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460 Semi-Annual Debt Retirement f ~ (1 { COVER PAGE Recipient Committee Type or print in ink. ~ ~ Campaign Statement - ' • ~ CoverPage ~ ~~n~ (Government Code Sections 84200-84216.5) Statement covera period Date of election if applic ble: age 1 of 5 07/0l/2007 (MoMh, Day, Year) from C p E R T! i~1 O C f TY C E R t~o o~icia~ use on~y SEEINSTRUCTIONSONREVERSE through 12/31/2007 1. Type of Recipient Committee: an co~„m~s - cor?,p~ 2, s. a~d a. 2. Type of Statement: ~ OfFiceholder, Candidate CoMrolled Committee ? Prirtrerily Formed Ballot Measure ? Preeledion Statemer~t ? Quarterly Satement Q State Candidate Election Committee Committee ~ Semi-annual Statement ~ Special Odd-Year RepoR Q Recall Q Controlled ? Termination Statemerrt ? Supplemental Preeledion ~iwocanpeteaen~ Q Sponsored (Also file a Form 410 Terminatlon) Statement - Attach Form 495 ~~O~P"~~ ? Amendment (Explain below) ? Generel Purpose Committee 0 Sponsored ? PrimarilY Fom~ed Candidate/ Q Small Cor~tributorComrttittee Olficeholder Committee Q PoWticalPerty/CentralCommiltee (~oc«np+xePertn 3. Committee Information I.D. NUMBER Treasurer(s) 990'787 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITfEE) NAME OF TREASURER Dolly Sandoval for Supezvisor-Debt Retirement Committee ~,i ~ ~ ~ , ` ~ c.- MAILING ADDR SS / L 7j..t-, !-~~c.~.~~-~J~~z.f.:, k.. STREET ADDRESS (NO P.O. BO~ CITY STATE ZIP CODE AREA CODE/PHONE J i. 7 2~ A-1ol ~-h z;, :!c~ L,:-~ L-~~;~L' L.~ ti ~2~ ~~f `,fC:~' 7 Z S°~ ~ 3 ~ CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY L v~-~ C/~- S Z~I ~ `1'"c,',4' 7 Z- S 3" `r 3~: MAtLING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODElPHONE CITY STATE 21P CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification 1 have used all reasonabie 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 the foregoing is true and Executed on ~ By Signature of troNing x, Cen~dete. Slete Meesure Prapment Executed on BY Dete Slgneture ot CantroAirg OlAcehoida, Cenddete, Smte Measure Proparrent FPPC F COVER PAGE - PART 2 Recipient Commif~ipient Committee Campaign Stateme64mpaign Statement Cover Page -~ePage - Part 2 ~ 2 ~ 6 5. Offlceholder or Candidatie Controlled Committee 6. Primarlly Formed Ballot Measure Commitbee NAME OF OFFICEHOLDEFl OF CANDIDATE NAME OF BAU.OT MEASURE Ma. Dolores Sandoval OFFICE SOUGHT OR NELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPUCABLE) BALLOT NO.OR LEi'TER JUHISDICT~ON O SUPPORT Board of Supervisors, Diatrict 5, Santa Clara County ~~P~ RE8IDENTIAUBU81NE88 ADDRE98 (NO. AND BTREEn CITY 8T'ATE ZIP CODE Identify the controlling officsholder, candidata, or stete measure proponent, if any. 1~72~ Alderbrook Lane Cupertino Cpa 95014 NAMEOFOFFlCEHOLDER,CANDIDATE,ORPROPONENT Related Committees Not included ln this Statement: List any commlttees not lncluded !n thls consoNdated statement thet are rontrolled by you or which ere prlmarpy OFFICE 80UGHT OR HELD DIBTRICT NO. IF ANY torrned Go rec:e/ve conMbutiona or Ao make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER Friends of