Don Gage - 1985/07/01 - 1985/09/17
(Type or Print in Ink)
,A
CAMPAIGN STATEMENT
(Government Code Sections 84200-84217)
Form 490
1985
For use by candidates/officeholders and their controlled committees.
Statement covers period from
DATE OF ELECTION (MO., DAY, YR.) (IF APPL;CASLE)'
November 5, ~ Iq~s-
7-1-85 through 9-17-85
I TO;AL. PAGES:
CANDIDATE/OFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF CANDIDATE:
Donald Frederick Gage
RESIDENTIAL ADDRESS:
NO. AND STREET
CITY
STATE
ZIP COOl!!;
AREA COOl!
PHONE NUMBER
7345 Orchard Drive
Gilroy
CA
95020
(408) 842-2968
BUSINESS ADDRESS:
NO. AND 5TRE ET
CITY
STATE
ZIP CODE
AREA CODE
PHONE NUMBER
IBM - Cottle Road
San Jose
CA
(408) 256-6672
II CONTROLLED COMMITTEES* INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF COMMITTEE,
PERMANENT ADDRESS OF TREASURER, NO. ANO STREET
CITY
I.D. NUMBER
810867
STATE ZIP t;ODE AREA CODE PHONE NUMBER
CA 95020 (408) 848-2727
STATE ZIP CODE AR lEA CODE PHONE NUMBER
CA 95020 (408) 842-8981
I I.D. NUMBER
STATE ZIP CODE AREA CODE PHONE NUMBER
Committee to elect Don Gage
ADDRESS OF COMMITTEE,
NO. AND STREET
CITY
7700 Monterey Street
Gilroy
NAME OF TREASURER,
Joseph A. Filice
8130 DeVille Court
Gilroy
NAME OF COMMITTEE:
ADDRESS OF COMMITTEE,
NO. AND STREET
CITY
NAME OF TREASURER:
Tom Burns (gohn Thomas Burns)
PERMANENT ADDRESS OF TREASURER: NO. AND STREET
CITY
STATE
ZIP CODE.
AREA CODE
PHONE NUMBER
7531 Kentwood Court
Gilroy
CA
95020
(408) 842-7752
Attach additional information on appropriatelv labeled continuation sheets.
III CANDIDATE/OFFICEHOLDER ONLY: LIST ANY OTHER COMMITTEES NOT INCLUDED IN THIS
CONSOLIDATED STATEMENT WHICH ARE CONTROLLED BY YOU OR ARE PRIMARILY FORMED
TO RECEIVE CONTRIBUTIONS OR MAKE EXPENDITURES ON BEHALF OF YOUR CANDIDACY.
COMMITTEE NAME Controlled Committee?
AND 1.0. NUMBER COMMITTEE ADDRESS TREASURER YES I NO
None I
I
I
Attach additional information on appropriatelv labeled continuation sheets.
. (A controlled committee is one which is controlled directlv or indirectlv bV a candidate or which acts jointlV with a candidate or controlled committee in
connection with the making of expenditures. A candidate controls a committee if the candidate, the candidate's agent, or any other committee he or she
controls, has significant influence on the actions or decisions of the committee.)
VERIFICATION
I declare under penalty of perjury that to the best of my knowledge this statem
I have used all reasonable diligence in their preparation.
Executed on 9-20-85 at Gilroy, CA
(OATEl (CITY AND STATE)
Executed on (OAT") at Gilro(~,;V A~fsTATE) \,:1 SIGNATURE OF TREASUR"R S
I declare under penalty of perjury that to the best of my knowledqe this statement an its schedules are true, correct and complete and the
treasurer(s) of this committee(s) has used all reasonable diligence in the preparation of th s statem
nd complete and that
Executed on 9-20-85 at Gilroy, CA
(OAT!!) -~-----r~~lTY AND STATIIi!:)
For information required to be provided to you pursuant to the Information Practices Act of 1977, see "Information Manual on
of the Political Reform Act," Part X,
by
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CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE
FORM 420,430 OR 490
(Amounts May Be Rounded To Whole Dollars)
STATEMENT COVERS PERIOD
FROM
THROUGH
7-1-85
9-17-85
NAME OF CANDIDATE OR COMMITTEE
Committee to elect Don Gage
1.0. NUMBER (IF COMMITTIEEI
810867
COLUMN A
Cumulative
total from
*
previous period
CONTRIBUTIONS RECEIVED
1.
Monetary contributions
$
649.45
2. Loans..............,..
3, Subtotal..............."...
$
649.45
L.INES I + Z
4. Non-monetary contributions. . . . . . .
5. Pledges....,................
6. TOTAL CONTRIBUTIONS. . , . . , . .
$
649.45
L.INES 3 + 4 + 5
EXPENDITURES MADE
7, Payments....,...........,.,.
