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Don Gage - Form 460 - 2012/01/01 - 2012/06/30 - AmendmentRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from January 1, 2012 through June 30, 2012 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee Q State Candidate Election Committee Q Recall (Also Complete Part 5) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party /Central Committee ❑ Primarily Formed Ballot Measure Committee Q Controlled Q Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1346217 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Don Gage for Major 2012 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE Date of election if appli (Month, Day, Year) November 6, 2012 COVER PAGE ate Stamp ( CALIFORNIA - • Page 1 of 25 4�r:.:• l�:,a For Official Use Only 2. Type of Statement: ❑ 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) Treasurer(s) NAME OF TREASURER Sara Humphrey -Nino MAILING ADDRESS MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this 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 California that the foregoing is true and correct. Executed on 8I l Z'2- BY Date ign T urer or Assistant Tre urer Executed on � 17, I BY Date Signature of Controlling Officeholder, Candid6til, SIM Measure Proponent or Responsible Officer of Sponsor Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Don Gage Type or print in ink. COVERPAGE -PART2 CALIFORNIA .- .1 Page 2 of 25 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT Mayor of Gilroy, California ❑ OPPOSE RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List anycommittees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7- Primarily Formed Candidate /Officeholder Committee List names of officeholders) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) DISTRICT NO. IF ANY CITY STATE ZIP CODE AREA CODE /PHONE 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 Attach continuation sheets if necessary 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 frnm January 1, 2012 SUMMARY PAGE Expenditures Made through June 30, 2012 Page 3 of 25 SEE INSTRUCTIONS ON REVERSE 7. Loans Made .............................. ............................... Schedule H, Line 3 0.0 0.0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ NAME OF FILER 1180.00 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 200.00 I.D. NUMBER Don Gage for Mayor 2012 Schedule C, Linea 0.0 0.0 11. TOTAL EXPENDITURES MADE .... ............................Add 1346217 1380.00 $ 1380.00 Column Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR g Primary Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTO DATE General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 18824.00 $ 18824.00 0.0 0.0 111 through 6/30 7/1 to Date 2. Loans Received ....................... ............................... Schedule e, Line 3 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 18824.00 $ 18824.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0.0 0.0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ..•.• .. .................•••AddLines3 +4 $ 18824.00 $ 18824.00 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 1180.00 $ 1180.00 7. Loans Made .............................. ............................... Schedule H, Line 3 0.0 0.0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 1180.00 $ 1180.00 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 200.00 200.00 10. Nonmonetary Adjustment ........... ............................... Schedule C, Linea 0.0 0.0 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 + 10 $ 1380.00 $ 1380.