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Committee for Measure F - Form 460 - 2014/10/29 - 2014/12/31 TerminationRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) Type or print in ink. Statement covers period from October 29, 2014 SEE INSTRUCTIONS ON REVERSE I through Dec. 31, 2014 1. Type of Recipient Committee: All committees -complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee j Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Controlled (Also Complete Part 5) Sponsored ❑ General Purpose Committee (Aso Complete Part 6) 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 1370490 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee for Measure F, Quality of Life STREET ADDRESS (NO P.O. BOX) 771 Fourth Street CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 OPTIONAL: FAX / E -MAIL ADDRESS snino @vannihumphrey.com 4. Verification Date of election if applicable: (Month, Day, Year) November 4, 2014 2. Tvne of Statement: Preelection Statement U Semi - annual Statement ate Stamp CEC 2014.,_, ® Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Sara Humphrey -Nino MAILING ADDRESS COVER PAGE Page 1 of 7 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 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 the State of California that the foregoing is true and correct. Executed on 12/31/2014 2 Date Executed on - J - C; f Date Executed on Date By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Dale Signature of Controlling Olficehdder, Candidate, State Measure Proponent FPPC Forth 460 (January/05) FPPC Toil -Free Helpline: 866 /ASK -FPPC (8661276-3772) State of California Type or print in ink. COVERIPAGE - PART 2 Recipient Committee CAUFORNIA Campaign Statement FORM 4611 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OWCANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Usranycommittees 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 STREETADDRESS (NOjP.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 _ of 7 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Committee for Measure F. Quality of Life BALLOT NO. OR LETTER JURISDICTION m SUPPORT F I Gilroy, CA ❑ 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 List names of officeholder(s) or candidate(s) 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;(January106) FPPC Toll-Free Helpline: 866 /ASK -FPPC (86W276 -3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may -be rounded Statement covers period to whole dollars. from October 29, 2014 Expenditures Made through Dec. 31, 2014 page 3 of 7 SEE INSTRUCTIONS ON REVERSE 7. Loans Made .............................. ............................... schedule H, Line 3 0.00 0.00 - $ NAME OF FILER $ 39925.00 9. Accrued Expenses (Unpaid, Bills) ............................... Schedule F, Line 0:00 I.D. NUMBER Committee for Measure F, Quality of Life 0:00 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +to 1370490 12775.29 $ 39925.00 oD Column B Calendar Year Summary for Candidates Contributions Received 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 TColumn Running in Both the State Primary and 13. Cash Receipts .................... ............................... column A, Line 3 above (FROMATTACHEDSCHEDULES) TOTALTonATE General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 1000.00 $ 39925.00 from Column a of your last 0.00 0:00 1/1 through 8130 711 to Date 2. Loans Received ....................... ............................... Schedule A Line 3 Column A may negative 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines t + 2 $ 1000.00 $ 39925.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 __ 0.00 0.00 21 Expenditures period amounts. If thisas 5. TOTAL CONTRIBUTIONS RECEIVED ••••••. •• .............•••••AddLines3 +4 100000 $ . $ 39925:00 Made $ $ 17. LOAN GUARANTEES'RECEIVED ........................... Schedule B, Part 2 Expenditures Made 6. Payments Made ........................ ..............:.....:.:.......: schedule e; Line 4 $ 12775.29 $ 39925.00 7. Loans Made .............................. ............................... schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines e + 7 $ 12775.29 $ 39925.00 9. Accrued Expenses (Unpaid, Bills) ............................... Schedule F, Line 0:00 0.00 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0:00 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +to $ 12775.29 $ 39925.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 11775.29 To calculate Column B, add 13. Cash Receipts .................... ............................... column A, Line 3 above 1000.00 amounts in:Column A•to the 0.00 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule i, Line 4 from Column a of your last 12775:29 report. Some amounts in �-���������� 15. Cash Payments .................................................. Column A, Line E above Column A may negative 16. ENDING CASH BALANCE .......... Add. Lines 12 + 13 + 14, then subtract Line 15 $ 0:00 figures that should be subtracted from previous If this is a termination statement Line 16 must be zero. period amounts. If thisas the first report being .filed 17. LOAN GUARANTEES'RECEIVED ........................... Schedule B, Part 2 $ 0.00 for this calendar year, only carry over the amounts a y) Lines 2, 7., and 9 ('d Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... see instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0.00 Expenditure Limit Summary for State 'Candidates 22. Cumulative Expenditures Made* (if subject to voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) I $ IF _ $ Amounts in this section may be different from amounts reported in Column B: FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK -FPPC (866/276 -3772) Schedule A Monetary Contributions Received Type or print In ink SCHEDULER Amounts may be rounded Statement covers period to whole dollars. • � l � �/ from October 29, 2014 e - Schedule A Summary 1. Amount received this period — itemized,monetary contributions. (Includezit 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 $ 1000.00 )I II 1 1000.00 '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:466 /ASK -FPPc {8661275 -3772) through Dec. 31, 2014 Page 4 of 7 SEE INSTRUCTIONS ON' REVERSE NAME OF FILER - - I.D: NUMBER Committee for Measure F, Quality of'Life 1370490 �� FULLNAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVEDTHIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED PFCOMMITTEE,ALSANDZILD.NUMBER) CODE* OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND 1112512014 The James Group ❑COM 1000.00 1000.00 2950 Soma Way ®OTH Gilroy, CA 95020 ❑ PTY ❑ SCC -- ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND - ❑ COM ❑ 0TH ❑ PTY [-]SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY El SCC SUBTOTAL$ 1000.00 Schedule A Summary 1. Amount received this period — itemized,monetary contributions. (Includezit 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 $ 1000.00 )I II 1 1000.00 '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:466 /ASK -FPPc {8661275 -3772) Schedule E 'type or print in ink. Statement covers period Amounts may be rounded Payments Made to whole dollars. from October 29, 2014 SEE INSTRUCTIONS ON NAME,OFiFILER Committee for Measure ,F, Quality of Life through Dec. 31, 2014 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. page 5 of 7 I.D. NUMBER 1370490 CIVP campaign: paraphernalia /misc. MBR member communications RAD radio airtime and productioncosts CNS campaign consultants MTG meetings and appearances RFD returned contributions CTi3 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 RIO 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 UT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE' OFCOMMRTEE, ALSO ENIMRI.D.NUMBER) CODE OR DESCRIPTION'OF PAYMENT AMOUNTPAID Vann! & Humphrey, CPAs Accounting services 7937 Hanna Street PRO 3000.00 Gilroy, CA 95020 ; Gilroy Drug Abuse Prevention Council Donation to support drug abuse prevention council 7351 Rosanna Street CVC 1000.00 Gilroy, CA 95020 US Postmaster Postage for postcard mailers 100 4th Street POS 147.00 Gilroy, CA 95020 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4147.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 12775.29 ............................................................................... ............................... 2. Unitemized:payments made thisiperiod of under $100 ........ 0.00 3. Total interest paidthis 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 Summary Page, Column A, Line 6.) ............................. TOTAL $ 12775.29 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK- FPPCI(6661275 -3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SCHEDULE E (CONT) Sheet) Type or print In Ink. Amounts may be rounded Statement covers period • - , ' (Continuation Mailing of print ads 8339 Church Street, Suite 215 Payments Made to whole dollars. from October 29, 2014 • - Dec. 31, 2014 6 7 Printing of postcard mailers through - Page of SEE INSTRUCTIONS ON REVERSE 287.50 Articulate Solutions Design of postcard mailers 65 Fifth Street, Suite 100 PRT 447.60 Gilroy, CA 95020 Political Data Inc. Phone calls to voters P.O. Box 59570 PHO 912.72 Norwalk, CA 90652 American Directions Group, Inc. Phone calls to voters 1350 Connecticut Avenue, NW, Suite 1102 PHO 1300.84 Washington, D.C. 20036 ' Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4068.66 - FPPC,Fonn 460 (January/05) FPPC Toll -Free Helpline: 86WASK -FPPC (866 1275 -3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID PoliticalCalling.Com SCHEDULE E (CONT.) (Continuation Sheet) Type orprint in Ink. Amountsmay;berounded Statement covers period CALIFORNIAA60 Payments Made towholedollars. from October 29, 2014 • ' Sharon Albert Dec. 31, 2014 7 7 SEE INSTRUCTIONS ON REVERSE Gilroy Youth Task Force- City of Gilroy Donation to youth task force 7351 Rosanna Street CVC 3292.35 Gilroy, CA 95020 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4559.63 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (86612754772)