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Home My WebLink AboutTom Fischer - Form 460 (2018) - 20180923 - 20181020 (2nd Preelection Statement)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 9/23/18 through 10/20/18 1. Type of Recipient Committee: All committees — Complete Parts 1, 2, 3, and 4. W Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Tom Fischer for City Council 2018 I.D. NUMBER 1366034 STREET ADDRESS (NO P.O. BOX) 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 applicable (Month, Day, Year) 11/6/18 r Date Sta OCT 2 CIFR/r s or, %�RpyCATlp I 2. Type of Statement: W Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE 1 of 9 For Official Use Only ❑ Quarterly Statement Special Odd -Year Report IY! � Treasurer(s) NAME OF TREASURER Tom Fischer MAILING ADDRESS NAME OF ASSISTANT TREASURER; IF ANY MAILING ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS, 61AIL 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowle a the ' ormation contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under they laws of the State of California that the foregoing is true and corre Executed on �V — 14 By Date Executed on �� zZ if By Date Signature of Controlling Officeholder, Ca ate, State Measure Proponent or Responsible Officer of Spohsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent• '. Executed on By Date Signature of Controlling Officeholder, Candidate, State esure 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) City Council Member, City of Gilroy RESIDENTIAL/BUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP 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 CODE /PHONE 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 COVER PAGE - PART 2 Page 2 of 9 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 Listnamesof 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 Summary Page to whole dollars. Statement covers period CALIFORNIA from 9/23/18 I • - • through 10/20/18 page 3 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Tom Fischer 1366034 Contributions Received ToColuimn A Column Calendar Year Summary for Candidates PERIOD (FROM ATTACHED SCHEDULES) EB TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions .................... ............................... Schedule A, Line 3 $ 3, 959.00 $ 19,834.00 1/1 through 6/30 7/1 to Date 2. Loans Received ................................. ............................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 3,959.00 19,834.00 $ 20. Contributions Received $ $ 4. Nonmonetar Contributions ............. ............................... Y Schedule C, Line 3 119.76 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add Lines 3 +4 $ 3,959.00 $ 19,953.76 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ................................. ............................... Schedule e, Line $ 14,264.73 $ 18,047.00 Candidates 7. Loans Made ........................................ ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 + 7 $ 14,264.73 $ 18,047.00 22• Cumulative Expenditures Made* (If 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 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE ............ ............................Add Lines 8 +s +10 $ 14,264.73 $ 18,047.00 IJ $ 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 8 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 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 $ 13,192.79 3,959.00 14,264.73 2,887.06 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). *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 wnoie sonars. Statement covers period CALIFORNIA 9/23/18 from I • • 10/20/18 4 9 through Page of 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 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) VI IND 9/24/18 John & Carolyn Hernandez [I COM Retired 10.00 10.00 10.00 ❑ PTY ❑ SCC IND California League of Conservation Voters W1 COM 9/24/18 ❑ PTY ❑ SCC ❑ IND Plumbers and Steamfitters Local 393 PAC ® COM 10/1/18 ❑ PTY ❑ SCC ❑IND Plumbers and Steamfitters Local 467 PAC 10/1 /18 ❑ PTY ❑ SCC Cheri Sarkur W1 IND ❑ COM Retired 10/3/18 ❑ PTY ❑ SCC SUBTOTAL $ 1,110.00 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.) ....... 3,959.00 0.00 TOTAL $ 3,959.00 *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 9123/18 • - through 10/20/18 page 5 of 9 NAME OF FILER I.D. NUMBER Tom Fischer 1366034 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 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 COMMITTEE, ALSO (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND South County Democratic Club El COM 10/4/18 ❑ PTY ❑ SCC U.A. Local Union 228 PAC ❑ IND ® COM 300.00 10/5/18 ❑ PTY ❑ SCC U.A. Local 342 PAC ❑ IND ® COM 10/5/18 ❑ PTY ❑ SCC ❑ IND Plumbing Industry Consumer Protection Fund Q COM 10/5/18 ❑ PTY ❑ SCC George & Marika Somorjai ® IND El COM Retired 10/6/18 ❑ PTY ❑ SCC SUBTOTAL $ 1,599.00 *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 9/23/18 FORM through 10/20/18 Page 6 of 9 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 Phil Roloff ❑ COM Retired 10/11/18 ❑ PTY ❑ SCC Tut Brothers Estates LLC ❑ IND El COM 10/11/18 ❑ PTY ❑ ScC Sheet Metal Workers Local 104 PAC ❑ IND V COM 10/11/18 ❑ PTY ❑ ScC V IND Rudolph Carrasco Jr. El coM Business Agent 10/11/18 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1,250.00 *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 B — Part 1 to whole dollars. Statement covers period Loans Received 9/23/18 CALIFORNIA - from . 10/20/18 7 9 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Tom Fischer 1366034 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING (b) AMOUNT (c) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL B CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, 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 RATE $ 1,000.00 $ $ $ 8/28/14 $ t ❑ E:1 ❑ ❑ ❑ IND COM OTH PTY SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR [j FORGIVEN FORGIVEN PER ELECTION "* $ $ $ $ $ DATE DUE DATE INCURRED ❑ IND ❑ COM ❑ OTH El SCC tEl ❑ PAID CALENDAR YEAR El FORGIVEN FORGIVEN PER ELECTION" t ❑ IND ❑ COM ❑ OTH El ❑SCC $ $ $ $ $ DATE DUE DATE INCURRED 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. SCHEDULE E Statement covers period from 9/23/18 through 10/20/18 I Page 8 of 9 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 1366034 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 7,284.99 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pacific Printing 0.00 Campaign Lawn Signs 0.00 1445 Monterey Hwy. CMP 808.45 San Jose, CA 95110 Pacific Printing Mailer # 1 1445 Monterey Hwy. LIT 6,350.25 San Jose, CA 95110 Staples Office Supplies and Postage Stamps 8840 San Ysidro Ave OFC 126.29 Gilroy, CA 95020 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Un item ized 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.) ........................... SUBTOTAL $ 7,284.99 $ 14,264.73 0.00 $ 0.00 TOTAL $ 14,264.73 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (8661275 -3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Tom Fischer SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 Smart & Final Snacks for Precinct Walkers 250 East 10th St. CMP 45.77 Gilroy, CA 95020 Pacific Printing Mailer # 2 1445 Monterey Hwy. LIT 6,260.07 San Jose, CA 95110 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 6,979.74 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov