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Gilroy Growing Smarter - Form 461 - 01/26/2017Major Donor and Independent Expenditure Committee Campaign Statement SEE INSTRUCTIONS ON REVERSE 1. Name and Address of Filer NAME OF FILER CAROLYN TOGNETTI Gilroy (If filer is other than an individual) Statement covers period from 01/01/2016 through 11/08/2016 CA 95020 Nature ana Interests of Idler (Complete each applicable section.) ® A FILER WHO IS AN INDIVIDUAL MUST LIST THE NAME, ADDRESS, AND BUSINESS INTERESTS OF EMPLOYER OR, IF SELF - EMPLOYED, THE NAME, ADDRESS, AND NATURE OF THE BUSINESS NAME OF EMPLOYER/BUSINESS BUSINESS INTERESTS RETIRED I N/A rl A FILER THAT IS A BUSINESS ENTITY MUST DESCRIBE THE BUSINESS ACTIVITY IN WHICH IT IS ENGAGED A FILER THAT IS AN ASSOCIATION MUST PROVIDE A SPECIFIC DESCRIPTION OF ITS INTERESTS A FILER THAT IS NOTAN INDIVIDUAL, BUSINESS ENTITY, OR ASSOCIATION MUST DESCRIBE THE COMMON ECONOMIC INTEREST OF THE GROUP OR ENTITY Date of election if applicable: (Month, Day, Year) November 8, 2016 <: Date Stamp JAN � 6 211 summary (Amounts may be rounded to whole dollars.) 1. Expenditures and contributions (including loans) of $100 or more made this period. (Part 5.) .................... 2. Unitemized expenditures and contributions (including loans) under $100 made this period .......................... 3. Total expenditures and contributions made this period. (Add Lines 1 + 2.) .... 4. Total expenditures and contributions made from prior statement. (Enter amount from Line 5 of last statement filed. If this is the first statement for the calendar year, enter zero.) ............. 5. Total expenditures and contributions (including loans) made since January 1 of the current calendar year. (Add Lines 3 + 4.) .. ............................... Verification 1 of 3 Official Use Only 11,487.00 110.00 ......................... $ ........... SUBTOTAL $ 11,597.00 ........................... $ 0 TOTAL $ 11,597.00 I have used all reasonable diligence in preparing this statement. I have reviewed the 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. Executed on 01/24/2016 By DATE SIGNA E OF INDIVIDUAL ONOR OR RESPONSIBLE qDFFICER, IF OTHER THAN AN INDIVIDUAL Amendment (Explain): FPPC Form 461 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Major Donor and Independent Expenditure Committee Campaign Statement SEE INSTRUCTIONS ON REVERSE CAROLYN TOGNETTI Amounts may be rounded to whole dollars. Statement covers period • - from 01/01/2016 FORM 11/08/2016 2 3 through Page of 5. Contributions (Including Loans, Forgiveness of Loans, and Loan Guarantees) and Expenditures Made (if more space is needed, use additional copies of this page for continuation sheets.) DATE NAME, STREET ADDRESS, CITY STATE ZIP CODE TYPE OF PAYMENT DESCRIPTION OF PAYMENT CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, AMOUNT THIS CUMULATIVE AMOUNT RELATED TO THIS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF OTHER THAN MONETARY CONTRIBUTION OR LOAN) OR COMMITTEE PERIOD CA DI COMMITTEE RE, GILROY GROWING SMARTER ® Monetary MEASURE H 7690 SANTA TERESA DRIVE Contribution GILROY, CA 95020 ❑ Loan $3,000.00 $3,000.00 32/08/2016 ❑ Non- Monetary FPPC # 1383355 Contribution ❑ Independent Expenditure ® Support ❑ Oppose GILROY GROWING SMARTER ® Monetary Contribution MEASURE H 7690 SANTA TERESA DRIVE ❑ 06/19/2016 GILROY, CA 95020 Loan $137.00 $3,137.00 ❑ Non- Monetary FPPC # 1383355 Contribution ❑ Independent Expenditure ® Support ❑ Oppose GILROY GROWING SMARTER ® Monetary MEASURE H 7690 SANTA TERESA DRIVE Contribution 06/24/2016 GILROY, CA 95020 ❑ Loan $250.00 $3,387.00 ❑ Non - Monetary FPPC #1383355 Contribution ❑ Independent Expenditure ® Support ❑ Oppose GILROY GROWING SMARTER ® Monetary MEASURE H D�jl�7,2O/ 7690 SANTATERESADRIVE Contribution GILROY, CA 95020 ❑ Loan $900.00 $4,287.00 ❑ Non - Monetary FPPC # 1383355 Contribution ❑ Independent Expenditure F-H Support ❑ Oppose SUBTOTAL $ 4,287.00 FPPC Form 461 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275 -3772) www.fppc.ca.gov Major Donor and Independent Expenditure Committee Amounts may be rounded Campaign Statement to whole dollars. SEE INSTRUCTIONS ON REVERSE CAROLYN TOGNETTI Statement covers period CALIFORNIA A � e from 01/01/2016 FORM 11/08/2016 3 through Page of 5. Contributions (Including Loans, Forgiveness of Loans, and Loan Guarantees) and Expenditures Made (if more space is needed, use additional copies of this page for continuation sheets.) DATE NAME, STREET ADDRESS, CITY STATE AND ZIP CODE TYPE OF PAYMENT DESCRIPTION OF PAYMENT CANDIDATE AND OFFICE, MEASUREAND JURISDICTION, AMOUNT THIS CUMULATIVE AMOUNT RELATED TO THIS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF OTHER THAN MONETARY CONTRIBUTION OR LOAN OR COMMITTEE PERIOD CANDIDATE, MEASURE, OR COMMITTEE GILROY GROWING SMARTER ® Monetary MEASURE H 7690 SANTA TERESA DRIVE Contribution GILROY, CA 95020 ❑ Loan $2,000.00 $6,287.00 10/20/2016 ❑ Non - Monetary FPPC #1383355 Contribution ❑ Independent Expenditure ® Support ❑ Oppose GILROY GROWING SMARTER ® Monetary Contribution MEASURE H 7690 SANTA TERESA DRIVE ❑ Loan 11/06/2016 GILROY, CA 95020 $2,000.00 $8,287.00 ❑ Non- Monetary FPPC # 1383355 Contribution ❑ independent Expenditure ® Support ❑ Oppose GILROY GROWING SMARTER ® Monetary MEASURE H 7690 SANTA TERESA DRIVE Contribution 11/08/2016 GILROY, CA 95020 ❑ Loan $3,100.00 $11,387.00 ❑ Non - Monetary FPPC #1383355 Contribution ❑ Independent Expenditure ® Support ❑ Oppose GILROY GROWING SMARTER ❑ Monetary GIFT BASKET FOR MEASURE H 7690 SANTA TERESA DRIVE Contribution SILENT 09/07/2016 GILROY, CA 95020 ❑ Loan AUCTION $100.00 $11,487.00 ® Non - Monetary FPPC #1383355 Contribution ❑ Independent Expenditure ® Support ❑ Oppose SUBTOTAL $ 7,200 FPPC Form 461 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (8661275 -3772) www.fppc.ca.gov