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Home My WebLink AboutTom Fischer - Form 460 - 2015/07/01 - 2015/12/31Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE from COVER PAGE 4 RECEIVED' Statement covers period Date of election if applicabl ,ja 19 2016 T�For'_Offflfid.l 1 of 7/1/2015 (Month, Day, Year) use through 12/31/2015 1. Type of Recipient Committee: All Committees — Complete Parts 1, z, 3, and 4. m Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Coaplels Port 5) O Sponsored (A)SO Co OW part 5) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also C-0te Pod 7) 3. Committee information I.D. NUMBER 1366034 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Tom Fischer for City Council2016 STREET ADDRESS (NO P.O. BOX) 745 Dawn Way CITY STATE ZIP CODE AREACODE/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 I E- MAILADDRESS UN CLEI K'S 017R, Gum, CA ya 2. Type of Statement: Z ❑ Preelection Statement ❑ Quarterly Statement Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Tom Fischer MAILING ADDRESS 745 Dawn Way CITY STATE ZIP CODE AREACODEJPHONE Gilroy CA 95020 408 - 847 -4716 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E -MAIL ADDRESS tom4gilroy @outlook.com 4. Verification I have used all reasonable diligence In preparing and reviewing this statement and to the best of my knowled a 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 By By Signature of ontrolling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov 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) Council Member, City of Gilroy RES DENTUIUSUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP- 745 Dawn Way Gilroy, CA 95020 Related Committees Not Included in this Statement: List any not Included in this statement that are controlled by you or are primarily conned to receive contributions or make expenditures on behalf of your candidacy. CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREACODEIPHONE COVERRAGE - PART 2 Page 2 of 7 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO, OR LETTER I JURISDICTION I E3 SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT SOUGHT IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of ofNceholder(s) or candidates) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE BOUGHT 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 El SUPPORT ❑ OPPOSE Attach continuation sheets If necessary FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866 /2754772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period a �I from 7/1/2015 • '� SEE INSTRUCTIONS ON REVERSE NAME CIPFILER Tom Fischer for City Council 2016 through 12/31/2015 I Page 3 of 7 Contributions Received TOTAL A THIS PERIOD column B CALENDAR YEAR 7. Loans Made ....................... ............................... ............ Schedule H, Line 3 (FROM ATTACHED SCHEDULES) TOTAL TO DATE 9. Accrued Expenses (Unpaid Bills) ........... ............................... schedule F Line 3 0.00 0.00 1. Monetary Contributions .................... ............................... schedule A, Line 3 $ $ 2. Loans Received ................................. ............................... schedule 9, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ 132.92 132.92 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................................... Add Lines 3 +4 $ 132.92 $ 1$2.92 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 3 132.92 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines 8 + e + 10 $ 132.92 Current Gasn Statement 12, Beginning Cash Balance ............ Previous Summary Page, Line 16 $ 1535.95 13. Cash Receipts ............................ ............................... Column A, Line 3 above 0.00 14. Miscellaneous Increases to Cash ... ............................... schedule 1, Line 4 15. Cash. Payments .......................... ............................... column A, Line 8 above 0.00 16. ENDING ZASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 1535.95 H this is a termination statement Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED. ... ................. Schedule A Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash' Equivalents ................. ............................... See instructionaonreverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 81n Column B above $ $ 50.00 $ 132.92 $ 182.92 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 shouldibe 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). 1366034 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* M Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mnVdd/yy) I $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A Amounts may bwrounded SCHEDULE A Monetary Contributions Received `° "" "O1B' ° ° "aB` Statement covers period `` A 7/1/2015 from • 12/31/2015 4 7 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER LD.NUMBER Tom Fischer for City Council 2016 1366034 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC: 31) (IF REQUIRED) OF BUSINESS) o IND ❑ COM I] OTH 0 PTY i] SCC [] IND 0 COM [ OTH O PTY ❑ SCC ❑ IND. ❑ COM ❑ OTH ❑ PTY El SCC ❑ IND 0 COM (] OTH 0 PTY (] SCC (] IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (include all Schedule A subtotals.) ........................................................................... ..............................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $ 'Contributor Codes IND — Individual 0.00 COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political! Party 0.00 SCC — Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Amounts muv ha —nded SCHEDULE B - PART 1 Schedule — Part I to whole dollars. Statement covers period CALIFORNIA Loans Received 7/1'/2015 ,I • from FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2015 page 5 of 7 NAME OF FILER I.D. NUMBER Tom Fischer for City Council 2016 1366034 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL 9 CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF- EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE NAME OF BUSINESS) PERIOD THIS PERIOD" PERIOD Tom Fischer Candidate ❑ PAID CALENDAR YEAR 745 Dawn Way $ 1,000,00 ,� $7.500.00 $ Gilroy, CA 95020 $ ❑ FORGIVEN RAC PER ELECTION" 1,000.00 a 8/28/14 t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ s $ a DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION" S $ $ $ S DATE DUE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR $ S 96 S S ❑ FORGIVEN RATE PER ELECTION~ t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period ...................................................................................... ..............................$ n nn (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ........................................................................... ..............................$ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also Itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................ ............................... Enter the net here and on the Summary Page, Column A, Line 2. "Amounts forgiven or paid by another party also must be reported on Schedule A. •" If required. .......... NET $ n_nn (May be a negative number) (Enter (a)on Schedule E, Una 3) tContributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ce.gov (866/275 -3772) www.fppc.ca.gov . Schedule C Amounts may be rounded -.-1- —.— SCHEDULE C Nonmonetary Contributions Received w vnvla 0011ara. Statement covers period • •' from 7/1'/2015 • '� SEE INSTRUCTIONS ON REVERSE through 12/31/2015 Page 6 of 7 NAME OF FILER LD.NUMBER Tom Fischer for City Council 2016 1366034 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND, EMPLOYER (IF BELF -EMPLOYED. ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 - DEC 31) Aaron Fischer OIND Software Engineer Domain 8/8/2015 ❑ CoM Registration 132.92 132.92 San Jose, CA 95120 OTH Software Services ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND Cl COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ........................................................................................ ..............................$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .... ..............................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .....................TOTAL $ 132.92 132.92 *Contributor IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH— Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 :(Jan /2016) FPPC Advice: advice@fppc.ca.gov (8661275 -3772) www.fppc.ca.gov A Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Tom Fischer for City Council 2016 Amounts may be rounded to whole dollars. Statement covers period from 7/1/2015 through 12/31/2015 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCH Page 7 of 1366034 CMP campaign paraphemelia/misc. MBR member communications RAD radio airlime.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 IND 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 coats (Internet, e-mail) E " 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 ........................................................................................................... ............................... $ 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 $ a 2l 0.00 FPPC FormA60 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov