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Don Gage - Form 460 - 2012/07/01 - 2012/09/30Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if applicable from July 1, 2012 (Month, Day, Year) through September 30, 2012 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Pad 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ 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 Mayor 2012 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE November 6, 2012 Date Stamp Y� 2. TV1110 of Statement: ;Tpreelection Statement Semi- annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE O_ • Page 1 of 25 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS dongage @verizon.net 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 Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date SignatureofControlling Officeholder, Candidate,State Measure Proponent FPPC Form 460 (January/05) FDDr TMI-P— Nelnlin RRRIa CK -FPPr. fRGR117S_1771% Type or print in ink. COVERPAGE -PART2 Recipient Committee Campaign Statement O CALIFORNIA RM 460 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Don Gage OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor of Gilroy, Ca RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) Page 2 of 25 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE 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 Listnames 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 W I T 01mir Llr uuut: AKtA L.VUt/VNUNL 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 Type or print in ink. SUMMARYPAGE Page Amounts may be rounded Statement covers period - ' Summary to whole dollars. - ' 1 012 • y Jul, ' from through September 30, 2012 paw 3 Of 25 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 11346217 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYE4R Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTO DATE General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 15823.00 34647.00 $ 0.00 1!1 through 6130 711 to Date 2. Loans Received ....................... ............................... Schedule s, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 15823.00 $ 34647.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...••..•••.....•••••..••••• Add Lines 3 + 4 $ 15823.00 $ 34647.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 7078.72 $ 8258.72 Candidates ............................. 7. Loans Made ........................... Schedule H, Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 7078.72 $ 8258.72 (If Subject to Voiuntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0.00 0.00 (mm/dd /yy) 11. TOTAL EXPENDITURES MADE .... ............................Add Lines e + 9 + io $ 7078.72 $ 8258.72 $ -1 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 9 9 $ 17644.00 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3 above 15823.00 amounts in Column A to the 0.00 corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 from Column B of your last reported in Column B. 7078.72 report. Some amounts in 15. Cash Payments .......................... Column A, Line a above Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 26388.28 figures that should be subtracted from previous if this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ 0.00 for this calendar year, only carry over the amounts anm Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts y) 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) SChPrili1P_ 0 Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period • from July 1, 2012 - September 30, 2012 4 Z5 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 �� ZIP DE O 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 OF COMMITTEE ALSO ENTER .D.N CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑lND 18/12 Law Office of Andrea Fortino Business 100.00 100.00 7405 -B Eigleberry Street WJOTH Gilroy, Ca 95020 ❑ PTY ❑SCC lZ IND 7/18/12 Paul Wheeler ❑COM Self Employed - Wheeler 100.00 100.00 1490 Hillview Court ❑OTH Supply Gilroy, Ca 95020 El PTY ❑ SCC ®IND 7/18/12 Marsha Becht ❑COM Self 50.00 50.00 2410 Country Drive ❑OTH Employed- Independent Gilroy, Ca 95020 ❑ PTY Consultant ❑ SCC ® IND 7/18/12 Jim Hoey ❑COM Self Employed -Hoey 99.00 99.00 2480 Hecker Pass Hwy ❑OTH Construction, Inc Gilroy, Ca 95020 ❑ PTY ❑ SCC Bruno Filice ®IND ❑❑CO Retired 7/18/12 1441 Carmel Drive OTH 99.00 99.00 San Jose, Ca 95125 ❑ PTY ❑ SCC SUBTOTAL$ 448.00 Schedule A Summary 1. 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.) ........ ............... $ ............... $ ... TOTAL $ 15823.00 1 11 15823.00 '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 (8661275 -3772) Sr-tiarliilp A Mnntinnation Sheet) Tvne or nrint in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. July 1, 2012 FORM • from through September 30, 2014 Page 5 of ZS' I.D. NUMBER NAME OF FILER 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 CUMULKnVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IFSELF- EMPLAYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Elsie Rebelo ®IND ❑COM Retired 50.00 50.00 7/18/12 2830 San Juan Rd ❑OTH Aromas, Ca 95004 ❑ PTY ❑ SCC Dhrub Khana ®IND ❑COM Self Employed - Kirgin 250.00 250.00 7/18/12 742 Alester Ave ❑ OTH Cellars Palo Alto, Ca 94303 ❑ PTY ❑SCC Pat Ansuini Sr. ®IND ❑COM Gen Contractor -AP 250.00 250.00 7118/12 675 Bolsa Rd ❑OTH Construction Co Gilroy, Ca 95020 ❑ PTY ❑ SCC Eleanor Villarreal ®IND ❑COM Retired 100.00 100.00 7/18/12 1640 Dovetail Way ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Catherine Noll Monahan MIND ❑COM V.P.- Marketing West Inc 250.00 250.00 7/18/12 130 Meadow Crest Lane ❑OTH Walnut Creek, Ca 94595 ❑ 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$ 900.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule A (Continuation Sheet) TvoeorDrintinInk. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded to dollars. Statement covers period CALIFORNIA whole July 1 2012 ' • ' • from through September 30, 201d Page 6 of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 �� ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULKnVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED pFCOMMIDRE ALSO ENTER I.D. NUMBER) CODE * OF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND 7!18112 Ernie Bellezza ❑COM Retired 100.00 100.00 770 Las Animas Ave ❑pill Gilroy, Ca 95020 ❑ PTY ❑SCC Jacquelyn Keavene y ®IND ❑COM Retired 100.00 100.00 7118!12 726 Fifth Street ❑OTH Gilroy, Ca 95020 ❑ PTY []SCC William Filice ZCODM Retired 25.00 25.00 7/18/12 7821 Santa Theresa Dr ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Greg Martinez IND E]COM Self Employed - Gilroy 150.00 150.00 7/18/12 7170 Utica PI ❑OTH Veterinary Gilroy, Ca 95020 ❑ PTY ❑ SCC 7/18/12 Jack Wu MIND �p Retired 200.00 200.00 2111 Columbine Ct HM 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$ 575.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A (Continuation Sheet) Tvoe or Drint in Ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period •. ' to whole dollars. July 1 2012 ' FORM • from through September 30, 201a Page 7 of XO' _ NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 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 OFCOMMnTEE, ALSO ENTER I.D.NUMBER) CODE * OFSELFEMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Scott Lynch ® IND ❑COM Manager -Excel Auto 250.00 250.00 8/6/12 5800 Masoni Place ❑OTH Body Gilroy, Ca 95020 ❑ PTY ❑SCC Barbara & Erwin Boggs ®IND Retired 100.00 100.00 8/6/12 7095 Valley Forge Dr �OTM Gilroy, Ca 95020 ❑ PTY ❑ SCC Allen Siverson ®IND ❑COM Appraiser 100.00 100.00 8/6/12 7291 Carr Place ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Jon & L dia Voorhies y MIND ❑ COM Insurance Broker -PDI 100.00 100.00 8/6/12 9000 El Doric ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Sig Sanchez MIND ❑COM Retired 250.00 250.00 8/6/12 286 Fifth Street ❑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$ 800.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Cr+haf1iaa 0 if[_nntinuation Sheet) Tvne or orint in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . , 46011 to whole dollars. July 1 2012 ' • - from through September 30, 201a Page 8 of- tT 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) John Fagundes ®IND ❑COD Retired 50.00 50.00 8/6/12 12810 Stevens Ct ❑OTH San Martin, Ca 95046 ❑ PTY ❑ SCC Alfred Howard ®IND ❑COM Retired 250.00 250.00 8/6/12 3300 Canada Rd ❑OTH Gilroy, Ca 95020 ❑ PTY Elizabeth Hayden -Kniss ❑ SCC ®IND ❑COM County Supervisor-Santa 100.00 100.00 8/6/12 1985 Cowper Street ❑OTH Clara County Palo Alto, Ca 94301 ❑ PTY ❑ SCC Albert Bettencourt MIND ❑COM Retired 100.00 100.00 8/6/12 228 Chuchill PI ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Sam & Judy ozzo y MIND ❑ COM Retired 100.00 100.00 8/6/12 727 Fifth Street ❑OTH Gilroy, Ca 95020 ❑PTY El SCC SUBTOTAL$ 600.00 *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 (8661275 -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. July 1 ' 2012 ' • • from through September 30, 20 la Page 9 of is' NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 �� DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPD. 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 NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) - ® Justin Short ❑COD Self Employed- Engineer 8/6/12 15680 Foothill Ave ❑O� I 250.00 250.00 Morgan Hill, Ca 95037 ❑ PTY ❑SCC Christine Morales ®IND Secretary -AMG 8/6/12 7015 Valley Forge Dr ooTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Eugene & Ellen Pacchetti IND ®❑COM Self Employed- Engineer 8/6/12 15110 Watsonville Rd ❑OTH 250.00 250.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC 8/6/12 Sil Vest LLC ❑❑COD Business 200.00 200.00 184 E 6th Street ®OTIi Gilroy, Ca 95020 ❑ PTY ❑ SCC Roberty McGrory m❑COM Manager -REM MFG 8/6/12 1950 Portmarwock Way ❑TM O 150.00 150.00 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) Rrhari11IP_ A (Continuation Sheet) Tvne or orint in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts mayberounded Statementcoversperiod CALIFORNIA 460 to whole dollars. July 1, 2012 FORM from through September 30, 2016 Page 10 of I.D. NUMBER NAME OF FILER Don Gage for Mayor 2012 1346217 , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OFCOMMITTEE, ALSO ENTER I.D.NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Scott Herbert ®IND ❑coM Real Estate - Intero 100.00 100.00 816/12 7624 Benassi Dr ❑OTH Gilroy, Ca 95020 ❑ PTY ❑SCC Ronald Gurries ®IND Executive - Gurries 250.00 250.00 8/6/12 301 -C First St FJOTH Enterprises Gilroy, Ca 95020 ❑ PTY ❑ ScC Frank & Carmen Lico ®IND ❑COM Retired 165.00 165.00 8/30/12 1483 Robsheal Dr ❑OTH San Jose, Ca 95125 ❑ PTY ❑ SCC Frank & Susan Bisceglia ®�� ❑]OTH V.P. -UBS Financial 165.00 165.00 8/30/12 1804 Cherry Ave San Jose, Ca 95125 ❑ PTY ❑ SCC Fred Lico MIND ❑coM Retired 170.00 170.00 8/30/12 1416 Glen Ellen Way ❑ OTH San Jose, Ca 95125 ❑ 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$ 850.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule A (Continuation Sheet) Tvoe or Drint in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA ' to whole dollars. July 1, 2012 FORM from through September 30, 201a Page 11 of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, 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) Eric Brandenburg ® IND ❑COM Partner- Brandenburg 250.00 250.00 8/30/12 1122 Willow Street #200 ❑OTH Properties San Jose, Ca 95125 ❑ PTY ❑ SCC Salvan Auto Sales ❑IND Business 100.00 100.00 8/30/12 7161 Moneterey St � Gilroy, Ca 95020 ❑ PTY ❑ SCC Reginald Bravo ®pCN Retired 200.00 200.00 8/30/12 12820 Bravo Ct ❑OTH San Martin, Ca 95046 ❑ PTY ❑ scC John S Kent m❑COM Self Employed -Kent 250.00 250.00 9/20/12 116 Hollow Ct ❑OTH Construction Los Gatos, Ca 95032 ❑ PTY ❑ SCC Angelas Place for Hair & Nails ❑1IN M Business 100.00 100.00 12 3315 Almaden Expy Ste 33 OTH San Jose, Ca 95118 -1557 ❑ 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$ 900.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A (Continuation Sheet) Tvpeor print inInk. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded dollars. Statement covers period CALIFORNIA ' to whole July 1 2012 ' • - • from through September 30, 201a Page 12 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 ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED pFCOMMITTEE,ALSAND I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Deborah Pelliccione OCOM Office Manager -Saint 100.00 100.00 9/20/12 891 Second Street ❑OTH Mary's Parish Gilroy, Ca 95020 ❑ PTY ❑SCC John C Cooper III p ®IND ❑COM Sales- C &N Tractors 250.00 250.00 9/20/12 1410 Welbum Ave ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Trevis Berry DINM Trucking- Trevis Berry 250.00 250.00 9/20/12 7711 Princevalle Street ❑OTH Trans Gilroy, Ca 95020 ❑ PTY ❑ SCC Dennis Lalor MIND ❑COM President -South County 100.00 100.00 9/20/12 7427 Rosanna St ❑OTH Housing 9 Gilroy, Ca 95020 ❑ PTY n SCC Arcadia Development I M Business Bus 250.00 250.00 20/12 150 Almaden Blvd Ste 1100 [BOTH San Jose, Ca 95113 ❑ 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 (8661275 -3772) Sr- hprbtla A (Continuation Sheet) Tvoeororintin ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts m ay be rounded Statement covers period _ , ' to whole dollars. July 1 2012 ' • ' • from through September 30, 201a Page 13 of ZC- I.D.NUMBER NAME OF FILER 1346217 Don Gage for Mayor 2012 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR EET A RALSO CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULAMVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ENTER I.D.NUMBER) CODE * OFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Arcadia Homes Inc ❑IND ❑IOM Business 250.00 250.00 9/20/12 1115 Coleman Ave ®OT{ San Jose, Ca 95110 ❑ PTY ❑SCC Arcadia Management Services ❑IND ❑IoM Business 250.00 250.00 9/20/12 4300 The Wood Dr ®oT}-I San Jose, Ca 95136 -3800 ❑ PTY ❑ SCC John Filice ®IND ❑COM Builder -Glen Loma Group 250.00 250.00 9/20/12 7888 Wren Ave ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Rose Emma Pelliccione BIND ❑COM Housewife 100.00 100.00 9/20/12 891 Second Street ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Carol De Sc*tis MIND ❑COM Retired 50.00 50.00 12 1055 Monte Bello Dr, Apt A110 ❑OTH 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 (8661275 -3772) Schedule A (Continuation Sheet) Tvpeorwintinink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. July 1 2012 ' • - M 460 from through September 30, 201d Page 14 of ?'S 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 CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE * OF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND Civic Property Group ❑COM Business 250.00 250.00 20/12 1250 Newell Ave PMB 244 ®OTH( Walnut Creek, Ca 94596 ❑ PTY ❑ SCC Civic Rancho Hills, LLC ❑QCOM Business 250.00 250.00 9/20/12 1500 Willow Pass Ct W]OTH Concord, Ca 94520 ❑ PTY ❑ SCC Civic Rancho Meadows, LLC ❑❑LOOM Business 250.00 250.00 9/20/12 1500 Willow Pass Ct ®OTM Concord, Ca 94520 ❑ PTY ❑ SCC Timothy Filice OIND Executive -Glen Loma 250.00 250.00 9/20/12 7888 Wren Ave D -143 ❑Om Group Gilroy, Ca 95020 ❑ PTY ❑ SCC Hewell & Sheedy Construction ❑❑IIND Business 100.00 100.00 9/20/12 430 First Street ®O TH 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) Tvr)e or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded dollars. Statement covers period CALIFORNIA 460 to whole July 1, 2012 e from