Don Gage - 1989/01/01 - 1989/09/23
..
CANDIDATE AND OFFICEHOLDER CAMPAIGN STATEMENT --LONG FORM
AND
CONSOLIDATED CAMPAIGN STATEMENT
(Government Code Sections 84200-84217)
(Type or Print in Ink)
Statement covers period 1- /.- 8 'I through 1- 23 - & 'I
. ..
. \JIl
FORM 490
1989
CHECK ONE OF THE FOLLOWING BOXES TO INDICATE THE TYPE OF STATEMENT BEING FIL P.
El PRE.ELECTION STATEMENT 0 SUPPLEMENTAL PRE-ELECTION ;"
o SEMI.ANNUAL STATEMENT STATEMENT (If filing a Supplement r ,-
Pre-Election Statement, you must ~.
complete Form 495 and anach It to
this statement.)
o TERMINA nON STATEMENT
Anach a Form 415 to this Form 490.
DATE Of ELECTION (MO.. DAY",YRl (If APPI.lCAHLE)
November 7, 1::18~
CANDIDATE/OFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF CANDIDA TE/OFFICEHOLDER:
OFFICE SOUGHT OR HELD: (In<ludeIO<dllon dnd d..,,,,, nurn"'" ,I dppl"dOle)
Donald F. Ga e
RESIDENTIAL OR BUSINESS ADDRESS:
7345 Orchard Drive,
Gilroy City Councilman
NO AND STRUT
Gilroy,
CllY
SIAn
liP COuE
AREA CODE,HuSINE SS PHONt NUMHtH
California
95020
(408)256-6672
II CONTROLLED COMMITTEE* INCLUDED IN THIS CONSOUDA TED REPORT
NAME OF COMMITTEE:
Committee to Elect Don Gage. I c/o Greco, Fi.lice, & Blaettler
I. 0 NUMBER
8 10 8 ~ '7
ADDRESS OF COMMITTEE:
8351 Church Street,
NAME OF TREASURER:
John Thomas Burns
NO. AND STRU'
CIIY
STATE
liP CODE
AREA CODEiBUSINESS PHONt NUMBER
Gilroy,
California
95020
(408) 848-2727
PERMANENT ADDRESS OF TREASURER: NO AND STREET
CITV
STA TE
liP CODE
AREA COOt/BUSINESS PHONE NUMBt"
7531 Kentwood Court,
Gilroy, California
95020
(408) 842-7752
· A controlled committee is one which is controlled directly or indirectly by a candidate or which acts jointly with a candidate or controlled committee in
connection with the making of upenditures. A candidate controls a committee If the candichte. the candidate's agent, or any other committee he or
she controls. has signifitant mfluence on the actions or decisiON of the committee.
III OTHER COMMITTEES: UST ANY OTHER COMMITTEES NOT INCLUDED IN THIS CONSOLIDATED STATEMENT WHICH
ARE CONTROLLED BY YOU AND ANY COMMITTEES PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS OR MAKE
EXPENDITURES ON BEHALF OF YOUR CANDIDACY
CONTROLLED
COMMITTEE NAME AND ID NUMBER COMMITTEE ADDRESS TREASURER COMMITTEE?
YES NO
Attach additional information on appropriately labeled continuatIon sheets.
CANDIDATE OR OFFICEHOLDER:
I HAVE USED ALL REASONABLE DIUGENCE AND TO THE BEST OF MY KNOWLEDGE THE TREASURER HAS USED ALL REASONABLE DILIGENCE IN
PREPARING THIS STATEMENT. I HAVE REVIEWED THE STATEMENT AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAINED
HEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPlETE. I CERTIFY UNDER PENALQF PERJURYr:;f UN JT HAW F THE STA TE OF
CALIFORNIA THA T THE FOREGOING IS TRUE AND CORRECT.
EXECUTED ON 9-25-89 AT Gilroy, California BY '_
(OA"I torY AND STATEI
VERIFICATION
TREASURER (if appliuble):
I HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT AND T
CONT AINEDHEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPlETE.
I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNI
9-25-89 Gilroy, California
EXECUTED ON AT
IOAnl
lOrY AND STArEl
INFORMA TION
page 2a of 4
SEMI-ANNUAL STATEMENT OF NO ACTIVITY
FORM 425
1989
For use by non-candidate or oHiceholder controlled recipient committees
which have not received any contributions and have not made any
expenditures during the six-month period covered by a semi-annual
statement.
NOTE: If the committee had, at any time during the year, any outstandmg
loans made or received. this form may NOT be used for the semi-annual
statement on which the ~Annual Report ot Outstanding Loans" must be
completed.
