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Don Gage - Form 460 - 2014/07/01 - 2014/12/31Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period I Date of election if appii from July 1, 2014 (Month, Day, Year) through December 31, 2014 1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q State Candidate Election Committee O Primarily Formed Q Recall O Controlled (Also Complete Part 5) O Sponsored F-1 General Purpose Committee (Also 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 1346217 4. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Don Gage for Mayor 2012 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 2. Type of Statement: ❑ Preelection Statement ® Semi- annual Statement ❑ Termination Statement ❑ Amendment (Explain below) COVER PAGE Page 1 of 6 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Sara Humphrey -Nino MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 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 is true and correct. Executed on Dare , Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date June /01 BY FPPC Form 460 Signature ofContrdling Officeholder, Candidate, State Measure Proponent ( ) FPPC Toll -Free Hefpline: 866 1ASK -FPPC State of California t Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee Type or print in Ink. 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 candidacv. 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 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 6. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE -'PART 2 Page 2 of 6 BALLOT NO. OR LETTER I JURISDICTION I ❑ 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 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 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Statement covers period Summary Page to whole dollars. from July 1, 2014 SEE INSTRUCTIONS ON REVERSE through December 31, 2014 Page 3 of 6- - NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 Contributions Received 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 2. Loans Received ....................... ............................... schedule a, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ..•..•. •••••• .............•AddLines3 +4 $ Expenditures Made 6. Payments Made ........................ ............................... schedule E, Line 4 $ 7. Loans Made .............................. ............................... schedule H, Line 3 8. SUBTOTAL CASKPAYMENTS ..... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE . ............................... Add lines a + 9 + 10 $ Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 0.00 0.00 0.00 1 11 1 11 $ $ 2,006.68 $ 0.00 2,006.68 $ 0.00 0.00 2,006.68 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 4,211 .36 13. Cash Receipts .................... ............................... Column A, Line 3 above 0.00 14. Miscellaneous Increases to Cash ........................... schedule t, Line 4 0.00 15. Cash Payments ................... ............................... Column A, Line s above 2,006.68 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 2,204.68 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... schedule t3, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column :B above $ 1 11 Me] me Column B Calendar Year Summary for Candidates CALENDAR TOTALT DATE - Running in Both the State Primary and TOTAL TO DATE g • 7 0.00 General Elections n n(I 1/1 through 6/30 7/1 to Date 1 11 No1 11 0 11 1 11 111 1 11 To calculate Column B, add amounts in Column A to the corresponding amounts from ColummB of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the ramounts from Lines 2; 7, and 9 (if any). 20. Contributions Received $ $ 21. Expenditures Made $ $ 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) � 1 $ -J - $ I I $ Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 1ASK -FPPC Schedule D Summa of Expenditures Type or print in ink. Summary Amounts may be rounded Statement covers period Supporting /Opposing Other to whole dollars. from July 1, 2014 Candidates, Measures and Committees ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 300.00 Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include al[Schedule D subtotals.) ............... ............................... $ 2. Unitemized contributions and independent expenditures made this period of under $100 ....................................................... ............................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL $ 300.00 50.00 350.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 666 /ASK -FPPC December 31, 20fi 4 6 SEE INSTRUCTIONS ON REVERSE through Page _ _ Of NAME OF FILER I.D. NUMBER Don Gage for Mayor 2012 1346217 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUM CALENDAR NDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) ORCOMMITTEE Friends of Dion Bracco for City Council 2014 ® Monetary Donation 8/15/2014 P. O. Box 1485 Contribution 150.00 150.00 Gilroy, CA 95021 -1485 ❑ Nonmonetary FPPC# 1367872 Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure Paul V. Kloecker for Gilroy City Council ® Monetary Donation Donation 8/15/2014 8431 Delta Court 150.00 150.00 Gilroy, CA 95020 ❑ Nonmonetary FPPC# 1341206 Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 300.00 Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include al[Schedule D subtotals.) ............... ............................... $ 2. Unitemized contributions and independent expenditures made this period of under $100 ....................................................... ............................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL $ 300.00 50.00 350.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 666 /ASK -FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Don Gage for Mayor 2012 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from July 1, 2014 through December 31, 20gg CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 5 of 6 I.D. NUMBER 1346217 CMP campaign paraphernalia /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 PEr 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 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Some Gave All - Jeramy Ailes Memorial Donation to Memorial Fund P. O. Box 1435 CVC 100.00 Gilroy, CA 95021 City of Gilroy Mayor office expenses 7351 Rosanna Street OFC 1,250.00 Gilroy, CA 95020 The Printing Spot Printing contribution for Measure F 501 1 st Street CVC 306.68 Gilroy, CA 95020 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,656.68 Schedule E Summary 1. Payments made this period of $100 or more. Include all Schedule E subtotals. 1,956.68 2. Unitemized payments made this period of under $100 ............. $ 50.00 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 and on the Summa Page, Column A, Line 6. 2,006.68 p Y p ( Summary 9 ) ............................. TOTAL $ FPPC form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SCHEDULE E (CONT) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA 460 Payments (Wade to whole dollars. Jul 1, 2014 from y - • ' FPPC# 1367872 December 31, 2 through 6 6 SEE INSTRUCTIONS ON REVERSE Paul V. Kloecker for Gilroy City Council Pa 9 e of NAME OF FILER CTB 150.00 I.D. NUMBER Don Gage for Mayor 2012 FPPC #1341206 p 1346217 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CluIP campaign paraphernalia/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 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 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 (internal, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Friends of Dion Bracco for City Council 2014 P. O. Box 1485 CTB 150.00 Gilroy, CA 95021 -1485 FPPC# 1367872 Paul V. Kloecker for Gilroy City Council 8431 Delta Court CTB 150.00 Gilroy, CA 95020 FPPC #1341206 p " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 300.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 8661ASK•FPPC