/07/01 - 2012/09/30
• Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. ; ' Date Starnp Statement covers period Date of election if applicable. 7/1/12 (Month, Day, Year) from through 9/30/12 11/6/12 COVER PAGE of l For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi - annual Statement E] Special Odd -Year Report Q Recall Q Controlled CA 95020 408 - 848 -3439 OPTIONAL: FAX / 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and Executed on ! —g-2 Date Executed on —.2, Z Date Executed on Date By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of Callfomla Recipient Committee Type or print in ink. COVER PAGE -PART2 OR , Campaign Statement FORM • 1 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Denise Cathy "Cat" Tucker OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Gilroy City Council 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 STREET ADDRESS (NO P.O. BOX) Page -Z of 17 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I [] SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) 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 U I T 01rIc ur Uvut Nntm wutirnvrvt Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. 6. Payments Made.. ..................................................... SUMMARY PAGE Summary Page 7. Loans Made .............................. ............................... Amounts may be rounded to whole dollars. 0 Statement covers period I , %'' 6,605.98 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 0 11. TOTAL EXPENDITURES MADE .... ............................Add Lines s + 9 + 10 $ 6,605.98 $ 7/1/12 from through 9/30/12 of �NAME 7NUIR SEE INSTRUCTIONS ON REVERSE OF FILER CAT TUCKER FOR CITY COUNCIL 2012 1298566 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTALTODATE Running in Both the State Primal/ and 9 r General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 4,812.00 $ 4 ' 812.00 2. Loans Received ....................... ............................... schedule a, Line 3 1,500.00 6,500.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS Add lines 1 + 2 $ 6,312.00 $ 11,312.00 20. Contributions ......................... Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 6,312.00 $ 11,312.00 Made $ $ Expenditures Made 6. Payments Made.. ..................................................... Schedule E, Line 4 $ 6,605.98 $ 7. Loans Made .............................. ............................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 6,605.98 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 0 11. TOTAL EXPENDITURES MADE .... ............................Add Lines s + 9 + 10 $ 6,605.98 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line s 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 e, Part 2 $ 751.94 6,312.00 0 6,605.98 457.96 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 1,500.00 6,605.98 0 6,605.98 0 0 6,605.98 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 (if any). 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) Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounoeo ry to whole dollars. Statement covers period CALIFORNIA from 7/1/12 - 460 through 9/30/12 Page ( of r� SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 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 ENTERLD. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) W IND 7/21/12 Sousan Safkish COM ❑/00 Engineer $100.00 $100.00 `¢ � 12780 Bravo Ct. ❑OTH ETA -USA San Martin, CA 95046 ❑ PTY ❑ SCC WIND 27/12 David Cox ❑COM Director of Non - Profit $50.00 $50.00 LSD' 4D 3575 Hecker Pass Hwy. #B ❑OTH St. Joseph Family Center Gilroy, CA 95020 ❑ PTY ❑ SCC WIND 7/27/12 Joan Marfia Lewis EICOM Marketer $100.00 $100.00 /BD - 8130 Oak Court ❑OTH Costco - Gilroy Gilroy, CA 95020 E] PTY ❑ SCC WIND 7/27/12 Daniel Derry ❑COM Priest $60.00 $60.00 60• 11 First St. ❑OTH St. Mary Catholic Church Gilroy, CA 95020 ❑ PTY Gilroy ❑ SCC 7/28/12 Janet Espersen WIND ❑ COM Retired $125.00 $125.00 _ 9780 Linnet Ct. ❑ OTH Gilroy, CA 95020 ❑ PTY ❑ SCC SUBTOTAL $ 435.00 Schedule A Summary 1. 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.) ...... $_ JA .06 TOTAL $ ` 00 FPPC Form 460 (January/05) 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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 7/1/12 • • • , from through 9/30/12 Page Of NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 7/28/12 Thomas Espersen IND E]COM Retired $125.00 $125.00 9780 Linnet Ct. IOTH Gilroy, CA 95020 ❑ PTY ❑SCC 8/1/12 Cheri Silveira ®IND Managing Director $100.00 $100.00 too • 00 3930 Agatha Way ICTH Colentux Inc. San Jose, CA 95136 I PTY ❑ SCC 8/2/12 Carolyn Tognetti ®IND ❑ICON Retired $250.00 $250.00,2 SQ • 820 Carignane Dr. Gilroy, CA 95020 I PTY ❑ SCC 8/6/12 Saverina F. Fenech VICOM Retired $65.00 $65.00 9490 Eagle View Way IOTH Gilroy, CA 95020 I PTY ❑ SCC 8/4/12 Connie Rogers ®IND Retired $100.00 $100.00 1D0 Ck' 7690 Santa Theresa Drive IOTH Gilroy, CA 95020 I PTY ❑ SCC SUBTOTAL $ 6 *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 (8661275 -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. 7/1/12 from "_9 through 9/30/12 Page NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE* (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) WJIND Greg Correnti Attorney Uv 8/12/12 2420 Club Drive MOTH Lockheed Martin Space $200.00 $200.00aOD Gilroy, CA 95020 ❑ PTY ❑SCC Darlene M. Silva ®IND ❑COM Housewife (JO �� 8/13/12 6520 Kings Place E]OTH $100.00 $100.00 Gilroy, CA 95020 ❑ PTY []SCC Ray J. Shackel ®IND ❑COM Fire Captain d J 8/14/12 9140 Crest Hill Ct. MOTH City of Gilroy Y Y $25.00 $25.00 Gilroy, CA 95020 ❑ PTY ❑ SCC 8/15/12 Terri Naskrent 241 Rucker Ave. MIND EICCO Banker Bank of America $75.00 $75.00 7 S ° a Gilroy, CA 95020 ❑ PTY Gilroy, CA ❑ SCC Kathy Dockendorf ®IND MCOM Kindergarten Aide 8/20/12 6409 Barron Place MOTH Queen of Apostles p $250.00 $250.00 Gilroy, CA 95020 y ❑PTY Church, San Jose, CA M SCC SUBTOTAL $ (460 �t,126-% "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 Contributions Received Amounts may be rounded Statement covers period to whole dollars. 7/1/12 • • from through 9/30/12 Page of�Z NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP 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) ZIND Rebecca Scheel ❑ COM School Bus Driver ¢ J o 8/20/12 980 Hoesch Way ❑OTH Gilroy Unified School $25.00 $25.00 Y' aZ.S Gilroy, CA 95020 ❑ PTY District ❑SCC 8/30/12 Fred Lico ®IND ❑COM Retired $150.00 $150.00 1416 Glen Ellen Way ❑ OTH San Jose, CA 95125 ❑ PTY ❑ SCC 8/30/12 Mary Ellen Rocha ®IND ❑ COM Retired $100.00 $100.00 750 Lisa Ct. ❑ OTH Gilroy, CA 95020 ❑ PTY ❑ SCC Frank Bisceglia ®IND Stockbroker 0D S 8/30/12 1804 Cherry Ave. E]OTH UBS Financial $50.00 $50.00 San Jose, CA 95125 ❑ PTY ❑ SCC 8/30/12 Frank Lico ®IND ❑COM Realtor $50.00 $50.00 1438 Robsheal Dr. F-1 OTH Live Oak Properties P San Jose, CA 95125 ❑ PTY San Jose, CA ❑ SCC SUBTOTAL $ 3 95+,4&&-@& 6 *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 Contributions Received Amounts may be rounded Statement covers period • . towholedollars. 7/1/12 • ' 4 ' from through 9/30/12 of NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 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) Timothy Filice OCOM Executive dv 9/1/12 7888 Wren Ave. Suite D143 ❑OTH Glen Loma Corp. $100.00 $100.00 Gilroy, CA 95020 ❑ PTY Gilroy, CA ❑SCC Michael McKeever, DDS W]IND Dentist �s 4/12 7880 Wren Ave. Ste. A111 ❑ OTH Michael McKeever, DDS $50.00 $50.00 Gilroy, CA 95020 ❑ PTY Dentistry for Children ❑ SCC 9/5/12 Eric S. Smith ®❑COM Minister $100.00 $100.00 �` /Do d J 2131 Cruden Bay Way ❑OTH South Valley Community Gilroy, CA 95020 ❑ PTY Church, Gilroy ❑ SCC 9/6/12 Civic Rancho Hills, LLC ❑IND $250.00 $250.00 v? SCU' DO 1500 Willow Pass Court ®OTH Concord, CA 94520 ❑ PTY ❑ SCC Clorete Almeida ®IND ❑COM Housewife �' SD CD 9/8/12 10290 Silva Circle ❑ OTH $50.00 $50.00 Gilroy, CA 95020 ❑ PTY ❑ SCC SUBTOTAL $,S *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 CALIFORNIA to whole dollars. 7/1/12 FORM 460 from through 9/30/12 Page of_LL_ NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 DATE EET A DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 9/8/12 Pamela Jones ®❑IOM Self- employed consultant $100.00 $100.00 V/00-00 1435 Falcon Ct. ❑ OTH PA Jones Consulting Gilroy, CA 95020 ❑ PTY ❑ SCC 9/8/12 Phyllis Armenta ®IND ❑COM Paralegal $100.00 $100.00 ©a 0v 7335 Wren Ave. ❑ OTH Benders Legal Services g Gilroy, CA. 95020 ❑ PTY ❑ SCc 9/12/12 Hewell and Sheedy Construction El $100.00 $100.00 /00- CO 430 First St. k] OTH Gilroy, CA 95020 ❑ PTY ❑ SCC 9/12/12 John Filice [❑COD Builder $100.00 $100.00 0 /oo 00 7888 Wren Ave. Ste. D143 E] OTH Glen Loma Corp. Gilroy, CA 95020 ❑ PTY ❑ SCC 9/13/12 Catherine Powers ®IND P, E TI co $25.00 $25.00 $`.ZS 00 9445 Eagle View Way E]oTH Gilroy, CA 95020 ❑ PTY ❑ SCC SUBTOTAL$ *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers peri&d____11l CALIFORNIA to whole dollars. 7/1/12 FORM 460 from through 9/30/12 r� Page to of NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTERI.D.NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 9/14/12 Young Signs ❑IND MOTH $50.00 $50.00 $50.00 7393 Eigleberry St. Gilroy, CA 95020 ❑ PTY ❑ SCC 9/15/12 Arcadia Development Co, ❑❑OOH $150.00 $150.00 $150.00 P.O. Box 5368 ® OTH San Jose, CA 95150 ❑ PTY ❑ SCC 9/21/12 Branch 193 NALC Political Action Committee ®COM $250.00 $250.00 $250.00 2864 Haughton Drive MOTH San Jose, CA 95148 f otor_* 9 ❑ PTY SCC ❑ 9/21/12 South County Democratic Club ❑IND X3 $250.00 $250.00 $250.00 $250.00 15231 Perry Lane ❑❑ Morgan Hill, CA 95037 FP ,PC PTY 9 ❑ SCC 9/25/12 Sean Anthony's Refinishing ❑IND ❑COH $250.00 $250.00 $250.00 8505 Church St. ®OTH Gilroy, CA 95020 ❑ PTY ❑ SCC SUBTOTAL$ *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. 7/1/12 • - t from through 9/30/12 Page j of % -- NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 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, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 9/27/12 Johnella Shackelford ®❑IoM Homemaker $250.00 $250.00 $250.00 1138 Del Oro Way ❑ OTH Gilroy, CA 95020 ❑ PTY ❑ SCC 9/28/12 Susan McKuhen MIND Realtor $25.00 $25.00 $25.00 3225 Dryden Ave. opTH Green Valley Realty Gilroy, CA 95020 ❑ PTY San Martin, CA ❑ SCC 9/28/12 Wendy Ronsse MIND ❑ IoM Registered Nurse $25.00 $25.00 $25.00 9078 Spencer Ct. E] OTH Ci�od� lTH �V Gilroy, CA 95020 ❑ PTY .�.r' �S P�7p•� - ❑ SCC (4 IV sow CA 9/29/12 Frank Filice M❑COM Retired $87.00 $87.00 $87.00 7691 Miller Ave. ❑OTH Gilroy, CA 95020 ❑ PTY ❑ SCC 9/29/12 California League of Conservation Voters ❑IND MCOM $250.00 $250.00 $250.00 Santa Clara County Chapter ❑ OTH 9632 Eagle Hills Way ❑ PTY Gilroy, CA 95020 FPPC # L? /3q g I E] SCC SUBTOTAL $ 6wee 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers peri&d______1 CALIFORNIA to whole dollars. 7/1/12 FORM 460 from through 9/30/12 Page _P._'__ of ? NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR EET A DE O RALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 9/29/12 PG & E ❑IND ®COM $100.00 $100.00 $100.00 111 Almaden Blvd. ❑ OTH San Jose, CA95113 ❑ PTY ❑ SCC 9/29/12 Bruno Filice MIND Retired $50.00 $50.00 $50.00 1441 Carmel Dr. E] OTH San Jose, CA 95125 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC .� SUBTOTAL $ i4 t" *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHEDULEB -PART1 Schedule B — Part 1 Amounts may b "' "'� Amounts may be rounded Statement covers period CALIFORNIA t Loans Received to whole dollars. 7/1/12 FORM • from 9/30/12 - Page j=L SEE INSTRUCTIONS ON REVERSE through of LL-NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) AMOUNT (c) AMOUNT PAID OUTSTANDING (e) INTEREST ) ORIGINAL UL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE H CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) p D PERIOD THIS PERIOD* p p PERIOD LOAN TO DATE D. Cat Tucker Product Manager ❑ PAID CALENDARYEAR 9440 Eagle View Way Applied Materials $ 0 $ 6,500.00 0 ,, $ 5,000 $ 1,500.00 ❑ FORGIVEN PERELECTION- Gilroy, CA 95020 RATE 1,500.00 $ 5,000.00 $ 1,500.00 $ 0 N/A $ 0 05/27/07 $ DATE DUE DATE INCURRED t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR $ $ % $ $ ❑ FORGIVEN PER ELECTION*" RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION*' RATE DATE DUE DATE INCURRED to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 1,500.00 $ 0 $ 6,500.00 $ 0 Schedule B Summary 1. Loans received this period ..................................................................................... ............................... $ (Total Column (b) plus unitemized loans 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.) 1,500.00 0 3. Net change this period. Subtract Line 2 from Line 1. .................... ............................... NET $ 1,500.00 Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) t Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee (Enter (e) 0n Schedule E, Line 3) `Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/12 SEE INSTRUCTIONS ON REVERSE through 9/30/12 Page _ _ of _ 9 NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CluP 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 PFIO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals W 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 (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID US Postmaster - San Jose, CA I I Postage for mailers $1,204.20 Pacific Printing Printing of mailers 1002 South Second St. LIT $1.661.00 San Jose, CA 95112 CVS Pharmacy Stamps, paper and thank you cards First Street CMP $40.02 Gilroy, CA 95020 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,905,22 Schedule E Summary 1. Payments made this period of $100 or more. Include all Schedule E subtotals. 6,605.98 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 0 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 6,605.98 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Articulate Solutions SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made Gilroy, CA 95020 to whole dollars. from 7/1/12 FORM Candidate Ballot Statement 7351 Rosanna Street 9/30/12 6 SEE INSTRUCTIONS ON REVERSE Gilroy, CA 95020 through of page NAME OF FILER Contribution Envelopes 1002 South Second St. CMP I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 San Jose, CA 95112 1298566 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Articulate Solutions Designs for Website, Facebook and PayPal 65 Fifth Street WEB $1,096.83 Gilroy, CA 95020 City of Gilroy Candidate Ballot Statement 7351 Rosanna Street FIL $950.00 Gilroy, CA 95020 Pacific Printing Contribution Envelopes 1002 South Second St. CMP $81.19 San Jose, CA 95112 Santa Clara County Registrar of Voters Voter lists and precinct maps 1555 Berger Dr. CMP $232.50 San Jose, CA " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $2,360.52 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. REVERSE NAME OF FILER CAT TUCKER FOR CITY COUNCIL 2012 Statement covers period from 7/1/12 through 9/30/12 SCHEDULE E (CONT.) Page 16 of / L I.D. NUMBER 1298566 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia /misc. IMBR member communications RAD 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 FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals NOD 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Articulate Solutions 65 Fifth Street Gilroy, CA 95020 LIT Design of Doorhangers $625.31 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 625.31 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID PRINTEDUNION SCHEDULE E (CONT.) Statement covers period • ' Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made $497.09 to whole dollars. from 7/1/12 • - • Misc. supplies, wood for campaign signs 9440 Eagle View Way Gilroy, CA 95020 through 9/30/12 � SEE INSTRUCTIONS ON REVERSE CVS Pharmacy page of NAME OF FILER First Street PCs $18.00 I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 Staples 1298566 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 RAD 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 RAID 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID PRINTEDUNION Doorhangers 1002 South Second St. LIT $497.09 San Jose, CA CAT TUCKER Misc. supplies, wood for campaign signs 9440 Eagle View Way Gilroy, CA 95020 CMP ,� „ „Q l „ $130.88 CVS Pharmacy Stamps First Street PCs $18.00 Gilroy, CA 95020 Staples Pens and supplies 8840 San Ysidro Ave. CMP 38.96 Gilroy, CA 95020 First Street Coffee Coffee for fundraiser First Street FND $30.00 Gilroy, CA 95020 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 714.93 FPPC Form 460 (June /01) FPPC Toll -Free Helpiine: 866 /ASK -FPPC