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ J1 18824.00 0.0 1180.00 17644.00 0.0 0.0 200.00 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) 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 (866/275 -3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded ry to whole dollars. Statement covers period • ' ' January 1, 2012 • from June 30, 2012 4 25 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) WJ IND 3/22/12 Don Gage ❑COM Director -Santa Clara 100.00 100.00 E] OTH Valley Water District Gilroy, Ca 95020 ❑ PTY ❑ SCC ® IND 4/3/12 Joanie Lewis ❑COM Marketer- Costco 250.00 250.00 ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC ® IND 4/3/12 Peter Anello ❑COM Retired 100.00 100.00 E] OTH Point Richmond, Ca 94804 ❑ PTY ❑ SCC W] IND 4/3/12 Bennie & Carol Yamane ❑ COM Retired 250.00 250.00 ❑ OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC ®IND Armand Trumpp ❑❑COH Retired 4/3/12 150.00 150.00 Morgan Hill, Ca 95037 ❑ PTY ❑ ScC SUBTOTAL$ 850.00 x Schedule A Summary Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ................ ............................... 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....... $ 18824.00 ..... $ ........ TOTAL $ NA 18824.00 `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) 'Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. • ' January 1, 2012 from • - • through June 30, 2012 Page 5 of 25 NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE, .D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND George Hall DCOM Retired 4/3/12 ❑OTH 250.00 250.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Joanne Hall ®IND ❑COM Retired 4/3/12 ❑ OTH 250.00 250.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Jerry Strangis ®❑IoM Real Estate - Strangis 4/9/12 E] OTH Properties 250.00 250.00 San Jose, Ca 95136 ❑ PTY ❑ SCC Donald & Lynne Bonino W❑COM Retired 4/9/12 ❑OTH 100.00 100.00 San Martin, Ca 95046 ❑ PTY ❑ SCC Don Christopher ®❑IoM Grower - Christopher 4/3/12 ❑oTH Ranch 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC SUBTOTAL $ 1100.00 `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. January 1, 2012 • - 460 from June 30, 2012 6 25 through Page of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Christina Gage ❑COM Vice President- Fireman's 4/3/12 E] OTH Fund Insurance 250.00 250.00 Point Richmond, Ca 94804 ❑ PTY ❑SCC Karen Christopher ®IND ❑COM Administrative Assistant - 4/3/12 F-1 OTH Christopher Ranch P 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Delores De Francesco ®IND Housewife 4/9/12 ❑OTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Patricia Filice ®IND Self Employed- Patricia 4/9/12 ❑OTH Filice Inc. 250.00 250.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Daniel J McKenzie OIND Self Employed- DJM 4/9/12 ❑OTH Construction 150.00 150.00 Santa Cruz, Ca 95062 ❑ PTY ❑ SCC SUBTOTAL$ 1000.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. January 1, 2012 I � ' FORM from June 30, 2012 7 25 through Page of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR EET A DE O RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF IT .D.N CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) VIND Donald & Sharon Vanni ❑COM Retired 4/9/12 ❑OTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCc Morris & Swanson Inc. ❑IND Public Affairs 4/9/12 W]oTH 250.00 250.00 Los Angeles, Ca 90064 ❑ PTY ❑ ScC Travis & Diana Berry ®IOM Retired 4/9/12 ❑OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCc Angelo Benassi OE]IND Self Employed- Benassi 4/9/12 ❑OTH Brothers 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ ScC Dan & Lynne Vogt VIND Self Employed- Hilltop 4/9/12 ❑OTH Ranch 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ Scc SUBTOTAL$ 950.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC— Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. January 1, 2012 • - • ' from June 30, 2012 8 25 through page of_ NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ZIND William Christopher ❑COM Self Employed - 4/9/12 ❑OTH Christopher Ranch 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Cliff Johnson ®IND E]COM Builder- Old Orchard Co. 4/9/12 ❑OTH 100.00 100.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Viola Carr ®IND Retired 4/9/12 ❑OTH 200.00 200.00 Gilroy, Ca 95020 ❑ PTY ❑ Scc Marie Blankley V]COM Self Employed- CPA 4/9/12 ❑OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Frank Filice OE]IND Retired 4/9/12 ❑OTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ ScC SUBTOTAL$ 900.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. January 1, 2012 O - � • ' from June 30, 2012 9 25 through Page of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (ETITE,ALSENTERI.D.NUMBER) CODE* (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND James Clifford ❑COM Retired 4/9/12 ❑OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Albert & Bunny Filice OCOM Retired 4/9/12 ❑OTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Frank Biafore ®IND Retired 4/9/12 ❑OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Valerie Filice ®IND Self Employed- Filice 4/9/12 ❑OTH Property Management 250.00 250.00 Hollister, Ca 95023 ❑ PTY ❑ SCC Donald Triolo OIND Retired 4/19/12 ❑OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC SUBTOTAL $ 1100.00 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) TvaeorDrintinink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period • . , to whole dollars. January 11 2012 • - ' from through June 30, 2012 [Page 10 of 25 NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMIT-FEE, I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑❑COM RJ Dyer Real Property Investments Real Estate 4/19/12 ®OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑SCC William Workman ®IND ❑ COM Retired 4/19/12 ❑ OTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC 4/19/12 Tom Chavez ®❑COM Retired 100.00 100.00 ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Dorothy Chiesa OCOM Retired 4/19/12 ❑OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Ernest. Fortino ®IND ❑❑OTH Retired 4/19/12 100.00 100.00 Gilroy, Ca 95021 ❑ PTY ❑ SCC SUBTOTAL $ 800.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. January 1, 2012 • R ' from June 30, 2012 11 25 through Page of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR EET ADDRESS ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF .D.N CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) OIND Jeff Martin ❑IoM Self Employed- Frantoio 4/19/12 ❑OTH Grove 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Ric Heinzen V]IND Engineer- Mission 4/19/12 ❑CTH Controls 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Richard Barbed ®IND Retired 4/19/12 0OTH 250.00 250.00 Hollister, Ca 95023 0 PTY ❑ SCC Julia Filice ®IND Retired 4/19/12 00TH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Frank Della Maggiora OIND Retired 4/19/12 ❑OTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC SUBTOTAL$ 800.00 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. January 1, 2012 ORNIA CALIF ' FORM from through June 30, 2012 Page 12 of 25 NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (E COMMITTEE, ALSO ENTER I.D. UMBER) . CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Paul Baxter E]COM Retired 4/19/12 ❑OTH 150.00 150.00 Modesto, Ca 95356 ❑ PTY ❑ SCC Gordon E Farotte ®IND Contractor- Farotte 4/19/12 ❑OTH Construction 125.00 125.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Gary Farotte ®IND Contractor, Farotte 4/19/12 ❑OTH Construction 125.00 125.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC John Kent ®IND Realtor- Pacific Oak 4/19/12 ❑OTH Properties 100.00 100.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Timothy Bumb OCOM Self Employed- The Flea 4/19/12 ❑OTH Market Inc 250.00 250.00 San Jose, Ca 95133 ❑ PTY ❑ SCC SUBTOTAL$ 750.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. January 1, 2012 FORM 460 from through June 30, 2012 Page 13 of 25 NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) VIND George Bumb Jr. Self Employed- The Flea 4/19/12 ❑OTH Market Inc 250.00 250.00 San Jose, Ca 95133 ❑ PTY ❑ SCC Cy Barbaccia ®IND ❑OTH Self Employed - 4/19/12 E] OTH Barbaccia Properties P 250.00 250.00 San Jose, Ca 95123 ❑ PTY ❑ ScC Sara Barbaccia ®IND ❑COM Self Employed - 4/19/12 E] OTH Barbaccia Properties P 250.00 250.00 San Jose, Ca 95123 ❑ PTY ❑ ScC McCarthy Ranch ❑IND Business 4/19/12 ®OTH 250.00 250.00 Los Gatos, Ca 95032 ❑ PTY ❑ ScC Joe McCarthy O❑COM Realtor- McCarthy Ranch 4/19/12 E] OTH 250.00 250.00 Los Gatos, Ca 95032 ❑ PTY ❑ SCC SUBTOTAL$ 1250.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) TvDe orDrint in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. January 1, 2012 ' ORM • from through June 30, 2012 Page 14 of 25 NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 31) IF REQUIRED ( ) OF BUSINESS) ®IND Bas Wafelbakker ❑coM Self Employed - 250.00 250.00 4/19/12 ❑OTH Orthodontist, Dr. Gilroy, Ca 95020 ❑ PTY Wafelbakker ❑ SCC Brian Bumb ®❑coM President- The Flea 250.00 250.00 4/19/12 ❑OTH Market Inc San Jose, Ca 95133 ❑ PTY ❑ SCC Brian Cunningham ®❑coM Real Estate Investor - 200.00 200.00 4/19/12 ❑OTH Cunningham Equities Gilroy, Ca 95020 ❑ PTY ❑ SCC Don Hordness OCOM Self Employed- Royal 250.00 250.00 4/19/12 ❑OTH Oaks Mushroom Farm Gilroy, Ca 95020 ❑ PTY ❑ SCC Diane Schrepfer ®❑IOM Accountant- Stephen 250.00 250.00 4/19/12 ❑OTH Schrepfer Accounting Gilroy, Ca 95020 ❑ PTY ❑ SCC SUBTOTAL $ 1200.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Tvpe or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA A to whole dollars. January 1, 2012 • • • ' from through June 30, 2012 Page 15 Of 25 NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATIONANDEMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ( IFCOMMrrrEE , ALSO ENTER I.D.NUMBER) CODE* (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. t - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Barbara Drewitz ❑COM Retired 100.00 100.00 4/30/12 F1 OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC ®IND 4/30/12 Elizabeth Brown ❑coM 250.00 250.00 ❑ OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Anita & George Sciutto ®❑COD Retired 100.00 100.00 4/30/12 E] OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Jim Cortese ®❑COD Sales Manager- Old Title 4/30/12 ❑OTH Republic 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ ScC George Sammut E]COM Self Employed- Black 4/30/12 F] OTH Bear Diner West 200.00 200.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC SUBTOTAL$ 750.00 1 . , b *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. January 1, 2012 from F through June 30, 2012 of 25 11346217 NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) VEIIND Virgilio Romero Jr Self Employed- Roms 4/30/12 ❑OTH Auto Service 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑SCC Chris & Debbie Stucker ®❑IoM Retired 4/30/12 ❑OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC David Madden ®❑IOM Executive Recruiter- DHR 4/30/12 ❑OTH International 125.00 125.00 San Francisco, Ca 94108 ❑ PTY ❑ SCC Janet Wallace DIOM Escrow Manager- Old 4/30/12 ❑OTH Republic Title 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Rocke & Glenda Garcia ®IND Home Builder- Glen Rock 4/30/12 ❑OTH Builders 250.00 250.00 San Jose, Ca 95123 ❑ PTY ❑ SCC SUBTOTAL$ 825.00 . *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary ContrIDuilonS Received Amounts may oerounaea Statement covers period - to whole dollars. • ' January 1, 2012 from • - • through June 30, 2012 Page 17 of 25 NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. t - DEC. 31) (IF REQUIRED) OF BUSINESS) Mark Sanchez ZCOD Realtor- Colliers 4/30/12 ❑OTH International 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Danny Murunday ®IOM Manager- Long House 4/30/12 ❑OTH Restaurant 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Mike Conrotto ® ❑❑COD Self Employed- EMSEE 4/30/12 OTH Properties & Investments 100.00 100.00 Gilroy, Ca 95020 ❑ PTY Inc ❑ SCC Jeff & Barbara Orth V]coD Wealth Advisor- 4/30/12 ❑OTH Integrated Financial 100.00 100.00 Gilroy, Ca 95020 ❑ PTY Benefits Network ❑ SCC Frank & Christine Flautt ®❑COD Retired 4/30/12 ❑oTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC SUBTOTAL$ 800.00 `Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) 'Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. January 1, 2012 from F through June 30, 2012 page 18 o NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OR CONTRIBUTOR F AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( IFCOMMITiEE ,ALSO ENTER I.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) IND ®❑COM Joseph Aiello Farmer- Uesugi Farms 4/30/12 ❑OTH 250.00 250.00 Morgan Hill, Ca 95037 ❑ PTY ❑ ScC Peter Aiello El Farmer- Uesugi Farms 4/30/12 ❑OTH 250.00 250.00 San Juan Bautista, Ca 95045 El PTY ❑ SCC Barbara Biafore ®IND Retired 5/11/12 ❑OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Stephen Taylor ®IND ❑❑CO Self Employed- Taylor 5/11/12 Office 250.00 250.00 Hollister, Ca 95023 ❑ PTY ❑ SCC Mike Wasserman ZIND Supervisor- Santa Clara 5/11/12 ❑CO County 250.00 250.00 Los Gatos, Ca 95030 ❑ PTY ❑ SCC SUBTOTAL$ 1250.00 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. January 1, 2012 • - 460 from June 30, 2012 19 25 through Page of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE EET A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) IND ®❑IoM Kathy McHenry Retired 5/11/12 ❑OTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Jackie Betchel ®❑IoM Flight Attendant - 5/11/12 ❑OTH Southwest Airlines 250.00 250.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Gary Betchel W❑IOM Ranch Manager- Sea 5/11/12 ❑OTH View Ranch 250.00 250.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Recology Inc �COM Garbage /Recycling 5/11/12 ®OTH Business 250.00 250.00 San Francisco, Ca 941119796 ❑ PTY ❑ SCC James Cicilian & Laurel Maloney IND 1 ]CO Retired 5/11/12 E]oTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC SUBTOTAL$ 950.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period f__ January 1, 2012 SCHEDULE (CONT) *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee SUBTOTAL$ 1100.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) through June 30, 2012 Page 20 of 25 I.D. NUMBER NAME OF FILER 1346217 Don Gage for Mayor 2012 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) ( IF REQUIRED OF BUSINESS) James Habing ® IND ❑COM Undertaker- Habing's 250.00 250.00 5/11/12 ❑OTH Funeral Home Gilroy, Ca 95020 ❑ PTY ❑SCC Ernest Speno ®❑IOM Manager- Mission Valley 250.00 250.00 5/11/12 ❑OTH Ford Trucks Gilroy, Ca 95020 ❑ PTY ❑ SCC Don Long ®IND ❑COM Consultant- Don Long 250.00 250.00 5/29/12 ❑OTH Consulting Hollister, Ca 95023 ❑ PTY ❑ SCC Richard Mackie ®IND ❑COM Realtor- Coldwell Banker 100.00 100.00 5/29/12 ❑OTH Gilroy, Ca 95020 ❑ PTY Dan Mitchell ❑ SCC ®IND ❑COM CFO- Heinzen LLC 250.00 250.00 5/29/12 ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee SUBTOTAL$ 1100.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Don Gage for Mayor 2012 Type or print in ink. Amounts may be rounded to whole dollars. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME Morgan Hill Engineering OF BUSI NESS) ❑IND ❑COM Business 5/29/12 ®OTH Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Fernando Jimenez ®IND ❑COM Retired 6/27/12 ❑OTH Hollister, Ca 95023 ❑ PTY Laurence &Sara Connell ❑ SCC ®IND ❑COM Retired 6/27/12 ❑OTH Gilroy, Ca 95020 ❑ PTY Stephen Peat ❑ SCC ®IND ❑COM Self Employed - 6/27/12 ❑OTH McDonalds Gilroy, Ca 95020 ❑ PTY Janet Peat ❑ SCC ®I ND Self Employed - 6/27/12 nOTH MCDonalds Gilroy, Ca 95020 ❑ PTY ❑ SCC `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee SCHEDULE A (CONT.) Statement covers period f- January 1, 2012 through June 30, 2012 Page 21 of 25 I.D. NUMBER 1346217 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 250.00 1 250.00 100.00 I 100.00 100.00 1 100.00 250.00 1 250.00 250.00 1 250.00 SUBTOTAL$ 950.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Don Gage for Mayor 2012 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DATE RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) ® IND ❑COM Retired Kevin & Patricia Gilroy 6/27/12 ❑OTH Spring Beach, Tx 78070 ❑ PTY ❑ ScC ❑IND ❑COM Business LJB Farms 6/27/12 W1 OTH San Martin, Ca 95046 ❑ PTY ❑ SCC ®IND Vice President- DeNova Lori Sanson ❑COM 6/27/12 ❑OTH Homes Concord, Ca 94520 ❑ PTY ❑ ScC ®IND ❑COM President- DeNova Dave Sanson 6/27/12 ❑OTH Homes Concord, Ca 94520 ❑ PTY ❑ SCC ®IND ❑COM Self Employed- All Dean Filice 4/9/12 ❑OTH Season Pool Service Gilroy, Ca 95020 ❑ PTY ❑ SCC *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Statement covers period from January 1, 2012 through SCHEDULEA (CONT) June 30, 2012 Page 22 of 25 AMOUNT RECEIVED THIS PERIOD I.D. NUMBER 1346217 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 250.00 1 250.00 250.00 1 250.00 250.00 1 250.00 250.00 1 250.00 25.00 1 25.00 SUBTOTAL$ 1025.