GILPAC - Form 410 Amendment No. 1 (2015)Statement of Organization
Recipient Committee
Statement Type ❑ Initial 0 Amendment
Not yet qualified ❑ or
List I.D. number:
1347327
09 /30 /2013
Date qualified as committee Date qualified as committee
(If applicable)
1. Committee Information
NAME OF COMMITTEE
(�IWAC C ll�Dy W5lNE5S Fu tTI0k - AC-Tlv-1 CuMm LT�,E
'� p a7 Tot�— Af U `/ ClaAtvtRF(Z LIF �fNrnit�(
STREET NDDRESS (NO P.O. BOX)
7471 Monterey Street
CITY STATE ZIP CODE AREA CODE /PHONE
Gilroy CA 95020 (408)842 -6437
MAILING ADDRESS IIF DIFFERENT)
FAX / E -MAIL ADDRESS
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Santa Clara Gilroy
❑ Termination — See Part 5
List I.D. number:
Date of Termination
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing this statement and
penalty of perjury under the laws of the State of Califor is at-tfie
Executed on ` ° 23 ° I S By An 17
DATE
Executed on �y 3 7- 1 5 By
DATE
Date Stamp
RE CEt R - .
QED AND F Official S my
in tt* OMCe of the �crete
Of the
state of califor �°t late f
NOV 02 2015 _ NOV 192015
..4rr+,tiR CIF V01 AS
t of my knowledge the information contained herein is true and complete. I certify under
s true and correct.
OF TREASURER OR ASSISTANT TREASURER
NG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONI. NT
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
A CLVA
2. Treasurer and Other Principal Officers
W
pepwgr
NAME OF TREASURER
Mark Turner
E
STREET ADDRESS (NO P.O. BOX)
7471 Monterey Street
CITY
STATE
ZIP CODE
AREA CODE /PHONE
Gilroy,
CA
95020
(408)842 -6437
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
Terry Feinberg
STREET ADDRESS (NO P.O. BOX)
7471 Monterey Street
CITY
STATE
ZIP CODE
AREA CODE /PHONE
Gilroy
CA
95020
(408)842 -6437
t of my knowledge the information contained herein is true and complete. I certify under
s true and correct.
OF TREASURER OR ASSISTANT TREASURER
NG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONI. NT
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
Date qualified as committee
❑ Amendment
List I.D. number:
ft- 314 7327
Date qualified as committee
(If applicable)
❑ Termination — See Part 5
List I.D. number:
I
Date of Termination
Date
SEP 3 0 2015
For Official Use Only
1. Committee Information
11
L
2. _ Treasurer. and _Other
Principal Officers,
NAME OF COMMITTEE /,,, t �
j]f�Y`�( L C� A ('� I ^. I
1 /�
Iia
L -
CuAlvllvf
NAME OF TREASURER
11 qtr_ SV4;1'o
_-) i (aIU cmryieeL
+.
T- t.IG��%Y1
((' �2A
STREETADU SS(NO AD. BOX)
STREETAODRESS(NO P.O. BOX)
1 `4
Si
ST
CITY
STATE ZIP CODE
AREA CODE /PHONE
CITY STATE ZIP CODE AREA CODE /PHONE
& l LLnf 0 /k
�''Q.,�
Of X020 �� iC_ / Cl
2 by,-? -1
G I l_IlcV C
MAILING ADDRESS (IF DIFFERENT)
I
NAME OF ASISIANT TREAS RER, IF ANY
FAX/ E -MAIL ADDRESS
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITT EE IS
Attach additional information on appropriately labeled continuation sheets.
3. vermcanon
I have used all reasonable diligence in preparing this statement an t
penalty of perjury and r the laws of the State of California tharth .
AMI �6
Executed on By
q1 2Cf ATE
Executed on By
DATE
STREET ADDRESS (NO P.O. BOX)
C1 TY
STATE ZIP CODE AREA COUE /PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY I STATE ZIP CODE AREA CODE /PHONE
o.
he bestiof my knowledge the information contained herein is true and complete. I certify under
)reRo nf<is true and correct.
OF TREASURER OR ASSISTANT TREASURER
CONTROLLING OFFICEHOLDER, CANDIDATE, Of? STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization '
R
41 U
ecipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME �/1/i G7r') 'r I.D. NUMBER
FWT(fAL, 4CTits-04 Co"It Vt l IL PAC) Q M yH ( 344 3Z7
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION - AREA CODE /PHONE BANK ACCOUNT NUMBER
ADDRESS
C� t L:
STATE ZIPCODE
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled,:also list the elective office. sought or held, and
district number, if any, and! the year of the election:
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.'
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OFELECTION- PARTY
rim
• Primarily formed to support or oppose specific candidates or measures in a single election. List below:
OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION.
CANDIDATE
CANDIDATE(S),NAME OR!MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) S)
INCLUDE DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE) ruFre nuF
"FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc ca.gov (866%275- 37.72)
www.fppc.ca.gov
SUPPORT
OPPOSE
El
..
.. _
SUEl
OPPOSE
"FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc ca.gov (866%275- 37.72)
www.fppc.ca.gov
Statement of Organization • '
Recipient Committee "FORM
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME 4_D pi C ffba 6,11 Ti fe 61 ( La �/ I.D. NUMBEER �1
fill On--t hr�Cr�1 /CC IMF 1r1fII Al./ T1.'1c�L l'MArVILlrr -C ((III 0AW 1 C 1XC-a 7Y� (. `WM`1C GSA 1 t� 1'!>Z I
• Not formed to support or oppose "specific candidates or measures in a single election. Check only one box:
CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
�f .ATG A tit r) r e-l' I i (I A,J C) r nikTG- S fs
• • List additional sponsors on an attachment.
NAME OF SPONSOR (INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND
CITY
STATE ZIP CODE
0(n)
.Date qualified
§Ykiy .:�,..... .........: .,..: 4 .. . _.:. . .
5..Termmatlon Re wcements a B''sij nln ,ttie'verification; the. reasurer, assistaht ee- asurer.and /or candidafe, Wcehoidef' :or'proponent certify that all ofthe foilowing conditions have Been met fi,
.*,,;,w:;;,. "6"fi;ua.um:.`...I..a.;a ets ffi'i..e.�vw. 3%�a' uJtxy.Ca..grr.�. g:. '::s+su.,ar:u...,.m.: eau .A...w.M.::._,.....:..e_....s: a:w»..�r�:�,a.�_ _�..- _an...,....F....�.,.,.M•v ..- ...r.....:.- .n.,.,, o ...:..e:,:u.u...t..,r y »: ns :,w4aa,u�. ..u. ,'�.... ..s..,.,.a.Ja, m.. <wr.,y...a...YS.,..M .., ., ....._
• This committee "has ceased'to receive contributions and make expenditures;
• This committee does not'anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds;.and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
-- Leftover funds of. ballot measure committees.may be used for political, legislative or governmental purposes under Government.Code Sections.89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (Dec /2012)
FPPC Advice:.adwi. ' .fppc ca.gov (866/275= 3772)'
www.fppc.ca.gov
Statement of Organization
Recipient Committee
Statement Type ❑ Initial ,Amendment
Not yet qualified 1:1 or ist I. . number:
Date qualified as committee Date qualified as committee
(If applicable)
Date Stamp
RE EIVED AND FILED
in the ffice of the Secretary of State
E] Termination —See Part 5 of the State of Califomia
List I.D. number:
Date of Termination
OCT 02 2015
1. Committee Information,, o Ic�tL 2. Treasurer and Other Principal
NAME OF COMMITTEE 'j�; S t`. /"•"t ( (""`yam I , Y ,f NAME Of TREASURER
1 1 i�M►121! TUiL�L��
51REET ADU 5S(NO10. BOX) STREETADDRESS(NO P.O. BOX)
1 4-i Ill tf
CITY STATE ZIP CODE AREA CODE /PHONE
MAILING ADDRESS (IF DIFFERENT)
FAX / E -MAIL ADDRESS
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE 15
Attach additional information on appropriately labeled continuation sheets.
1. Verification u:
I have used all reasonable diligence in preparing this statement
penalty of perjury and r the laws of the State of California ` attfi o
Executed o17 ,5_ By
(Al ATE
Executed on By
DATE SIGNAFL
Executed on
DATE
Executed on
DATE
By
f
cers \mil\,:
� 4� I i�vtir ray 5T
CITY STATE ZIP CODE AREA COUE /PHONE
NAME OF A-55151ANI TREASURER, If ANY
STREET ADDRESS (NO P.O. BOX)
CI rY STATE ZIP CODE AREA COUE /PHONE
NAME OF PRINCIPAL OFFICER(5)
-f i' �( t"i &C:' _C--z
STREET ADDRESS (NO P.O. BOX)
5`T
CITY STATE ZIP CODE AREA CODE /PHONE
_.
Test of my knowledge the information contained herein is true and complete. I certify under
ig is true and correct.
OF TREASURER OR ASSISTANT TREASURER
CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CON TROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization o -
Recipient Committee s -
INSTRUCTIONS ON REVERSE
_ Page 2
COMMITTEE NAME G(,'1"�C. of i .p �� '"r� I.D. NUMBER
l')5�1�1�� F0LiT( CAL, 4 c hunt Co%^ i ( L c C�� ."`.'F "�"V IY 1344 -1 ?�27
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
BANK ACCOUNT NUMBER
ADDRESS CITY ( STATE ZIP CODE
C-- fir P4 V Il) - &F I IS i4 C"4- C4-N'7 n
4 T` a of Committee> Complete the ap hcable section "s '3F�' j �'�� y �`,,. �'` F z F i �` � r � � f� t�
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled, committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT - NUMBER IF APPLICABLE) YEAWOF ELECTION PARTY
• Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE MEASURE(S) JURISDICTION
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) S) OFFICE SOUGHT OR HELD OR
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) rtwrK nuF
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
OPPOSE
sum
OPPOSE
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization • -
Recipient Committee v -
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME �. _ (
_ (V c Uz l � Q1 Tae- `(- ( n _ - I.D. NUMBER
Fbun CAL NcL i o efm vl mr-f ( (a I L PA-( -) (kA i"Z 7,t:- C rmm r--
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
OCITY Committee ;❑ COUNTY Committee ❑ 'STATE Committee
PROVIDE BRIEF DESCRIP71ON OF ACTIVITY
• • List additional sponsors on an,attachment.
STREET ADDRESS
NU. AND �,I RtE 1
M
IM Cf4,Tk4�-:V 6T 611 La L on ) �W
.Date qualified
i.
ermma on ,equlrements '�s,By;signing the verification the treasurer assistant tieasuren, and /or can illdate; officeholder;'''or pm onertt certify that a1Cof the foI bow ` condltions have been met
• This committee has Ceased to receive, contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
-- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
-- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes.under Government Code Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form-410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov'(866 /275 -3772)
www.fppc.ca.gov