Cat Tucker - Form 410 - 2016 Amendment (2)Statepent of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified U or
® Amendment
List I.D. number:
1298566
Date qualified as committee Date qualified as committee
(IYaPPROIae)
FOR CITY COUNCIL 2016
Termination – See Part 5
List I.D. number:
/___/
Date of Termination
STREET ADDRESS (NO P0. BOX)
MAILING ADDRESS (IF
FAX / E-MAIL ADDRESS
Santa
Date Stamp
REICEIVED AND FILED
In 01 otflce of the Secretary of State
d Q1e State of Cefifomla
JUL 08 2016
official Use Only
NAME OF TREASURER
Carolyn Tognetti
STREET ADDRESS (NO P.O. BOX)
NAME OF ASSISTANT TREASURER, IF ANY
D. Cat Tucker
STREET ADDRESS (NO P0. BOX)
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE /PHONE
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the Information contained herein 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 /!J � &A-- /6 By
DATE 6
Executed on 7-5-1 gy
DATE
Executed on ey '
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Jan /2016)
FPPC Advice: advice @fppc.ca:gov (866/275 -3772)
www.fppc.ca.gov
Statgrnent of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
A All committees must list the financial Institution where the campaign bank account Is located.
NAME OF FINANCIAL INSTITDTION
Union Bank
ADDRESS
408 - 848 -2161
Nk]5iT
STATE ZIP CODE
1298566
1111 Santa Teresa 1
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Controlle[I;CmnnutTee ^,;1 -�
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
A List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CAN MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Denise Cathy "Cat" Tucker
Gilroy City Council
2016
Nonpartisan
®
❑ Nonpartisan
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN DIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
FPPC Form 410 ()an /2016)
FPPC Advice: sdviceQfppc.Ta.gov (866/275 -3772)
www.fppc.ca.gov
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FPPC Form 410 ()an /2016)
FPPC Advice: sdviceQfppc.Ta.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
Statement Type ❑ Initial ® Amendment
List I.D. number:
Not yet qualified (j or 1298566
� -' - ✓ -- IF
Date qualified as committee Date qualified as committee
(If applicable)
1. Committee Information
Cdi"YUCKEtt FOR CITY COUNCIL 2016
❑ Termination — See Part S
List I.D. number:
6
Date of Termination
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT)
FAX / E -MAIL ADDRESS
Santa Clara
Attach additional information on appropriately labeled continuation sheets.
2. Treasurer and Otl
NAME OF TREASURER
Carolyn Tognetti
rs
For Official Use Only
STREET ADDRESS (NO P.O. BOX)
NAME OF ASSISTANT TREASURER, IF ANY
D. Cat Tucker
STREET ADDRESS (NO P.O. BOX)
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State
Executed on (per 3�i �� By
DATE
% r `�
Executed on ___ / �J By
DATE
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Jan /2016)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
CITY COUNCIL 2016
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMBER
Union Bank 1408-848-2161
ADDRESS CITY STATE ZIP CODE
8000 Santa Teresa Blvd. Gilroy CA 95020
4. Type of Committee Complete the applicable sections.
Page 2
I.D. NUMBER
1298566
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Denise Cathy "Cat" Tucker
Gilroy City Council
2016
0 Nonpartisan
❑ Nonpartisan
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULLTtTLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
T OPPOSE
FPPC Form 410 (Jan /2016)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fpPC.ca.gov