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from January 1, 2012 through June 30, 2012 SCHEDULE A (CONT) Page 23 of 25 NAME OF FILER 1 1346217 Don Gage for Mayor 2012 CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF REQUIRED) FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) RECEIVED OF BUSINESS) Self Employed- Leedo Art 25.00 25.00 Charles Clark ®IND ❑COM 4/19/12 ❑OTH &Frames Gilroy, Ca 95020 ❑ PTY ❑ SCC Self Employed- Dentist 75.00 75.00 Phil Buchanan ®IND ❑COM 4/19/12 ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Mario Fiorio ®IND ❑COM Retired 50.00 50.00 4/19/12 ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Henry Coletto ®IND ❑COM Retired 50.00 50.00 4/19/12 ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Retired 50.00 50.00 Thomas Goold ®IND ❑COM 4/19/12 ❑OTH Gilroy, Ca 95020 ❑ PTY r-_1 eflrr `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) SCHEDULE A (CONT.) w _I__1_ A / ^.- r.�ir�..� +iAM1 Chooti T•mn nr mint in lrl l(. - aulluuu1wa n wv .,�- - Monetary Contributions Received Amounts may be rounded dollars. Statement covers period , , to whole January 1, 2012 FORM from through June 30, 2012 Page 24 of 25 I.D. NUMBER NAME OF FILER 1346217 Don Gage for Mayor 2012 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED THIS CALENDAR YEAR TO DATE OCCUPATION AND EMPLOYER IF REQUIRED) DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) RECEIVED OF BUSINESS) David Maggiora ® IND ❑COM Self Employed- Maggiora 50.00 50.00 4/19/12 ❑OTH Bros Drilling Inc Gilroy, Ca 95020 ❑ PTY ❑ SCC Jesse R Avila ®IND ❑COM Self Employed- Avila's 50.00 50.00 5/11/12 ❑OTH Market San Martin, Ca 95046 El PT' ❑ SCc Gloria Silacci ®IND ❑COM Bookkeeper- Filice 25.00 25.00 5/29/12 ❑OTH Accountancy Gilroy, Ca 95020 ❑ PTY ❑SCC Joseph elite ®IND ❑COM Self Employed- Filice 99.00 99.00 5/29/12 ❑OTH Accountancy Gilroy, Ca 95020 ❑ PTY ❑ SCC =IND nn.f nn *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUOIU1HL;P «'T•`�" FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made ni �rnnnic nni RFVFRRF NAME OF FILER Don Gage for Mayor 2012 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from January 1, 2012 through June 30, 2012 Page 25 of 25 I.D. NUMBER 1346217 E If the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CODES: one of MBR member communications RAD radio airtime and production costs CW campaign paraphernalia /misc. MTG meetings and appearances RFD returned contributions CNS campaign consultants OFC office expenses SAL campaign workers' salaries CTB contribution (explain nonmonetary)' PET petition circulating TEL t.v. or cable airtime and production costs CVC civic donations PHO phone banks TRC candidate travel, lodging, and meals RL candidate filing /ballot fees POL polling and survey research TRS staff/spouse travel, lodging, and meals FND fundraising events expenditure supporting /opposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor M LEG independent legal defense PRO professional services (legal, accounting) VOT WEB voter registration information technology costs (internet, e-mail) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Seledon, Vanni, Humphrey, Kawafuchi CPA's 7937 Hanna St Gilroy, Ca 95020 CODE OR DESCRIPTION OF PAYMENT ON Accounting, Bookkeeping, & Treasury Fees " Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ........................................ ............................... 2. Unitemized payments made this period of under $100 .................................................................... ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ......... ............................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ... SUBTOTAL$ ..................... $ ...I .................. $ ...................... $ ......... TOTAL $ AMOUNT PAID 1170.00 1170.00 1170.00 10.00 0.0 1180.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)