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Cat Tucker - Form 460 - 2012/11/01 - 2012/12/31Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period 11/01/12 from 12/31/12 through I. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) O Sponsored ❑ General Purpose Committee (Also Comp/ete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1298566 :OMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) CAT TUCKER FOR 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 OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification Date Stamp L" Treasurer(s) COVER PAGE Page J of For Official Use Only Quarterly Statement Special Odd -Year Report Supplemental Preelection Statement - Attach Form 495 NAME OF TREASURER Date of election if applicable: (Month, Day, Year) p ~� c`0�SCr MAILING ADDRESS 11/06/12 L ASSISTANT TREASURER, IF ANY D. Cat Tucker MAILING ADDRESS CA 95020 408 - 848 -3439 OPTIONAL: FAX / E -MAIL ADDRESS 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 correct. Executed on • =2 /_ :;2U3 Date Executed on -- �� L 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 (Januar•'" FPPC Toll -Free Helpline: 866 /ASK -FPPC (860" S +-' Recipient Committee Type or print in ink. COVER PAGE - PART2 Campaign Statement CALIFORNIA • 1 Cover Page — Part 2 FORM 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 RESIDENTIAUBUSINESS 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS 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 Page 02— of fz 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 Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 11/01/12 frnm SUMMARY PAGE Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... 12/31/12 Page of SEE INSTRUCTIONS ON REVERSE 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... ............................Add through NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running in Both the State Primary 9 r y and 250.75 9,642.75 General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ $ <1,500.00> -55,000.00 1/1 through 6/30 7/1 to Date 2. Loans Received ....................... ............................... schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ <1 249.25> $ 14,642.75 20. Contributions 0 0 Received $ $ 4. Nonmonetary Contributions .............. Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •••••••.•••••••.••••. Add <1,249.25> $ $ 14,642.75 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 + 10 $ 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 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. 427.90 $ 0 427.90 $ 0 0 427.90 $ 2,987.64 <1,249.25> 0 427.90 1,310.49 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ I Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 5,000.00 9,084.20 0 9,084.20 0 0 9,084.20 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) `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) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 11/01/12 • from FORM 12/31/12 through Page -4- of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 �� EET A RALSAND ZIP DE O 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, I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Richard B. Gullen OIND Attorney 1960 The Alameda, Suite 200 ❑COM Rossi, Hamerslough, $50.00 $50.00 San Jose, CA 95126 ❑❑ Pn Reischl & Chuck ❑ ScC Conrad Lather OIND Retired 11/2/12 780 LaAlondra Way ❑COM $25.00 $25.00 Gilroy, CA 95020 ❑OTH ❑ PTY ❑SCC Gilroy CA Democratic Club ❑IND 11/3/12 P.O Box 410 OcoM $175.75 $175.75 Gilroy, CA 95021 ❑OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 250.75 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.) ...... $ ............. $ TOTAL $ 250.75 0 250.75 `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) SCHEDULEB -PART1 schedule B — Part 1 Amounts �m may b r ou Amounts may be rounded Statement covers eriod P Loans Received to whole dollars. 11/01/12 • 1 from �' 12/31/12 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 1298566 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE (b) AMOUNT (c) AMOUNTPAID (d) OUTSTANDING BALANCEAT (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IFSELF- EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAMEOFBUSINESS) PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE D. Cat Tucker Product Manager 0 PAID CALENDARYEAR 9440 Eagle View Way Applied Materials 1,500.00 $ 5,000.00 $ 0 5,000 1,500.00 $ Gilroy, CA 95020 % $ ❑ FORGIVEN PERELECTION** RATE 6, 500.00 0 N/A 5/27/07 1,500.00 to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PERELECTION** RATE $ $ $ $ $ DATE DUE DATE INCURRED t❑ ❑ COM ❑ OTH ❑PTY SCC IND ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION** RATE t❑ IND El COM [:1 OTH E] PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 1,500.00 $ 5,000.00 $ 0 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 orforgiven.) (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. $ 0 $ 1,500.00 NET $ <1,500.00> (May be a negative number) (Enter (e) on Schedule E, Line 3) 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 Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER CAT TUCKER FOR CITY COUNCIL 2012 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 11/01/12 from through 12/31/12 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page of I.D. NUMBER 1298566 C CMP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNIS 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID 905 First Street I CMP I I $62.58 Gilroy, CA 95020 First St. CMP I I $22.40 Gilroy, CA 95020 Staples Uttice supplies 8840 San Ysidro Ave. CMP $40.08 Gilroy, CA 95020 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 125.06 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 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 $ 427.90 0 0 427.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID BevMo SCHEDULE E (CONY.) Statement covers period Camino Arroyo Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made $86.23 to whole dollars. from 11/01/12 Costco Food for election night party 12/31/12 through Page Of SEE INSTRUCTIONS ON REVERSE $71.74 Gilroy, CA 95020 NAME OF FILER Nob Hill Foods Food for election night party I.D. NUMBER CAT TUCKER FOR CITY COUNCIL 2012 $93.12 Gilroy, CA 95020 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 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 BevMo Beverages for election night party Camino Arroyo CMP $86.23 Gilroy, CA 95020 Costco Food for election night party 7251 Camino Arroyo CMP $71.74 Gilroy, CA 95020 Nob Hill Foods Food for election night party First Street CMP $93.12 Gilroy, CA 95020 Debra Bowen, Secretary of State Recipient committee annual fee State of California P.O. Box 1467 FIL $50.00 Sacramento, CA 95812 -1467 Pay Pal Professional transaction fees 2211 N. First St. PRO $1.75 San Jose, CA 95131 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 302.84 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)