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Tucker, Cat - Form 410 (City Council 2016 - termination)StAtement of Organization Recipient Committee Statement Type ❑ Initial ❑ Amendment Q Not yet qualified or 0 Date qualification threshold met Date qualification threshold met NAME OF COMMITTEE Cat Tucker for City Council 2016 JURISDICTION WHERE COMMITTEE IS ACTIVE City of Gilroy Attach additional information on appropriately labeled continuation sheets. _ RECEIVED , i r •- ® Termination See Part 5 VE'D For Official Use Only JAN 2 5 2021 b,Date of ter i atio CITY LE YS OFFICE ,CA III ! 4 —1 Am _ :A NAME OF TREASURER Scott Dockendorf STREET ADDRESS (NO P.O. BOX) NAME OF ASSISTANT TREASURER, IF ANY D Cat Tucker NAME OF PRINCIPAL OFFICER(S) D Cat Tucker 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 MEASURE 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 (August/2018) FPPC Advice: (866/275-3772) Statement of Organization Recipient Committee as INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Cat Tucker for City Council 2016 1298566 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Union Bank AREA CODE/PHONE 408-848-2162 BANK ACCOUNT NUMBER ADDRESS CITY • STATE ZIP CODE 8000 Santa Teresa Blvd Gilroy CA 95020 Controlled Committee • 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. ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE D Cat Tucker City Council of Gilroy 2016 Nonpartisan Partisan Nonpartisan Partisan Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATES) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) (list political parry below) (list political party below) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Advice: (866/275-3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Cat Tucker for City Council 2016 1 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 Gilroy City Council Seat List additional sponsors on an attachment. NAME OF SPONSOR IINDUSTRY GROUP OR AFFILIATION OF SPONSOR CALIFORNIA 410 Page 3 FORM I.D. NUMBER 1298566 STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE Small Contributor Committee • 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 (August/2018) FPPC Advice: (866/275-3772)