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Home My WebLink AboutTom Fischer - Form 460 - 20181031 - 20181231Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/31 /18 through 12/31/18 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Parts) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 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) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification Date of election if applica (Month, Day, Year) 11/6/18 2. Type of Statement: RECEIVED JAN 15 2019 CITY CLERK'S OFFICE �GILKOY,CA -� Preelection Statement Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Tom Fischer MAILING ADDRESS AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and 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 (1an/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 COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY CONTROLLED COMMITTEE? ❑ YES ❑ NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREACODE/PHONE I.D. NUMBER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION COVER PAGE - PART 2 CALIFORNIA FORM .1 Page 2 of 8 ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD IDISTRICT 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 Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Tom Fischer Contributions Received 1. Monetary Contributions................................................... Schedule A, Line $ 2. Loans Received................................................................ Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ 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, Line 3 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 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 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period CALIFORNIA from 10/31/18 FORM through 12/31/18 Page 3 of 8 I.D. NUMBER 1366034 olumn A ColuDmn B Calendar Year Summary for Candidates To L THISD (FROM ATTACHED SCHEDULES) AR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1,553.18 23,187.18 $ -1,000.00 -1,000.00 1/1 through 6/30 7/1 to Date 553.18 22,187.18 20, Contributions $ Received $ $ 119.76 21. Expenditures 553.18 $ 22,306.94 Made $ $ Expenditure Limit Summary for State 1,211.69 $ 19,273.94 Candidates 1,211.69 $ 19,273.94 22• Cumulative Expenditures Made* Subject (If to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 1,211.69 $ 19,273.94 $ 4,671.81 To calculate Column B, 553.18 add amounts in Column A to the corresponding *Amounts in this section may be different from amounts amounts from Column B reported in Column B. 1,211.69 of your last report. Some amounts in Column A may 4,013.30 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). 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 CALIFORNIA 10/31/18 from FORM • through 1 2/31/18 Page 4 of 8 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 PER ELECTION CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND Pacific Printing 11/2/18 1445 Monterey Hwy. ❑ COM ICJ OTH 90.18 90.18 90.18 San Jose, CA 95110 ❑ PTY ❑ SCC ❑ IND J Bricklayers and Allied Workers Local 3 PAC 0 COM 11/3/18 10806 Bigge St. ❑OTH 300.00 300.00 300.00 San Leandro, CA 94577 ❑ PTY ❑ SCC El IND Drive Committee 000M 11/9/18 25 Louisiana Ave. NW ❑ OTH 500.00 500.00 500.00 Washington DC, 2001-2198 ❑ PTY ❑ SCC Tractor Supply Co. ❑ IND [I COM 11/13/18 6881 Cameron Rd. W1 OTH 63.00 63.00 63.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC United Food & Comm. Workers Local 5 PAC ❑ IND W1cOM 11/13/18 240 S. Market St. ❑ OTH 500.00 500.00 500.00 San Jose, CA 95113 ❑ PTY ❑ SCC SUBTOTAL $ 1,453.18 I J Schedule A Summary *contributor codes 1. Amount received this period — itemized monetary contributions. IND — Individual (Include all Schedule A subtotals.).........................................................................................................$ 1,553.18 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 A, Line 1. ( rY 9 ) ......................TOTAL $ 1,553.18 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 10/31 /18 FORM .1 through 12/31/18 Page 5 of 777 NAME OF FILER Tom Fischer DATE RECEIVED 11/17/18 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER * OCCUPATION AND EMPLOYER (IF CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ❑ IND CWA Local 9423 PAC ®COM 2015 Naglee Ave. ❑ OTH San Jose, CA 95128 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ "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 I.D. NUMBER 1366034 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 100.00 100.00 100.00 100.00 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 I CALIFORNIA Loans Received from 10/31/18 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Tom Fischer FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Tom Fischer t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC T❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Schedule B Summary through 12/31 /18 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (a) OUTSTANDING (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING (e) INTEREST (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS pglD THIS NAME OF BUSINESS) PERIOD PERIOD ,: THIS PERIOD PERIOD PERIOD Candidate 0 PAID $ 1,000.00 $ 0.00 0 ❑ FORGIVEN RATE 1,000.00 $ $ $ $ DATE DUE ❑ PAID ❑ FORGIVEN RATE DATE DUE ❑ PAID ❑ FORGIVEN RATE SUBTOTALS $ 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 parry 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. DATE DUE 0.00 $ (Enter (a) on Schedule E, Line 3) n.nn NET $-1,0DIl00_ (May be a negative number) Page 6 of 8 I.D. NUMBER 1366034 (r) (g) ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR $ 7500.00 $ — PER ELECTION"" 8/28/14 $ DATE INCURRED CALENDAR YEAR $ $ PER ELECTION " $ DATE INCURRED CALENDAR YEAR PER ELECTION" $ DATE INCURRED 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 NAME OF FILER Tom Fischer Amounts may be rounded to whole dollars. Statement covers period from 10/31/18 through 12/31/18 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page 7 of 8 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Brian Fischer DBA Phantom Peaks Media Facebook Advertisements Costco Post Election Party Supplies 7251 Camino Arroyo CMP 410.63 Gilroy, CA 95020 BevMo Post Election Party Supplies 6855 Camino Arroyo CMP 129.83 Gilroy, CA 95020 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 840.46 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.). 1,211.69 $ 0.00 0.00 ........ TOTAL $ 1,211.69 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Tom Fischer Amounts may be rounded to whole dollars. Statement covers period from 10/31 /18 through 12/31/18 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULE E (CONT.) I;ALI RMNIA 460 FORM 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 retumed 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 Tom Fischer Reimbursement for Post Election Party Cake Paid for Smart and Final Post Election Party Ice 250 East Tenth St. CMP 10.88 Gilroy, CA 95020 Old City Hall Restaurant Post Election Party Catering 7400 Monterey St. CMP 316.80 Gilroy, CA 95020 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 371.23 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov