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GILPAC - Form 460 - 20150101 - 20150630Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Statement covers period from January 1, 2015 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) 0 Sponsored ® General Purpose Committee (Also Complete Part 61 ® 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 COVER PAGE Date Stamp NMI /( /,' 1, age 1 of 5 Date of election if applica (Month, Day, Year) For Official Use Only IL ya w� 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 TREAD! -tku ' 01, 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 Executed on By Date Signature ontrollingOffiomoKler, Can(liftleeatate Meam"ProponentorResponsible Officer of Sponsor Executed on gy Date of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Forth 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661276 -3772) State of California Recipient Committee Type or print In Ink. COVER PAGE - PART 2 Campaign Statement CALIFORNIA 4610 FORM Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL /BUSINESS 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I 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 Candidate /Officeholder Committee List names of officeholder(s) or candidates) for which this committee Is pdmadly 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 Helpiine: 8661ASK -FPPC (8661276-3772) state of Califomla Campaign Disclosure Statement Summary Page Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from January 1, 2015 SUMMARYPAGE SEE INSTRUCTIONS ON REVERSE through June 30, 2015 page 3 of 5 NAME OF FILER 840.00 7. Loans Made .............................. ............................... schedule H Line 3 I.D. NUMBER Gilroy Business Political Action Committee (GILPAC), Sponsored by the Gilroy Chamber of Commerce 8. SUBTOTAL CASH PAYMENTS ..... ............................... 1347327 Contributions Received Column A Column B Calendar Year Summa for Candidates ry 0.00 TOTAL THIS PERIOD (FROMATTACHEDSCHEDULES) CALENDARYEAR TOTALTODATE Running in Both the State Primary and 0.00 0.00 11. TOTAL EXPENDITURES MADE . ............................... General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 00 072. $ 3, $ 3,072.00 2. Loans Received ....................... ............................... schedule e. Line 3 0.00 0.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add tines 1 +2 $ 3,072.00 $ 3,072.00 20. Contributions 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 0.00 0.00 Received $ $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .• ..... ....................AddLines3 +4 $ 3,072.00 $ 3,072.00 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... schedule E, Line 4 $ 840.00 $ 840.00 7. Loans Made .............................. ............................... schedule H Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add tines 6 + 7 $ 840.00 $ 840.00 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 Linea 6 + 9 + 10 $ 840.00 $ 840.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 19,197.25 13. Cash Receipts .................... ............................... Column A, Line 3above 3,072.00 14. Miscellaneous Increases to Cash ........................... schedule /, Line 4 0.00 15. Cash Payments Column A, Lines above 840.00 16. ENDING CASH BALANCE ... , ...... Add Lines 12 + 13 + 14, then subtract Line 15 $ 21,429.25 If this is a termination statement Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule 9, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... see instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0.00 ME, To calculate Column B, add amounts in Column A to the corresponding amounts from Column B 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 amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' Of Subject to Voluntary Expenditure Limn) Date of Election Total to Date (mm /ddlyy) 1 -J_ 1 $ I $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 /ASK•FPPC (8661276 -3772) Schedule A Type or print in Ink SCHEDULE A Monetary - iFe"ALD Oh@ Contributions eC@IVe whole dollars. Statement covers period January 1, 2015 CALIFORNIA 460 from a. SEE INSTRUCTIONS ON REVERSE through June 30, 2015 Page 4 Of 5 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 OF 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) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC ❑ IND [3Com ❑ OTH ❑ PTY [-]SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND COM []OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL $ -_ - Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ........................... ............................... $ 0.00 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. TotaUrnonetary contributions received this period. (Add, Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 3.072.00 3,072.00 *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 Toil -Free Helpline: 866/ASK -FPPC (8661275 -3772) Schedule E Payments Made Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from . January 1, 2015 SEE INSTRUCTIONS ON REVERSE through June 30, 2015 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. CMP 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 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 (Internet, e-mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Vanni & Humphrey CPAs 7937 Hanna Street Gilroy, CA 95020 PRO Accounting /Reporting 250.00 Gilroy Chamber of Commerce 7471 Monterey Street FND Leadership Summit 500.00 Gilroy, CA 95020 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 750.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals. 750.00 2. Unitemized payments made this period of under $1:00 90.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ................................................ ............................... $ 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 840.00 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK -FPPC (866/275 -3772)