Don Gage - 1989/09/24 - 1989/10/21 - Amendment
AMENDMENT TO CAMPAIGN DISCLOSURE STATEMENT
FORM 405
1989
(Type or Print in Ink)
;1./" ., ? "J, 4 ~Ij'<'.",
t' M ~ ,-"
f 01/
! ~, 7989
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fOR"OfFICIAL USE ONLY
This form must be used to amend statements filed pursuant to Government
Code Sections 84200-84217, and must be filed with all filinQ officers who
received the statement being amended. NOTE: This form IS not used to
amend a Statement of Organization (Form 410). To amend a Statement of
Organization, use the Form 410.
. I
I. The information required in Section I must correspond to the information provided
on the campaign statement.
NAME OF FILER:
Committee to Elect Don Gage
A
1.0. NO (IF APPLICABLE):
810867
ADDRESS OF FILER:
NO. AND STREET
CITY
Gilroy
STATE
ZIP CODE
AREA CODE/PHONE NUMBER
8531 Church Street
NAME OF TREASURER (IF APPLICABLE):
John Thomas Burns
California 95020
(408) 848-2727
PERMANENT ADDRESS OF TREASURER (IF APPLICABLE): NO. AND STREET
CITY
STATE
ZIP COOE
AREA CODE/PHONE NUMBER
7531 Kentwood Court
Gilroy
California 95020 (408) 842-7752
II. The following information amends campaign disclosure statement, Form No. 490 , Executed on
10-25-89 for the period 9-24-89 through ] 0-2] -89
(MO,. DAY, YR.I
III. The amended information affects items on the:
~ Front Page 0 Allocation Page 0Summary
E1schedule(s)
F
IV. Describe the changes below. Include in detail all information you wish to become a part of your official campaign
statement. Also attach a new front page, summary or appropriate schedule if needed for clarification.
Include additional information on reverse side or on appropriatel)' labeled continuation sheets. (Number of pages attached 'V.j
VERI FICA nON
C
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 AND IN THE ATTACHE CHEDULES IS TRUE AND COMPLETE.
I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CA IF R '1 TH H FOREGOING}~E AND CORRECT
EXECUTED ON 11-3-89 AT Gilroy BY "t.A-- u;::2-
(DA TEl (CITY AND ST A TEl
A CANDIDATE, OffiCEHOLDER OR STATE MEASURE PROPONENT WH VERIFY THE
CAMPAIGN STATEMENT,
I HAVE USED ALL REASONABLE DILIGENCE, 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 PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALI
CORRECT.
EXECUTED ON 11-3-89 AT Gilroy BY
(DATEI
(CITY ANDSTATEI
o
E
EXECUTED ON
AT
BY
(DATEI
(CITY AND STATE)
(SIGNATURE Of CANOIDATE, OffICEHOLDER OR PROPONENT)
F
EXECUTED ON
AT
BY
(SIGNATURE Of CANDIDATE, OffiCEHOLDER OR PROPONENT)
(DATEI
(CITY AND Sf A TEl
1011 INIOI<MA liON HEQUIHEV 10 III PHOVIDfD 10 rou PUHSUANI 10 /tIE INIOHMA liON ,.HAOICES ACI 01 "/7 Stf "1M OHM4/10N MMWAI ON CAMPAIGN VIsel OSUHt
1'1<0. 'S/ONS Of THi 1'OL11/CAllUfORM ACT. . .
CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE
FORM 490
(Amounts May Be Rounded To Whole Dollars)
lAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
Committee to Elect Don Gage
PAGE 2
OF 3
STATEMENT COVERS PERIOC
FROM THROUGH
9-24-89
Iff1 ~~~'ER
10-21-89
:ONTRIBUTIONS RECEIVED
COLUMN A
Cumulative total
from previous period*
1. Monetary contributions. . . . . . . . . , , . . . , . , . . .. $ 1.190.00
2. loans received. _ . . . . . . . . . . . . . . , . . . . . . . . . . . . 0
COLUMN B
Total this period from
anached schedules
$ 4, 1? ') 00
SCHEDULE A, LINE 3
o
3. SUBTOTAlCASHRECEIPTS.........,........ $ 1,190.00
SCHEDULE B, LINE 7
$ 4,325.00
LINES 1 + 2
LINES 1 + 2
4, Non-monetary contributions. . . . . . . .. .'. . . . . . 0
o
SCHEDULE C, LINE 3
5. TOTAL CONTRIBUTIONS WITHOUT
ENFORCEABLE PROMISES. . . . . . . . . . . , . . . , , . .
o
o
6. Enforceable Promises (Except loan
guarantees, see line 18 below) . . . . .'. . . . . . . . .
