Loading...
Don Gage - Form 460 - 2012/10/21 - 2012/10/31- Recipient 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 October 21, 2012 (Month, Day, Year) through October 31, 2012 I November 6, 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 Q Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/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 CITY STATE ZIP CODE AREA CODE /PHONE 2. Type of Statement: COVERPAGE Date Stamp CALIFORNIA , .- �gi L Page 1 of 7 For Official Use Only 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 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX I E -MAIL ADDRESS dongage @verizon.net 4. Verification 1 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 Executed on ,1t Date Executed on f I­ '? w I Z' Date Executed on Date By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -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 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 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 STREETADDRESS (NO PO BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVERPAGE -PART2 Page 2 of 7 BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Campaign Disclosure Statement Summary Page - 0MICOCC NAME OF FILER Don Gaqe for Mayor 2012 Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period f- October 21, 2012 through October 31, 2012 page 3 of 7 Expenditures Made Column A Column B Contributions Received $ TOTALTHIS PERIOD (FIR M ATTACHED SCHEDULES) CALENDARYEAR TOTALTO DATE 2500.00 $ 38309.00 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0.00 8. SUBTOTALCASH PAYMENTS . ............................... ... Add Lines 6 + 7 $ 0.00 $ 2. Loans Received ....................... ............................... Schedule B, Line 3 2500.00 38309.00 3. SUBTOTAL CASH CONTRIBUTIONS ..................... Add Lines 1 + 2 $ $ 0.00 0.00 0.00 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 38309.00 4 $ 2500.00 $ 7698.56 5. TOTAL CONTRIBUTIONS RECEIVED ••••••••••••••••••••••••••• Add Lines 3 + 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 Expenditures Made 7698.56 23236.04 6. Payments Made ....................................................... Schedule E, Line 4 $ $ 0.00 0.00 7. Loans Made ................................. ............................ Schedule H, Line 3 7698.56 23236.04 8. SUBTOTALCASH PAYMENTS . ............................... ... Add Lines 6 + 7 $ $ 0.00 0.00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F,, Linea 0.00 0.00 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 + 10 $ 7698.56 $ 23236.04 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 Current Cash Statement 20271.52 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ To calculate Column B, add 2500.00 amounts in Column A to the 13. Cash Receipts ..... ............................... .............. Column A, Line 3 above 0.00 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 from Column B of your last 7698.56 report. Some amounts in 15. Cash Payments ................... ............................... Column A, Line 8 above Column A may be negative $ 15072. 96 figures that should be 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed for this calendar year, only 17. LOAN GUARANTEES RECEIVED ........................... Schedule s, Part 2 $ carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ I.D. NUMBER 1346217 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ 21. Expenditures Made $ $ 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) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period ' • October 21, 2012 from • through October 31, 2012 Page 4 of 7 SEE INSTRUCTIONS ON REVERSE 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) i] IND Michelle Rango ❑COM Self Employed Marketer 100.00 100.00 10/25/12 131 Via Lucia ❑OTH Alamo, Ca 94507 ❑ PTY ❑ SCC ❑ IND CAA Tri- County ❑COM Business 250.00 250.00 10/25/12 980 Ninth Street, Ste 200 ®OTH Sacramento, Ca 95814 ❑ PTY ❑ SCC ❑ IND Bonfante Nurseries, Inc ❑COM Business 200.00 200.00 10/25/12 3675 Hecker Pass Hwy ®OTH Gilroy, Ca 95020 ❑ PTY ❑ ScC W] IND Joel Goldsmith ❑COM Retired 250.00 250.00 10/25/12 8321 Peppergrass Ct ❑OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC ❑IND Peter C Filice Exempt. Trust FBO Candace ❑COM Trust 250.00 250.00 10/25/12 7888 Wrent Ave Ste D143 ZOTH Gilroy, Ca 95020 ❑ PTY ❑ SCC SUBTOTAL$ 1050.00 I 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 $ 2500.00 1 11 2500.00 *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) Tvoeorarintinink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded dollars. Statement covers period CALIFORNIAA to whole October 21, 2012 FORM from through October 31, 2012 Page 5 of 7 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) David Li ®IND ❑IOM Self Employed- Physician 10/25/12 10185 Jean Ellen Ct ❑OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ Scc William Reimal ®IND ❑coM Self Employed- Real 50.00 50.00 10/25/12 7551 Kentwood Ct ❑OTH Estate Broker Gilroy, Ca 95020 ❑ PTY ❑SCC Jim Min US g ®IND ❑coM Self Employed - Mingus 100.00 100.00 10/25/12 7840 Westwood Dr ❑OTH Pest Control Gilroy, Ca 95020 ❑ PTY ❑ SCC Joanne Cunningham ZIND EICOM Retired 100.00 100.00 10/25/12 20 Corwin Dr ❑OTH Alamo, Ca 94507 ❑ PTY ❑ SCC Peter C Filice Exemption Trust FBO Craig ❑❑IOM Trust 250.00 250.00 10/25/12 7888 Wren Ave Ste D143 LZOTH Gilroy, Ca 95020 ❑ 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) Sr hPdillP_ A (Continuation Sheet) Tvne or orint in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period , ' to whole dollars. October 21, 2012 • - • from through October 31, 2012 Page 6 of 7 I.D. NUMBER NAME OF FILER 1346217 Don Gage for Mayor 2012 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR 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) Gloria P Millen ®IND ❑COD Retired 250.00 250.00 10/25/12 18364 Oak Dr ❑OTH Monte Sereno, Ca 95030 ❑ PTY ❑ SCC Richard Freedman ®IND ❑COM Real Estate - Intero 100.00 100.00 10/25/12 8675 Del Rey Court F-1 OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Brandt Bastow Trust ❑IND ❑COM Trust 100.00 100.00 10/25/12 7888 Wren Ave, Ste D143 ®OTH Gilroy, Ca 95020 ❑ PTY ❑ SCC Greenwaste Recovery, Inc ❑IND ❑COD Business 250.00 250.00 10/25/12 1500 Berger Drive MOTH San Jose, Ca 95112 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC CIIRTnTAI 4t 700.0 a '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 Type or print in ink. Statement covers period Amounts may be rounded Payments Made to whole dollars. from October 21, 2012 sGa IWSTRI IrTIONS ON REVERSE NAME OF FILER Don Gage for Mayor 2012 through October 31, 2012 Page 7 of 7 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 paraphernalia /misc. IVBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD SAL returned contributions campaign workers' salaries CTB contribution (explain nonmonetary)' OFC PET office expenses petition circulating TEL t.v. or cable airtime and production costs CVC civic donations PHO phone banks TRC candidate travel, lodging, and meals FIL candidate filing /ballot fees POL polling and survey research TRS staff /spouse 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 LEG 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 CODE OR DESCRIPTION OF PAYMENT AMOLINTPAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Sanford Consulting, LLC Campaign Manager 1492 Quail Walk Drive CNS 4000.00 Gilroy, CA 95020 First Class Mailing Inc. 3098.56 10556 Cobie Rd PMB 6485 LIT Auburn, Ca 95602 Sanford Consulting, LLC Design for Campaign Literature 600.00 1492 Quail Walk Drive LIT Gilroy, CA 95020 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 7698.56 Schedule E Summary 7698.56 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 0.00 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ 7698.56 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)