GILPAC - Form 460 - 20120701 - 20121231 - AmendmentRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
SEE INSTRUCTIONS ON REVERSE
fro
Type or print in ink.
Statement covers period I Date of election if applicable:
m
July 1, 2012 (Month, Day, Year)
through
December 31, 2012
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Also Complete Part 5) O Sponsored
®
(AlsoCom
General Purpose Committee oletePart 6)
® Sponsored
Q Small Contributor Committee
0 Political Party /Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1347327
IF NO COMMITTEE)
Gilroy Political Action Committee (GILPAC), Sponsored by the Gilroy
Chamber of Commerce
STREET ADDRESS (NO P.O. BOX)
7471 Monterey Street
CITY STATE ZIP CODE AREA CODE /PHONE
Gilroy Ca 95020 408 - 842 -6437
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
2. Type of Statement:
Dade Stamp
iy
COVER PAGE
Page 1 of
For Official Use Only
❑ Preelection Statement ❑ Quarterly Statement
Semi - annual Statement ❑ Special Odd -Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
(� Amendment (Explain below)
Fix Summary Page and Add Schedule E Page
Treasurer(s)
NAME OF TREASURER
Susan Valenta
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX / E -MAIL ADDRESS
STATE ZIP CODE AREA CODE /PHON
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of
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 ControllingOificeholder ,Candidate,StateMeasureProponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from July 1, 2012
SUMMARYPAGE
through December 31, 2012 page 3 of
SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
Gilroy Business Political Action Committee (GILPAC), Sponsored by Gilroy Chamber of Commerce 1347327
Expenditures Made
6. Payments Made ........................ ............................... Schedule E, Line 4 $
7. Loans Made .............................. ............................... Schedule H, Line 3
8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3
10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $
12420.13 $
0.00
12420.13 $
226.50
0.00
12646.63 $
Current Cash Statement
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16
TOTALTHISPERIOD
CALENDARYEAR
Running in Both the State Primary and
14053.60
(FROMATTACHED SCHEDULES)
TOTALTO DATE
General Elections
14053.60 $
14293.61
1. Monetary Contributions ............ ...............................
Schedule A, Line 3
$
12420.13
1/1 through 6/30 7/1 to Date
0.00
0.00
1862.48
2. Loans Received ....................... ...............................
Schedule B, Line 3
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
14053.60 $
14293.61
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 +2
$
$
Received $ $
0.00
655.00
$
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
21. Expenditures
14053.60 $
14948.61
Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3 +4
$
Expenditures Made
6. Payments Made ........................ ............................... Schedule E, Line 4 $
7. Loans Made .............................. ............................... Schedule H, Line 3
8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3
10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $
12420.13 $
0.00
12420.13 $
226.50
0.00
12646.63 $
Current Cash Statement
229.01
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16
$
14053.60
13. Cash Receipts .................... ............................... Column A, Line 3 above
0.00
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
12420.13
15. Cash Payments ................... ............................... Column A, Line 8 above
Line 15
$
1862.48
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
$
0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... See instructions on reverse
$
0.00
226.50
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above
$
12431.13
0.00
12431.13
226.50
0.00
12657.63
To calculate Column B, add
amounts in Column A to 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)
I $
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule E
j.
(Continuation Sheet)
Payments Made
SEE INSTRUCTII
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Gilroy Business Political Action Committee (GILPAC), Sponsored by Gilroy Chamber of Commerce
SCHEDULE E (CONT.)
Statement covers period CALIFORNIA
from July 1, 2012 FORM
through December 31, 206 Page of
I.D. NUMBER
1347327
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
Don Gage for Mayor 2012, Gilroy Ca 95020
#1346217
CTB
250.00
Cat Tucker for City Council, Gilroy Ca 95020
#1298566
CTB
250.00
Terri Aulman for Gilroy City Council 2012, Gilroy Ca 95020
#1348250
CTB
250.00
Committee to Elect Woodward (Perry Woodward), Gilroy Ca 95020
#1348961
CTB
250.00
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1000.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)