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Gilroy Growing Smarter - Form 410 - Amendment (2)Statement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or 0_0_/2016 Date qualified as committee 1. Committee Information NAME OF COMMITTEE Gilroy Growing Smarter is Amendment List I.D. number: #1383355 02 102016 Date qualified as committee (If applicable) Date Stamp ❑ Termination — See Part 5 For Official Use Only List I.D. number: N DEC - E 2016 Date of Termination STREET ADDRESS (NO P.O. 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 / E-MAIL ADDRESS gilroygrowingsmarter @gmail.com COUNTY OF DOMICILE IURISD I CTION WHERE COMMITTEE IS ACTIVE Santa Clara Gilroy, California 2. Treasurer and Other Principal Officers NAME OF TREASURER David J. Lima STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 ( NAME OF ASSISTANT TREASURER, IF ANY Carolyn Tognetti STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 ( NAME OF PRINCIPAL OFFICER(S) Constance Rogers STREET ADDRESS IND P.O. BOX) Attach additional information on appropriately labeled continuation sheets. CI FY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 ( 3. Verification I have used all reasonable diligence in preparing this statement and o the est of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the lawns of the State OR ASSISTANT TREASURER 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 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 COMMITTEE NAME - - I.D. 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 BANK ACCOUNTNUMBER- Union Bank (408)846 -1236 0062599519 ADDRESS CITY STATE ZIP CODE 8000 Santa Teresa Boulevard Gilroy CA 95020 4 Type of Committee CompleteFthe appHcable`sections �. w ,. --c.. 1.Y..?.��.� -. t.w� I...• t,. r ter. ,..... . -.1+- = - �.:',. v -.L . L v1 h 1 4Y a J • List the name of each t 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 Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO:, CITY OR COUNTY. AS APPLICABLF) FPPC Form 410 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov - - -' L11tLK SUPPORT 1:1 UNt OPPOSE El SL{PPORT OPPOC FPPC Form 410 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization CALIFORNIA Recipient Committee FORM 410 INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D. NUMBER Gilroy Growing Smarter © 1383355 4. Type of Committee (continued) General Purpose 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 Participate in city meetings and communicate results and issues to the public via website and email newsletter. Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE Small r r r Committee ❑ Date qualified S. Termination Requirements By signing the verification, the treasurer, assistant treasurer and /or candidate, officeholder, or proponent certify that all of the following conditions have been 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 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 Statement of Organization Recipient Committee Statement Type NAME OF COMMITTEE ❑ Initial Not yet qualified ❑ or 02 /08 /2016 Date qualified as committee Gilroy Growing Smarter Date Stamp © Amendment ❑ Termination —see Part S ®c� tc �� � ��, ��® List I.D. number: List I.D. number: RG in the o e of the Secretary of state # 1383355 # o he State of California 02 108 /2016 I DEC 12 2016 Date qualified as committee Date of Termination (tf applicable) STREET ADDRESS (NO P.O. 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 / E-MAIL ADDRESS gilroygrowingsmarter @gmail.com COUNTY OF DOMICILE IU RISDICTION WHERE COMMITTEE IS ACTIVE Santa Clara Gilroy, California Attach additional information on appropriately labeled continuation sheets. I have used all reasonable diligence in preparing this statement a penalty of perjury %u�n�de�yr�t�h�ej /laws o %,fithhe State A551STANT I RLA5URER SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE P By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (1an/2016) advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov FPPC Advice Statement of Organization Rkipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME - I.D. NUMBER Gilroy Growing Smarter ® 11383355 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Union Bank ADDRESS AREA CODE /PHONE (408)846 -1236 CITY BANK ACCOUNT 0062599519 STATE ZIP CODE 8000 Santa Teresa Boulevard Gilroy CA 95020 • fist 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 Primarily formed Msupport or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD.OWMEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) FPPC Form 410 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SUPPORT ❑OR OPPOSE 5 APP UT OPPOSE FPPC Form 410 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Stotement of Organization • ' �i Rbcipient Committee ® ' INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D. NUMBER Gilroy Growing Smarter ® 1383355 111111111 W. Not formed to supporfior oppose specific candidates or measures in a single election. Check only one box: Z CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Participate in city meetings and communicate results and issues to the public via website and email newsletter. List additional sponsors.on an attachment. NAME OF SPONSOR STR NO. AND STREET Date qualified CITY GROUP OR AFFILIATION OF SPONSOR STATE ZIP COD .f,�,���",.� ,���i ��°.,.`�,��� ;.i �:r�� ��'��?����� a�, � �.n. .,, � f ,.M_�.,�� •,`.. ...,:mow ,�!�...� ,a_�..._�_ ���., .�`� ... ,:F. ....._. • 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 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