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GILPAC - Form 460 - 20140101 - 20140630Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election If applicable: from January 1, 2014 (Month, Day, Year) through June 30, 2014 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) ® General Purpose Committee (K-) 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 1347327 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Gilroy Business Political Action Committee (GILPAC), Sponsored by the Gilroy Chamber of Commerce STREET ADDRESS (NO P.O. BOX) 7471 Monterey Street CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408 - 842 -6437 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification COVER PAGE Date Stamp CALIFORNIA , ; FOFNIVI Page 1 of 5 ,cR�sa. For Official Use Only 2. Type of Statement: ❑ Preelection Statement ® Semi- annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Susan Valenta ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 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 State of California that the foregoing is true Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on BY Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on BY Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661276 -3772) State of California Type or print In ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement o CALIFORNIA RM 4 • 1' Cover Page — Part 2 Page 2 of 5 6. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Usr 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE ❑ 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 Candidate /Officeholder Committee Ust 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 (January/06) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661276 -3772) State of California Campaign Disclosure Statement Summary Page Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from January 1, 2014 SUMMARY Expenditures Made through June 30, 2014 Page 3 of 5 SEE INSTRUCTIONS ON REVERSE 7. Loans Made .............................. ............................... Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ NAME OF FILER $ 1,405.00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 I.D. NUMBER Gilroy Business Political Action Committee (GILPAC), Sponsored by the Gilroy Chamber of Commerce 1347327 0.00 11. TOTAL EXPENDITURES MADE . ............................... Add Lines a + s + 10 ColumnA Column B Calendar Year Summary for Candidates Contributions Received TOTTACH CTOTALT Running in Both the State Primary and 9 '7 $ 17,012.94 (FROMATTACHEDSCHEDULES) DSCHED nATE TOTALTO DATE General Elections 1. Monetary Contributions ... ..............................: ......... Schedule A, Line 3 4,485.00 $ � $ 4,485.00 0.00 corresponding amounts 14. Miscellaneous Increases to Cash ........................:.. Schedule 1, Line 4 0. 00 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... schedule e, Line 3 1,405.00 - 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 4,485.00 $ 4,485.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0.00 0.00 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •• ..... ...............•••••AddLines3 +4 $ 4.485.00 $ 4,485.00 Made $ $ Expenditures Made 6. 'Payments Made ........................ ............................... Schedule E, Line 4 $ 1,405.00 $ 1,405.00 7. Loans Made .............................. ............................... Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 1,405.00 $ 1,405.00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 0.00 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE . ............................... Add Lines a + s + 10 $ 1,405.00 $ 1,405.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 17,012.94 To calculate Column B, add 13. Cash Receipts ................ ..............................: Column A; Line 3 above 4.485.00 amounts in Column A to the 0.00 corresponding amounts 14. Miscellaneous Increases to Cash ........................:.. Schedule 1, Line 4 from Column B of your last 15. Cash Payments ................... ............................... Column A, Line a above 1,405.00 report. Some amounts:in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 20,092.94 figures that should be 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, Part 2 $ 0.00 for this calendar year, only ........................... carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0.00 an y). 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 0.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (it Subject to voluntary Expenditure Limit) Date of Election Total to Date (mm/dd /yy) I/_ 1 $ $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A Type or print In Ink. Sr:HFnIT F A monetary contributions Received to `whose dollars ° ° "° Statement covers period from January 1, 2014 0. , 0. �; • June 30, 2014 4 5 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Gilroy Business Political Action Committee (GILPAC), Sponsored by the Gilroy Chamber of Commerce 1347327 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Heinzen Manufacturing International ❑IND ❑COD 3/27/14 405 Mayock Rd. W] OTH $130.00 $130.00 Gilroy, CA 95020 ❑ PTY ❑Scc ❑IND Container Consulting Services, Inc ❑COM 3/27/14 455 Mayock Rd. MOTH $500.00 $500.00 Gilroy, CA 95020 ❑ PTY Scc ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ar" ' Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 630.00 3,855.00 4,485.00 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772) Schedule E Type or print In Ink. Payments Made Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from January 1, 2014 through June 30, 2014 Page 5 of 5 NAME OF FILER I.D. NUMBER Gilroy Business Political Action Committee (GILPAC), Sponsored by the Gilroy Chamber of Commerce 1347327 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CWtP campaign paraphemalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations FET petition circulating TEL Im. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE ( IFC .OMMRTEE, ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Marcia Queen Financial Support Services Accounting /Bookkeeping 6070 Ashbury Ct. PRO 135.00 Gilroy, CA 95020 Vanni & Humphrey, CPA's Accounting 7937 Hanna Street PRO 770.00 Gilroy, CA 95020 Gilroy Chamber of Commerce Leadership Summit 7471 Monterey Street FND 500.00 Gilroy, CA 95020 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,405.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ....................... $ 1,405.00 2. Unitemized payments made this. period of under $100 0.00 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 $ 1,405.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)