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Home My WebLink AboutTom Fischer - Form 460 - 2015/01/01 - 2015/06/30Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Statement covers period I Date of election If apps from 01/01/2015 (Month, Day, Year) through 06/30/2015 Date wimp RfdiIyED JUL 28 V15 CnyG oc , ornCr. L COVER PAGE 1 of 5 For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement: JZ Officeholder, Candidate Controlled Committee ❑ Primarily formed Ballot Measure ❑ Preelection Statement _ ❑ Quarterly Statement Q State Candidate Election Committee Committee pJ Semi - annual Statement ❑ Special Odd -Year Report Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (AJWC- 09fe Pan 5) Q Sponsored (Also file a Form 410 Termination) Form Statement - Attach Fonn 495 ❑ General Purpose Committee (Aso Complew Part 6) ❑ Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidatel Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also COmdete Pad 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 tom4gilroy@outlook.com Treasurerrs) 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 same 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 he la of the State of California that the foregoing is orResponsbdeOfaoarofSponsor Executed On Dale BY SgrsuedCantroangOmostald ,coxidam. side Executed on Dde By Sg>elue Ca*okgOMNhddsr,Can6dam,SideMemnI FPPC Form 460 (January106) FPPC Toe -Free Helpline: 866 1ASK -FPPC (866/276 -3772) State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee CALIFORNIA:. ' Campaign Statement FORM . 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 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (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 E] 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 List 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 Form 460 (January/06) FPPC To14Free Helpllne: 666 1ASK -FPPC (66612763772) State of CalHomia Campaign Disclosure Statement Type or print In Ink. Schedule E. Line 4 $ SUMMARY PAGE Summary Page 8. SUBTOTAL CASH PAYMENTS ..... ............................... Amounts may be rounded to whole dollars. 9. Accrued Expenses (Unpaid Bills) ............................... Statement covers period o - schedule C, Linea 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ 01/01/2015 FORM, from through 06/30/2015' Page 3 of 5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Tom Fischer for City Council 2016 1366034 Column Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Runnin in Both the State Prima and 9 Primary (FROM ATTACHED SCHEDULES) TOTALTODATE General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 0.00 $ 0.00 1l1 through 6130 7/1 to Date 2. Loans Received ....................... ............................... schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ $ 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... schedule C. Line 3 21, Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 0.00 $ 0.00 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E. Line 4 $ 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, Linea 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ Current Cash Statement 12. Beginning Cash Balance ....................... .Previous summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 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 $ H this is a termination statement, Line 16 must be zero. 50.00 $ 50.00 $ 50.00 $ 1439.95 146.00 50.00 1535.95 17. LOAN GUARANTEES RECEIVED ........................... schedule B, Pert 2 $ I Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ 50.00 50.00 50.00 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* (n Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/ddtyy) $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661276-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounts may be rounded to whole dollars. AMOUNT PAID Statement covers period from 01/01/2015 06/3012015 through CALIFORNIA • 460 4 5 Page of NAME OF FILER I.D. NUMBER Tom Fischer for City Council 2016 1366034 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP campaign paraphemalia/misc. MBR member communications RAO radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals H) independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB Information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 5 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 50.00 FPPC Form 460 (January106) FPPC To14Frea Heipline; 866 /ASK -FPPC (8661276 -3772) Schpdulp I SCHEDULEI Miscellaneous Increases t0 Cash Amounts.mayberounded to whole dollars. Statement coversperlod 01/01/2015 from �. • ' ! 6 SEE INSTRUCTIONS ON REVERSE through 06/30/2015 Page 5 of 5 NAME OF FILER I.D. NUMBER Tom Fischer for City Council 2016 1366034 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH City of Gilroy Refund of amount overpaid for printing of 04/16/2015 7351 Rosanna Street candidate statement in the 2014 election 146.00 Gilroy, CA 95020 material Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 146.00 Schedule I Summary 1. Itemized increases to cash this period .................................................. ............................... ....... ............................... $ 146.00 2.. Unitemized increases to cash of under $100 this period .............................................................. ............................... $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .. ............................... $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ............................................................................................ ............................... TOTAL $ 146.00 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661276 -772)