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Carolyn Tognetti - Assuming Office 2013Date Receiver' STATEMENT OF ECONOMIC INTERESTS COVER PAGE, Please type or print in ink NAME OF FILER (LAST) (FIRST) (M) TOGNETTI CAROLYN G. 1. Office, Agency, or Court Agency Name CITY OF GILROY Division, Board, Department, District, if applicable Your Position GILROY GENERAL PLAN ADVISORY COMMITTEE COMMITTEE MEMBER ► If filing for multiple positions, list below or on an attachment. Agency: 2. Jurisdiction of Office (Check at least one box) Position: ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County 0 City of GILROY 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2012, through December 31, 2012. .or- The period covered is December 31, 2012. ❑ County of ❑ Other — ❑ Leaving Office: Date Left (Check one) through O The period covered is January 1, 2012, through the date of leaving office. 1z Assuming Office: Date assumed '.Z/5- / an 3 ❑ Candidate: Election year 4. Schedule Summary Check applicable schedules or "None." 0 Schedule A -1 - Investments - schedule attached © Schedule A -2 - Investments - schedule attached 0 Schedule B - Real Property - schedule attached O The period covered is _ the date of leaving office. and office sought, if different than Part 1: through ► Total number of pages including this cover page: ❑ Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or. El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) GILROY CA 95020 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 408 ) 842 -8583 I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I acknowledge this is a public document. I certify under penalty of perjury under the laws of the State of California that FPPC Form 700 (2012/2013) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY HOME DEPOT GENERAL DESCRIPTION OF BUSINESS ACTIVITY RETAIL SALES FAIR MARKET VALUE ❑ $2,000 - $10,000 ® $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: —J , 12 _�� 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY CHEVRON GENERAL DESCRIPTION OF BUSINESS ACTIVITY OIL AND GAS FAIR MARKET VALUE ❑ $2,000 - $10,000 © $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ® Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: — / 12 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY COACH GENERAL DESCRIPTION OF BUSINESS ACTIVITY RETAIL SALES FAIR MARKET VALUE ® $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ® Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: /� 12 —J —J 12 ACQUIRED DISPOSED Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION ► NAME OF BUSINESS ENTITY BANK OF AMERICA GENERAL DESCRIPTION OF BUSINESS ACTIVITY BANKING FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ® $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ® Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _I _ / 12 �_� 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY FACEBOOK GENERAL DESCRIPTION OF BUSINESS ACTIVITY SOCIAL NETWORKING FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ® $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ® Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: I / 12 _ . 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY CHASE BANK GENERAL DESCRIPTION OF BUSINESS ACTIVITY BANKING FAIR MARKET VALUE ❑ $2,000 - $10,000 © $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: /— /12 / /12 ACQUIRED DISPOSED FPPC Form 700 (2012/2013) Sch. A -1 FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) 11, 1. BUSINESS ENTITY •- EDWIN A. AND CAROLYN G. TOGNETTI TRUST Name GILROY, CA 95020 Address (Business Address Acceptable) Check one ® Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 __j_/ 12 /12 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION 0- 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -• SS INCOME To THE ENTITY/TRUST) ❑ $0 - $499 ® $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 oo. 3. LIST THE NAME OF ••- TABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate she0if-cessa,yj (� None Notes Receivable: Vinh Sanh Development LLC Tuong Vinh Tran Revocable Trust 111 4. INVESTMENTS • INTERESTS IN REAL PROPERTY . LEASED BY THE BUSINESS ENTITY OR one box: ❑ INVESTMENT ® REAL PROPERTY Name of Business Entity, if Investment, 4r Gilroy, CA 95020 Description of Business Activity 4r City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 _j _/ 12 ___j__/ 12 ® $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ® Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name CAROLYN TOGNETTI 11� 1. BUSINESS ENTITY OR TRUST GARLIC WORLD GILROY, CA 95020 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 0 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY LEASED BUILDING TO RETAIL BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 _/1 12 /12 © $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ® Partnership ❑ Sole Proprietorship ❑ Other PARTNER YOUR BUSINESS POSITION GROSS 1� 2. IDENTIFY THE • • (INCLUDE YOUR -• RATA SHARE OF -• SS INCOME TO THE ENTITY/TRUST) ❑ $0 - $499 0 $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 11- 3. LIST THE NAME OF ••- TABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary) None IAN OTERI P. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD .- LEASED BY THE BUSINESS ENTITY OR one box: []INVESTMENT 0 REAL PROPERTY GILROY, CA 95020 Name of Business Entity, if Investment, gr Assessor's Parcel Number or Street Address of Real Property RETAIL FOOD MARKET Description of Business Activity gt City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 2 0 $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership 1 ® Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached Comments: FPPC Form 700 (2012/2013) Sch. A -2 FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) m- 1. BUSINESS ENTITY •- B&TFARMS Name 5920 FRAZIER LAKE ROAD, GILROY, CA 95020 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ® Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY ROW CROP FARMING FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 /12 ❑ $10,001 - $100,000 ACQUIRED DISPOSED © $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT JOINT VENTURE ❑ Partnership ❑ Sole Proprietorship Other SPOUSE YOUR BUSINESS POSITION GROSS 11� 2. IDENTIFY THE • . (INCLUDE YOUR -• RATA SHARE OF -• SS INCOME TO THE ENTITY/TRUST) ❑ $0-$499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 © OVER $100,000 ❑ $1,001 - $10,000 11� 3. LIST THE NAME OF ••- TABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE JAttach a separate sheet it tiec-sary.) ❑ None SEE ATTACHED LIST PROPERTY 10, 4. INVESTMENTS AND INTERESTS IN REAL . •- .- Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, Q Assessor's Parcel Number or Street Address of Real Property Description of Business Activity x City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OFINTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name -. 11- 1. BUSINESS ENTITY OR Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $o - $1,999 ❑ $2,000 - 110,000 12 /12 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION GROSS • . . • -• SHARE OF -• SS INCOME TO THE ENTITYITRUST) ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 11- 3. LIST THE NAME OF ••- TABLE SINGLE SOURCE OF INCOME OF $10.000 OR MORE (Aft-1, None PROPERTY mi� 4. INVESTMENTS AND INTERESTS IN REAL . •- .- Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached Comments: FPPC Form 700 (2012/2013) Sch. A -2 FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov CAROLYN TOGNETTI GILROY, CA 95020 FPPC FORM 700 ATTACHMENT TO SCHEDULE A -2 LIST OF NAMES OF SINGLE SOURCES OF INCOME OF $10,000 OR MORE ECKERT COLD STORAGE BAGGIATTO PRODUCE INC. TRETO'S PRODUCE DEL MAR PRODUCE UESUGIE FARMS O.G. PACKING LIVE OAK FARMS SAKATA SEED SEMINUS SEED MORNINGSTAR SCHEDULE B Interests in Real Property (Including Rental Income) ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY GILROY, CA 95020 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: R $2,000 - $10,000 ❑ $10,001 - $100,000 _j � 12 0 $100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 NATURE OF INTEREST 0 Ownership /Deed of Trust ❑ Easement Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED $0 - $499 ❑ $500 - $1,000 El $1,001 - $10,000 0 $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. None 137& T FARMS Name CAROLYN TOGNETTI ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY GILROY, CA 95020 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: $2,000 - $10,000 ❑ $10,001 - $100,000 12 __j__j 12 0 $100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 NATURE OF INTEREST 0 Ownership /Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED $0 - $499 [:] $500 - $1,000 ❑ $1,001 - $10,000 ® $10,001 - $100,000 [:] OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. None NATURE'S WOOD * You are not required to report loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE n None TERM (Months/Years) HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1,001 - $10,000 ❑ $10,001 - $100,000 OVER $100,000 Guarantor, if applicable Comments: NAME OF LENDER` ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) % F-1 None HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 E] Guarantor, if applicable FPPC Form 700 (2012/2013) Sch. B FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov