Dion Bracco - Form 460 - 2012/10/21 - 2012/10/30COVER PAGE
Recipient Committee Type or print in ink. Bate Stamp I I CALIFORNIA
Campaign Statement tip1�' FORM
Cover Page page 1 of 3
(Government Code Sections 84200 - 84216.5) ��o J
Date o
Statement covers period f election if applicable: For official Use Only
10 -20 -2012 (Month, Day, Year)
from
10 -31 -2012
11 -06 -2012
SEE INSTRUCTIONS ON REVERSE through
J. Type of Recipient Committee: All committees -Complete Parts 1, 2, 3, and 4.
2. Type of Statement:
® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Preelection Statement ❑
F-1 Semi - annual Statement ❑
❑
Quarterly Statement
Special Odd -Year Report
0 State Candidate Election Committee Committee
0 Controlled
❑ Termination Statement ❑
Supplemental Preelection
0 Recall
0 Sponsored
(Also file a Form 410 Termination)
Statement -Attach Form 495
(Also Complete Part 5)
(Also Complete Part 6)
❑ Amendment (Explain below)
❑ General Purpose Committee ❑ Primarily Formed Candidate/
• Sponsored Officeholder Committee
• Small Contributor Committee (Also Complete Part 7)
0 Political Party /Central Committee
I.D. NUMBER
Treasurer(s)
3. Committee Information 1340837
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME OF TREASURER
Russ Valiquette
Friends of Dion Bracco for Mayor 2012
MAILING ADDRESS
P.O. Box 1485
CITY STATE
ZIP CODE AREA CODE /PHONE
STREET ADDRESS (NO P.O. BOX)
Gilroy CA
95021 408 472 -0206
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
MAILING ADDRESS
P.O. Box 1485
CITY STATE ZIP CODE AREA CODE /PHONE
STATE
CITY
CA
ZIP CODE AREA CODE /PHONE
95021 408 422 -1734
Gilroy
OPTIONAL: FAX / E -MAIL ADDRESS
OPTIONAL: FAX / E -MAIL ADDRESS
4. Verification
date, State Measure Proponent or a fficer0fSponsor
Date
By
Executed on
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Date
By
Executed on
Signature of Controlling Ofriceholde r,Candidate,StateMeasi r roponent
FPPC Form 460 (January/05)
Date
FPPC Toll
-Free Helpline: 866 /ASK -FPPC (8661276 -3772)
State of California
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Friends of Dion Bracco for Mayor 2012
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Mayor City of Gilroy
RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY 01MIC
Gilroy CA 95020
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
I.D. NUMBER
I
ICONTROLLED COMMITTEE?
❑ YES ❑ NO
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
COVERPAGE -PART2
Page 2 of 3
BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate /Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (86612753772)
State of California
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