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Cat Tucker - Form 460 - 2012/07/01 - 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 from 7/1/12 through 9/30/12 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee 0 Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party /Central Committee 3. Committee Information NAME (OR CANDIDATE'S NAME IF NO CAT TUCKER FOR CITY COUNCIL 2012 ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1298566 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS Date Stamp Date of election if applicable: (Month, Day, Year) 11/6/12 1 2. Type of Statement: ❑ Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) COVER PAGE Page 1 of 3 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 ® Amendment (Explain below) There was a typographical error on page 3, line 19. It should have read 56.500.00 instead of $1,500.00. Treasurer(s) NAME OF TREASURER Carolyn Tognetti MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE 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 Executed on 11/1/12 By Date Executed on 11/1/12 By Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Type or print in ink. Recipient Committee Campaign Statement 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 RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 9440 Eagle View Way Gilroy CA 95020 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (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) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 2 of 3 BALLOT NO. OR LETTER 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 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 Summary Page - weroi 1'TIr)MQ r1N RFVFRCF NAME OF FILER r•AT Tl trWro CnP r`ITV rrnl Inlru g(112 Type or print in ink. Amounts may be rounded to whole dollars. Expenditures Made Column A Contributions Received Schedule E, Line 4 $ TOTALTHISPERIOD 7. Loans Made .............................. ............................... (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ............ ............................... Schedule A, Line 3 4,821.00 $ 6,605.98 2. Loans Received ....................... ............................... schedule e, Line 3 1,500.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 6,312.00 11. TOTAL EXPENDITURES MADE . ............................... Add lines 8 + 9 + 10 $ 0 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 6,312.00 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 3 0 11. TOTAL EXPENDITURES MADE . ............................... Add lines 8 + 9 + 10 $ 6,605.98 Current Cash Statement 751.94 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 6,312.00 13. Cash Receipts .................... ............................... Column A, Line 3 above 0 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 6,605.98 15. Cash Payments ................... ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 457.96 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ 6,500.00 Statement covers period from 7/1/12 through Column B CALENDARYEAR TOTALTO DATE $ 4,812.00 6,500.00 $ 11,312.00 0 $ 11,312.00 $ 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). SUMMARY PAGE 9/30/12 Page 3 of 3 I.D. NUMBER 1298566 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (It 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 (866/275 -3772)