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Home My WebLink AboutTom Fischer - Form 460 - 20180101 - 20180630Recipient Committee Campaign Statement Cover Page from Statement covers period 1/1/18 SEE INSTRUCTIONS ON REVERSE I through 6/30/18 1. Type of Recipient Committee: All committees- complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pert 7) 3. Committee Information I I.D. NUMBER 1366034 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Tom Fischer for City Council 2018 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX/ E -MAIL ADDRESS COVER PAGE Date - an " JUL- 2018 1 of 11 Date of election if applicable: (Month, Day, Year) LERKS OFFICE,, For Official Use Only CA11/6/18 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement W 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 CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 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 certify under penalty of perjury under the laws of the State of California that the foregoing is By Signature of Controlling 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 IFAPPLICABLE) City Council Member, City of Gilroy RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO E? 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 STREET ADDRESS (NU P.U. BUX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 Page 2 of 11 6. Primarily Formed Ballot Measure Committee, NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ 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 Listnames 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 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. from Statement covers period 1/1/18 SUMMARY PAGE Expenditures Made 6. Payments Made .............................. 7. Loans Made ..... ............................... 8. SUBTOTAL CASH PAYMENTS... 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment ............... 11. TOTAL EXPENDITURES MADE. ............................... Schedule E, Line 4 $ ............................... Schedule H, Line 3 ..... ............................... Add Lines 6 + 7 $ ........ ............................... Schedule F, Line 3 ....... ............................... Schedule C, Line 3 .... ............................... Add Lines 8 + 9 + 10 $ 367.85 $ 367.85 367.85 through 6/30/18 Page 3 of 11 SEE INSTRUCTIONS ON REVERSE 367.85 NAME OF FILER I.D. NUMBER Tom Fischer 1366034 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary (FROM ATTACHED SCHEDULES) TOTAL TO DATE and General Elections 7, 825.00 7,825.00 1. Monetary Contributions .................... ............................... Schedule A, Linea $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received ................................. ............................... Schedule e, Line 3 7,825.00 7,825.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ $ Received $ $ 0.00 4. Nonmonetary Contributions ............... ............................. Schedule C, Line 3 21. Expenditures p 5. TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add Lines 3 +4 $ 7,825.00 $ 7,825.00 Made $ $ Expenditures Made 6. Payments Made .............................. 7. Loans Made ..... ............................... 8. SUBTOTAL CASH PAYMENTS... 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment ............... 11. TOTAL EXPENDITURES MADE. ............................... Schedule E, Line 4 $ ............................... Schedule H, Line 3 ..... ............................... Add Lines 6 + 7 $ ........ ............................... Schedule F, Line 3 ....... ............................... Schedule C, Line 3 .... ............................... Add Lines 8 + 9 + 10 $ 367.85 $ 367.85 367.85 $ 367.85 367.85 $ 367.85 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 1,100.06 13. Cash Receipts ............................ ............................... Column A, Line 3 above 7,825.00 14. Miscellaneous Increases to Cash ... ............................... Schedule 1, Line 4 15. Cash Payments .......................... ............................... Column A, Line 8 above 367.85 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 8,557.21 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ............................... Schedule l3, Part $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................. ............................... See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ 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). IExpenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made` (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) $ $ 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 be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period _ 1 /1/18 from I • � through 6/30/18 Page 4 of 11 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Tom Fischer 1366034 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR [FAN 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) 0IND 3/3/18 Frances Olson El COM ❑ OTH Retired 250.00 250.00 250.00 Morgan Hill, CA 95037 ❑ PTY ❑ SCC m IND 3/10/18 Judy and Sam Bozzo El CoM Retired 50.00 50.00 50.00 ❑ OTH Gilroy, CA 95020 ❑ PTY ❑ SCC � IND 3/29/18 F Fred Fischer ❑ coM Retired 750.00 750.00 750.00 ❑ OTH Aptos, CA 95003 ❑ PTY ❑ SCC ❑ IND Kaufmann & Goble Assoc. Inc. El COM 4/27/18 OTH 750.00 750.00 750.00 San Jose, CA 95113 ❑ PTY ❑ SCC Gail Williams IND ❑ COM Retired 5/1/18 ❑ OTH 750.00 750.00 750.00 Gilroy, CA 95020 ❑ PTY ❑ SCC SUBTOTAL $ 2,550.00 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 $ 7,825.00 0.00 7,825.00 *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 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period _ .1 from 1/1/18 • ' through 6/30/18 Page 5 of 11 NAME OF FILER I.D. NUMBER Tom Fischer 1366034 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) El IND David & Bettsy Lima El COM Retired 5/2/18 E] OTH 100.00 100.