Don Gage - 1991/01/01 - 1991/06/30
- ~.
CANDIDA TE..s. .OFFICEHOLDER AND CONTROLLED COMMITTEE
U\MPAJGN STATEMENT - lONG FORM
(Government Code Secti ons 84200-84216.5)
(Type or Print in Ink)
Statement covers period 1-1-91 through 6-30-91
CHECK ONE Of THE FOLLOWING BOXES TO INDICATE THE TYPE OF STA TEMENT BEING FILED:
o PRE-ELECTIONSTATEMENT 0 SUPPLEMENTALPRE.ELECTION
&k SEMI-ANNUAL STATEMENT STATEMENT (If filing a Supplemental
o TERMINATION STATEMENT Pre-Election Statement. attach a
AttAch a completed Form 415 to this completed Form 49S to this SUtement.)
SUtement.
FORM 490
1990
OAn Of ELfCTION(MO., DAY, YIlI (IfAlPllCAIUI
11-5-91
I CANDIDA TElOFRCEHOLDER INCLUDED IN THIS CONSOUDA TED REPORT
NAME OF CANDIDATEJOFFICEHOLDER:
Donald F. Gage
RESIDENTIAL OR BUSINESS AOORESS :
7345 Orchard Drive,
OFFICE SOUGHT OR HELD: (Include Io<ation oNl d_ "_., OflQIlcaIllo)
Mayor ot, Gilroy
NO, AHD STlllET
OTY
Gilroy
STAn
California
Zll'CODf
95020
AUA CooOOA'( TIIoII PHQNf NUMIfIl
(408)256-6672
II CONTROLLED COMMITTEE INCLUDED IN THIS REPORT (See definition on reverse.)
NAME OF COMMITTEE:
Committee To Elect Don Gage, Mayor
ADDRESS OF COMMITTEE: NO. ANO STlllET CITY STAn
7345 Orchsrd Drive, Gilroy California
I. O. NUMIlfIl
810867
Zll'CODf AIIfA COOEJDA'( 1IMf PtlOHf NUMIEII
95020 (408)256-6672
NAME OF TREASURER:
John Thomas Burns.
PERMANENT ADDRESS OF TREASURER: NO. AHD STIlfET
7531 Kennwood Court
CITY
STAn
Zll'COOE
AUA COOOOA'( 1IMf PtlONE HUMIEII
Gilroy
California
95020
(408)842-9626
III OTHER COMMITTEES: UST ANY OTHER COMMITTEES NOT INCLUDED IN THIS 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 1.0. NUMBER COMMITTEE ADDRESS TREASURER COMMITTEE?
VES NO
-------- -
. .
Attach additIonal Infonnatlon on appropriately labeled continuation she~tt,
VERI FICA TlON
CANDIDATE OR OFFICEHOLDER: '
I HAVE USED All. REASONABlE DIUGENCE AND TO THE BEST Of MY KNOWLEDGE THE TRUSURER HAS USED ALL REASONABLE DIUGENCE IN
PtUPAJUNG THIS STATEMENT. I HAVE REVIEWED THE STATEMENT AND TO THE BEST OF MY K EDGE THE INFORMA nON CONTAINED HEREIN
AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE_ I CERTIfY UNDER PENALTY f PERJURY U JR HE LA OF THE STATE OF
CAUfORNIA THAT t E F REGOING IS TRUE AND CORRECT..
EXECUTED ON Z ILj q I AT Gilroy, Ca. BY t: . I
IDA (CITY .1.110 sTAnl
TREASURER (if applicable):
I HAVE USED All. REASONABLE DIUGENCE IN PREPARING THIS STATEMENT AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION
CONTAINED HEREIN A 0 IN HE ATTACHED SCHEDULESISTRUE AND COMPlETE. - if!;
I CERTIfY UNDER PEN TY F. PERJURY UNDER THE LAWS Of THE STATE OFCAUFORNIA T ING IS TRUE A .' RRECT.
EXECUTED ON II 5' AT Gilroy, Ca. BY
lQTf AAIO sTAnl TUU Of TIUSU III
,
. .'
SUMMARY PAGE
FORM 490
(Amounts May Be Rounded To Whole Dollars)
PAGE 2
OF~
STATEMENT COVERS PERle
FROM I THROUG.
1-1-91 6-30-91
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
Committee To Elect Don Gage, Mayor
LD. NUMBER
810867
CONTRIBUTIONS RECEIVED
COLUMN A
Cumulative total
from previous period.
1. Monetary contributions....... .............. $ 0
2. loans received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
3. SUBTOTAL CASH RECEIPTS. . . . . . . . . . . . . . . . . . $ 0
LINES I . 2
4. Non-monetary contributions. . . . . . . . . . . . . . . . 0
5. TOTAL CONTRIBUTIONS WITHOUT 0
ENFORCEABLE PROMISES. . . . . . . . . . . . . . , , . . .
Enforceable Promises (Except loan LINES] . 4
6. 0
guarantees, see line 18 below). ....'..'.....
7. TOTAL CONTRIBUTIONS. . . . . . . . . . . . . . . . . . . . $ 0
L1NESS+6
EXPENDITURES MADE 0
$
8. Payments. . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . .
9. loans Made. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
10. SUBTOTAL............................... , 0
L1NES8 . 9
11. Accrued expenses (unpa~d bi_lIs) . . , . . . . . . . . . . 0
12. TOTAL EXPENDITURES..................... $ 0
LINES 10 + 11
COLUMN B
Total this period from
attached schedules
$ 901. 00
SCHEDULE A, LINE]
o
$
SCHEDULE B,lINE 1
901.00
COLUMN C
Cumulative to date
(ColumnsA + B)
$ 901.00
o
$ 901. 00
LINES 1 . 2
o
o
LINES] . 4
o
$ 901. 00
LINES S + 6
(SHOULO EQUAL LINE 7.
$ 1, t~lr~'~ + Bl
o
1,241.72
LINES 8 . "
o
$1,241. 72
LINES 10 . 11
(SHOULD EQUAL LINE 12,
COLUMNS A + 81
LINES 1 . 2
o
SCHEDULE C. LINE 3
o
LINES] .4
o
SCHEDULE D,lINE 1
$ 901. 00
UNES5+6
$1,241. 72
SCHEDULE E.LINE S
o
SCHEDULE EE.lINE 1
1,241. 72
LINES 8 +,
o
SCHEOULE f, LINE 5
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 (if applicable).
STATEMENT OF CHANGES IN FINANCIAL CONDITION
13. Cash on hand at the beginning of this period. (Enter amount from
Summary Page, line 17, 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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20.
$
909.15
901.00
o
1,241. 72
$
568 41
ENDING CASH ON HAND SHOULD
NOT BE A NEGATIVE AMOUNT
$ 0
$ 0
$ 0
'" THRU 6130
7" TO DATE
SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See Instructions on Reverse)
21. CONTRIBUTIONS RECEIVED:
22. EXPENDITURES MADE:
I
,
.. .
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, Mayor
DATE
REC'D.
FULL NAME AND ADDRESS OF CONTRIBUTOR
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS.
ENTER 1.0. NUMBER OR. IF NO 1.0. NUMBER HAS BEEN ASSIGNED.
ENTER THE TREASURER'S NAME AND ADDRESS)
SUMMARY
OCCUPATION
EMPLOYER
(IF SELF-EMPlOYED. ENTER
NAME OF BUSINESS)
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
SUBTOTAL $
1. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OF $100 OR MORE
(Include all Schedule A subtotals) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. AMOUNT RECEIVED THIS PERIOD - 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
1-1-91
1.0. NUMBER
810867
6-30-91
AMOUNT
RECEIVED CUMULATIVE
THIS PERIOD TO DA TE
$
CALENDAR YEAR:
S
FISCAL YEAR:
S
CALENDAR YEAR:
S
FISCAL YEAR:
S
CALENDAR YEAR:
S
FISCAL YEAR:
S
CALENDAR YEAR:
S
FISCAL YEAR:
CALENDAR YEAR:
S
FISCAL YEAR:
S
901.00
$
901.00
.. -
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)
FROM
1=1=91
THROUGH
Gi-30-91
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
, tee To Elect DOn Ga e Ma or
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.
/.0, NUMBER
810867
"C" - MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHE~ COMMITTEES
"I" - INDEPENDENT EXPENDITURES
"L" - LITERATURE
"B" - BROADCAST ADVERTISING
"N" - NEWSPAPER AND PERIODICAL ADVERTISING
"0" - OUTSIDE ADVERnSING
"S" - SURVEYS, SIGNATURE GATHERING. DOOR-TO-DOOR
SOLICIT A nONS
"F" - FUNDRAISING EVENTS
"G" - GENERAL OPERAnONS AND OVERHEAD
"T" - TRAVEL. ACCOMMODA TIONS AND MEALS (MUST BE
DESCRIBED. SEE BACK OF SCHEDULE E CONTINUA nON
SHEET.)
"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 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 AOOH'ION TO COMMITTEE'S PAID
NAME ANO AOORESS. ENTER 1.0. NUM8ER
OR, If NO 1.0. NUMlIfR HAS 8EEN ASSIGNED, ENTER THE CODE OR DESCRIPTION OF PAYMENT
TREASURER'S NAME ANO ADDRESS)
Kids Discover Ares non-profit donation
Parks & Recreation Dept.
Gity Of Gilroy 909.15
Globe Printing
1465 South First St. L 186.99
San Jose, Ca 95110
SUBTOTAL $1,096.14
SUMMARY
,. PAYMENTS OF $100 OR MORE MADE THIS PERIOD $
(Include all Schedule E subtotals) ................................................................................................ 1,096.14
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) ..... ,........................................... ..............
14'1.58
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 ............................................. ...... ................ ........................................................ $ 1241. !il2