FOR OFFICIAL USE or'H)
A
(Type or Print in Ink)
w...ME OF COMMiTTEE:
Comrrittee to Elect Don Gage c/o Greco Filice & Elatler
ADDRESS OF COMMITTEE: NCANOSTREEl CITY SlAT<
8351 Church Street, Gilroy, California
~ME OF TREASURER:
I D NUMBER
810867
liP CODt
M\fA CODUPHOt" NUMBl R
(408) 848-2727
95020
John Thomas Burns
PERMANENT ADDRESS OF TREASURER:
7531 Kentwood Court
NO AND STf\[ [ 1
Gilroy,
(try SlAT: lie CODE
California 95020
ARt~, (OOf i&U)IN[ S~ PI-10th NuMtH H
(408) 842-7752
No contributions have been received and no expenditures have been made during the period of
1-1-89
through
6-30-89
VERIFlCA nON
I HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT. I HAVE REVIEWED THE STATEMENT
AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAINED HEREIN IS TRUE AND COMPLETE.
I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING
1$ TRUE AND CORRECT.
EXECUTED ON
7-10-89
AT
Gilroy, California
(DATf)
for information required to be provided to you pursuant to the Information Practices Act of 1977, see '"Information
Manual on Campaign Oisdosure Provisions of the Political Reform Act. ..
CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE
FORM 490
(Amounts May Be Rounded To Whole Dollars)
PAGE
2
4
OF
STATEMENT COVERS PERIO[
FROM I THROUGH
7-1-89 9-23-89
,AME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
Committee to Elect Don Gage
~~~~ER
:ONTRIBUTIONS RECEIVED COLUMN A COLUMN B
Cumulative total Total thiSJenOd from
from previous period* anache schedules
1. Monetary contributions. . . . . . .. , . . . . . . . . . . . . $ 0 $ 1,190.00
SCHEDULE A, LINE 3
loans received. . . . . . . , . . . . . . . . . . . . . . . . . . . , . 0 0
2.
SCHEDULE 8, LINE 7
3. SUBTOTAL CASH RECEIPTS. .. " . .. ....... . . . $ 0 $ 1,190.00
LINES 1 . 2 LINES 1 . 2
4. Non-monetary contributions. . . . . . . . , .'. . . . . . 0 0
SCHEDULE C, LINE 3
5. TOTAL CONTRIBUTIONS WITHOUT
ENFORCEABLE PROMISES. . . . . , . . . . . . , . . . . . . 0 0
lINES3+4 LINES 3 +4
6. Enforceable Promises (Except loan 0 0
guarantees, see line 18 below). .. .... ...,.,. SCHEDULE 0, LINE 7
7. TOTAL CONTRIBUTIONS. . . .. . .. . .. ..... ... . $ 0 $ 1,190.00
LINES 5 + 6 LINES 5 + 6
:XPENDITURES MADE $
$ 0 111 1'1
8. Payments. . . . . . , . . . . . . . . . . . . . . , . , . . . . . . . . . SCHEDULE E. LINE 5
0 0
9. loans Made. . . . . . . . . . . . . . . , . . . . . . , . . . . . . , .
SCHEDULE EE, LINE 7
10. SUBTOTAL. . _ . . . . .. . . . . . . . . . . . . , . . . . . . . . . . 0 131. 35
LINES 8 + 9 LINES 8 + 9
1" Accrued expenses (unpaid bills) . . . . . . . . . . . . , 0 0
SCHEDULE f. LINE 5
12. TOTAL EXPENDITURES.... . .. . ,.. . .. ... . ,., $ 0 $ 131. 35
LINES 10 + 11 LINES 10 + 11
COLUMN C
Cumulative to date
(Colum ns A + B)
$1,190.00
o
1,190.00
$
lIfjES1+2
o
LINES 3 + 4
o
$ 1,190.00
LINES 5 + 6
(SHOULD EQUAL LINE 7,
COLUMNS A + B)
$ 131. 35
o
131. 35
LINES 8 + 9
o
$ 131.35
LINES 10 + 11
(SHOULD EQUAL LINE 12,
COLUMNS A + B)
*IF THIS IS THE FIRST REPORT FilED FOR THE CALENDAR YEAR, COLUMN A SHOULD BE BLANK
EXCEPT FOR LINES 2, 6, 9 AND 11.
STATEMENT OF CHANGES IN FINANCIAL CONDITION
13. Cash on hand at the beginning of this period. (Enter "Cash on hand
at end of reporting period" from previous statement filed.) . . . . . . . ,
14. Cash receipts this period (line 3. Column B above) . . . . , , . . . . . . . . . . . . ,
15. Miscellaneous increases to cash (Schedule G, line 4) ,. . , . . . . . . . . . . , . .
16. Cash payments this period (line 10, Column B above) . . . , . . . . . . . . . . . .
17. Cash on hand at end of reporting period (lines 13 + 14 + 15 - 16 above)
(Ifthis is a Termination Statement, line 17 must be Zero,). . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . .
18. Amount of loan guarantees received (Schedule B, Part I, Column (b))... . .... . ......,.. . . .. ,
19. Cash equivalents (other assets held including outstanding loans made to others).
Important: See instructions on reverse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Outstanding debts (line 2 + line 11 of Column C above). . . . , . , . , . . . . . . . . . . . , . . , . , . . . . . . , . .
$ 0
1,190.00
o
131. 35
20.
$ 1,058.65
ENDING CASH ON HAND SHOULD
NOT BE A NEGA TillE AMOUNT
$
$
$
o
o
o
1/1 THRU 6130
7/1 TO DATE
SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See Instructions on Reverse)
21. CONTRIBUTIONS RECEIVED:
22. EXPENDITURES MADE:
SCHEDULE A
MONETARY CONTRIBUTIONS RECEIVED
FORM 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
Committee to Elect Don Gage
FULL NAME AND ADDRESS OF CONTRIBUTOR
OCCUPA nON
EMPLOYER
DATE
REC'D.
(If COMMITIEE.IN ADDITION TO COMMITIEE'S NAME AND ADDRESS,
ENTER 1.0. NUMBER OR,lf NO 1.0, NUMBER HAS BEEN ASSIGNED,
ENTER THE TREASURER'S NAME AND ADDRESS)
(If SELf-EMPLOYED, ENTER
NAME Of BUSINESS)
9/12/89
Occupation:
Physician
Em ployer:
Self
Peter W. Gregor
7995 Princevalle Street
Gilroy, California 95020
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
EmployeT:
Occupation:
Employer:
Occupation:
Employer:
SUBTOTAL
SUMMARY
1. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OF $100 OR MORE
(Include all Schedule A subtotals) . , . _ _ . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . , . . .
2. AMOUNT RECEIVED THIS PERIOD n CONTRIBUTIONS OF LESS THAN $100 (Not
itemized). . . . _ . . _ _ . .. . . . _ _ . , . . . _ . . . . , . . . . . . . . . . . _ . . . . _ . . . . , , . . . . _ _ _ . . . . . _ . . . . _ . .
3. TOTAL MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD
(line 1 + Line 2) Enter here and on Line 1, Column B of Summary Page. . . . , .. ,.....
PAGE
3
OF 4
STATEMENT COVERS PERIOD
FROM THROUGH
7-1-89 9-23-89
'-D. NUMBER
810867
AMOUNT
RECEIVED CUMULA TlVE
THIS PERIOD TO DATE
$200.00
$ 200.00
$
200.00
990.00
CALENDAR YEAR:
$200.00
FISCAL YEAR:
$200.00
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
$ 1,190.00
SCHEDULE E
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
FORM 490
PAGE
4
OF 4
STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
Committee to Elect Don Gage
I.D8N1UO~B6~
CODES FOR CLASSIFYING EXPENDITURES
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 code 'T'.) Refer to the back of this schedule and the back of the Schedule E
Continuation Sheet for detailed explanations of each category.
"L" -- LITERATURE
"B" -- BROADCAST ADVERTISING
"N" -- NEWSPAPER AND PERIODICAL ADVERTISING
"0" -- OUTSIDE ADVERnSING
.S" -- SURVEYS, SIGNATURE GATHERING, DOOR. TO.DOOR
SOLICITATIONS
"F" -- FUNDRAISING EVENTS
"G" -- GENERAL OPERA TIONS AND OVERHEAD
"T" -- TRAVEL, ACCOMMODATIONS AND MEALS
"P" .- PROFESSIONAL MANAGEMENT AND
CONSUL nNG SERVICES
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide 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 4 of the Summary section, below.
NAME AND ADDRESS OF PAYEE, CREDITOR OR
RECIPIENT OF CONTRIBUTION AMOUNT
(IF COMMITTEE, IN ADDITION TO COMMITTEE'S PAID
NAME AND ADDRESS, ENTER 1.0. NUMBER
OR. If NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER THE CODE OR DESCRIPTION OF PA YME NT
TREASURER'S NAME AND ADDRESS)
Gilroy Printers and Office Supplies
30 Third Street
Gilroy, California 95020 G $131.35
SUBTOTAL $131. 35
SUMMARY
1. PAYMENTS OF $100 OR MORE MADE THIS PERIOD
{Include all Schedule E subtotals) ............'...,...............,...,................................,.,.. ................... $131.35
o
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) ...............................,...............................
3. TOTAL INTEREST PAID THIS PERIOD ON OUTSTANDING LOANS
(Schedule B, Part 2, Column (d)) ................. .. ........................
o
4, TOTAL ACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Schedule F, Line 4)...................
o
s. TOTAL PAYMENTS THIS PERIOD (Line 1 + 2 + 3 + 4) Enter here and on line 8, Column B of
Summary Page ............ ............ .................... ....,.... .......... ..... ........... ........ ...... .......... ......,..... ......_
$ 131.35