460 Debt Semi-Annual 1st COVI;;R PAGE - LONG FORM
Recipient Committee ~ i~ ~ ~s ~,~ ~ C,,l~lmi~.~ 4 6 0
Campaign S~tement
(GovemmentC~e~ons~2~-~216.5)
JUL 3 0 ~02
~ ~ ~ ~ ~ ~ · ~: ~ F~ ~al U~ OnN
~ 0[/0~/=002 ~~,v~ CUPERTINO
CI~
CLERK
~ 06/30/2002
1. T~pe o[ Recipient Commiffee: 2. T~ of S~t~ment:
~ ~er, Cand~e ~1~ ~m~ ~ Ballot Measure ~mmi~ D Pr~le~on S~tement ~ Quadefly Statement
O S~te Candidate EI~ ~miE~ O PHmaH~ F~ ~ Semi-annual S~tement ~ Sp~al Odd-Year Reda
O R~II O Con~ ~ Te~inafion S~tement ~ Supplemental Pr~l~i~
O S~ ~ ~endment (Explain bel~) S~tement - A~ch Fo~ 495
D G~eml Pu~ ~mmi~
O S~n~ ~ PHmaH~ F~ Ca~ate
O Small C~ ~mmi~ ~older C~m~
O P~i~l Pa~IC~I ~miff~
3. Commiff~. Info~ation ~ "~'"~'~0vsv Treasum~s)
~M~E ~E ~E ~ ~U~R
Dolly Sa~doval ~o~ Su~e~ieo~ - Deb~ Re~i~eme~ Dolly Sa~doval
Co~i ~ ~ ee ~u~ ~
s~~~.o.~ 10720 A~de~b~oo~ ~a~e
10720 Alderbrook Lane c~
~ ~a~ aPSE ~~E San Jose ~ 95014 (408) 725-8939
~pertino ~ 95014 (408) 725-8939 ~~~u~,F~
~UNe ~ ~ m~ ~. ~ ~E~ ~ ..O. ~X
~U~ ~
~ ~A~ ~P ~ ~ ~
~:;~~ ( )
( ) - / ~: ,~ ~
4.
I ha~ u~ all m~on~bl~ dil~n~ in pm~fin~ and m~i~n~ ~i~ ~t~m~nt ~nd ~ ~ ~t o[ m~ ~~ th~ in[~a~on mn~in~d h~min and in ~ ~h~d ~h~dul~
~ ~ By
~ ~ ~ ~ING ~~ ~. STA~ M~
S/CCW - PCAB05 01380 (R~. ~) S~ of Cal~mla Fair Politl~l P~i~s Commission.
COVER PAGE - PART 2
Recipient Committee C.,LIFO I{NIA 4 6 0
Campaign Statement
Cover Page - Part 2 Pag- ~- o~ 6 I
5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee
NAME O~ OF~ICEHO~R O~ CAN~T~ NAME O~ B~LLOT MEASURE
Ms. Dolores Sandoval
OFFICE ~OUGHT OR HELD (INCLLIDE LOCATION AND DISTRICT NUMBER IF APPUGA. BLE) ,~.~... ~'~R I ~,--~0~ i[3__
Board of Superv±sors, District 5
Identify the controlling officeholder, candidate, or state measure proponent, If any.
10720 Alderbrook Lane Cupertino CA 95014
Related Committees Not Included in this Statement: Ust any committees
not included in this consolidated statement that are controlled by you or which are prima~fly OFF~.E SOUGHT OR HELD IDISTRICT NO. IF ANY
formed to receive conbfbutions or to make expenditures on behalf of your candidacy.
I
COMMITTEE NAME I.D. NUMBER
7. Primarily Formed Committee
Fr'ie~de o~= Dolores Sandoval 851028
NAME OF TREASURER CONTROt. LED COMMITTEE? NAME OF OFFICEHOt. DER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
COMM,'rrE,= *DDRESS STREET ~)ORF. SS (NO P.O. BOX) WE OF OFF~=HO(.D~. OR C*ND~D^TE OFF~CE SOUGHT OR HELD [] SUP~K~T
10720 Alderbrook T,a~e I-Ic~Po.~
CITY STATE ZIP CODE AREA C(X)Efl:YrKX~ NAME OF OFFICEHOt. DER OR CANDIOATE OFFICE SOUGHT OR HELD [] SUPPORT
C~gertino CA 9501~ (,t08) 725-8939 []
NAME OF TREASURER CONTROt. L.ED COMMITTEE?