LINES 3 + 4
LINES 3 + 4
o
$ 1 , 190.00
o
SCHEDULE D. LINE 7
$ 4,325.00
7. TOTAL CONTRIBUTIONS. .,....... _....,....
LINES S + 6
LINES S + 6
:XPENDITURES MADE
8.
$
Payments _ . . . . . , . . . . . . . . . . . : . . . . . . . . . , . . . .
131. 35
$ 3,592.37
SCHEDULE E. LINE 5
9. loans Made. . . , . , . . . . . . . . . . . _ . . . . . . . . , . . . .
o
131. 35
o
SCHEDULE EE, LINE 7
3,592.37
10. SU BTOT Al . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,
'LINES 8 + 9
LINES B + 9
1,500.00
11. Accrued expenses (unpaid bills) . , . . . . . . . . . . .
o
SCHEDULE F. LINE S
12. TOTAL EXPENDITURES..........".....,...
$
131. 35
$ 5,093.37
LINES 10 + 11
LINES 10 + 11
(SHOULD EQUAL LINE 12,
COLUMNS A + B)
LINES 10 + 11
*IF THIS IS THE FIRST REPORT FILED FOR THE CALENDAR YEAR, COLUMN A SHOULD BE BLANK
EXCEPT FOR LINES 2,6,9 AND 11.
COLUMN C
Cumulative to date
(ColumnsA + B)
$ 5 .515.00
o
$5,515.00
LINES 1 + 2
o
o
LINES 3 + 4
o
$ '). ') 1 5.00
LINES S + 6
(SHOULD EQUAL LINE 7.
$ 3, ~~NJ ~ + B)
o
3,723.72
LINES B + 9
1,500.00
$5,223.72
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). . . . . . . , , . . . . . , . . . . . . . . . . . . , . . . . . . .
$ 1,058.65
4.12'i.00
o
3,592.37
20.
$ 1,791.28
ENDING CASH ON HAND SHOULD
NOT BE A NEGA TIVE AMOUNT
o
$
o
$
$ 1,500.00
1/1 THRU 6130
7/1 TO DATE
5,515.00
SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See Instructions on Reverse)
21. CONTRIBUTIONS RECEIVED:
22. EXPENDITURES MADE:
3,723.72
SCHEDULE F
ACCRUED EXPENSES
(UNPAID BILLS)
FORM 490
(Amounts May Be Rounded To Whole Dollars)
PAGE 3
OF 3
STATEMENT COVERS PERIOD
FROM THROUGH
9-24-89 10-21-89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
Committee To Elect Don Gage
I.D. NUMBER
810867
CODES FOR CLASSIFYING ACCRUED EXPENSES
If one of the following codes is used to describe the accrued expense, no written description is needed. (Note
exceptions on the back of this schedule for code ''1''.) Refer to the back of this schedule for detai led explanations of
each category.
"L" -- LITERATURE
"B. -- BROADCAST ADVERTISING
"N" -- NEWSPAPER AND PERIODICAL ADVERTISING
"0. -- OUTSIDE ADVERTISING
"S. -- SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR
SOLICITATIONS
"F" -- FUNDRAISING EVENTS
"G" -- GENERAL OPERATIONS AND OVERHEAD
"T" -- TRAVEL, ACCOMMODATIONS AND MEALS
"p. -- PROFESSIONAL MANAGEMENT AND
CONSULTING 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 Outstanding Payment" column.
NAME AND ADDRESS OF PAYEE, CREDITOR
OR RECIPIENT OF CONTRIBUTION
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S
NAME AND ADDRESS, ENTER 1.0. NUMBER AMOUNT
OR, IF NO 1.0. NUMBER HAS BEEN ASSIGNED, ENTER THE CODE OR DESCRIPTION OF OUTSTANDING PAYMENT
TREASURER'S NAME AND AODRESSl ACCRUED
David Runyon
14910 Dark Star Court p $1,500.00
Morgan Hill, California 95037
SUBTOTAL $1,500.00
IMPORTANT: Do not itemize the payment of accrued expenses on Schedules E or F, Report the lump sum of these
payments on Schedule F, Line 4 and on Schedule E, line 4, Do not re-itemize accrued expenses which have been
reported in a previous period.
SUMMARY
1. ACCRUED EXPENSES OF $ 100 OR MORE THiS ?ERIOD ................
1,500.00
2. ACCRUED EXPENSES OF UNDER $100 THIS PERIOD (Not itemized)........................
3. TOTAL ACCRUED EXPENSES INCURRED THIS PERIOD (Line 1 + 2) ...............,...........
4, ACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Enter here
and on Schedule E, Line 4) ..." ..... .......... ..... ..... ..... ......"..... ....." ... ..... .....................
5. NET CHANGE THIS PERIOD (Subtract Line 4 from Line 3) Enter difference here and on
line 11, Column B of Summary Page ......................................................................
(May be
negatIve figure)