Don Gage - Form 460 - 2015/01/01 - 2015/06/30Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
COVER PAGE
Type or print in ink. (IDW
te Stamp CALIFORNIA
I
1
k 10
O_
Statement covers period Date of election if applicab 2 015 age 1 of 4 from January 1, 2015 (Month, Day, Year) For Official Use Only
through June 30, 2015
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
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
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 ❑ Quarterly Statement
Semi - annual Statement ❑ Special Odd -Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
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
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 is true and correct.
Executed on. T,�
Executed on 7_6,-15
Date
Executed on
Data
By
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275 -3772)
State of California
Type or print in ink. COVER PAGE - PART 2
Recipient Committee CALIFORNIA
Campaign Statement FORM 460
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
RESIDENTIALBUSINESS 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 STREETADDRESS (NO P.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 4
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
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 I 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
Y -
PCFoT 4rAY 60 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -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, 2015
PAGE
Expenditures Made
6. Payments !Made ....:................... ............................... Schedule E, Line 4 $ 410.00
7. Loans Made .............................. ............................... Schedule H, Line 3 0.00
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 410.00
9. Accrued Expenses (Unpaid Bills) .......... .....................Scheduler; Line 0.00
10: Nonmonetary Adjustment ........... ............................... Schedule C. Line 3 0.00
11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10 $ 410:00
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 2,204.68
13. Cash Receipts ................................................... Column A, Line 3 above 0.00
14. Miscellaneous Increases to Cash ........................... schedule r, Line 4 0.00
15. Cash Payments .................................................. Column A, Line 8 above 410.00
......... ....................
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 1'794'68
if this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pert 2 $ _ 0.00
Cash, Equivalents and Outstanding Debts
0.00
18. Cash Equivalents ......... ............................... see instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in.Corumn B above $ 0.00
$ 410.00
0.00
$ 410.00
0.00
0.00
$ 410.00
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
in subject to voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
$
To calculate Column B, add
through
June 30, 2015
page 3 of 4_ _
SEE INSTRUCTIONS ON REVERSE
from Column B of your last
reported in Column B.
report. Some amounts in
Column A•may!be negative
NAME OF FILER
subtracted from previous
period amounts. If this is
I.D. NUMBER
Don Gage for Mayor 2012
for this calendar year, only
carry over the amounts
1346217
from,Lines 2, 7, and 9 (if
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTALTHIS PERIOD
CALENDAR YEAR
Running f7 In Both the State Primary and
r
(FROMATTACHED SCHEDULES)
TOTALTODATE
General, Elections
1. Monetary Contributions ............ ...............................
schedule A, Line 3
$ 0.00 $
0.00
0.00
0.00
1/1 through 6130 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
6. Payments !Made ....:................... ............................... Schedule E, Line 4 $ 410.00
7. Loans Made .............................. ............................... Schedule H, Line 3 0.00
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 410.00
9. Accrued Expenses (Unpaid Bills) .......... .....................Scheduler; Line 0.00
10: Nonmonetary Adjustment ........... ............................... Schedule C. Line 3 0.00
11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10 $ 410:00
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 2,204.68
13. Cash Receipts ................................................... Column A, Line 3 above 0.00
14. Miscellaneous Increases to Cash ........................... schedule r, Line 4 0.00
15. Cash Payments .................................................. Column A, Line 8 above 410.00
......... ....................
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 1'794'68
if this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pert 2 $ _ 0.00
Cash, Equivalents and Outstanding Debts
0.00
18. Cash Equivalents ......... ............................... see instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in.Corumn B above $ 0.00
$ 410.00
0.00
$ 410.00
0.00
0.00
$ 410.00
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
in subject to voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
$
To calculate Column B, add
amounts imColumn A to the
corresponding amounts
*Amounts in this section may be differentfrom amounts
from Column B of your last
reported in Column B.
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 tiled
for this calendar year, only
carry over the amounts
from,Lines 2, 7, and 9 (if
any).
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 888/ASK -FPPC (8861275-3772)
Schedule E Type or print in Ink. Statement covers period
Payments Made Amounts may be .rounded
i to whole dollars. from January 1, 2015
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Don Gage for Mayor 2012
through June 30, 2015
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Page 4 of 4
LD. 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
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
POI_
polling and survey research
TRS
staff/spouse travel, lodging, and meals
M
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
Mt. Madonna YMCA Donation
171 West Edmundson Ave. CVC 200.00
Morgan Hill, CA 95037
FFA Boosters Donation
2322 Hoya Lane CVC 100.00
Gilroy, CA 95020
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 300.00
Schedule E Summary
1:. Itemized payments made this period. (Include all Schedule E subtotals.) .. ... ............... $ 300.00
2. Unitemized payments made this period of under $100 $ 110.00
3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1 Column a ......_..... $ 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 $ 410.00
FPPC Form 480 (January/05)
FPPC Toll -Free Helpline: 888 1ASK -FPPC (88812754772)