Dolly Sandoval 1277455 P~marily Forn~ed Candidat~/Offlceholder Commfttee NAME OP TREASURER CONTROIIED CAMMITTEE9 NAME OF OFFICEHOLDER OR CANDIDATE OFFlCE 80UGHT OR HELD ~ g~ppppT Sarah Hathaway-Felt ? °P~E COMMITfEE ADDRE88 STREET ADDRE88 (NO P.O. BO~ NAME OF OFFICEHOLDER OR CANDIDATE OFFICE 90UdHT OR HELD ~ BUPPOHT 10720 Alderbrook Lane ? °P~E CITY BTATE ZIP CODE AREA CODFJPHONE NAME Of OFFlCEHOLDER OR CANDIDATE OFFICE 90UGHT OR HELD ~ g~pppqT Cupertino CA 95014 (408)725-8939 ?OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OfFICEHOLDER OR CANDIDATE OFFICE 80UQHT OR HELD ~ S~ppppT ? OPP08E NAME OF TREASUREFl CONTROLLED COMMITfEE? COMMITfEE ADDRE88 8TREET ADDRE88 (NO P.O. BO~ CITY STATE ZIP CODE AREA COOElPHONE Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period ~ ~ Summary Page to whole dollars. ~ from o7/0l/200~ ~ ~ SEEINSTRUCTIONS ON REVERSE through 12/31/2007 Page 3 of 5 NAME OF FILER I.D. NUMBER Dolly Sandoval for Supervisor-Debt Retirement Committee 990787 Contributions Received cdumn A Co~umn B Calendar Year Summary for Candidates TOTALTHISPERIOD CALENDARYEAR Runnin/~ in Both the State Primar and (FROMATTACHEDSCHEWLES) TOTAITODATE a Y Generai Elections 1. Monetary Contributions scnedu~e a, une s$ So . oo $ So . o0 1/1 through 6l30 7/1 to Date 2. Loans Received scnedu~e e, Line 3 so . o0 940 , o00 . o0 3. SUBTOTA~CASHCONTRIBUTIONS add~ines~+2 g so.oo $ S4o,oao.ao 20. Contributions Received $ S 4. Nonmonetary Contributions scheau~e c, ur,e 3 So . oo so . o0 2~ ExPenditures 5. TOTALCONTRIBUTIONSRECEIVED ....•••.••.•.•••••••••~••~•Add~ines3+4 $ So.oo $ S4o,oo0.0o Made 3 $ Expenditures Made Expenditure Limit Summary for State 6. Paymerrts Made scnedu~e e, une a $ So . oo $ So . oo Candidabe8 7. Loans Made schedu~eH,Line3 So.oo So.oo 22. Cumulative Expenditures Made* 8. SUBTOTALCASHPAYMENTS Addtiness+7 $ So.oo g So.oo (IfSubJsettoVoluMaryExperdRureLYnk) 9. Accrued Expenses (Unpaid Bills) scnedureF t;ne s so . oo So . oo Date of Election Totai to Date 10. Nonmonetary Adjustment scnedu~e c, une s So . oo So . oo (mrrJdd/yy) 11. TOTALEXPENDITURESMADE ................................AadCiness+g+~0 3 So.oo $ So.oo $ Current Cash Statement $ 12. Beginning Cash Balance previoussummaryPage, une ~s g Sao, ooo. oo To calculate Column B, add 13. Cash RBCelpts Column A, Line 3 above So . 00 amounts in Column A to the correspondiny amounts *q~ur~ts in this sectan may be ditferent from amounts 14. Miscellaneous Increases to Cash Schedule 1, Line 4 S26 . 34 from Column B of your last reported in Column B. 15.Cash Payments ColumnA,LrneBabove So.oo report. Someamountsin Column A may be negative 16. ENDINGCASH BALANCE Addlines 12+ 13+ ~4, then subtract ~ine 15 $ S4o, 026. 34 figures that should be subtracted from previous 1f this is a ferminetion sta(~ment, Line 16 must be zero. period amounts. N this is the first report being filed 17. LOAN GUARANTEES RECEIVED Scnedu~e e, Part 2$ So . oo for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, and 9(ff So.oo any). 