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Tom & Fran Chadwick ® IND El COM Retired 5/3/18 ❑ OTH 100.00 100.00 100.00 Nipomo, CA 93444 ❑ PTY ❑ SCC Robert & Janice Cantley ® IND El COM Retired 5/5/18 ❑ OTH 150.00 150.00 150.00 Twain Harte, CA 95383 ❑ PTY ❑ SCC Ld IND 5/7/18 David Hess El CoM Clinical Manager 200.00 200.00 200.00 ❑ OTH Stryke Santa Clara, CA 95054 ❑ PTY ❑ SCC Carolyn Tognetti ® IND Retired 5/6/18 ❑❑ COH 750.00 750.00 750.00 Gilroy, CA 95020 ❑ PTY ❑ SCC SUBTOTAL $ 1300.00 *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 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period _ from 1/1/18 • ' through 6/30/18 page 6 of 11 NAME OF FILER I.D. NUMBER Tom Fischer 1366034 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD JAN. 1 - DEC. 31 ( ) (IF REQUIRED) OF BUSINESS) ® IND Thomas Payne ❑ COM Retired 5/6/18 ❑ OTH 750.00 750.00 750.00 Monte Sereno, CA 95030 ❑ PTY ❑ SCC June Payne ® IND El COM Retired 5/7/18 ❑ OTH 750.00 750.00 750.00 Monte Sereno, CA 95030 ❑ PTY ❑ SCC Brad Bannister ® IND El CoM Realtor 5/14/18 El OTH Coldwell Banker 25.00 25.00 25.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Ld IND Peter & Leona Burge El COM Retired 5/18/18 ❑ OTH 100.00 100.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCC ® IND Jim Kishimura ❑ COM Accountant 5/18/18 ❑ OTH Steven C Schre ter CPA P 100.00 100.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCC SUBTOTAL $ 1,725.00 *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 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from 1/1/18 FORM 460 through 6/30/18 Page 7 of 11 NAME OF FILER I.D. NUMBER Tom Fischer 1366034 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND B & S Construction 5/1/18 ® OTH 100.00 100.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCC 5/17/18 Al Pinheiro ® IND ❑ COM Ins. Broker 100.00 100.00 100.00 ❑ OTH State Farm Ins. Gilroy, CA 95020 ❑ PTY ❑ SCC ® IND Frank Lopes Sr. El COM Retired 5/19/18 ❑ OTH 100.00 100.00 100.00 Santa Cruz, CA 95062 ❑ PTY ❑ ScC 0 IND 5/19/18 Dan Likeness El coM Retired 100.00 100.00 100.00 ❑ OTH Soquel, CA 95073 ❑ PTY ❑ SCC ® IND Chad Bollenbacher plumber 5/30/18 El OTH Hellwig Mechanical 750.00 750.00 750.00 Morgan Hill, CA 95037 ❑ PTY ❑ SCC SUBTOTAL $ 1,150.00 *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 FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 1/1/18 • - through 6/30/18 page 8 of 11 NAME OF FILER I.D. NUMBER Tom Fischer 1366034 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ENTER CONTRIBUTOR CODE * ]FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO I.D. NUMBER) (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Nita Edde - Mitchell ❑ COM Retired 6/6/18 El OTH 250.00 250.00 250.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Steve and Debbie Adnrade ® IND El COM Retired 6/14/18 ❑ OTH 150.00 150.00 150.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Jim Fischer ® IND El COM Retired 6/21/18 ❑ OTH 500.00 500.00 500.00 Brentwood, CA 94513 ❑ PTY ❑ SCC Ld IND 6/22/18 Connie Rogers 1:1 COM ❑ OTH Retired 200.00 200.00 200.00 Gilroy, CA 95020 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1,100.00 *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 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule — a to who dollars. Statement covers eriod p Loans Received 1/1/18 CALIFORNIA 460 from FORM SEE INSTRUCTIONS ON REVERSE through 6/30/18 Page 9 of 11 NAME OF FILER I.D. NUMBER Tom Fischer 1366034 FULL NAME, STREET ADDRESS AND ZIP CODE IFAN INDIVIDUAL, ENTER OC CUPATION AND EMPLOYER a OUTSTANDING AMOUNT (c) AMOUNT PAID OUTSTANDING INTEREST INTEREST ORIGINAL 9 CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (I F SELF-EM PLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD * PERIOD PERIOD LOAN TO DATE Tom Fischer Candidate ❑ PAID CALENDAR YEAR $ $ 1,000.00 % $ 7500.00 $ ❑ FORGIVEN PER ELECTION- Gilroy, CA 95020 RATE $ 1,000.00 $ $ $ 8/28/14 $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ ❑ FORGIVEN PER ELECTION ** RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION *' RATE DATE DUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period .......................................................... ............................... (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 $ (May be a negative number) (Enter (e) on Schedule E, Line 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.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Tom Fischer Amounts may be rounded to whole dollars. Statement covers period from 1/1/18 through 6/30/18 SCHEDULE E Page 10 of 11 1366034 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAID 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 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 costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Staples Office Supplies and Postage 8840 San Ysidro Ave CMP 70.68 Gilroy, CA 95020 Michaels Office Supplies 6745 Camino Arroyo CMP 13.93 Gilroy, CA 95020 Staples Printer Ink 8840 San Ysidro Ave CMP 233.24 Gilroy, CA 95020 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 317.85 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 367.85 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 $ 367.85 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E Amounts may be rounded (Continuation Sheet) to whole dollars. Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Tom Fischer SCHEDULE E (CONT.) Statement covers period CALIFORNIA .1 from 1/1/18 FORM through 6/30/18 Page 11 of 11 I.D. NUMBER 1366034 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAD 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 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 costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Secretary of State 1500 11th St. Rm. 495 Sacramento, CA 95814 FIL Annual Fee 50.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 50.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov