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460 Termination COVER PAGE - LONG FORM Campaign Statement ,~'~',;' ',~'~" ' 4 6 0 (Government Code Sections 84200- 84216.5) 3 ~ 2002 I°fUse Onl 10/21%2001 1. Type of Recipient Committee: 2. Type of Statement: [] Officeholder, Candidate [] Primarily Formed Candidate/ [] Pm-election Statement [] Quarteriy Statement Controlled Committee Officeholder Committee [] Semi-annual Statement [] Special Odd-Year Report [] Termination Statement [] Supplemental Pm-election [] Ballot Measure Committee [] General Purpose Committee [] Amendment (Explain below) Statement - Attach Form 495 O Primarily Formed O Sponsored O Controlled O Broad Based O Sponsored 3. Committee Information I'{~"~1 Treasurer(s) COMM~'~E NAME NAME OF TREASURER Dolly Sandoval for City Cotmcil Maria Smith 1083 Shady Dale 10720 Alderbrook Lane Campbell CA 95008 (408)377-3570 Cupertino CA 95014 (408) 725-8939 Ed Hoffman 125 South Market Street, Suite 1160 10720 Alderbrook Lane San Jose CA 95113 (408) 297-3795 Cupertino CA 95014 (408) 725-8939 OP~ONAL: FAX~MNL ADDRESS OP~ONN~ FA~E4&NL ADORESS (408) 255-6873/ S/CCW - PCAB05 01380 (Rev. 9~9) State of CalBornla Fair PolPJcal Practicss Commission. COVER PAGE - PART 2 Recipient Committcc Campaign Statement Cover Page - Part 2 P~, 2 M ~0 I 4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee Ms. Dolores Sandoval OFRC~ SOUGHT OR HELD ~CLUOE LOCA'rJ0N N~D DISTRICT NUJMBER ~: APPUC&PJ ~.~ aN. LOT NO, OR LEI'rER I JURISD~-'~ON City Cou=cil, Dietriet n/a []o~x~ Ment~ the cm~tmlling sffl~ehM~er, ~andldate, er state measure pmpenant, ~ any. 10720 Alderbrook ~.ane Cupertino CA 95014 ~oFo~a~o~c.e~oR.~oFon~r Eelated CemmEteee N~t Include~ In this Statement: formed to receive conbfbutfons or to make expenditures on behalf of your candidacy. NAME I.D. NUMBER Doc°~ Sandoval Eo= Supervisor - Deb~./ 6. PH HIv Formed Committee ~rie~de o~ ~o~y S~do~ ee07~?/~s~02~ __ma__. NAME OF TRF..A~URER co~r/~o~.ED CI~AMrrTEE? NNI~E OF OFFICEHOLDER OR CANDidATE O~FJCE SOIJGHT OR HELD Do].l.¥ Sandoval/~..d Ho~fm~n ~ ADDRESS 811~J~T ADORES8 (NO P.O. aOX) NN~IE OF OFFI~EflOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 10720 Aide=brook ~,ane crrY STA~ Z~P CO~E Cupertino CA 95014 (408) 725-8939 7. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the 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 fie foregoing is true and correct. Executed on By Cumculm~ o~ Bt, SUMMARY PAGE Campaign Disclosure Statement aa..~t ~,~ ~ Summary Page ~ lO/21/2OOl Ilrou~h 12/31/2001 p~ 3 ~ ~0 ~EOFFI~R Ms. Dolores S~doval, Dolly Sandoval for City Council I.D. NUMB~ 1236761 Co~O~ R~ ~umn A ~u~ B ~ Y~ ~m~ ~T~ T~ PE~ ~ ~ ~nnln0 In ~ h ~ ~ nd 1. M~e~wCon~b~ons ..................................... S~edu~A, Une3 S ~[0.00 $ 20,68~.00 2. L~ns R~ived ................................................ S~edu~ B, Line 7 (~, 000.00) 0.00 1/~ 3. SUBTOTAL CASH CONTRIB~[ONS .................. A~Unesl+2 S (590.00) $ 20,684.00 ~....; 4. N~mone~ Con~bufions ............................. ~ule C, Li~ 3 0.00 0.00 21. 