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HomeMy WebLinkAboutTom Fischer - Form 460 - 2014/10/19 - 2014/10/28Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 10/19/2014 through 10/28/2014 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) O Sponsored ❑ General Purpose Committee (At- Complete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.o.^NUMBER 4. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Tom Fischer for City Council 2014 STREET ADDRESS (NO P.O. BOX) 745 Dawn Way CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408 - 847 -4716 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Y STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS Date Stamp Date of election if applicable: ( ,01 {4 (Month, Day, Year) OCj\ � iT( C1.E0K 10 11/04/2014 Ca1��r 2. Type of Statement: ® Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) KeP1�7LCe7� Page 1 of 5 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Marie P Blankley MAILING ADDRESS 2290 Coral Bell Ct. CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408 - 842 -4544 NAME OF ASSISTANT TREASURER, IF ANY Tom Fischer MAILING ADDRESS 745 Dawn Way CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408 - 847 -4716 OPTIONAL: FAX / E -MAIL ADDRESS 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 0 Aqllnz By q i asurerYAss' antTrea surer Executed on -�/ l By Date sionature of Untroilft Officieliolder . candiddtal StafWeasure Proponent or Responsible Officer of Soonsor Executed on Date By Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Forth 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Recipient Committee Type or print in Ink. COVERPAGE -PART 2 Campaign Statement CALIFORNIA Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Tom Fischer OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member, City of Gilroy RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 745 Dawn Way Gilroy, CA 95020 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. 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 I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (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 I ❑ 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 Ust 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 FPPC Fonn 460 (January/06) FPPC Toll -Free Helpline: 86WASK -FPPC (8661276 -1772) State of Californla Campaign Disclosure Statement Type or print in Ink Summa Page Amounts may be rounded r'j/ g to whole dollars. Statement covers period from 10/19/2014 SUMMARY PAGE Expenditures Made 6. Payments Made ........................ ............................... schedule E, Line 4 $ 0.00 through 10/28/2014 page 3 of 5 SEE INSTRUCTIONS ON REVERSE 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ 0.00 NAME OF FILER I.D. NUMBER Tom Fischer forlCity Council 2014 1366034 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHIS PERIOD (FROMATTACHEDSCHEDULES) CALENDAR YEAR TOTALTO DATE Running, in Both the State Primary and General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 2250.00 - $ 11999.00 2. Loans Received ....................... ............................... schedule e, Line 3 00 7500.- - 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 2250.00 $ 19499.00 20. Contributions Received $ $ 4. Nonmonetary Contribution ..... ............................... s schedule C, Line 3 50.05 21. Expenditures 5, TOTAL CONTRIBUTIONS RECEIVED ........................... Add u nes3 +4 2250.00 $ -- - - -- $ -- 19549.05 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... schedule E, Line 4 $ 0.00 7. Loans; Made .............................. ............................... schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ 0.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 5689.95 13. Cash Receipts ................................................... Column A, Line 3 above 2250:00 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line a above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 7939:95 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES' RECEIVED ........................... schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... see instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ $ 11559.05 $ 11559.05 $ 50.05 11609.10 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* IN Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) n I I -i $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) Schedule A Type or print In Ink. SCHEDULE A Moneta Contributions Received Amounts may be rounded rY - Statement covers period CALIFORNIA to whole dollars. rD ' from 10/19/2014 FORM 10/28/2014 4 5 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Tom Fischer for City Council 2014 1366034 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED pFCOMMnTEE;ALSNTERLD.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) F IND Yvonne I Fang g Liu ❑COM Homemaker 250.00 250.00 10296 Virginia Swan PI. ❑OTH Cupertino, CA 95014 ❑ PTY ❑SCC UJIND 10/20/14 Brent Wei -Teh Lee ❑COM owner 250.00 250.00 24168 Congress Spring Rd. ❑OTH Country Estates 4 Saratoga, CA 95070 ❑ PTY ❑ SCC ®IND 10/20/14 Chester Spiering, Jr. ❑COM owner 250.00 250.00 1235 Christobal Privada ❑OTH Nor -Cal Land Entitlement Mountain View, CA 94040 ❑ PTY ❑SCC ®IND - - - 10/24/14 Sophia Liu 807 Bounty Dr, Apt. 101 ❑COM ❑OTH Treasurer Wanmei, Inc. 250.00 250:00 Foster City, CA 94404 E] PTY pseC Dennis Liu ®IND ❑COM Owner 10/24/14 10377 Amistad Ct. ❑OTH Wanmei, Inc: 250.00 250.00 Cupertino, CA 95014 ❑ PTY ❑ SCC - - SUBTOTAL$ 125000 t ., 'I5G n p- e.a C_ _ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include alUSchedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized monetary contributions of less than.$100 ............................. $ 2250.00 3. Total monetary contributions received this period. 2250.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) *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 Schedule A (Continuation Sheet) Wpeor print In)nL SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • towholedollars. 10/19/2014 X00 w 1, e • from - - 10/28/2014 5 5 through Page of NAME OF FILER I.D. NUMBER Tom Fischer for City Council 2014 1366034 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATIONAND:EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED QFCOMMnTEES SANDZII:D:NUMBER) CODE * OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 6flEIIND Hayes Shair Manager 10/24/14 1150 Ripley St. Apt. 312 ❑OTH Wanmei, Inc. 250.00 250.00 Silver Spring, MD 20910 El PTY ❑SCC Ruggeri- Jensen -Azar & Associates ❑IND ❑COM 10/27/14 8055 Camino Arroyo ®OTH 250:00 250.00 Gilroy, CA 95020 ❑ PTY ❑SCC Brookfield Norcal Builder Inc. ❑IND 10/27/14 500 La Gonda Way, Suite 100 ®oTH 250.00 250.00 Danville, CA 94526 ❑ PTY ❑ scc Arcadia Companies, LLC ❑IND ❑COM 10/27/14 P:O: Box 5368 i,ZJATH 250.00 250.00 San Jose, CA 95150 ❑PTY ❑ SCC - - - ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1000.00 21 ru *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY - Political Party SCC - Smal[Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772)