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Gilroy Growing Smarter - Form 460 - 2016/10/23 - 2016/12/31Recipient Committee Campaign Statement Cover Page from Statement covers period 10/23/2016 SEE INSTRUCTIONS ON REVERSE through 12/31/2016 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee ® Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Pad 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pad 1) 3. Committee Information I I.D. NUMBER 1383355 NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Gilroy Growing Smarter STREET ADDRESS (NO P.O. BOX) 7690 Santa Theresa Drive CITY STATE ZIP CODE AREACODE /PHONE Gilroy CA 95020 650 - 575 -8285 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 2335 Olea Court CITY STATE CITY STATE ZIP CODE AREA CODE/PHONE- Gilroy CA 95020 650 - 575 -8285 OPTIONAL: FAX t E- MAILADDRESS Carolyn Tognetti gilroygrowingsmarter @gmail.com MAILING ADDRESS Date Stamp JAN 2 3 2011 Date of election if applicable: r C )1 GLPWO OF E WT (Month, Day, Year �d IERGY V,� 11/08/2016 1 2. Type of Statement: 2 Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE 1 of 7 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER David J. Lima MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE Gilroy CA 95020 NAME OF ASSISTANT TREASURER, IF ANY Carolyn Tognetti MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 OPTIONAL: FAX / E- MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the i0forInatiog contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and ct. Executed on Ot J!� 7 By , Date Sign a of easurer orAssisTMIt Treasurer Executed on By Date Signature of Controlling Officeholder, Candidate. State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, 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 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listanycommittees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME NAME OF TR I.D. NUMBER ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CON I KULLLU CUMMI I I LL! ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 Page 2 of 7 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Gilroy Urban Growth Boundary Initiative OFFICE SOUGHT OR HELD BALLOT NO. OR LETTER H JURISDICTION Gilroy ® SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT ❑ OPPOSE OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. 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 if necessary FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 10/23/2016 SUMMARYfPAGE Expenditures Made 6. Payments Made ................................. ............................... through 9 12_/_3. 1/201_6 Page 3 of 7 SEE INSTRUCTIONS ON REVERSE Schedule H, Line 3 none 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 + 7 $ 13,949.26 9. Accrued Expenses (Unpaid Bills .......................Schedule NAME OF FILER none $ 10. Nonmonetary Adjustment .......................... ............................... Schedule C, Line 3 I.D. NUMBER Gilroy Growing Smarter Add Lines 8 + 9 + 10 $ 13,949.26 none Cash Equivalents and Outstanding Debts 1383355 Contributions Received 18. Cash Equivalents ................ .............. See instructions on reverse To olumn A D ColuDmn B YEAR Calendar Year Summary for Candidates $ none (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 5, 150.00 50,0 65.32 1. Monetary Contributions .................... :...:........:::..:......:...:. Schedule A, Linea $ $ - - -- 1!1 through 6/30 7/1 to Date 2. Loans Received ................................. ............................... Schedule B, Line 3 none 5,150.00 50,065.32 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines t +2 $ $ Received $ $ 4. Nonmonetary Contributions ............. ............................... Schedule C, Line 3 none 5,104.00 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ....................... ............. Add Lines 3 +4 $ 5,150.00 $ 50,065.32 Made $ $ Expenditures Made 6. Payments Made ................................. ............................... Schedule E, Line 4 $ 13,949.26 13. Cash Receipts ............................ ............................... Column A. Line 3 above 7. Loans Made ........................................ ............................... Schedule H, Line 3 none 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 + 7 $ 13,949.26 9. Accrued Expenses (Unpaid Bills .......................Schedule F, Line 3 none $ 10. Nonmonetary Adjustment .......................... ............................... Schedule C, Line 3 none 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines 8 + 9 + 10 $ 13,949.26 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 9,963.47 13. Cash Receipts ............................ ............................... Column A. Line 3 above 5,150.00 14. Miscellaneous Increases to Cash ... ............................... Schedule 1, Line 4 none 15. Cash Payments .......................... ............................... Column A, Line 8 above 13,949.26 16. ENDING CASH BALANCE ..........Add Lines 12 + 13 + 14, then subtract Line 15 $ 1,164.21 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ............................... Schedule B, Part 2 $ none Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................ .............. See instructions on reverse $ none 19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above $ none $ 50,101.11 none $ 50,101.11 none 5,104.00 $ 50,101.11 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 be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460'(Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period e ' I 10 i 1.0/23/2016 from through 12/31/2016 Page 4 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I:D. NUMBER Gilroy Growing Smarter 1.383355 DATE E AD S FULL NAME, STREET T ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR'YEAR PER ELECTION TO DATE RECEIVED I.D. NUMBER) (IF TEE S ENTER D. CODE * (IF SELF- EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND Renee Bettencourt, Gilro y CA El COM M ❑ Para - Educator, Gilroy 50.00 150.00 95020 ❑ OTH Unified School District ❑ PTY ❑ sec V IND 11/06/16 Carolyn Tobnetti El COM Retired 2,000.00 11,497.00 , Gilroy 95020 E] OTH ❑ PTY ❑ SCC ® IND 11/06/16 Carolyn Tobnetti El coM retired 3,100.00 11,497.00 , Gilroy 95020 El OTH ❑ PTY El SCC El IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 5,150.00 Schedule A Summary -Contributor Codes 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ........................................................................... ..............................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $ 5,150.00 none 5,150.00 IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (tan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 10/23/2016 SCHEDULE 'E SEE INSTRUCTIONS ON REVERSE through _ 12/31/2016 page 5 of - 7 NAME OF FILER - _ l:D. NUMBER Gilroy Growing Smarter 1383355 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse 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 (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Life Media Group, LLC 16360 Monterey Road, Suite 246, Morgan Hill, CA, 95037 PRT $1,483.00 Pacific Printing Lawn Signs and Mailers 1445 Monterey Highway, San Jose, CA, 95110 1 $7,462.49 New SV Media, Inc 64 W. 6th Street, Gilroy, CA, 95020 PRT $611.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $9,556.49 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 13,949.26 2. Unitemized payments made this period of under $ 100 ................................................... ..................... :.................................................................. $ _ _ none 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) .............................................. ............................... $ none 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 13, 949.26 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Carolyn Tognetti SCHEDULE E (CONY) (Continuation Sheet) Amounts may be rounded to whole dollars. Statement covers period ®. A ® ,� Payments Made Chrys Diskowski from 10/23/2016 FPg, • - SEE INSTRUCTIONS ON REVERSE $150.00 throu g h 12/31/2016 6 of 7 NAME OF FILER Gilroy, CA, 95020 MTG $138.63 Edge Design 711 4th Street, Gilroy, CA, 95020 PRO $2,000.00 FPPC Annual FPPC registration fee for 2017 1500 11th Street, Room 495, Sacramento, CA, 95814 $50.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $3,842.77 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Sandie Silva Gilroy, CA, 95020 MBR $525.00 Squarespace www.squarespace.com SQUARESPAC 6465803456 NY 6465803456 NY MBR $25.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $550.00 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc ;ca.gov