The URL can be used to link to this page

Home My WebLink AboutTom Fischer - Form 460 - 2014/12/13 - 2014/12/31Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Statement covers period from 12/13/2014 through 12/31/2014 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) Q Sponsored ❑ General Purpose Committee (Also CompbRe Part 6) 0 Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Pan 7) 3. Committee Information I.D. NUMBER 1366034 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Tom Fischer for City Council 2016 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 CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E -MAIL ADDRESS Date of election If applica (Month, Day, Year) COVERPAGE VAEUc JF!oOfrf1daIu.. 3 1 p,J Only COS OqO. G11R OYt a 2. Type of Statement: ❑ Preelection Statement 9 £ ❑ 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 TREASURER Marie P Blankley MAILING ADDRESS 2290 Coral Bell Court CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408 - 842 -4544 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 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 Responsible ORtcer of Sponsor Executed on Date By Executed on By Date Signature of Controing Officeholder, Candidate. State Measure Proponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/276.3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. 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 Type or print in ink. RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 745 Dawn Way Gilroy, CA 95020 Related Committees Not Included in this Statement: Ustany 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. COMMITTEE NAME I 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.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) COVER PAGE - PART 2 IPage 2 of 3 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT p OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, It 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 ci i T WMIr 4Y l UUt AKLA wueirnvrve Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/276 -3772) State of Callfomia Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to Whole dollars. Statement covers period from 12/13/2014 SUMMARY PAGE FPPC Toll -Free Helpline: 8661ASK -FPPC (8661276 -3772) through 12131/2014 Page 3 of 3 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Tom Fischer for City Council 2016 1366034 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTALTO DATE Running in Both the State Prima and 9 Primary General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 0.00 $ 11999.00 2. Loans Received ....................... ............................... Schedule e, Lane 3 1000.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 0.00 $ 12999.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 50.05 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ••••••• .•..•.••••••........ Add Lines 3 +4 $ 0.00 $ 13049.05 Made $ $ Expenditures. Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... schedule E, Line 4 $ 0.00 $ 11559.05 Candidates 7. Loans Made .............................. ............................... schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 0.00 $ 11559.05 22• Cumulative Expenditures Made* (R Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... schedule C. Line 3 50:05 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE . ............................... Add Lines a + 9 + 10 $ 0.00 $ 11609.10 $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 1439.95 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A. Line 3 above 0.00 amounts in Column A to the 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 corresponding amounts from Column B of your last *Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments ................... ............................... column A, Lane 6 above 0. 00 report. Some amounts in Column A may, be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 1439.95 figures that should be subtracted from previous 1f this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if Y) 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661276 -3772)