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Don Gage - Form 460 - 2014/01/01 - 2014/06/30Recipient Committee COVERPAGE Campaign Statement Type or print in ink. Date Stamp Cover Page (Government Code Sections 84200 - 84216.5) �� 2014 • Statement covers period Date of election if applicable: t CILERYS Q':►�r� Page 1 6 January 1, 2014 (Month, Day, Year) °� V�, t �P i For Official Use Only from SEE INSTRUCTIONS ON REVERSE through June 30, 2014 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee O Primarily Formed ® Semi - annual Statement ❑ Special Odd -Year Report Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) Q Sponsored ❑ Amendment (Explain below) Statement - Attach Form 495 ❑ General Purpose Committee (AfsoCponsored Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1346217 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Don Gage for Mayor 2012 Sara Humphrey -Nino MAILING ADDRESS MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this 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 California that the foregoing Soonsor Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on BY FPPC Form 460 June /01 Date Signature of Controlling Officeholder, Candidate, State Measure Proponent ( ) FPPC Toll -Free Helpline: 866 /ASK -FPPC State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Don Gage OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor of Gilroy, California RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 6. Ballot Measure Committee NAME OF BALLOT MEASURE Of 6 BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of officeholder(s) or candidates) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Junel01) FPPC Toll -Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Summary Page Amounts may be rounded to whole dollars. Statement covers period e - r • e January 1, 2014 • = l from through June 30, 2014 Page 3 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDARYEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTODATE General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 0.00 $ 0.00 0.00 0.00 1/1 through 6730 7/1 to Date 2. Loans Received ....................... ............................... Schedule a, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 0.00 $ 0.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule c, Line 3 0.00 0.00 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ••••••• ••.•.••.......•••••• Add Lines 3 +4 $ 0.00 $ 0.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 1,780.00 $ 1,780.00 Candidates 7. Loans Made .............................. ............................... Schedule H, Line 3 0.00 0.00 1 780:00 1,780.00 22. Cumulative Expenditures Made' 8. SUBTOTAL CASH'. PAYMENTS .................................... Add Lines 6 +7 $ $ (re Subject to Voluntary ExpendltureLtmit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0.00 0.00 (mm/dd /yy) 11. TOTAL EXPENDITURES MADE . ............................... Add Lines s + 9 + 10 $ 1,780.00 $ 1,780.00 J $ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 g g $ 5,991.36 To calculate Column B, add $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 0.00 amounts in Column A to the 0.00 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule i, Line 4 from Column B of your last ) $ 1,780.00 report. Some amounts in 15. Cash Payments .................................................. Column A, Line 6 above Column A may be negative $ 16. ENDING CASH BALANCE ..... :.... Add Lines 12 + 13 + 14, then subtract Line 15 $ 4 211.36 � figures that should be 9 subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is $ the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pan 2 $ _ 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. Cash Equivalents and Outstanding Debts y 18. Cash Equivalents ......... ............................... See instructions on reverse $ o.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 1ASK -FPPC Schedule D SCHEDULED Summary of Expenditures Type or print in Ink. Statement covers period Su ortln /0 osln Other Amounts may be rounded pp 9 pp g to whole dollars. January 1, 2014 imm Candidates, (Measures and Committees from June 30, 2014 4 6 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OR COMMITTEE Tom Fischer for City Council 2014 Monetary Donation 6/4/14 745 Dawn Way Contribution 250.00 250.00 Gilroy, CA 95020 ❑ Nonmonetary FPPC# 1366034 Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 250.00` Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) 2. Unitemized contributions and independent expenditures made this period of under $100 ..................... $ 250.00 WE 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 250.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 1ASK -FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Don Gage for Mayor 2012 Type or print in Ink. Amounts may be rounded to whole dollars. SCHEDULEE Statement covers period _ from January 1, 2014 ®' 0 8 through June 30, 2014 Page 5 of 6 I.D. NUMBER 1346217 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP CNS campaign paraphernalia /misc. campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)' MTG OFC meetings and appearances office expenses RFD returned contributions CVC FIL civic donations candidate filing /ballot fees PET petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs FND fundraising events PHO POL phone banks polling and survey research TRC candidate travel, lodging, and meals IND LEG independent expenditure supporting /opposing others (explain)" legal defense POS postage, delivery and messenger services TRS TSF staff /spouse travel, lodging, and meals transfer between committees of the same candidate /sponsor LIT campaign literature and mailings PRO PRT professional services (legal, accounting) print ads VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Gilroy Chamber of Commerce Man & Woman of the year dinner. 7471 Monterey Street CVC 130.00 Gilroy, CA 95020 Tee -Off For Youth T-TDonation 1 Cordevalle Club Drive CVC J-100-00 San Martin, CA 95046 YMCA of Silicon Valley Donation 80 Saratoga Avenue CVC 500.00 Santa Clara, CA 95051 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 730.00 Schedule E Summary 1. Payments made this period -of $100 or more. (Include all Schedule E subtotals.) 1,190.00 2. Unitemized payments made this period of under $100 ................................ ............................... 340.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .......... $ 0.00 ................................... ............................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. ) ...................... TOTAL $ 1,530.00 FPPC Form 460 (Junel01) FPPC Toll -Free Helpline: 866 1ASK -FPPC %r Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID United States Post Office 100 4th Street Gilroy, CA 95020 SCHEDULE E (CONT.) Stamps 460.00 Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded imm Payments Made to whole dollars. from .January 1, 2014 June 30, 2014 6 6 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CLIP campaign paraphernalia /misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants KM meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals ND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID United States Post Office 100 4th Street Gilroy, CA 95020 POS Stamps 460.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 460.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 1ASK -FPPC