1990/01/01 - 1990/06/30 - Gilroy Fire Fighters PAC - Form 420
COVER PAGE 1
. GENERAL PURPOSE RECIPIENT COMMITTEE (INCLUDING "POLITICAL COMMITTEES," "'J..,
"BROAD BASED POLITICAL COMMITTEES," AND POLITICAL PARTIES) PAG ,.!:, 1 OF' ~?;>,
(Government Code Sections 84200-84216.5) <\\- 7
FORM 420 (Type or Print in Ink) /('j' --?..
-" II' r,., . ,..
1990 Statement covers period 1-1-90 through 6-30-90 ('" '9.9() '>
CHECK ONE Of THE fOUOWING 80XES TO INDICATE THE TYPE Of STATEMENT BEING fiLED: \' ell'; CLERK's. ~
O 0 SUPPLEMENTAL PRE-ELECTION STATEMENT (If ell b 0/,
PRE-ELECTION STATEMENT filing iI Supplementill Pre-Election Stiltement. you "flVy ;',(,
SEMI-ANNUAL STATEMENT must complete Form 495 ilnd ilttach itto this' Ct1
o TERMINATION STATEMENT stiltement.)
Attilch iI Form 415 to this Form 420 0 SPECIAL ODD-YEAR CAMPAIGN REPORT
OfFictfAL, ps~ ?,NL Y
-.._....'..2:.:....;..-..
IMPORTANT
BEFORE COMPLETING fORM 420, REfER TO THE INfORMATION SHEET AT THE FRONT OF THE FORM TO DETERMINE
WHICH COVER SHEET AND WHICH SCHEDULES ARE APPLICABLE TO YOUR COMMITTEE.
SECTION A: COMMllTEE WHICH MAKES CONTRIBUnONS TO CANDIDATES AND TO OTHER COMMllTEES WHICH
CONTRIBUTE TO CANDIDATES (CANDIDATE ACCOUNn, OR SINGLE COMMllTEE WHICH HAS A "CANDIDATE ACCOUNT"
AND A "NON-CANDIDATE ACCOUNT"
NAME OF COMMITTEE:
1.0. NUMBER
Gilroy Fire Fighters, Political Action Committee
ADDRESS OF COMMITTEE: NO. ANU STIlEEl CITY
7070 Chestnut St. Gilroy
NAME OF TREASURER:
Clay Bentson
PERMANENT ADDRESS OF TREASURER:
7070 Chestnut St.
AllEA COOE/PHONE NUMBER
STATE
ZI P COOE
CA
95020
408-842-c;6c;6
NO. AND STREET
. CITV STATE ZIPCODE AIlEACODfJDAYTIME PHONE NUMBER
Gilroy CA 95020 408-842-5656
IS THIS A BROAD BASED POUTlCAL COMMmEE? (See definition on reverse)
IS THIS A SPONSOREO COMMITTEE? (See definition on reverse)
~ YES ~ NO
DYES
ONO
DATE OF ELECTION (hII0.. DAY, VII.lIlf PIIE.flECTION STATEMENl);
SECTION B: COMMllTEE WHICH- DOES NOT MAKE CONTRIBUTIONS TO CANDIDATES OR TO OTHER COMMllTEES THAT
CONTRIBUTE TO CANDIDATES (NON-CANDIDA TE ACCOUNn
ADDRESS OF COMMITTEE:
STATE
\'.0. NUMBE'
AIlEA CODE/PHONE NUMBER
NAME OF COMMITTEE:
NO. AND STIlEET
OTY
ZI P CODE
NAME OF TREASURER:
PERMANENT ADDRESS OF TREASURER:
NO. AND STIIE~ 1
CHY
STATE
ZI P CODE AIlEA CODEIOA VTlME PHONE NUM8ER
IS THIS A SPONSORED COMMITTEE? (5.. definition on reverse)
DYES 0 NO
VERI FICA TION
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 AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE.
I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALI
EXECUTED ON f ' 1.-~ ''1v
(DATE)
AT _GJ /n,u al:&I"h1-"'k__ B _
~NI)SIA1t)
~ "
AT_~~'::fu_/;tL-ln ___ BY
((IfY ANI) SIAn)
EXECUTED ON <5'.-:Lt'9o
(DATE)
FOR INFORMA TlON REOUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMA TlON PRACTICES ACT OF 1977, SEE INFORMA TlON MANUAL ON
CAMPAIGN DISCLOSUR~ PROVISIONS OF THE POLITICAL REFORM ACT
CANDIDATE ACCOUNT
SCHEDULE A
MONETARY CONTRIBUTIONS RECEIVED
FORM 420
(Amounts May Be Rounded To Whole Dollars)
PAGE OF
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-90 6-30-90
NAME OF COMMITTEE:
Gilroy Fire Fighters, Pol itical Action Committee
1.0, NUMBER
900434
DATE
REC'D.
FULL NAME AND ADDRESS OF CONTRIBUTOR
OCCUPATION
EMPLOYER
AMOUNT
(If COMhIIITTEE.IN AOOlTION TO COMMITTEE'S NAME AND AOO/IESS,
ENTERI.D. NUM8fR Ofl.lf NO I.D. NUMBER HAS BEEN ASSIGNED.
ENTER THE TIlEASU/lER'S NAME AND AOO/IESS)
~f SELf-EMPlOYED, ENTER
NAME Of BUSINESS)
Occupation:
f1fCfIVED CUMULATIVE
THIS PElUOO TO DATE
4-3-90
Gilroy Fire Fighters
7070 Chestnut St.
Gilroy, CA 95020
CALENDAR YEAR:
S 500.00
Employer:
500.00
FISCAL YEAR:
S
Clay Bentson, Treasurer
7070 Chestnut St.
Gilroy, CA 95020
Occupation:
o
CALENDAR YEAR:
S
Employer:
FISCAL YEAR:
S
Occupation:
LENDAR YEAR:
Occupiltion:
Employer:
Occupation:
LENDAR YEAR:
Employer:
LENDAR YEAR:
Employer:
Occupation:
lENDAR YEAR:
Employer:
Occupation:
LENDAR YEAR:
Employer:
FISCAL YEAR:
S
SUBTOTAL
$ 500.00
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~ ; ~~ {.\:f'<~t~d@
" "" ~ -:: </X: "~:-: ;":<..~::::
.. ~ ~~ \\~ii,,(\~.~t:
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SUMMARY
1. AMOUNT RECEIVED THIS PERIOD - CONTRIBUTIONS OF $100 OR MORE
(Include all Schedule A subtotals) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. AMOUNT RECEIVED THIS PERIOD - CONTRIBUTIONS OF LESS THAN $100 (Not
itemized). . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. TOTAL MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD
(Line 1 + Line 2) Enter here and on the Candidate Account Summary Page. Column B.
Line 1..,.......,..,..,.....................................""......,..,......
$ 500.00
o
$ 500.00
CANDIDATE ACCOUNT
SCHEDULE E
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
FORM 420
(Amounts Ma Be Rounded To Whole Dollars)
NAME OF C:QMMITTE,E: .
Gilroy Fire Fighters, Pol itical Action Committee
PAGE OF
STATEMENT COVERS PERIOD
FROM
1-1-90
1.0, NUMBE~
900434
THROUGH
6-30-90
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. (Note exceptions
on the back ofthis schedule for codes "C", "'" and "T".) Refer to the back ofthis schedule and the back of the
Schedule E Continuation Sheet for detailed explanations of each category.
"C" -- MONETARY 8< IN-KIND CONTRIBUTIONS
"S" - SURVEYS. SIGNATURE GATHERING. DOOR- TO-DOOR
SOLICITATIONS
"I" - INDEPENDENT EXPENDITURES
"F" - FUNDRAISING EVENTS
"G" -GENERAL OPERATIONS AND OVERHEAD
"T" - TRAVE~ ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED.
SEE 8A,-K OF SCHEDULE E.)
"P" - PROFESSIONAL MANAGEMENT AND
CONSULTING SERVICES
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Payment" column.
IMPORTANT: Do not itemize the payment of accrued expenses on Schedule E. Report only the lump sum of these
payments on Line 4 of the Summary section, below.
"L" -- LITERATURE
"B" - BROADCAST ADVERTISING
"N" - NEWSPAPER AND PERIODICAL ADVERTISING
"0" - OUTSIDE ADVERTISING
NAME AND ADDRESS OF PA YEE. CREDITOR OR
RECIPIENT OF CONTRIBUTION AMOUNT
(If COMMlrrEE. IN ADDITION 10 COMMITTEE'S PAID
NAME AND ADDRESS, ENTER I.D. NUMBER
OR, If NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER IHt CODE DR DESCRIPTION OF PAYMENT
TREASURER'S NAME AND ADDRESSl
.
SUBTOTAL $ I
IMPORTANT: Contributions and expenditures made out of campaign funds to or on behalf of officeholders,
candidates, committees or ballot measures must also be entered on the Anocation Page at the front of the form.
SUMMARY
1. PAYMENTS OF $100 OR MORE MADE THIS PERIOD $
(Include all Schedule E subtotals) ..... ..... ...... ...... ....... .......... ..... ........................... ...... ...... ............
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) ............................................................. ,.
35.00
3. TOTAL INTEREST PAID THIS PERIOD ON OUTSTANDING lOANS
(Schedule B, Part 2, Column (d)) ...............................................................................:..................
4. TOTAL ACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Schedule F, Line 4) ....................
5. TOTAL PAYMENTS THIS PERIOD (Line 1 + 2 + 3 + 4) Enter here and on the Candidate
Account Summary Page, Column B, Line 8 ... .............. ..........-........
$
~c;.oo
NON-CANDIDATE ACCOUNT
SCHEDULE E
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
FORM 420
(Amounts Ma Be Rounded To Whole Dollars)
PAGE 1 OF
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-90 6-30-90
J.D. NUII(1BE,R
900434
NAME OF COMMITTEE:
G i I ro Fire
Pol itical Action Committee
CODES fOR CLASSifYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. (Note exceptions
on the back of this schedule for codes "C", "'" and "T".) Refer to the back of this schedule and the back of the
Schedule E Continuation Sheet for detailed explanations of each category.
"C" - MONETARY a IN-KIND CONTRIBUTIONS
01" - INDEPENDENT EXPENDITURES
"L" - LITERATURE
"8" - BROADCAST ADVERTISING
"N" - NEWSPAPER AND PERIODICAL ADVERTISING
"0" - OUTSIDE ADVERTISING
"S" - SURVEYS. SIGNATURE GATHERING. DOOR-TO-DOOR
SOllaT A TIONS
"F" - FUNDRAISING EVENTS
"G" - GENERAL OPERATIONS AND OVERHEAD
"T" - TRAVEL. ACCOMMODATIONS AND MEALS
"p. - PROFESSIONAL MANAGEMENT AND
CONSULTING SERVICES
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Payment" column.
IMPORTANT: Do not itemize the payment of accrued expenses on Schedule E. Report only the Il,Jmp sum of these
payments on line 4 ofthe Summary section, below.
NAME AND ADDRESS OF PAYEE. CREDITOR OR
RECIPIENT OF CONTRIBUTION AMOUNT
(If COMhIIlTTEE, IN AOOtTION TO COMhIIlnEE'S PAID
NAhIIE ANO ADOIlESS, ENTERI.D. NUMBER
OR, If NO 1.0. NUMBER HAS BEEN ASSIGNED, ENTER THE CODE OR DESCRIPTION OF PAYMENT
TREASUIlEA'S NAME AND AOOIlESSl
.
SUBTOTAL $ I
IMPORTANT: Contributions and expenditures made out of campaign funds to or on behalf of other committees or
ballot measures must also be entered on the Allocation Page, at tlie front of the form.
SUMMARY
1. PAYMENTS OF $100 OR MORE MADE THIS PERIOD
(Include all Schedule E subtotals) .................. ..... .......... ....... ..... ..... ....... ................. ..... ..... ....... ..... $
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) ........................................................... ....
r;o 00
3. TOTAL INTEREST PAID THIS PERIOD ON OUTSTANDING LOANS .
(Schedule 8, Part 2, Column (d)) .. ....... ....... '......... ....... ..... ........... .......... .................. .:..... ..... .........
4. TOTAL ACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Schedule F, line 4) .....................
5. TOTAL PAYMENTS THIS PERIOD (line 1 + 2 + 3 + 4) Enter here and on the Non-Candidate $
Account Summary Page, Column B, Line 8 .................................................................................
50.00