5. TOT~ CONTRIBUTIONS RECEIVED ................. A~Unes 3 + 4 $ (590.00) $ 20,684.00 6. CashPa~ ................................................ S~d~E, Li~4 $ ~6,538.25 $ 20,68~.00 7. L~ns Made ...................................................... S~ed~e H, Li~ 7 0.00 0.00 22. Cumul~i~ hfldRum Made* (ff ~ ~ V~u~w ~ L~t) 8. SUBTOTAL CASH PAYME~ ............................ AddUnes6+7 $ ~6,538.25 $ 20,68~.00 ~E~ T~I~ 9. ~med E~n~s (Un,id Bi[h) ...................... S~edule F, Line 3 (~, 830.03 ) 0.00 (m~) 10. Nonmone~ ~jus~ent ................................ S~ule C, ~ 3 O. O0 O. O0 11. TOTAL ~PEND~RES ~E .................. A~Linesa+9+lO $ 2&,?08.22 $ 20,684.00 Cu~ C~h 12. ~ginning ~h Balan~ .......... Pm~us ~um~ ~ge, Due 16 S ~ ? , ~2 8 . 2 5 13. C~ Re~lp~ ......................................... C~umn ~, Line 3 e~ ( 590.00 ) 14. Mis~llafl~us Increases ~ Cash ..................... S~u~ I, Une 4 O . O0 15. Cash Paymen~ ....................................... C~umn A, ~ 8 abo~ ~6,538.25 16. EN~pA,~-"r~esf2+ f3+14,~nsubtm~Une15 $ 0.00 Y~is is a T~ina~ ~te~t Une 16 must ~ zem. 17. LO~ GUA~TEES RECEIVEDSch~ule B, Pa~ I, C~umn (b) $ O . O0 Cash Equ~abm and Ou~fldiflg ~ 18. Cash Equiva[e~ ................................................................................ [ 0.00 19. ~nding ~ .......... AddUne2+UneOin~umnCa~ S 0.00 S/CCW - PCAB05 01380 (Rev. 9/99) SCHEDULE A Schedule^ s~,.~,~ w (Y, H()IC~IY 460 Monetary Contributions Received ~r(~ 12/3~/2001 ~ A of 10 NAME OF FILER ~B. Dolo~:ee ~&~o~al, Dolly Sa~do~al ~o~: City Co~-'~cil I.D. NUMBER 1236761 IF AN INDP~DUA~ ENTER DATE FUII NAME, MA~.ING ADDRE~5 A~D ZiP CODE OF CONTRIBUTOR CONtrIBUTOR OCCUPA~ON AND EMPLOYER AMOUNT RECE~/ED CUMULATIVE TO DA~E CUMULAT~E TO DAI~ RECENED OF COVMI~E~ ~ ENteR I.D. ~ COOE * (IF ~ELF~MPLOYED ~ NAME THIS PERIOD CALENDAR YEAR OTHER OF BU~NES~) (~AN 1 - DEC 31) (IF J~PLIC~ 10/29/200! ~:. ~&¥ ~. ~aC]C~, ~ [] IND 98¥cl~ia~:i~ 100.00 100.00 100o00(901) 892 T,aCA~:O~ D~:i~'e [] COM [] PTY [] SCC 10/29/2001 t4l~. ~eol'~e ~4o~.]c [] IND ~ice 9~:eBic~e~'lC 100.00 100.00 100.00(901) 19985 9~:ice A~Te~ue [] COM C~pe~:~i:o, CA 9501A [] OTH Reclbac~ [] SCC [] IND [] COM [] OTH [] ~ND [] (;OM [] IND [] [] scc SUBTOTAL $ 20o. o0 Monet~y C(x,~4butk)ns 5ummMy 1. Amom~t received ~ pc~od - co~bu~o~ o~ $ !00 or mom. (~c]ud~ ~! Sched~ A subtot~s.) .................................................................................................. $ 200.00 (Do,or it~-i,c.) .............................................................................................................................. $ 2~o.0o 3. To~] mo~y co~b~o~ mc~cd ~s p~o~. (Add ~.Ac~ ] ~ 2. £u~-~ ~'~ ,nd on t~¢ Summary ?~, Colum~ A, Linc ].) .............. TOTAL $ ~0.00 SCHEDULE B - Part I Schedule B- Part I (\i II(HC IY460 Loans Received [( )l Xl fTOm [0/2[/200~ Iltro~g# 12/33./2001 Page 5 of 10 NAMEOFFILER MS. Dolo=es Sanclov&l, Do].[¥ Sancloval for C'ity Council LD. NUMBER 1236'761 FOLL NAME, gi~iEET ADDRESS AND ZiP CODE IF N~ INDMi:XJ~L, ENTER OUI~NDING (b) (¢) OUTSl(~ANDiN~ (e) [~ (~) AMOON~ AMOUNT PND INTEREST ORIGINN. CUMULATIVE OF LENDER OCCUPATION ~ND EMPtOY~R ~I. ANCE ~ AT (IF CoMMn'rEE, ~L80 F.l~n~ I.D. WMEB~) (iF SELF-EMPLOYED, ENI-=~ BE(~INNIN(~ 11tS IC-CBVED ~HIS OR FORGIVEN CLOSE OF THIS PND ~HIS AMCX]NT OF CONTRIBItrlONS NME O~ BUSINESS1 PERIOD PERIOD THIS PERIOO PERIOD Fla~IOD LOAN TO DA~E Me. Dolo~:ee .qancloval ~e&che~:/~uet:ee [] PND C~LE:I~OARYE~R 10720 ~.lderbrook T.ane C~[:)e~ti~.o~ C~ 9503.& $ [.000 $ 0 o.o00 % $ [,o00 $ L0oo School DisCricC $ ~..000 $ o $ 0 x2/3x/2002 $ o o?/xs/200x $ ]..000 po~. It,NO I--IcoM Dot. D;'~ r-lscc OA'mOUE RATE,,cu,~= [] PAll) CN. END~R YEAR $ $ % $ $ RATE [] FORGIVEN ~ ELECTION D,.o •COM DOTH Dm Osco ' ' ' DATE DUE DATE iNCURR~ S [] PND CALENDAR ~ $ $ % $ $ [] FOEGIVEN RATE PE~ ELECI'IO~ D'~ Dco~Do~DmDscc ' ' ' ' ' ' DATE DUE DATE ~CURREo ~JBTOTAL $ o.oo $ ~,ooo.oo $ o.oo $ o.oo Schedule B Summa~ 1. Loans received this period ............................................................................................................ $ o. oo (Total Column (b) plus initemized loans less than $100.) 2. Loans paid or forgiven this period ................................................................................................ $ x. ooo. 00 (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 Une 1.) ................................................... NET $ tx, 000. oo) Enter the net here and on the Summary Page, Column ^, Line 2 SCHEDULE E _a=...en_ ~ [0/2[/200[ ~EOFFNLER ~. Dolo~e~ S~d~al, Dolly S~doval ~o~ City Co~cil I.D. NUMBER 12361~1 CODES: If one ~ the ~ll~ng ~es amu~ely desk.s the ~yment, ~u may e~er ~e ~e. Offie~ise, d~ ~e ~yment. CMP ~n~p~ali~m~ MBR mm~r~mu~ ~ ~ai~ma~bn~ CNB ~n ~n~ ~G ~ ~ ~ ~D ~u~ ~ CTB ~-?at~n (~in ~n~)* OFC ~ ex~n~ ~ ~m~n ~ ~s ~ ~ ~ P~ ~ ~ TEL Lv. ~ ~e ai~ ~ ~u~ ~ FIL ~ filln~l~ ~ PHO p~e ~ ~C ~ ~, ~ ~ ~ (~ain) FND ~m~ ~ ~L ~1~ a~ su~ ~ ~S ~s~u~ ~, I~ a~ ~ (~l~n) IND In~~m~~ng~(ex~ln)' ~ ~l~a~n~w~ ~ ~n~~m~~id~s~ ~G ~1 ~ PRO ~ ~ (~, a~na~) VOT ~r ~;~.;~ Lff ~m~n I~m a~ ~l~gs P~ ~ ~ ~B i~m t~y ~ (i~, ~) ~E ~D ~RE~ OF PAYEE ~ ~Dff~ OF ~I~EE, ~O ~ I.D. NUM~ ~ OR D~RI~ OF PAYME~ ~U~ PND B~g Ea~ C=ea~e Hedge ~[~ 2,[00.00 26[ O~o~aga Avenue Cupertino Community Services CVC 684.00 10185 N. Stelling Road Cupertino, CA 95014 MBNA~merica OFC 131.43 P.O. Box 15019 Wilmington, DE 19886-5019 SU BTOT~L $ 2,915.43 Schedule E Summary 1. Payments made Ibis period of $100 or more. (include all Schedule E subtotals.) ........................................................................... $ 16,538.25 2. Unitemized payments made this period of under $100 .................................................................................................................... $ o. 00 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column(d).) .................................... $ o. 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter hem and on the Summary Page, Column A, Line 6.) .... TOTAL $ 16,538.25 =-'--' (Continuation S t) Made lO/21/2oo[ ~E OF FlOR ~. Dolo~e~ S~al, Doll~ Sa~o~al ~o~ Ci~ Co.oil I.D. NUMBER 1236761 COOE~: If one ~ ~e ~ll~ing ~es a~umtely d~cdbes ~ payment, ~u may ent~ ~e ~e. ~e~i~, de. be the ~yment. CMP ~n ~m~al~ M~ ~m~ ~mun~ CNS ~n ~ ~G ~ C~ ~b~ (~in ~n~w)* OFC ~ e~ ~ ~n ~ ~1~ ~C dv~d~ ~T ~n FIL ~ld~ flll~l~ ~ ~ ~ ~n~ TRC ~1~ ~1, I~1~ ~ ~ (ex.in) FND ~ng ~ POL ~lllng a~ s~ ~ T~ ~ ~1, ~i~ a~ ~ls (~lain) IND i~n~d~msu~~m(~n)* POS ~,~a~~ TSF ~~ml~~s~ LEG ~1 d~ PRO ~mal LIT ~n I~ a~ m~li~s P~ ~ ~ ~B i~m ~ ~ (1~, ~11) ~E ~D ~ ~ PA~E OR ~DI~R (IF ~ I I ~, ~ ~ I~. N~ ~ OR DE~RI~ ~ PA~E~ A~ PAID ~i=ayou ~ O[~ices ~RO 606.2~ 125 Sou~ HagUe[ S~=ee~, SuiCe 1160 Sa~ ~o~e, ~ 95113 Robert Mattoch Direct Marketing LIT 1,216.67 6,750.00 865 The Alameda POS 5,533.33 San Jose, CA 95126 Spotlight Design & Printing LIT 5,152.70 1147 Mission Street San Francisco, CA 94103 Top Notch Data LIT 1,113.88 312 Brokaw Road Santa Clara, CA 95050 SUBTOTAL $ 13,622.82 SCHEDULE F =----" 460 Accrued Expenses (Unpaid Bills) f~em 10/21/2001 th~ 12/31/2001 I~ 8 of 10 NAME OF FILER MS. Dolores Sandoval, Dolly Sandoval for City Council I.D. NUMBER 1236761 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campalgnpamphemalia/mlac. MBR membercommunlca~ons RAD radio airtime and produclion costs CNS campaign consultants MTG meeldngs and appearances RFD retumnd con~bulions CTB conblbul~n (explain nonmom~a~)' DFC ~{flce exper~ SAL campaign wodmm salmtes CVC civicdormtlons PET petitlancirculating TEL Lv. orcableairtimeandproduclioncests FIL candidate §ling/ball~ fees PHO phone banks TRC candidate bavel, lodging and meals (explain) FND fondralaing events POL polling and sunmy rseeamh TRS a:.-~spouse bavel, lodging and meals (explain) IND indepondontexpenditumsuppodJng/oPlX~Singothers(explain)* POS postnge, dellvetyandmeseeogersewicse TSF trar~;~batweencommitteesofthesamecandidate/aponsor LEG legal defense PRO p~ional sewk~es (lagaL accounting) VDT voler registration LIT campaign litmature and mailings PRT print ads WEB information technology costs (inte~ e-mail) (a) (b) (c) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUND PAID OUTSTANDING (IF COMMIT'IT=E, ALSO ENTER I.D. NUMBE~ DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD '~-flS PERIOD BAJ. ANCE AT CLO~E OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD MBNA America DFC, POS 36.03 95.40 131.43 0.00 P.O. Box 15019 Wilmington, DE 19886-5019 Spotlight Design & Printing LIT 1,384.00 0.00 1,384.00 0.00 1147 Mission Street San Francisco, CA 94103 Top Notch Data LIT 410.00 0.00 410.00 0.00 312 Brokaw Road Santa Clara, CA 95050 SUBTOTAL~ $ 1,830.03 $ 95.40 $ 1,925.43 $ 0.00 Schedule F Summary 1, Total accrued expanses incurred this padod. (Include all Schedule F, Column (b) subtotals for payments for accrued expenses of $100 or more, plus total unitemized accrued expanses under $100.) ......................................... DICUP. RED.'I'O.T.e.L... $ 95.40 2. Total accrued expanses paid this period. (Include all Schedule F, Column (c) subtotals for accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ............................... P..RJD..T~.. $ 1,925.43 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) .......................................................................................................................................... MET. $ (1, 83 o. 03 ) SCHEDULE G 460 Payments Made by an Agent or Independent ~.. 