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Gilroy Growing Smarter - Form 410 - AmendmentStatement of Organization v Recipient Committee Statement Type ❑Initial � Amendment ❑ Termination Part s ry _ � �+offica Not yet qualified C1 or List I.D. number: List I.D. number: O i1w 6 #1383355 It 02 08 2016 02 08 2016 v --1— 1 Date qualified as Committee —� —a Date qualified as committee Date of Termination S, f� nr RPPrxRBN) b ,d 1. Committee Information Z. Treasurer an' 8P PrIncTWIMets NAME OF COMMITTEE NAME OF TREASURER Gilroy Growing Smarter STREET ADDRESS (NO PO. BOX) 7690 Santa Theresa Drive CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 (650)575 -8285 MMLING ADDRESS (IF DIFFERENT) 2335 Olea Court, Gilroy, CA, 95020 FAR /E- MAILADDMESS gilrovgrowingsmartere- timail.com COON TY OF DOMICILE ' OR ISDICTION WHERE CO MMnTEE IS ACTIVE Cl; a Santa Gilroy, California Attach additional information on appropriately labeled continuation sheets. David J. Lima STREET ADDRESS INO PO. BOX) CITY STATE ZIP CODE AREACODuPHONE Gilroy CA 95020 ( NAME DP ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.U. BOX) a" STATE ZIPCODE AREA COOE /PHONE NAME OF PRINCIPAL OFFICER(S) Constance Rogers STREET ADDRESS (NO P. O. BOX) CITY STATE ZIP CODE AREACODE/PHONE CA 95020 I have used all reasonable diligence in preparing this statement and to the best of ryy knowledge the information contained herein is true and complete. 1 certify under penalty of perjury unclllr th ,laws of the State Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CON TROLU MG OFFICEHOLDER. UN OF DATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Jan /2016) FPPC Advice: advice@fppcw.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME 10. NUMBER Gilroy Growing Smarter 1383355 • All committees must list the financial Institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE Union Bank 1(408)846 -4236 10062599519 ADDRESS - - - CITY STATE zip CODE 8000 Santa Teresa Boulevard Gilroy CA 95020 R 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 SOUGHTOR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE)SI NAME OR MEASURF(Sl FULLTITLE (INCLUDE BALLOT NO, OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE) Gilroy Urban Growth Boundary Initiative Gilroy, CA SUPPORE Q✓ OPPOSE SUPPORT OG>Oaf FPPC Form 410 (Jon/2016) FPPC Advice: advice @fppr-ca.gov (866/275.3772( www.fppc.m.gov Statement of Organization I ewe I,II Recipient Committee a INSTRUCTIONS ON REVERSE Yap 3 COMMITTEE NAME - LD. NUMBER Gilroy Growing Smarter © 1383355 4 Type of Committee (continued)! r i Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAML UP SPONSOR STREET AD DRESS NO. AND STREET aw SPONSOR If OvW RNa� -.'Termination ReQUlrements ;Sy signing the vedfirat lDn, Rheareasurer; assistant treasurer and/or Candidate; Otficehnlder, Or prop6nent certify that all tiftfie follow] ITS con BltiDns have.61!en met: • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. Leftover funds of ballot measure committees maybe used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (Jan /2016) FPPC Advice: advim@fppcm.gov (8661275 -3772) www.fppC.Ca.gov Statement of Organization Recipient Committee Statement Type El Initial Notyetquafified ❑ a 0_/0_2016 Date qualified as committee Gilroy Growing Smarter 0 Amendment List I.D. number: 81383355 02(0812016 Date quallFed as committee (IF YPPIIC.W.) ❑ Termination — Seei Parts REI List I.D. number: In the Date of Termination STREET ADDRESS IND PO. BOX; 7690 Santa Theresa Drive CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 (650)575 -8285 MAILING ADDRESS (IF DIFFERENT) - 2335 Olea Court, Gilroy, CA, 95020 FAX / EMAIL ADDRESS Santa Clara Gilroy, California Attach additional information on appropriately labeled continuation sheets. penalty of perjury un r th laws of the 5 Executed on ay / Executed on DATF wh / y DATE JF NAME OF TREASURER David J. Lima STREET ADDRESS IND PO. BOX) CITY Date Stamp IVED AND FILED ce of the Secretary of State the State of California JUL 26 2016 For Official Use Only STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 ( NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODE /PHONE NAME OF PRINCIPAL OFFICER(S) Constance Rogers STREET ADDRESS [NO P.0 BOX) CITY STATE ZIP CODE AREA CODE /PHONE Executed on By 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 -37721 www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE ft se COMMITTEE NAME I D NUMBER Gilrov Growina Smarter �. 1383355 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL Union Bank ADDRESS 8000 Santa Teresa Boulevard (408)846 -1236 CITY Gilroy BANK ACCOUNT NUMBER 0062599519 STATE ZIP CA 95020 • 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. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Primarily formed to support or oppose specific candidates or measures in a single election. List below: CA NDIDATE(S) NAME OR MEASURE(S) FULL TITLE INCLUDE BALLOT NO OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION (INCLUDE DISTRICT NO.. CITY OR COUNTY, AS APPLICABLE) Gilroy Urban Growth Boundary Initiative Gilroy, CA SUPPORT R OPPOSE - sVanaaT DponsT 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 Page 3 Gilroy Growinq!Smarter n11383355 Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee []'COUNTY Committee ❑ STATE Committee RIEF OE5CRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS cl Small COntnburor Committee ❑ _�_ /_ OMe qualified CITY • This committee has ceased to receive contributions and make expenditures; DR AFFILIATION OF SPONSOR • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. — Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov