1991/01/01 - 1991/06/30 - Gilroy Fire Fighters PAC - Form 450
NAME OF COMMITTEE:
G,'IY"CJl h.-e Fi hkrs Pold,cll; fk/,o ~h1it1;fJee
ADDRESS FCOMMITTEE: NOANDSIREEl
7070 Che.s-J."I.A st. P.6, 130x hS
I
NAME OF TREASURER: i.
C &" I3en-/J"n
PERMANENT ,(DDRESS OF TREASURER:
7070 C es ".j S+.
DA TE OF ELECTION (MO. DAY. YR.j (If AP
:I
FORM 450
1990
RECIPIENT COMMITTEE CAMPAIGN
STATEMENT - SHORT FORM
For use by recipient committees which have not received a contribution or
a miscellaneous receipt from any single source totaling $100 or more
during the calendar year. A committee may NOT use this form if during
the calendar year it received a contribution of S 1 00 or more, received or
made loans, has accrued expenses or outstanding enforceable promises
received.
(Type or Print in Ink)
Statement covers period 11'i(lthrough J"ne.. 3" ,/'t1/.
CHECK ONE OF THE FOLLOWING BOXES TO IN ICATE THE TYPE OF STATEMENT BEING FILED:
o PRE-ELECTION STATEMENT 0 BALLOT MEASURE QUALIFICATION
g'SEMI-ANNUAL STATEMENT STATEMENT
o SUPPLEMENTAL PRE-ELECTION 0 SPECIAL ODD-YEAR CAMPAIGN
STATEMENT (II 1111119 a Supplemental REPORT
Pre-ElectIOn Statement, attach a
completed Form 495.)
o TERMINATION STATEMENT
(Attach a completed Form 415)
CIIY
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NO. AND SI REU
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A FOR OFFICIAL USE ONLY
1.0 NUMBER 9
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3
AREA COD~IPHONt NUMIl~R
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LIP COUl AK~A (OD~/DA Y lIM~ PHONE NUMijlR
t.j()f '.fi tf '0370
IS THIS A CONTROLLED COMMITTEE?
~YES N
IS THIS A SPONSORED COMMITTEE?
YES 0 NO
IS THIS A BROAD BASED COMMITTEE?
DYES B-NO
VERIFICATION
THIS COMMITTEE HAS NOT RECEIVED ANY CONTRIBUTIONS, CUMULATIVE CONTRIBUTIONS OR MISCELLANEOUS RECEIPTS FROM A SINGLE
SOURCE TOTALING $100 OR MORE WHICH MUST BE ITEMIZED. AND THIS COMMITTEE HAS NOT MADE OR RECEIVED LOANS.
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 CAL
&~/yov c'lk"Hf4.-
I (CIIY AND STAlE)
EXECUTED ON 7-15"-91 AT
(DAlE)
BY
A CANDIDATE. OFFICEHOLDER OR STATE MEASURE PROPONENT WH CONTROLS A COMMITTEE ALSO MUST VERIFY
THE CAMPAIGN STATEMENT.
I HAVE USED AU REASONABLE DILIGENCE AND TO THE BEST OF MY KNOWLEDGE THE TREASURER HAS 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 AT BY
(DATE) (CITY AND STATE) (SIGNATURE Of CANDIDArElOfflCEHOlDERlPROPONENTiRESPONSlllLE OfFlCERI
EXECUTED ON AT BY
(DATE) (CITY AND STATE) (SIGNATURE Of CANDIDA n/OfflCEHOlDERlPROPONEN II
EXECUTED ON AT BY
(DATE) (CITY ANO STAIEI (SIGNATURE Of CANDIDAIE/OffICEHOlDERlPROPONENT)
For information required to be provided to you pursuant to the Information Praaices Act of 1977, see Information Manual on CdmOiliQn Disclosure
Provisions of the Political Re form Act.
-1-
EXPENDITURES MADE
1. Expenditures of $100 or more this period ............................................................................. $ 0
$ 0
2. Expenditures under $100 (not itemized) .. .......... .............. ..... ....... ....... ....... ..... ....... ............ .._
3. Total expenditures this period (Line 1 + 2) .........................................................................._ $ 6
4. Cumulative expenditures from prior statement (Line 5 of the last statement filed.
If this is the first statement for the calendar year, enter Zero.) ............................................ $ d
5. Cumulative expenditures to date (Line 3 + 4) $ 0
, .
I
,
RECIPIENT COMMITTEE CAMPAIGN STATEMENT -- SHORT FORM
FORM 450
; 1~
SUMMARY
(Amounts May Be Rounded To Whole Dollars)
CONTRIBUTIONS RECEIVED
6. Monetary contributions received this period ... ....... ..... ..... ... ......... ..... ....... .......... ..... ....... ........
7. Non-monetary contributions received this period ...... ..... ... ....... .................... .......... ..... ........._
8. Cumulative total from previous period (monelary and non-monetary) (Line 9 of last
statement filed. If this is the first statement for the calendar year, enter Zero.) ..................
9. Cumulative contributions received to date (Line 6 + 7 + 8)
CASH FLOW STATEMENT
10. Cash on hand at beginning of period (Must be the same as
"Cash on Hand at End of Period," Line 14, from the last statement filed.) .............................
11. Cash receipts this period (Line 6) ............................................................................................
12. Miscellaneous increases to cash ........................ ..................................... ................................
13. Cash expenditures this period (Line 3) ..... ......... ................... ....... ....... ............ ....... ....... ..........
14. Cash on hand at end of period (Line 10 + 11 + 12 - 13).........................................................
-2-
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/-1-'71
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