$
8. Accrued expenses (unpaid bills) , . . , .
9. TOTAL EXPENDITURES. . . . . . . .
$
COLUMN B
Total this period
from attached
schedules
$ 3,111. 00
SCHEDUL.E A, L.JNE 3
SCHEDUL.E at L.INE 8
$ 3,111.00
LINES' + 2
SCHEDULE C, LINE 3
SCHEDULE Ot LINE 7
$ 3,111.00
LINES 3 + 4 + 5
$ 1,708.63
SCHEDULE E, L.INE 4
SCHEDULE F, LINE 5
$ 1,708.63
L.INES 1 + 8
COLUMN C
Cumulative
to date
(Columns A + B)
S 3,760.45
$ 3,760.45
LINES 1 + Z
$ 3, 760~45
L.IN ES 3 + 4 + 5
(SHOULD EQUAL L.INE: ..
COLUMNS A + e'
$ 1,708.63
$ 1,708.63
LINES 7 + 8 LINES 7 + ,
(SHOULD EQUAL LINE 9,
COLUMNS A + 8)
* If this is the first report filed for the calendar year, Column A should be blank except for unpaid loans, bills and pledges.
STATEMENT OF CHANGES IN FINANCIAL CONDITION
10. Cash on hand at the beginning of this period. (Line 140f previous statement). $ 649.45
11. Cash receipts this period (Line 3, Column B above) , . . . , . . . . , , .
12, Miscellaneous adjustments to cash (Schedule G, Line 7) . . . . . . . . .
13.
Cash payments this period (Line 7, Column B above) . . , . . .
14. Cash on hand at closing date (Lines 10+11+12-13 above)*......,
15. Outstanding debts (Line 2 + Line 8 of Column C above) . . . , . . . . .
3,111.00
1708.63
2,051.82
16.
Ending surplus (if Line 14 is greater than Line 15, subtract Line 15 from Line 14). . . . . . . . . . .
$
2,051.82
17. Ending deficit (if Line 15 is greater than Line 14, subtract Line 14 from Line 15) . . . . . . . . . $
* Ending cash on hand should not be a negative amount,
18. CASH EaUIVALENTS (OTHER ASSETS HELD) (See Instructions on Reverse): $
SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See Instructions on Reverse)
1/1 thru 6/30 7/1 to date
19. CONTRIBUTIONS RECEIVED:
20, EXPENDITURES MADE:
-2-
3,111.00
1,708.63
SCHEDULE A
MONETARY CONTRIBUTIONS RECEIVED
FORM 420, 430 OR 490
(Amounts May Be Rounded To Whole Dollars)
8
STATEM!!:NT COVERS PERIOD
"'''OM I~ T....oua..
7-1-85 9-17-85
NAMIl: OP' CANOIOATE OR COMMITTE!!:: 1.0. NUMBER (I.. COMMITT..)
Committee to elect Don Gage 810867
P'UI..L. NAMIl: ANO AOORIl:55 OP' EMPL.OYER AMOUNT
OATil CONTRIIIUTOR
I." CO"MITT...~.NT." 1.0. NUM.... OCCUPATION (." S.",~..M""OV.D. .NT." CUMUL.ATIV.
AIl:C'O 0.. NAM. 0" .US.N...) ".CE.vaa
T"&"IUIltC" '5 ....AM. AND ADO".") TO DATe
-30-85 Frank & Adele Lopez Agricultural F. Lopez Co. 100.00 100.00
Broker
0-85 Joseph Filice CPA Filice Acountancy
Corp. 100.00 100.00
~
30-85 ED Martin Devoloper Rancho 101 200.00 200.00
30-85 Gary Stierunetz Retailer Action One Hour Photo 100.00 100.00
30-85 A. R. Woolworth General Woolworth Construction
Contractor Company INC. 200.00 200.00
30- 8 5 Robert A. Lotito Sr. Tavern Green Hut 100.00 100.00
Operator
15-85 Trevis Berry Truck Trevis Berry Leasing 100.00 100.00
Leasing
.....
~ If more space is needed, check box at left SUBTOTAL 900.00 ;. .'.
and attach additional Schedules A. >> .............
83
8-
8-
8-
8-
8-
SUMMARY
1, AMOUNT RECEIVED - CONTRIBUTIONS OF $100 OR MORE
(Include all Schedule A subtotals). , , , . , . . , . , , , , . , , , , , , . , , . , . , , . . . , , , . . , , , . , , , . , . ,
2.
AMOUNT RECEIVED - CONTRIBUTIONS OF LESS THAN $100 (Not itemized)
3, TOTAL MONETARY CONTRIBUTIONS THIS PERIOD
(Line 1 + Line 2) Enter here and on Line 1 Column B of Summary Page. . , . , . , . , , , , , , . . . . , , , ,
-3-
SCHEDULE A
MONETARY CONTRIBUTIONS RECEIVED
(CONTINUATION SHEET)
9
FORM 420,430 OR 490 STATEMENT COVERS PERIOO
"'''OM I THRQUGH
(Amounts May Be Rounded To Whole Dollars)
7-1 85 9 17-85
NAME OF CANOIOATE OR COMMITTEE: 1,0, NUMBER (J.. CO....'TT..I
Committee to elect Don Gal?:e 810867
FUL.L. NAME AND AOORESS OF EMPL.OVER AMOUNT
OATE CONTRIBUTOR
OCCUPATION ( I'" S.L.......M~L.OYIEO. aNT.1lIlI
REC'O (I''' COMMITT..~.NT.R I.D. NUM.IER 0.. CUMUL.ATIVa
T"....SU"... S NAMa AND ADD".'S) NAMa 0'" .U'INIE'S) ...catvaa TO CIA T&
-15-85 Mike Sillacci General Falcon Cable TV 100.00 100.00
Manager
-15-85 DOn Christopher Rancher A & D Christopher 100.00 100.00
I
-15-85 Gary Farrotte General Farrotte Construction 200.00 200.00
Contractor Company
-15-85 John W. Scherrer Rancher Los Laurels Ranch 100.00 100.00
-27-85 Peninsula Reasearch
and Design 1150.00 150.00
-13- Mike Conrotto Transportation Mike Conrotto
Trucking 100.00 100.00
-6-85 John R. Winn Insurance Winn Insurance Co. 100.00 100.00
D If more space is needed, check box at left SUBTOTAL .;~.' "."
and attach additional Schedules A, 850.00
8
8
8
8
8
9
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SCHEDULE E
PAYMENTS AND CONTRIBUTIONS MADE
FORM 420,430 OR 490
TATE...ENT COVERS PERIOD
~ROM THROUGH
(Amounts May Be Rounded To Whole Dollars)
7-1-85
9-17-85
1.0. NUMBER (IIII' COMMITTCa)
"'AME OF CANDIDATE OR CO......ITTEE'
Committee to elect Don Ga~e
CODES FOR CLASSI FYING EXPENDITURES
810867
If one of the following codes is used to describe the expenditure, no written description is needed, (Note exceptions on
the back of this schedule for codes "C", "I" and "T".) Refer to the back of this schedule and the Information Manual
9n Campaign Disclosure for detailed explanations and examples of each category.
"B'I
liT"
SURVEYS, SIGNATURE GATHERING,
DOOR-TO-DOOR SOLICITATIONS
FUND RAISING EVENTS
GENERAL OPERATIONS AND OVERHEAD
TRAVEL, ACCOMMODATIONS AND MEALS
PROFESSIONAL MANAGEMENT AND
CONSULTING SERVICES
I'C"
US"
CONTRIBUTIONS TO OTHER
CANDIDATES OR COMMITTEES
INDEPENDENT EXPENDITURES
LITERATURE
BROADCAST ADVERTISING
NEWSPAPER AND PERIODICAL
ADVERTISING
"0" OUTSIDE ADVERTISING
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
;Jrovide a written description in the "Description of Payment" column.
IMPORTANT: Do not itemize the payment of accrued expenses on Schedule E, Report only the lump sum of these
payments on Line 3 of the Summary section, below.
"1'1
"F"
"L"
"G"
"N"
lip"
NA...E AND ADDRESS OF PAVEE. CREDITOR OR
RECIPIENT OF CONTRIBUTION {rF COMMITTEE, ~.NT.R A...OUNT
1.0. HUM.a" OR NAMe AND ADDRESS OF T".ASUR.R~ CODE OR DESCRIPTION OF PAv...ENT PAID
Gilroy. Printers I
L printing 119.00
30 Third St.
Gilroy California 95020
Arrow Graphics L printing I 543.00
- Alpha Buttons I
L ~~~ Buttons 1187.00
Filice Estate Vineyards G Rent 480.00
7951 A Wren Ave., Gilrov Californ;;'l
Gilroy Electric G Wiring Headquarters 1179.00
381 First St. , Gilrov California
Wlf more space is needed, check box and SUBTOTAL 1,508.00
attach additional Schedules E.
IMPORTANT: Contributions and expenditures on behalf of other candidates or committees must also be entered in the
allocation section at the front of the campaign statement.
SUMMARY
1.
Payments of $100 or more made this period (Include all Schedule E Subtotals) , . . . , . , . , . . . , . . . . . . . . . .$
1,508.00
200.00
2. Payments under $100 this period (not itemized) . . . . . . . . . . . . . . . . . . . ' . . . . . , . . . , . , . . . , . . . . . . , .S
3. Total Accrued Expenses paid this period (Schedule F,Line4) ..,.,.,............,......,..,..,..S 1,708.00
4. Total Payments this period (Line 1 + 2 + 3) Enter here and on Line 7, Column B of Summary Page. , . . . . . . ..$ 1,708.00
_7_