through September 30, 2014 Page 15 of l._ 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) Dr. M Aslam Barra ® IND ❑COM Physician- HHH 100.00 100.00 9/20/12 930 Sunnyslope Rd #1 ❑TM O Hollister, Ca 95023 ❑ PTY ❑SCC Peter Gregor W]CNM Doctor- Valley Medical 99.00 99.00 9/20/12 4700 Meritage Ct ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Lydia Gregor ®IND Nurse - Natividad Hospital 99.00 99.00 9120/12 4700 Meri age Ct DoTM Gilroy, Ca 95020 ❑ PTY ❑ SCC Dr. Mohammad Qadeer WIND Physician- St Louise 50.00 50.00 9/20/12 18695 Serra Avenida ❑OTH Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Noshaba Bei g ZIND ❑coM Teacher -SJ School 200.00 200.00 9/20/12 9514 Sugar Babe Dr ❑OTH District Gilroy, Ca 95020 ❑ PTY ❑ SCC SUBTOTAL$ 548.00 *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) Tvoeororintinink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded ry on Statement covers period CALIFORNIA to whole dollars. July 1, 2012 FORM from through September 30, 2018 Page 16 of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF C .OMMITTEE,ALSO ENTER I.D.NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Bakri Musa ® IND [3Com Self Employed Physician 90.00 90.00 9/20/12 700 W 6th Street ❑ OTH Gilroy, Ca 95020 ❑ PTY ❑ scc Hamdy & Magda Abbass Ins. ❑IND ❑CoM Business 75.00 75.00 9/20112 7881 Church Street, Ste C ®oTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Zohra Sarwar -Veach ®IND ❑CoM Trainer - Google 70.00 70.00 9/20112 3052 Wolfe Ct ❑ orH Fremont, Ca 94555 ❑ PTY ❑SCC Sohail Akhter BIND ❑CoM Self Employed -Real 50.00 50.00 9/20/12 2580 Bridle Path Dr ❑0TH Estate Gilroy, Ca 95020 ❑ PTY ❑ SCC Aamir Jamil MIND com CEO - Altanova 100.00 100.00 9/20/12 17031 Holiday Dr EJp H Morgan Hill, Ca 95037 ❑ 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$ 385.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A (Continuation Sheet) Tvne or orint In ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. July 1, 2012 FORM from through September 30, 20V Page 17 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 CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, CODE (tFSELF- EMFLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND Sayed Faquiryan EM Retired 100.00 100.00 9120/12 f 2585 Muineld Way ❑O�{ Gilroy, Ca 95020 ❑ PTY ❑SCC Bever) Ambrose Beverly ®IND ❑COM Retired 250.00 250.00 9/20/12 1083 Loyola Ct ❑OTH Santa Clara, Ca 95051 ❑ PTY ❑ SCC Nicole D Ambrose ®IND Executive 250.00 250.00 9/20/12 3730 Peacock Ct, Apt 4 E]pOM Assistant- Kaiser Santa Clara, Ca 95051 -4254 ❑ PTY ❑ SCC Shaun Ambrose MIND Concrete- Albanese 250.00 250.00 9/20/12 3730 Peacock Ct, Apt 4 EIpT Concrete Santa Clara, Ca 95051 -4254 El PTY ❑ SCC Demitri Cacoyannis OIND Controller- Gilman & 250.00 250.00 9/20!12 2676 Birchtree Ln ❑OBI Associates Santa Clara, Ca 95051 ❑PTY ❑ SCC SUBTOTAL$ 1100 "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 (8661275 -3772) Schedule A (Continuation Sheet) Tvoe or orint in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA ' towholedollars. July 1, 2012 • - • from September 30, 2014 Page 18 of ii�r through NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE DATE R 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 OFC,OMMITrFF- ALSO ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Brian Coleman ® iND ❑COD Owner -Key Factory 250.00 250.00 9/20/12 200 Serra Way, Ste 36 ❑� O Milpitas, Ca 95035 -5246 ❑ PTY ❑ SCC Rene T Coleman ®IND Teacher -Santa Clara 250.00 250.00 9/20/12 2283 Pruneridge Ave ElCpTM University Santa Clara, Ca 95050 ❑ PTY ❑ sCC David Moore ®IND Accountant- Mohler, 250.00 250.00 12 1540 SW Expressway, Apt 218 EIpT Nixon, and Williams San Jose, Ca 95126 ❑ PTY ❑SCC Kevin Moore MIND E]COM Realtor - Gilmore 250.00 250.00 9/20/12 2375 Rosita Ave ❑ OTH Associates Santa Clara, Ca 95050 ❑ PTY ❑ SCC Mark Owen MIND ❑COM COO - Chronicle