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Cat Tucker - Form 460 - 2016/10/23 - 2016/11/01Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 10123/2016 through 11/01/2016 1. Type of Recipient Committee: All Committees - complete Parts 1, z, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (ANOCWPWePed6) O Sponsored (Aix C-We Pert 6) ❑ General Purpose Committee • Sponsored ❑ Primarily Formed Candidate/ • Small Contributor Committee Officeholder Committee • Political Party /Central Committee (AIM C-**tePvt n 3. Committee Information I D. NUMBER 1298566 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Cat Tucker for City Council 2016 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS OF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIPCODE AREACODE/PHONE OPTIONAL: FAX/ E -MAIL ADDRESS Date of election if appii, (Month, Day, Year) NOV 3 2016 i" CLERK'S OFFICE ICS` !:TROY, CA 11/08/2016 mac"`\ 2. Type of Statement: Z Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE of 5 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report NAME OF TREASURER Scott Dockendorf MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY D. Cat Tucker MAILING ADDRESS OPTIONAL: FAX /E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and Executed on Date By Signature of Containg OffeMolder, Candidate, State Measure Proponent Executed on Date By Signature of Conlrolling OREeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 S. 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 RESIDENTIAL/BUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP Related Committees Not included in this Statement: ListanycommWeea not included in We statement that are cormaiied by you or are primamy rormed to receive contributions or make expendiftaes on behaN of your cand/dscy. CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME I I.D. NUMBER NAME OF ADDRESS ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE - PART 2 Page 2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ 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 ust names of ophiaholder (s) or candidaWs) for which this committee is M mmily rormed. 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 H necessary FPPC Form 460 Van/2016) FPPCAdvice: advke @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE OF FILER Contributions Received 1. Monetary Contributions .................... ............................... schedule A, Line 3 $ 2. Loans Received ................................. ............................... schedule A Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 4. Nonmonetary Contributions ............. ............................... schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ............................ ........Add Lines 3 +4 $ Column A TOTALTHM PERIOD (FROM ATTACHED SCHEDULES) 0 0 0 Expenditures Made 6. Payments Made ................................. ............................... Schedule F- Line 4 $ 3,103.39 7. Loads Made ........................................ ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 + 7 $ 3,103.39 9. Accrued Expenses (Unpaid Bills) ........... ............................... schedule F Line 3 10. Nonmonetary Adjustment .......................... ............................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ......... ............................... Add lines 8+ s+ 10 $ 3,103.39 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Pages 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 s above 16. ENDING CASH BALANCE ..................Add tines 12 + 13 + 14, then subtract Line 15 If fta fs:a termination statement Line 16 must be ze% $ 4,290.77 0 3,103.39 $ 1,187.38 17. LOAN GUARANTEES RECEIVED . ............................... scheduk a, Part $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................. ............................... See instructions on reverse $ 19. Outstanding Debts .. ............................ Add line 2 + Line 9 in Column a above $ 5.000.00 Statement covers; period from 10/23/2016 through 11/01/2016 I page_ of? Column B CALENDAR YEAR TOTAL TO DATE $ 9,700.00 5,000.00 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Date $ 14,700.00 20. Contributions ns $ $ 21. Expenditures $ 14,700.00 Made $ $ $ 9,317.35 $ 9;317.35 $ 9,317.35 To calculate Column B. add amounts in Column Ato the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should Ibe subtracted from previous!psriod amounts. If this is the first report being filed for this calendar year, only carry over the amounts fromiLines 2, 7, and 9 (If any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Of subject to Voluntary Expenditure L6nn) Date of Election Total to Date (mm/dd/yy) I �� $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ce4pv (866/275.3772) www.fppc.ca.gov ±**]:i:4.,ol1111df :2119T S Scneaule B — Pali 9 to whole dollars. statement covers period Loans Received 10/23/2016 I ' o, from o SEE INSTRUCTIONS ON REVERSE through 11/01/2016 page 4 of NAME OF FILER I.D. NUMBER Cat Tucker for City Council 2016 1298566 FULL NAME, STREET ADDRESSAND ZIP CODE IFAN INDIVIDUAL, ENTER OCCUPATIONANOEMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OFLENDER (IF COMMnTEE, ALSO ENTER I.D. NUMBER) (IF SELF9AALOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE D. Cat Tucker Product Manager ❑ RMD CALENDARYEAR RATE = 5,000.00 = 0 0 N/A s 0 05/27/07 $ 5,000.00 t ❑ [NO ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED - -. ❑ PAID CALENDAR YEAR FORGIVEN RATE PER ELECTION" t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s s $ s $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION" t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s s s s- - DATE INCURRED $ DATE DUE SUBTOTALS $ 0$ 0 $ 5,000.00 $ 0 Schedule B Summary 1. Loans received this period ...................................................................................... ..............................$ n (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 or forgiven.) (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.) ............................... ............................... NET $ n Enter the net here and on the Summary Page, Column A, Line 2, (Maybe■ negadhe nunber) I— ,.'- Schedule E, Llne 3) IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g.,, business entity) PTY — Political Party SCC — Small Contributor Committee 'Amounts forgiven or paidby another party also must be reported on Schedule A. FPPC Form 460 (Jan/2016) " If required. FPPC Advice: advice @fppc.ca.gov {866/275- 37,72) www.fppc.co.gov Schedule E (Continuation Sheet) Payments Made SEEJNSTRUCTIONS ON REVERSE Cat Tucker for City Council 2016 Amounts may be rounded to whole dollars. covers from 10423/2016 through 11/01/2016 SCHEDULE'E (CONT.) CALIFlYkNIAL 460 0 Page 5 of 5 I.D. NUMBER 1298566 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalla/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain rwnmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL Im. or cable airtime and production costs FIL candidate tilinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafNspouse 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 Qegal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs,Qntemet, e-mail) NAME ANDADDRESS OF PAYEE EN (IF COMMITTEE, MA D TER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT A AMOUNT PAID Legacy Print Inc. P Printing Cost for Campaign Literature 3310'Woodword Avenue L LIT 9 997.00 Santa Clara, CA 95054 Legacy Print Inc. P Postage for Campaign Mailers (plus tax) 3310 Woodword Avenue P POS 1 1458.39 Santa Clara, CA 95954 Life Media Group, LLC P Print Ad 16360 Monterey Road, Suite 246 P PRT 6 648.00 Morgan Hill, CA 95037 Payments that are contributions or Inde pe FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.cs.gov (866/2753772) wwwfppc.ca.gov