18. Cash EquivalePtts See insbuctions on reverse $ 19. OUtSt2~dlflg DBbtS Add Lirre 2+ Line 9 rn Column B above $ S4 0, o o 0. o o FPPC Form 460 (January/05) FPPC Toil-Free Helpline: 866/ASK-FPPC (866/2753772) SCHEDULE B-PART1 Type or print in ink. Schedule B- Part 1 Amounts may be rounded Statement covers period ~ ~ , t Loans Received t° ~r'°'e d°"e`s. . • • from o7/oi/2oo~ through 12/3i/2oo~ pa9e q af 5 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER Dolly Sandoval for Supervieor-Debt Retirement Committee 990767 IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT (c~ OUTST DING INTEREST ORIGINAL CUMULATIVE FULL NAME, STREET ADDRESS AND ZIP CODE AMOUNT PAID gq~p,NCEAT OCCUPATION AND EMPLOYER BALANCE RECENED THIS PAID THIS AMOUNT OF CONTRIBUTIONS OF LENDER (IFSELFEMPLOYED,ENTER BEGINNING THIS OR FORGNEN* CLOSE OFTHIS pERIOD LOAN TODATE (IFCOMMITTEE,ALSOENTERI.D.NUMBER) NAMEOFBUSMESS) PERIOD THISPERIOD Ms. Dolores Sandoval Councilmember ~pA~p CALENDARYEAR City of Cupertino Szo,ooo.o0 520,000.0o So.oo s s % a s E S S S = DATEDUE DATEINCURRED t~ IND ? COM ? OTH ? PTY ? SCC Ms. Dolores Sandoval Councilmember ~PAID CALENp4RYEAR City of Cupertino s Ss,ooo.oo % s Ss,ooo.oo s So.oo a RATE PER ELECTION S S S s DATEINCURRED QATE DUE t~ IND ? COM ? OTH ? PTY ? SCC Ms. Dolore6 Sandoval Couricilmeml = s s = DATEINCURRED L14TE DUE t~ IND ? COM ? OTH ? PTY ? SCC .oo ~~~:5:~:<~s:~'s:~:~:<:,`>;:::i:::i;::::~:~:<~:~`'`•i<~:~:~:~:::;~i;:;:~;~';:;:i`:~:~>:~:~>:~ SUBTOTAL3 a so.oos so.ooa S4o,ooo.oos so (Enter(e)on SdredUe E, Une 3) Schedule B Summary so.oo 1. Loans received this period $ (Total Column (b) plus unitemized loans of lessthan $100.) tContributor Codes IND- Individual . $ S o . o o COM - Recipiant Committee 2. Loans paid or forgiven this period (Total Column (c) plus loans under $100 paid or forgiven. ) (other than PTY or SCC) OTH - Other (e.g., business eMity) (Include loans paid by a third party that are also itemized on Schedule A.) prY-Poiiticai Party $ o. o o SCC - Srtmll Contributor Cortvniltee 3. Net change this period. (Subtract Line 2 from Line 1. ) NET $ (May be a napalM num6x) 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. FPPC Form 460 (January/05) If required. FPPC Toll-Free H Schedu le I Type or print in ink. SCHEDULE I Miscellaneous Increases to Cash Amounts may be rounded StatemeM covers period ~ ~ to whole dollars. ~ ~ , from o7/0l/200~ through 12/3i/2oo~ pege s of s SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Dolly Sandoval for Supervisor-Debt Retirement Committee 990787 DATE FU~L NAME AND ADDRESS OF SOURCE DESCRtPTION OF RECEIPT AMOUNT OF RECENED (IF COMMfTTEE, ALSO ENTER I.D. NUMBER) INCREASE TO CASH Attach edditionat informstion on eppropriately ~ebeted continuation sheets. SUBTOTAL S Schedule I Summary 1. Itemized increases to cash this period . $ so.oo 2. Unitemized increases to cash of under $100 this period . $ $26 .34 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) $ so.oo 4. Totai misceilaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summar Pa e, Line 14. TOTAL $ $26.34 Y 9 ) FPPC Form 460 (January/06) FPPC Toil-Free Helpline: 866IASK-FPPC (866/2753772)