Data 250.00 250.00 9/20/12 1295 Bent Drive ❑OTH Campbell, Ca 95008 ❑ 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) SrhPdijIP_ A (Continuation Sheet) Tvoe or orint in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. July 1, 2012 FORM from through September 30, 201d Page 19 of ZC- 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 * OF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS). David Profitt ® IND ❑COM Engineer- Stanford 250.00 250.00 9/20/12 916 St Joseph Ave ❑OTH Hospital Los Altos, Ca 94024 ❑ PTY ❑ SCC Michelle Profit ®IND ❑COM Retired 250.00 250.00 9/20/12 916 St Joseph Ave ❑OTH Los Altos, Ca 94024 ❑ PTY ❑SCC Jenna Tomaino ®IND ❑COM Manager-De Anza 250.00 250.00 1560 SW Expressway, Unit 433 ❑OTH Property San Jose, Ca 95126 ❑ PTY F-1 SCC Kathryn Tomaino ®IND ❑COM Realtor - Coldwell Banker 250.00 250.00 9/20/12 650 Greenview Place ❑OTH Los Altos, Ca 94024 ❑ PTY ❑ SCC Bill Smyrniotis MIND ❑COM Contractor -MND 250.00 250.00 9/20/12 4405 Lonardo Ave ❑OTH Enterprises San Jose, Ca 95118 ❑ PTY ❑ SCC 1 IIQM II IiAAIRlitl yw NfA9Ai *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 $ 1250.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) srhedule A (Continuation Sheet) Tvoeororintinink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIAA ' to whole dollars. July 1, 2012 FORM from September 30, 20'd through 20 � Page of I.D. NUMBER NAME OF FILER Don Gage for Mayor 2012 1346217 , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ( IFCOMMITTEE ,ALSOENTERI.D.NUMBER) CODE * OFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Kathy Smyrniotis ®IND ❑COM Property Manager -De 250.00 250.00 9/20/12 985 Wallea Dr ❑OTH Anza Properties Menlo Park, Ca 94025 -5651 ❑ PTY ❑ SCC Elizabeth Sudderth ®IND Nurse - Kaiser 250.00 250.00 9/20/12 2161 Tamie Ln DOTM San Jose, Ca 95130 ❑ PTY ❑ SCC John T Vidovich ®IND ❑COM Self Employed -De Anza 250.00 250.00 9/20/12 12260 Kate Dr ❑ OTH Properties p Los Altos Hills, Ca 94022 ❑ PTY ❑ SCC Mary Vidovich W]COM Manager- Sandridge 250.00 250.00 9/20/12 12260 Kate Dr ❑OTH Partners Los Altos Hills, Ca 94022 ❑ PTY ❑ SCC Kim -Anh Nguyen MIND ❑COM Owner -See Grins RV 250.00 250.00 9/28/12 15280 Bowden Ct ❑OTH Morgan Hill, Ca 95037 ❑ 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 (866/276 -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. July 1 2012 ' • , from through September 30, 201, page 21 of_Z9_ NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE pFCOMMITTEE,ALSAND .D. NUMBER) CODE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) WIND Randy Scianna Owner -See Grins RV 9/28/12 15280 Bowden Ct ❑OTM 250.00 250.00 Morgan Hill, Ca 95037 ❑ PTY ❑SCC Tony Ferreira W]CNM HR -The VPS Companies 9/28/12 1196 Peterson Dr ❑OTH 50.00 50.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Ramsey Clor WIND Self Employed Dentist 9/28/12 1335 First Street ❑OTH 50.00 50.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Janice Moser VIIND Nanny 167.00 167.00 9/28/12 370 Belle Monti Ave ❑OTH Aptos, Ca 95003 -5204 ❑ PTY ❑ SCC 9/28/12 Bruno Filice OIND Retired 50.00 149.00 1441 Carmel Dr ❑OTH San Jose, Ca 95125 ❑ PTY El SCC SUBTOTAL$ 567.00 `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 (8661275 -3772) cr►hnrlifla A /Cnntinuation Sheet) Tvoeororintinink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA • ' towholedollars. July 1, 2012 • - from through September 30, 2018 Page 22 of 25 I.D. NUMBER NAME OF FILER 1346217 Don Gage for Mayor 2012 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE DATE ATIVETO CALENDAR YEAR PER ELECTION TO DATE ATE RECEIVED (IF CODE EMPLOYED, ENTER NAME OF SELF-EMPLOYED, PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Dr. Stephen Kinsella OF BUSINESS) ®IND ❑COM President- Gavilan 100.00 100.00 9/28/12 220 Sage Ave ❑OTH College Morgan Hill, Ca 95037 ❑ PTY []SCC Brian King MIND ❑COM