Gilroy Growing Smarter - Form 410 - Amendment (3)Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
02 08 /2016
Date qualified as committee
1. Committee information
NAME OF COMMI : i :::i-
Gilroy Growing Smarter
® Amendment
List I.D. number:
#1383355
02 /08 /2016
Date qualified as committee
(II applicable)
❑ Termination — see Part 5
List I.D. number:
Date of Termination
STREET ADDRESS (NO P.O. BOX)
7690 Santa Theresa Drive
CITY STATE ZIP CODE AREA CODE /PHONE
Gilroy CA 95020 (408)968 -7906
MAILING ADDRESS (IF DIFFERENT)
820 Carignane Dr., Gilroy, CA, 95020
FAX /E-MAIL ADDRESS
gilroygrowingsmarter @gmail.com
COUNTY OF DOMICILE t1URFID ICTION WHERE COMMITTEE 15 ACTIVE
Santa Clara Gilroy, California
Date Stamp
For Official Use Only
MAR - 9 2017
2. Treasurer and Other Principal Officers
NAME OF TREAY .Pa f. It
Carolyn Tognetti
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
Gilroy CA 95020 (
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
Constance Rogers
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
Attach additional information on appropriately labeled continuation sheets.
Gilroy CA 95020 (
3. Vedification
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.
'7
PROPONENT
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 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
Gilrov Growina Smarter aA 1383355
• 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 NUMBER
0062599519
STATE ZIP CODE
8000 Santa Teresa Boulevard Gilroy CA 95020
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e of Gr i eh� I)cab[e secfiins ,r m. ::.
°`,,.?_- ,. ,.s . ... �. ...._:. �_.. ,�d.,,,� _, si'.a..a�r s 4"'m.,...., �. ?_ .__. ,.....__.. _ Ni ., ..N;"•
• 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
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 APPLICABLE)
FPPC Form 410 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca,gov
SUPPORT
OPPOSE
'um
In-
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
Pagel
COMMITTEE NAME
LID. NUMBER
Gilrov Growina Smarter M11383355
• • Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
I] CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Provide information to gilroy citizens through newsletter and website regarding quality of life issues important to them.
• • List additional sponsors on an attachment.
NAME OF SPONSOR IINDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE
❑ t
Date qualified
��<.`�:" ('3a4:fE� � .. _ ..: ,s .i •, n , �t`easu a :ii' o� undid 4 of�iTo � - ;, . ;..< ; , .
• 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