COMMITTEE ADORESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODF. JF~ONE
SUMMARY PAGE
Campaign Disclosure Statement st=,=..t ¢~we~s ~ CALl FO RNI%
Summary Page ~.. ox/ox/2002
~ 06/30/2002 Pa~e 3 ~f 6
NAME OF FILER MS. Dolores Sandoval, Dolly Sandoval for Supervisor - Debt Retirement I.D. NUMBER
Committee 990787
Contributions Received Column A Column S Colemdm' Year Summa~j ~or CandMatem
TOTAL THIS I~RIOO CALENDAR ~ Running in Both the State Primmy and
(FROM ATTACHED SCHEDULES) TOTAL TO DATE
General ~s
1. Monetary Con~butions ..................................... Schedule A, Line 3 $ 0.00 $ 0.00
111 through 6/30 711 to Date
2. Loons Received ................................................ Schedule B, Line 7 0.00 110,000.00
3. SUBTOTAL CASH CONTRIBUTIONS .................. AddLinesl+2 $ 0.00 $ 110,000.00 Received ....$ 0 0
4. Non-monetary Contributions ............................. Schedule C, Line 3 O. 00 O. 00 21. ~**r~.. ~ 0 0
5. TOTAL CONTRIBUTIONS RECEIVEO ................. Add Lines 3 + 4 $ 0.00 $ 110,000.00
Expenditures Made Expenditure Umit Summaq~ for State
6. Cash Payments ................................................ Schedule E, Line 4 $ 0. O0 $ 0. O0 C-
7. Loons Made ...................................................... Schedule H, Line 7 0.00 0.00 22. Cumulative Exenditure Made*
(If Subject to Voluntary Expenditure Umit)
8. SUBTOTAL CASH PAYMENTS ............................ Add Lines 6 + 7 $ 0. O0 $ 0. O0
Date of Elec~on Total to Date
9. Accrued Expenses (Unpaid Bills) ...................... Schedule F, Line 3 0.00 0.00 (rnm/clcl/~)
10. Nonmonetary Adjustment ................................ Schedule C, Line 3 0. O0 0. O0
11. TOTAL EXPENDITURES MADE .................. Add Lines 8 + 9 + 10 $ 0.00 $ 0.00
Current Cash Statement
12. Beginning Cash Balance .......... Previous Summary Page, Line 16 $ 3,22 3.00
13. Cash Receipts ......................................... Column A, Line 3 above 0.00
14. Miscellaneous Increases to Cash ..................... Schedule I, Line 4 13.58
15. Cash Payments ....................................... Column A, Line 8 above 0. O0
16. ENDiHGCASH-a~e--.-_,,es12+13+14, thensubtractLine15 $ 3,236.58
If this is a Termination Statemen~ Line 16 must be zero.
17. LOAN GUARANTEES RECEIVEDSchedule B, Part f, Column (b) $ 0. O0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................................................ $. 0.00
19. Outstanding Debts .......... Add Line 2 + Line g in Column C above $ 11 O, 000. 00
SICCW - PCAB05 01380 (Rev. 9/99)
SCHEDULE B- Part I
Schedule B- Part l SL,b-.~:;,,COVerS pe~od CA LI~'O,~,,4 6 0
Loans Received ~o~ 01/01/2002 FORM
throug~ 06/30/2002 Pa~e 4 ~f, 6
NAMEOFFILER MS. Dolores Sandoval, Dolly Sandoval for Supervisor - Debt Retirement LO. NUMBER
Committee 990787
~ ~ ~PA~ ~ ~R ~E ~ ~ PND ~ AT I~ST ~1~ CU~T~
(F ~ ~ ~ t~. ~
Ms. Dolores Sandoval Councilme~er ~ P~D ~N~
10720 Alderbrook L~e
~pertino, ~ 95014
City of ~pertino D F~N ~RE~
~ ~0~ ~ ~
Ms. Dolores Sandoval (Continued)
~ F~ PER ~N
~,~ ~0m ~ ~
~N~
MS. Dolores Sandoval ~ p~D
(Continued) (Continued)
~ F~N PER E~
~ ~ ~ I~D
SUBTOT~ $ o.oo $ o.oo $ 8s,ooo.oo $ o.oo
S~ule B Summ~
1. Loans re~iv~ this ~d~ ............................................................................................................ $ o. oo
(To~l Column (b) plus initemiz~ I~ns le~ than $100.)
2. L~ns ~id or fo~iven this ped~ ................................................................................................ $ o. oo
(Total Column (c) plus loans under $100 paid or fo~iven.)'
(In~ude loans ~id by a ~i~ pa~ ~at am also itemized on Sch~ule A.)
3. Net ~ange ~is ped~. (Sub~ Line 2 from Line 1.) ................................................... N~ $ o.
Enter ~e net hem and on ~e Summa~ Page, Column A, Line 2
SCHEDULE B - Part I (cont.)
SchedUleLoans ReceivedB-Part I (Continuation Sheet) st~=,~t =)~,~ pelfi)d CALIFORNI ~i:OR~! 4 6 0
~ 03./03./2002
IlwouGh 06/30/2002 Pa~e S of 6
NAME OF FILER Ms. Dolores Sandoval, Dolly Sandoval for Supervisor - Debt Retirement I.D. NUMBER
Committee 990787
(IF ~ELF-EI4KX)YED. ~ BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAiD THIS ~dOUNT OF CONTRIBUTK)NS
(IF COM~'T'I~E. N.SO ENTER I.D. NUIdSER) NM~E OF BUSINESS) PERIO0 PERIO0 THIS PERIOD PERIOD PERIOD LOAN TO DATE
Ms. Dolores Sandoval [] P,D C,'~N~'~',--=~
(Continued) $ o $ lo.ooo o.ooo % $ :to.ooo $
RATE
D FORGIVEN PER ELECTION
I-I ,.o I-I co~ I-I OmH
DA'rE DUE DATE INCURRED
Ne. Dolores Sandoval [] .~JD
(Continued) $ o $ ls.ooo o.ooo ~ $ zs.ooo $
RATE
[] FORGIVEN PER ELECTION
[],.0 []co~[]o~.[]pw []scc s zs.ooo $ 0 $ 0 ~2/3z/2002 $ 0 z~/ze/2000 $
DATE DUE DATE INCURRED
[] PAiD GA[.ENDAR YEAR
S S % S S
RATE
[] FORGIVEN PER ELECTION
O'"~ Oco- Do','. O,'T',' OsCC s , , s ,
[] PAID C.,ALENI)M~ YEAR
S S % S S
[] FORGIVEN RATE PER ELECTION
C]'NO [r~COM DOTH •PTY C]scc $ S $ ' S
DATE DUE DATE INCUI%~ED
S S % S S
[] FORC4VEN RATE PER ELECTION
D'~> Dco~lDo~. Dp~ r-lscc s , , s s
DATE DUE DATE INCURRED
SUBTOTAL $ o.oo $ o.oo $ 2s,ooo.oo $ o.oo
SCHEDULE I
Schedule, s~ ~, l~a! ¢mm~ ~ C\ I.IFORNIA /'~ ~ i~
Miscellaneous Increases to Cash ro ~
~ 01/01/2002
through 06/30/2002 Page 6 ~f 6
NAME OF FILER MS. Dolores Sandoval, Dolly Sandoval for Supervisor - Debt Retirement LO. NUMBER
Committee 990787
FULL NAME AND ADDRESS OF SOURCE
DATE ~ couun'rEE. ~ N:XX13ON TO CO, eaT'toE'S ~ ~ N3ORESS. EN'TE~ ~.O. NUaBF..R DESCRIPTION OF RECEIPT AMOUNT OF
RECEIVED oR. a= No to. Nu~a~ N~s aEEN ASS~NEO, EN~J~ ~S N~U~ & N3ORESS) INCREASE TO CASH
SUBTOTAL $ 0.00
Miscellaneous Increases to Cash Summary
1. Increases to cash of $100 or more this period .................................................................................... $ 0.00
2. Increases to cash under $100 this period.
(Do not itc=.) ................................................................................................................................ $ 13.5 8
3. Total of all interest received this period on loans made to others.
(Schedule H, Part II (b).) .................................................................................................................... $ 0.00
4. Total miscellaneous increases to cash this period.
(Add Lines l, 2, and 3. Enter here.and on the Summary Page, Line 15.) ........................... TOTAL . $ 13.58