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Hilton, Zach - Form 410 (2020)Date Stamp Sta t-e ment of Organization Recipient Committee ----------------.-------------lRECEIVED AND FIL_ CALIFORNIA 410 FORM Statement Type O Initial 0 Amendment D Termination -See Part 5 in th e oitice of the Sec retary of r · ate O Not yet qualified of th e Stale of Cal ifo rnia or 0 Dale qual ification threshold met Date qualification threshold met 07 07 2020 --1--1----1--1-- 11 . Committee Information NAME Of COMMITTE E 1·C?· N~mber 1426884 (if app/1 cable) ZACH HILTON FOR GILROY CITY COUNCIL 2020 STRE ET ADDRESS (NO P.O. BOX) FU LL MAILING ADDRESS (I F DI FF ERENT) E·MAI L ADDR ESS (REQUIR ED )/ FAX (OPTIONAL) COUNTY Of DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Santa Clara G1froy, CA Attach additional information on appropriately labeled continuation sheets . Date of termina t ion JUL 1 O 2020 --.1--1-- 2 . Treasurer and Other Prin ci pal Office rs NAME OF TREASURER Katie Hilton STREET ADDRESS (NO P.O . BOX) AREA CODE/PHONE AR EA CODE/PHONE -'"'-t ~ .. Verification,___.......,"""""~_......_____________ _ ---~"'""--· . -~-~,-~~---· ., I have used all reasonable diligence in prepari ng this statement and to the best of my knowledge the information contained herein is true and complete. I certify unde r pe n alty of perjury under the laws of the State of California that the foreg_oi n is true an co r rect. 07/08/2020 Executed on By DATE ATE, OR STATE M EASURE PROPONE NT Executed on By DATE SIGNATURE Of CONTROL LI NG OFFICEHOLDER, CANDIDATE, OR STATE MEAS URE PROPON ENT Executed o n By DATE SIGNAT URE Of CONTRO LLI NG OFFICEHOLDER, CAND I DATE, OR STATE MEAS URE PROPONEN T Clear Page 11 Print ·I 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 COM MITTEE NAM E ZACH HILTON FOR GILROY CITY COUNCIL 2020 CALIFORNIA 410 FORM 1.0. NUMBER 1426884 • All committees must list the financial Institution where the campaign bank account is located. NA M E OF FIN ANCIAL IN ST ITUTI O N AREA CODE /PH ON E BAN K ACCO UNT NUM BE R Pinnacle Bank 408-842-8200 ADDRESS CITY STATE ZIP CODE 7597 Monterey St Gilroy CA 95020 Controlled Committee • 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. NAME OF CANDIDATE /OFFICEHOLDER/STATE MEASURE PROPONENT ELE CTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PART Y CHE CK ONE Nonpartisan Zach Hilton Gilroy City Council Member 2020 2020 0 Nonpartisan □ Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO . OR LETTER) IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFI CEHOLDER 'S NAME . CA NDIDATE(S) OFFICE SOUGHT OR HELD OR ME ASURE(S) JURISDICTION (INCLUDE DISTR ICT NO., CITY OR COUNTY, AS APPLICABLE) Partisan □ Partisan □ (list political party below) (list political party below) Clear Page Print 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 Zach Hilton For Gilroy City Council 2020 CALIFORNIA 41 0 FORM l .D. NU M BE R 1426884 General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box : 0 CITY Committee O COUNTY Committee O STATE Committee PROVIDE BRIE F DESCRIPTION OF ACTIVITY Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFI LI AT ION OF SPONSOR STREET ADDRE SS NO. ANO STRE ET CIT Y STATE ZIP CODE AREA COD E/P HON E Small Contributor Committee □---1---1 Date quallfted ~-• Te !:!J)ination Requir_e_m_e_n_ts ___ By_slgnlng the'verlfication, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the followlng~nd lti~ l)_ave 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 i ntention 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. I Clear Page 1I Print FPPC Form 410 (August/2018) FPPC Advice : advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee Statement Type ® Initial ❑ Amendment ® Not yet qualified or 0 Date qualification threshold met Date qualification threshold met 1. Committee Information I I.D. Number (if applicable) NAME OF COMMITTEE Zach Hilton For Gilroy City Council 2020 STREET ADDRESS (NO P.O. BOX) Attach additional information on appropriately labeled continuation sheets. Date Stam ECEIVED �D FILE In the office of the Secretary of at €�f the State of cetifomla El Termination —See Part 5 JUN 03 2020 Date of termination 2. Treasurer and Other Principal Office NAME OF TREASURER Katie Hilton STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 State of California that the foregoing is true and correct. Executed on 05/23/2020By DATE SIGNATURE 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 PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Clear Page Print_ www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Zach Hilton For Gilroy City Council 2020 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE Pinnacle Bank 1 408-842-8200 ADDRESS CITY 7597 Monterey St Gilroy 4. Type of Committee Complete the applicable sections. BANK ACCOUNT NUMBER STATE ZIP CODE CA 95020 CALIFORNIA •- ' Page 2 I.D. NUMBER • 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 YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Nonpartisan Partisan (list political party