460 Friends Semi-Annual 1st ecipient Committee
Campaign Statement
(Government Code Sections 84200 - 84216.5)
lmm 01/01/2003
through 06/30/2003
1. Type of Recipient Committee:
[] Officeholder, Candidate Controlled Commi'Aee [] Ballot Measure Committee
(Month, Day,i:: 'i L
COVER PAGE - LONG FORM
2003 __ of_
For Official Use Only
IPERTINO CITY
O State Candidate Election Committee
O Recall
[] General Purpose Committee O Sponsored
O Small Contributor Commiaee
O Political Pady/Centra[ Committee
O Primarily Formed
O Controlled
O Sponsored
[] Primarily Formed Candidate
Officeholder Committee
2. Type of Statement:
[] Pre-election Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quadedy Statement
[] Special Odd-Year Report
[] Supplemental Pm-election
Statement - Attach Form 495
3. Committee Information
851028
Friends of Dolores Sandoval
STREET.ADDRESS{NO P.O. BOX)
10720 Alderbrook Lane
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95014 (408)725-8939
STREE~r ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
OTC STATE ZIP CODE AREA CODE~PHONE
OPTIONAl: FAYJE A{AIL ADDRESS
( ) /
Treasurer(s)
NAME OF TREASURER
Ed Hof fman
STREET ADDRESS
10720 Alderbrook Lane
Cl~ STATE ZIP CODE AREA CODEA°HONE
Cupertino CA 95014 (4 ~' '
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADORESS
CITY STATE ZIP CODE AREA CODF~HONE
( )
OPTIONAL: FAX/E~MNL ADDRESS
4. 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 I~te of California that the foregoing is true and correct.
Executed on oLL~(h -Z2r20O'~ By
OATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE M~ASURE PROPONENT OR RESPONSIBL£ OFFICER OF SPONSOR
Executed on By
DATE SIGNATURE OF CONTROl_LING OFFICEHOLDER. CANDIDATE, STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. STATE MEASURE pROPONENT
S/CCW - PCA~305 01380 (Rev 9/99) State of California Fair Political Practices Commission.
ecipient Committee
Campaign Statement
Cover Page - Part 2
COVER PAGE - PART 2
Page 2 of
5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee
NAME OF OFFICEHOLDER OF CANDIOATE NAME OF BALLOT M~ASURE
MS. Dolores Sandoval
RESIDENTIAUBUSINES$ ADDRESS (NO AND STREET} CiTY STATE ZIP code Identify the controlling officeholder, candidate, or state measure proponent, if any.
10720 Alderbrook Lane Cupertino CA 95014 NAMEOFOFFICEHOLDER, CANDIOATEOR, PROPONENT
Related Committees Not Included in this Statement: List any committees
not included in this consolidated statement that are controlled by you or which are primarily OFFICE SOUGHT OR HELD DISTRICT NO IF ANY
formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMI~EE NAME
Dolly Sandoval for Supervisor - Debt
Retirement Committee
I.D NUMBER
990787
7. Primarily Formed Committee
NAME OF TREASURER ONTROLLEO COMMITTEE?
Dolly Sandoval
COMMITTEE ADORESS STREET ADDRESS (NO P.O. BOX)
10720 Alderbrook Lane
CITY STATE ZIP CODE AREA CODE~'HONE
Cupertino CA 95014 (408) 725-8939
NAME OF OFFICEHOI-DER OR CANDIDATE
FFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE FFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE ,FFICE SOUGHT OR HELD [] SUPPORT
Campaign Disclosure Statement
Summan7 Page
NAME OF FILER Ms. Dolores Sandoval, Friends of Dolores Sandoval
Statement covers period
from 01/01/2003
through 06/30/2003
SUMMARY PAGE
Page 3 of
ID. NUMBER
851028
Contributions Received
1. Monetary Contributions ..................................... Schedule A, Line 3
2. Loans Received ................................................ Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS .................. AddLines I + 2
4. Non-monetary Contributions ............................. Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ................. Add Lines 3 + 4
Expenditures Made
6. Cash Payments ................................................ Schedule E, Line 4
7. Loans Made ...................................................... Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS ............................ AddLines 6 + 7
9. Accrued Expenses (Unpaid Bills) ...................... Schedule F, Line 3
10. Nonmonetary Adjustment ................................ Schedule C, L/ne 3
11. TOTAL EXPENDITURES MADE .................. Add Lines 8 + 9 + 10
Column A
(FROM A~ACHED SCHEDULES)
$ 50.00
Column B
CALENDAR yEaR
TOTAL TO DATE
$ 50.00
0.00
0.00
$ 50.00 $ 50.00
0.00 0.00
$ 50.00 $ 50.00
$ 885.44 $ 885.44
0.00 0.00
$ 885.44 $ 885.44
0.00 0.00
0.00 0.00
$ 885.44 $. 885.44
4,062.08
50.00
0.00
885.44
3,226.64
0.00
Current Cash Statement
12. Beginning Cash Balance .......... Previous Summa~Page, Line 16
13. Cash Receipts ......................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ..................... Schedule I, Line 4
15. Cash Payments ....................................... Column A, Line 8 above
16. ENDING CASH BAIZ~ICE~es ~2 + 13 + 14, then subtract Line 15
If this is a Termination Statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVEDSchedule B, Part 1, Column (b) $
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30
20. Contributions
Received ....
2I. Expenditures
Made ..........
Cash Equivalents and Outstanding Debts
18. Cash Equiva[ents ................................................................................ $
19. Outstanding Debts .......... Add Line 2 + Line 9 in Column C above $
0.00
0.00
Expenditure Umit Summary for State
Candidates
22. Cumulative Exenditure Made*
(If Subiec~ to Voluntary Expenditure Limit)
(mm/dd/yy)
S/CCW - PCAB05 01380 (Rev. 9/99)
SCHEDULE A
Schedule A Statement covers period
Vlonetary Contributions Received from 01/01/2003
through.06/30/2003 Page 4 of
5
4AME OF FILER Ms. Dolores Sandoval, Friends of Dolores Sandoval I.D. NUMBER
851028
[] ~N~
[] COM
[] OTH
[] PTY
[] SCC
[] IND
[] COM
[] OTH
[] PTY
[] SCC
[]
[] COM
[] OTH
[] PTY
[] scc
[] IND
[] COM
[] OTH
[] PTY
[] SCC
[] IND
[] COM
[] OTH
[] PTY
[] SCC
SUBTOTAL $ o.oo
Monetary Contributions Summary
1. Amount received this period - contributions of $100 or more.
(Include all Schedule A subtotals.) ..................................................................................................
2. Amount received this period - contributions of less than $100.
(Do not itemize.) ..............................................................................................................................
3. Total monetary contributions received this period.
(Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1.) .............. TOTAL
0.00
50.00
50.00
chedule E
Payments Made
~om 01/01/2003
through. 06/30/2003
SCHEDULE E
NAME OF FILER MS. Dolores Sandoval, Friends of Dolores Sandoval
CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
PRO professional services (regal, accounting)
PRT print ads
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMI~EE, ~SO E~ER iD NUMBER CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
A & E Print Shop LIT 330.44
2089 Curtner Avenue
San Jose, CA 95124
US Postal Service - Cupertino POS 555.00
Cupertino Post Office
Cupertino, CA 95014-9998
SUBTOTAL $ 885.44
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ........................................................................... $ 885.44
2. Unitemized payments made this period of under $100 .................................................................................................................... $ o. oo
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 here and on the Summary Page, Column A, Line 6.) .... TOTAL $ 885.44