Gilroy Fire Fighters PAC - Form 410 - Amendment (2020)Statement of Organization
Recipient Committee
Statement Type El Initial
® Amendment El Termination —See Part For Official Use Only
Q Not yet qualified i/�,
or e1Eir!
O Date qualification threshold met Date qualification threshold met Date of termination GOO sfa���
1. Committee Information I.D. Number (if . Treasurer and Other Principal Officers
(if applicable) 900434 2
I p
NAME OF COMMITTEE NAME OF TREASURER
Gilroy Firefighters Association - Political Action Committee Kevin Bebee
STREET ADDRESS (NO P.O. BOX)
P.O. Box 875
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
P.O. Box 875 Gilroy CA 95021 408-410-8421
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Gilroy CA 95021 408-410-8421 Steven Hayes
FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO PO. BOX)
N/A P.O. Box 875
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
Iocal2805@comcast.net Gilroy CA 95021 408-410-8421
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Santa Clara I N/A Daniel Lozano and Jeff MacPhail
STREET ADDRESS (NO P.O. BOX)
P.O. Box 875
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets. Gilroy CA 95021 408-410-8421
3. Verification ! � .:
-
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the
MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Gilroy Firefighters Association - Political Action Committee
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE
13 T�,L -Z `r)
ADDRESS CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
CALIFORNIA'
FORM
Page 2
I.D. NUMBER
900434
S Svc c 1 % 1 �' �( �1'� r(Sv
4. Type of Committee Complete the applicable sections.,, _ I �+. ';` r
k
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• 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" Stating "No party preference" is acceptable.
• 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 OF PARTY
ELECTION CHECK ONE
Nonpartisan Partisan
Nonpartisan Partisan
■s,I.0•Iu,Iae.uu„n,i— Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
(list political party below)
(list political party below)
CHECK ONE
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410(August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Gilroy Firefighters Association - Political Action Committee
4. Type of Committee (Continued)
General • • 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
��.,•i•nT..a•r�.iA" „x=,.111111 in List additional sponsors on an attachment.
NAME OF SPONSOR
(INDUSTRY GROUP OR AFFILIATION OF SPONSOR
CALIFORNIA 1
i
•-
Page 3
I.D. NUMBER
900434
STREETADDRESS NO. AND STREET CITY STATE ZIP CODE AREACODEJPHONE
Date qualified
S. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions 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(August/2018)
FPPC Advice: advice@fppc.ca.gov (966/275-3772)
www.fppc.ca.gov