Gilroy Growing Smarter - Form 410 - Amendment (4)Statement of Organization
Recipient Committee R
Statement Type ❑ Initial ® Amendment ❑ Termination — See Part 5
In
Q Not yet qualified
or 02 08 2016
Date qualified as committee — / --.1 ✓ /
02 08 2016 Date qualified as committee Date of termination
I I
1. Committee Information ( I.D. Number 1383355
(if applicable)
NAME OF COMMITTEE
GILROY GROWING SMARTER
STREET ADDRESS (NO P.O. BOX)
7690 Santa Theresa Drive
CITY STATE ZIP CODE AREA CODE /PHONE
Gilroy CA 95020 408 - 842 -8494
MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
gilroygrowingsmarterC gmail.com
COUNTY OF DO
Santa Clara
ilroy, CA
COMMITTEE 15 ACTIVE
Date Stamp
CEIVED ANO FILE
e office of the Secretary of Sts
of the State of Californla
MAR 0 5 2016
2. Treasurer and Other Principal Officers
For Official Use Only
NAME OF TREASURER
Carolyn Tognetti
STREET ADDRESS (NO P.O. BOX)
820 Carignane Drive
CITY
STATE
ZIP CODE
AREA CODE /PHONE
Gilroy
CA
95020
408- 842 -8583
NAME OF ASSISTANT TREASURER, IF ANY
C')A- J / �ivce-5
go ��2s
STREET ADDRESS (NO P.O. BOX)
'? Sl4M"/�`
P!- /C -2CS,4
J2/, rJE
CITY
STATE
ZIP CODE
AREA CODE /PHONE
4ic l2o
950
�G -g�f� -9vrF
NAME OF PRINCIPAL OFFICER(S)
Constance Rogers
STREET ADDRESS (NO P.O. BOX)
CITY
Attach additional information on appropriately labeled continuation sheets. Gilroy
STATE ZIP CODE AREA CODE /PHONE
CA 95020
3 Verification
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.
Executed on 1-23 - /a By
%DATE y7
Executed on G, L� ' �L7 By
DATE
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 (October /2017)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
wwwjppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COM MITTEE NAME
GILROY GROWING SMARTER
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Union Bank
AREA CODE /PHONE
408 -846 -1236
BANK ACCOUNT NUMBER
0062599519
ADDRESS CITY STATE ZIP CODE
8000 Santa Teresa Boulevard Gilroy CA 95020
4'Type of Committee Complete the applicable sections.
Page 2
I.D. NUMBER
1383355
• 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:' Stating "No party preference" is acceptable.
• 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 YEAR OF
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION
CHECK ONE
PARTY
Prjm�arily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURES) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT DR HELD OR MEASUREIS)JURISDICTION
(INCLUDE DISTRICT NO., CITYOR COUNTY, AS APPLICABLE)
CHECK ONE
T OPPOSE
OPPOSE
FPPC Form 410 (October /2017)
Clear Page Print FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA '
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
GILROY GROWING SMARTER 1383355
4. Type of Committee (Continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
® CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party /Central 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
STREET ADDRESS NO. AND STREET
❑ -/1
Date qualified
CITY
DUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE /PHONE
5. 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.
Clear Page Print FPPC Form 410 (October /2017)
FPPC Advice: advice @fppc.ca.gov ($66/275 -3772)
www.fppc.ca.gov