Loading...
Don Gage - Form 460 - 2012/10/01 - 2012/10/20Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from October 1, 2012 through October 20, 2012 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee O Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee O Political Parry /Central 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 r.Date Stamp OCT 2012 _?^ Date of election if applicable: (Month, Day, Year) r November 6, 2012 1 2. Type of Statement: V Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE Page 1 of 6 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Sara Humphrey Nino MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS dongage @verizon.net STATE ZIP CODE AREA CODE /PHONE 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= 1, ' � By � Sponsor Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on BY Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -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 Don Gage OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor of Gilroy, CA RESIDENTIAL/BUSINESS 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ 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 STREET ADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 2 of 6 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 Listnamesof 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 CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 1ASK -FPPC (86612763772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Don Gage for Mayor 2012 Type or print in ink. Amounts may be rounded to whole dollars. SUMMARYPAGE Statement covers period CALIFORNIA /v from October 1, 2012 FORM through October 20, 2012 page 3 of 6 I.D. NUMBER 1346217 Expenditures Made Column A Column B Calendar Year Summary for Candidates Contributions Received 7. Loans Made .............................. ............................... TOTALTHISPERIOD CALENDARYEAR g Primary Running in Both the State Prima and Add Lines 6 + 7 $ 7278.76 $ (FROM ATTACHED SCHEDULES) TOTALTO DATE General Elections 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 $ 1162.00 $ 35809.00 Add Lines 6 + 9 + 10 $ 1. Monetary Contributions ............ ............................... Schedule A, Line 3 1/1 through 6/30 7/1 to Date 2. Loans Received ....................... ............................... Schedule B, Line 3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 1162.00 $ $ 35809.00 20. Contributions Received $ $ 0.00 0.00 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 1162.00 $ 35809.00 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 7278.76 $ 7. Loans Made .............................. ............................... Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 7278.76 $ 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0.00 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 6 + 9 + 10 $ 7278.76 $ 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. 26388.28 1162.00 0.00 7278.76 20271.52 17. LOAN GUARANTEES RECEIVED .......................... Schedule B, Part 2 $ I Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 15537.48 0.00 15537.48 0.00 0.00 15537.48 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 (8661275 -3772) Sr- hpcili ilp A Type or print in ink. SCHEDULE A -- "—"" Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA ' from October 1, 2012 • - through October 20, 2012 Page 4 of 6 SEE INSTRUCTIONS ON REVERSE 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 Anthony Coletto ❑COM Self Employed; Anthony 100.00 100.00 10/15/2012 811 Eschenburg Drive ❑OTH Coletto & Associates Gilroy, CA 95020 ❑ PTY ❑ ScC ❑ IND 10/15/2012 Agriprise ❑COM Business 100.00 100.00 285 Quinhill Ave. ®OTH Los Altos, CA 94023 ❑ PTY ❑ SCC ® IND Gary Stauble ❑COM Self Employed; The 25.00 25.00 10/15/2012 6452 Poppyfield St. ❑oTH Recruiting Lab Gilroy, CA 95020 ❑ PTY ❑ SCC ® IND All Denice ❑COM Partner; ABK Cherry Co. 250.00 250.00 10/15/2012 4640 Meritage Court ❑OTH Gilroy, CA 95020 ❑ PTY ❑ ScC ®IND Dean Filice ❑COM Self Employed; All 87.00 87.00 10/15/2012 2320 Stonecress Street ❑OTH Seasons Pool Service Gilroy, CA 95020 ❑ PTY ❑ SCC SUBTOTAL$ 562.00 r Schedule A Summary 1. Amount received this period — itemized monetary contributions. 1162.00 (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 $ 1 11 1162.00 *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) Tvoe or orint in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. October 1, 2012 • FORM from through October 20, 2012 Page 5 of 6 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, ALSO ENTER I.D. NUMBER) CODE * (IFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND CA League of Conservation Voters ❑COM 250.00 250.00 10/15/2012 350 Frank H. Ogawa Plaza Suite 1100 E] OTH Oakland, CA 94612 ® PTY ❑ SCC ❑IND 10/15/2012 GILPAC 7471 Monterey Street ®coM ❑OTH 250.00 250.00 Gilroy, CA 95020 FPPC #1347327 ❑ PTY ❑ SCC ❑ IND PG &E Corporation ❑COM 100.00 100.00 10/15/2012 111 Almaden Blvd. W] OTH San Jose, CA 95113 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ 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 /ASK -FPPC (8661275 -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. Statement covers period from October 1, 2012 through October 20, 2012 Page 6 of 6 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 paraphernalia/misc. MBR member communications RAID 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 PET petition circulating TEL t.v. 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 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID First Class Mailing, Inc. LIT 3916.96 10556 Cobie Rd. PMB 6485 Auburn, CA 95602 Curry Graphics CMP 557.05 23482 Foley St. Unit C Hayward, CA 94545 The Print Spot LIT 2804.75 501 1 st Street Gilroy, CA 95020 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 7278.76 Schedule E Summary $ 7278.76 1. Itemized payments made this period. Include all Schedule E subtotals. $ 0.00 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... 3. Total interest aid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) $ 0.00 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. TOTAL $ 7278'76 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)