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2012/07/01 - 2012/12/31 - Gilroy Fire Fighters PAC - Form 425Semi - Annual Statement of No Activity Type or print in ink STATEMENT OF NO ACTIVITY f te St t �amp CALIFORNIA I ' For use by recipient committees that have not received any contributions and have not made any expenditures JAN fy� JAN 2013 during the six -month period covered by a semi - annual statement. Candidate controlled committees formed for ;; r CLERKS C c For Official Use Only an elective office may not use this form. See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information and information required to be provided to you pursuant to the Information Practices Act of 1977. I.D. NUMBER 1. Committee Information 900434 Treasurer(s) COMMITTEE NAME NAME OF TREASURER Gilroy Fire Fighters Political Action Committee James Buessing MAILING ADDRESS PO Box 875 STREETADDRESS (NO P.O. BOX) CITY STATE ZIPCODE AREA CODE /PHONE 7070 Chestnut St Gilroy CA 95020 408.499.5696 CITY STATE ZIP CODE AREACODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY Gilroy CA 95020 408.499.5696 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET MAILINGADDRESS PO Box 875 CITY STATE ZIP CODE AREACODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408.499.5696 OPTIONAL: FAX /E -MAIL ADDRESS OPTIONAL: FAX /E -MAIL ADDRESS Iocal2805 @charter.net fax - 408.852.1823 2. Period of No Activity No contributions have been received and no expenditures have been made during the period covering the dates below: Check one of the following boxes and complete the year. ❑ January 1, through June 30, 20 91 July 1, through December 31, 20 12 3. Verification I have used all reasonable diligence in preparing this statement. I have reviewed the statemenithe to est 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 th f is true and correct. 1!15/13 By 11 Executed on DATE SIGN UREOFTREASURER/ SISTANTTREASURER FPPC Form 425 (Jan /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC 866/275 -3772 Semi - Annual Statement of No Activity Type or print in ink Date Stamp For use by recipient committees that have not received any contributions and have not made any expenditures during the six -month period covered by a semi - annual statement. Candidate controlled committees formed for an elective office may not use this form. See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information and information required to be provided to you pursuant to the Information Practices Act of 1977. 1. Committee Information 1 900434 COMMITTEE NAME Gilroy Fire Fighters Political Action Committee STREET ADDRESS (NO P.O. BOX) 7070 Chestnut St CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408.499.5696 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET PO Box 875 CITY STATE ZIP CODE AREACODE/PHONE Gilroy CA 95020 408.499.5696 OPTIONAL: FAX/ E -MAIL ADDRESS 2. Period of No Activity Treasurer(s) NAME OF TREASURER James Buessing MAILING ADDRESS PO Box 875 STATEMENT OF NO ACTIVITY For Official Use Only CITY STATE ZIP CODE AREACODE /PHONE Gilroy CA 95020 408.499.5696 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX /E- MAILADDRESS Iocal2805 @charter.net fax - 408.852.1823 No contributions have been received and no expenditures have been made during the period covering the dates below: Check one of the following boxes and complete the year. ❑ January 1, through June 30, 20 0 July 1, through December 31, 20 12 3. Verification have used all reasonable diligence in preparing this statement. I have reviewed the statement true and complete. I certify under penalty of perjury under the laws of the State of California th; Executed on 1/15/13 By -� DATE of my knowledge the information contained herein is is true and correct. TREASURER FPPC Form 425 (Jan /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC 866/275 -3772