General Manager -See 250.00 250.00 9/28/12 2067 Dante Ct ❑OTH Grins RV Los Banos, Ca 93635 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 350.00 '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 E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Don Gage for Mayor 2012 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period from July 1, 2012 through September 30, 2d Page 23 of I.D. NUMBER 1346217 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphemalia/misc. NW member communications RAD radio airtime and production costs CNS campaign consultants MrG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL tv. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals PD independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID InfoPower Communications Ad Placement 350.00 7446 Rosanna Street PRT Gilroy, Ca 95020 Election Digest G2012 Advertising 681.00 C/O Larry Levine & Assoc PRT 13701 Riverside Dr, Suite 604, Sherman Oaks, Ca 91423 City of Gilroy 7351 Rosanna Street . '� 1 L 4Ze@`stFeti9R Feer- CGN . AG-t, StGt.V4 ��-�--pp 950.00 Gilroy, Ca 95020 * 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 $100 ......................................................................................... ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) .............................. ............................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................ SUBTOTAL$ 1981.00 $ 7078.72 $ 0.00 .................. $ .... TOTAL $ 0.00 7078.72 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON ME OF FILER Don Gage for Mayor 2012 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from July 1, 2012 through September 30, 2(d SCHEDULE E (CONT.) Page 24 of ZS I.D. NUMBER 1346217 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MBR member communications RAD RF D radio airtime and production costs returned contributions CNS campaign consultants MTG OFC meetings and appearances office expenses SAL campaign workers' salaries CTB contribution (explain nonmonetary)* PET petition circulating TEL or cable airtime and production costs CVC civic donations PHO phone banks TRC candidate travel, lodging, and meals ca a FIL candidate filing/ballot fees POL polling and survey research TRS travel, lodging, and meals FND W fundraising events independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor transfer bet LEG legal defense PRO professional services (legal, accounting) VOT WEB voter registration information technology costs (intemet, e-mail) UT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE I CODE OR DESCRIPTION OF PAYMENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Seledon, Vanni, Humphrey, & Kawafuchi Accounting /Filing 7937 Hanna Street PRO Gilroy, Ca 95020 Sanford Consulting, LLC Campaign Manager 1492 Quail Walk Dr Gilroy, Ca 95020 The Print Spot Printing 501 1st Street PRT Gilroy, Ca 95020 Curry Graphics Printing PRT 23482 Foley St. Unit C Hayward, CA 94545 -5309 Budget Watchdogs Newsletter Printing 1954 W. Carson Street #B PRT Torrance, Ca 90501 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 700.00 500.00 977.55 1715.10 1162.00 SUBTOTAL $ 5054.65 FPPC Form 460 (January/05) FPPr. Tnll -Frpa Nelnlinar RR6 /ASK -FPPC IR6612 7 5 -37 7 21 Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Jeanne Gage Gilroy, Ca 95020 OFC SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA , i Payments Made to whole dollars. from July 1, 2012 • ' through September 30, 2(jj Page 25 of '(.r SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia/misc. NIBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL tv. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Jeanne Gage 771 Fourth Street Gilroy, Ca 95020 OFC Supplies 43.07 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 43.07 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)