10/21/200~ I~l~'~] Contractor (on Behalf of an Officeholder or Candidate) .,.,..h 12/31/2003. Pa~e 9 ¢~ NAMEOFFILER Me. Dolores Sandoval, Dolly Sandoval for City Council I.D. NUMBER 1236761 NAME OF AGENT OR INDEPENDENT CONTRACTOR: MBNA America 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 ai~me and production costs CNS campaign consultants MTG mee6ngs and appearances RFD returned contributions CTB contribution (explain nonmone~p/)* DFC office expecae~ SAt. campaign won~em ,aiarfes CVC cMcdcoatlons PET pa~,~ncirculaflng TEL t.v. orcablsai~limeandproductloncosts FIL candidatefiling/l=ailo~feea PHO phonebanks 'IRC candidatetmvai, lodging and mcal$ (explain) FND fundmlslng events POL poling and survey r.=~.~rch TRS staff/spouse tmv~l, lodging and meals (explain) IND Indepandente.~pendlturesupportlng/oppoaingothers(explain)* POS pcatage, dellve~and~erservices TSF tranai%rbetweencommitteesofthecamecandldate/sponsor LEG legal defense PRO p~ai se~icas (legal, accaunlJng) VDT v~er reglsl~afion LIT campaign literature and mailings PRT pdnt ads WEB Info.,m~;on technology =o~s (in, cruet, e-mail) N~E N~ID ADDRESS OF PAYEE OR CREDiTOR (IF (X~VlMI~FEE, ~J. SO ENTER I.D. NUMBER CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OS [=ost'.al Se=vice - O.tpertino [=OS 34.00 Cupertino [=Der: Of~=±ce Cupertino, C~ 95014-9998 SUBTOTAL $ 34.00 SCHEDULE G Schedu,e G Sla~aewnt~oVeml~a~od ~' "~"~' ~ 460 Payments Made by an Agent or Independent ~ 10/21/2001 ~ © ~x~ Con[~actor (on Behalf of an Officeholder or Candidate) ~ 12/31/2001 p~ 10 ~f 10 NAME OF FILER MI~. Doloree Sa. Ac[oval, Dolly .qandova'l for City Courlcil I.D. NUMBER 1236761 NAME OF AGENT OR INDEPENDENT CONTRACTOR: Aobert Mat:toch Direct: Marketing 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 co,ts CN5 cempalgn c~nsultants MTG meetings and appeara.k-~.~ RFD ret~ned contributions CTB conl~bution (explain cenmo~etalT)* DFC office e~q~nses SAL cempalgn wo~kem salaries CVC civicdonat~ns PET petitioncirculatlng TEL Lv. or cable aidime and producl~n costs FIL candldateflNng/ballotfees PHO phonebanlul TRC cendidatetravel, lodging and meals (explain) FND fundraising events POL polling and sunny __r~__rch TR$ atM~ travel, lodging and meals (explain) IND independent expenditure supportlng~ing o~em (explain)* POS peetage, dellve~and,~..~.~ngers~vices TSF tmceferbetweenc~mmitt~esofthesamecandldate~sor LEG legal defense PRO p~ sen~cce (legal, accounting) VDT voter registration LIT campaign I~ratum and mailings PRT p~int ads WEB info,nation technology ~ (lntemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID U.q Poetal -qervice - T.und¥ PO-q 5,533.33 T,t"~c[¥ .qt;at:ion .qan Joee, CA 95101 SUBTOTAL $ 5, s33.33