below) Zach Hilton Gilroy City Council Member 2020 2020 Fv_1 ❑ Nonpartisan Partisan (list political party below) 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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION IF A RECALL, STATE "RECALL' IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (August/2018) Print' r FPPC Advice: advice@fppc.ca.gov (866/275-3772) Clear Page Int www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Zach Hilton For Gilroy City Council 2020 4. Type of Committee (Continued) 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 iW1. holIII W4i' ja- List additional sponsors on an attachment. NAME OF SPONSOR I INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE ❑ / / Date qualified CALIFORNIA •- 410 Page 3 I.D. NUMBER AREA CODE/PHONE 5. 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 maybe 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) Clear Page Print FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Stat e ment of Organizatioll11 Recopient Commi ttee Statement Type 01nitial Not yet qualified or D Amendment 0 Date qualification threshold met Date qualification threshold met --1--1-----.1---1--- 1. Committee Information NAME OF COMMITTEE I .D. Number (if applicable) Zach Hilton For Gilroy City Council 2020 STREET ADDRESS (NO P.O. BOX) CllY Gilroy FULL MAI LI NG AD DRESS ( IF DI FFERE NT) E·MAI L ADDRESS [REQUIRED)/ FAX (OPTIONAL) COUN1YOF DOMI CILE Santa Clara STATE ZIP CODE CA 95020 JURISDICTION W HERE COMM ITTE E IS ACTI VE Gilroy, CA AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. 3. Verification D Termination -See Part 5 Date of termination --!--/-- I , 4, 2•~t 0 CI TY ClERK1S OFFI CE GI LROY, CA 2. Treasurer and Other Principal Officers NAME OF TREASURER Katie Hilton STREET ADDRESS (NO P.O. BOX) ZIP CODE AREA CODE /PHO NE ZIP CODE AR EA CODE/PHONE I have used all reaso na ble di li gence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under pe n alty of perjury unde r the laws of the State of California that the foregoing is true and correct. ' 05/23/2020 . By---------------------,--------------------------SIGNATURE OF CONTROLLI NG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By----------------------------------------SIGNATURE OF CONTROLLING OF FICEH OLDER, CANDIDATE, OR STATE MEASURE PROPONENT [c~~Page ] FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3 772) www.fppc.c a.gov Statement of Organization Recipient Committee INSTRU CTIONS ON REVERSE COMMITTEE NAME Zach Hilton For Gikoy City Council 2020 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE Pinnacle Bank 408-842-8200 ADDRESS CITY 7597 Monterey St Gilroy 4 . Typ e of Committee Complete the applicable sections. Controlled Coiri'initti?e)'I,~ Page2 I.D. NUMBER BANK ACCOUNT NUMBER CODE CA 95020 • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective m fi ce 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 con trolled committee. NAME OF CA NDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMB ER I F APPLICABLE) YEAR OF ELECTION PARTY CHECK ONE Nonpartisan Zach Hilton Gilroy City Council Member 2020 2020 0 Nonparti san □ Primarily Formed ·[:ommi~ Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAM E OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO . OR LETTER) IFA RE CALL, STA1E "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASUR E(S) JURISDICTI O N (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) Partisa '; C Partis,,, C. (list politica I party below) (list political party below) Clear Page Pri nt ] FPPC Form 410 (August/2018} FPPC Advice: advic e@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipi ent Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Zach Hilton For Gilroy City Council 2020 4. Type of Committee (Continued) Page3 I.D. NUMBER Not formed to support or oppose specific candidates or measures in a single election. Check only one box: 0 CITY Committee O COUNTY Committee O STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE . . □--1--/-- Date qualified 5. Termination Requirements By signing the verification, the treasurer, ass istant treas urer and/or candidate, officeholder, or proponent certify that all of the following conditi ons h ave been met: o This com m ittee ha$ ceased to receive contributions and make expenditures; ., Th is com m ittee does not anticipate receiving contributions or making expenditures in the future; ., This committe e ha s eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; m This committee has no surplus funds; and ., This com m ittee ha s filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. There a re r estric tions 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 iu nds Jf ballot measure committees may be used for political, legislative or governmental purposes unde r Government Code Sections 89511 -89518, and are subject to Elect ions Code Section 18680 and FPPC Regulation 18521.5. I Clear PageJ Print FPPC Form 4110 (August/2018} FPPC Advice: advice@f ppc.ca.gov (866/275-3772} www.fppc.ca.gov