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Home My WebLink AboutTom Fischer - Form 460 (2018) - 20181021 - 20181030 (3rd Preelection Statement)Recipient Committee Campaign Statement Cover Page Statement covers period Date of election if appli from 10/21 /18 (Month, Day, Year) 61"' Date Stamp""°AEI V E SEE INSTRUCTIONS REVERSE ON R E.RR 30 .8 through . , 1/6 8 1 /1 rw. 1. Type of Recipient Committee: All committees -complete Parts 1, 2, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement 0 State Candidate Election Committee Committee ❑ Semi-annual Statement 0 Recall (Also Complete Part5) 0 Controlled O Sponsored ❑ Termination Statement (Also file a Form 410 Termination) ElGeneral Purpose Committee (Also Complete Pad 6) ❑ Amendment (Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Pad7) COVER PAGE 1 of 6 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report 3. Committee Information I.D. NUMBER Treasurer(s) 1366034 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Tom Fischer for City Council 2018 Tom Fischer MAILING ADDRESS MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to Executed on By " Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date 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) City Council Member, City of Gilroy RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) 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 CALIFORNIA .- .1 Page 2 of 6 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I 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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Attach continuation sheets if necessary ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS owREVERSE NAME opFILER , Tom Fischer ' Contributions Received 1. MonataryConthbutiona----------------- Schedule A,Line x $ 2. LoanaReoeived---------------------. Schedule B, Line 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines /~u $ 4. NonmonetaryContributiono--------------. Schedule C, Line 5. TOTAL CONTRIBUTIONS RECEIVED ..... .............................. Add Lines o+* $ Expenditures Made Made O. Payments Mada--------------------- Schedule E, Line $ 7. LoanoMade-----------------------. Schedule H,Line o 8. SUBTOTALCAS HPA/MENTG.......................................... Add Lines *~r $ 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule tLine o 10.Nonmonetary Adjustment ....................................................... Schedule C, Line 11. TOTAL EXPENDITURES MADE ........................................ Add Lines e+y^m $ Current Cash Statement 12.Beginning Cash Balance ............................ Previous Summary Page, Line m * 13.Cash Receipts ............................... ........................... Column A, Line oabove 14. Miscellaneous Increases hoCash .................................. Schedule 1, Line 15.Cash Payments ......................................................... Column A, Line oabove 1GENDING CASH BALANCE .................. Add Lines /u+/o+/4,then subtract Lmo/a * xthis isatermination statement, Line ,0must bezero. 17.LOAN GUARANTEES RECEIVED ................................ Schedule B,Part x $ Cash Equivalents and Outstanding Debts 18. CouhEquivalento---------------- See instructions onreverse $ Amounts may bvrounded SUMmxRv*^Ss mwhole dollars. Statement covers period CALIFORNIA A from 10/21/18 FORM ft?60 10C30/ 8 3 S through' ��----�—__ /.owuMasn 1366034 Column Column Calendar Year Summary for Candidates TOTAL THIS PERIOD �eq CALENDAR YEAR(FROM ATTACHED TOTAL TO DATE Running inBoth the State Primary and General Elections 1.800.00 21.634.00 � 1/1 mmuoxamo 7/1 to Date 1.800.00 21,634.00 oo. Contributions $ Received $ $ 110.76 21. Expenditures 1.800.00 21.753.76 Made $ $ Expenditure Limit Summary for State 15.25 $ 18.062.25 �Candidates 15.25 $ 18.OG225 2�Cumulative Subject m�"p='""�="°�"" Voluntary wExpenditure Limit) Date ofElection Total mDate (mm/dd0y 1S25 � . � � 1DU6�25 $ 2,887.06 To calculate ColumnB. 1.808.00 add amounts inColumn Amthe corresponding ~Amvuntsinthis section may u*different from amounts amounts from Column a reported inColumn o. 15.25 ofyour last report. Some amounts inColumn Amay 4.671.81 uonegative figures that should uasubtracted from previous period amounts. If this iothe first report being filed for this calendar year, only carry over the amounts from Lines u.7.and o(if rppcForm vsnUan/aozo FpPcAdvice: aavics@fnvc.xa.gov(oso/a7s-s77z) www.fppx.ca.gvv Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period _ 10/21 CALIF• NIA / 18 • from FORM SEE INSTRUCTIONS ON REVERSE through 10/30/18 page 4 of 6 NAME OF FILER I.D. NUMBER Tom Fischer 1366034 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER CONTRIBUTOR AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) RECEIVED OCCUPATION AND EMPLOYER CODE RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1- DEC. 31) (IF REQUIRED) OF BUSINESS) IND RJA❑ 10/22/18 ❑ PTY ❑ SCC ❑ IND Cement Mason's Local 400 PAC ® COM 10/22/18 ❑ PTY ❑ SCC ❑ IND Morgan Hill Federation of Teachers COPE ® COM 10/24/18 ❑ PTY ❑ SCC Operating Engineers Local 3 PAC ❑ IND W] CoM 10/26/18 ❑ PTY ❑ SCC SC & SB Co. Building Trades Council PAC ❑ IND 10/29/18 ❑ PTY ❑ ScC SUBTOTAL $ 1,800.00 Schedule A Summary 'contributor codes 1. Amount received this period — itemized monetary contributions. IND — Individual (Include all Schedule A subtotals.).........................................................................................................$ 1,800.00 COM — Recipient Committee (other than PTY or SCC) 2. Amount received this period — unitemized monetary contributions of less than $100 ................ ........... $ 0.00 OTH — Other (e.g., business entity) PTY — Political Party 3. Total monetary contributions received this period. SCC — Small contributor committee Add Lines 1 and 2. Enter here and on the Summary Page, Column ( Y 9 A, Line 1. ) ......................TOTAL $ 1,800.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Amounts may be rounded Schedule B — Part 1 SCHEDULE B - PART 1 to whole dollars. Statement covers period Loans Received 10/21/18 CALIFORNIA -v60 from FORM SEE INSTRUCTIONS ON REVERSE through 10/30/18 Page 5 of 6 NAME OF FILER I.D. NUMBER Tom Fischer 1366034 FULL NAME. M STREETD ZIPCODEOUTSTANDING OCCUPATION I AND EMPLOYER BALANCE c UNT PAID OFORGIVEN tl e OUTSTANDING INTEREST L (9) L CUMULATIVE OFLENDER DAN , ENTER LSO ENTER NAME OF BEGINNING THIS RECEIVOED THIS PERIOD ORUNT AIDRTHIS * BOSS OF THIS A S AMOU TAOF CONTRIBUTIONS BUSINESS) PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE Tom Fischer Candidate ❑ PAID CALENDAR YEAR 745 Dawn PER ELECTION" $ 1,000.00 $ $ $ 8/28/14 $ t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR FORGIVEN El FORGIVEN PER ELECTION** 1 ❑ IND ❑ COM ❑ OTH El ❑SCC $ $ $ $ DATE DUE $ DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION- t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ DATE DUE $ DATE INCURRED $ SUBTOTALS $ $ $ $ Schedule B Summary (Enter (e) on Schedule E, Line 3) 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) tContributor Codes 2. Loans paid or forgiven this period.........................................................................................................$ IND — Individual (Total Column (c) plus loans under $100 paid or forgiven.) COM — Recipient Committee (Include loans paid by a third party that are also itemized on Schedule A.) (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ SCC — Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (1an/2016) If required. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Tom Fischer Amounts may be rounded to whole dollars. Statement covers period from 10/21 /18 through 10/30/18 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULE E Page 6 of 6 I.D. NUMBER 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 , I . .... ... . ..... .. 1 1.,,,,,1, ., .. , I ..,,,.... .,..,.,..,.,, . .,..,.,.„ ., .....,,,., 1-1 11 111. I1 1 ..,..., . .....,..,,,,...,,I'll (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Costco Invitations for Campaign Workers Party 7251 Camino Arroyo CMP 15.25 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. 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.) SUBTOTAL $ 15.25 $ 15.25 0.00 0.00 .......... TOTAL $ 15.25 FPPC Form 460 (1an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov