Don Gage - 1982/07/01 - 1982/12/31
(Type or Print in Ink)
OFFICIAL USE"O
,
VOLUNTARY REPORT OF NO ACTIVITY
Form 421
1982
For use by committees
I.D, NUMBER
NAME OF COMMITTEE:
Committee to Elect Donald F. Gage
810867
ADDRESS OF COMMITTEE:
....0. ANQ STRl!ET
CITY
STATe
Zl~ coo.
A,..A cooe
~"'ON. NUMBER
1341-3rd St., Gilroy, Calif. 95020
NAME OF TREASURER:
John Thomas Burns
NO. AND '1TREKT
CITY
'!TATE
Zl~ coce
AR..... COO II
PMONC ;"<lU....St!:R
PERMANENT ADDRESS OF TREASURER:
1341-3rd St., Gilroy, Calif. 95020
OATE OF ELEC"'!"10N l1~O.. DAY, YR.): (I"" APPl..JCAIii.,E)
No contributions have been received and no expenditures have been made during the period covering
.Tnlyl.1982
to
December 31, 1982
I declare under penalty of perjury that this statement is true, correct and complete and that I have used all reasonable
diligence in its preparation.
Executed on
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/ (DATE)
at
Gilroy, Calif. 95020
(CITY AND STAT!!:)
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(SIGNATURE O~ TREASUREi'll
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For information requirad to be provided to you pursuant to the Information PT-Ktic.. Act of 1977, see "Information Manual on Campaign Disclosure Provisions
of the Political Reform Act," Part X.