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460 Pre-election #2 COVER PAGE ~(C~ Type or print In ink. Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) OCT appli Year)' Date of election if (Month. Oey, Statement covers period 9/25105 from o Querterty Statement o SpecIal Odd-Yeer Report o SUpplemental Praeledlon Statement· Attech Form 495 November 8, 20' 2. Type of stateml i2I Preelection Stetement o Saml-ennual Statement o Termlnellon Statement (Also flle a Form 410 Termination) o Amendment (Expleln below) 10122/05 through SEE INSTRUCTIONS ON REVERSE 1. o Generel Purpose Committee a Sponsorad a Srnen Conbibulor Committee a PoIIIicaI Per1ylCenlral Committee CITY STATE ZIP CODe Cupertino CA 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND s'fR'ËËi' OR P.O. BOX P.O. Box 1522 CITY STATE ZIP CODe Cupertino CA 95014 OPTIONAL: FAX I E·MAIL ADDRESS dolly@dollysandoval.com Verification I hove used all reasonable dfllgence In prepeMng end revlewtng this statement and 10 the best of my knowledge the Infonnatlon contelned herein and In lI1e attached schedules is trua and complete. I cer1Ify undar panaIty of pOIury undarll1e_ of the State of Callfcmla that the foragoIng Is true a~ correct. ,.-/. J . . .-A October 26,2005 By ~ <..V....Q - October 26, 2005 B õõõ y CODElPHONE COOEIPHONE AREA AREA ZIP CODE 95014 ZIP CODe 95014 STATE CA STATE CA IF ANY Treasurer(s) NAME OF TREASURER Sarah Hathawey Feit MAILING ADDRESS P.O. Box 1522 CITY Cupertino NAME OF ASSISTANT TREASURER. Ed Hoffman MAILING ADDRESS 10720 Alderbrook Lane CITY Cupertino OPTIONAL; FAX I E·MAIL ADDRESS Committee Infonnatlon 1.0. NUMBER 1277455 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Friends of Dolly Sandoval 3. AREA CODElPHONE 408/725-8939 AREA CODElPHONE Type of Recipient Committee: All Commltteo. - Compl'" P_ 1, 2, 3. and.. i2I OfIiceholdar, Candidate Controlled Committee 0 PMmatiIy Formed Ballot Measure a State Candidate EJoctIon Committee ~ a Recall a Controlled (__-6) a Sponsored __""'6) o PMmatiIy Formed Candldatal omceholder Committee (--""'~ STREET ADDRESS (NO P.O. BOX) 1 0720 Alderbrook Lane Exec:utedon 4. Exeouled on PPPC Form 480 (J.nuary/05) 8881ASK-FPPC (8181275-3772) State of C.llfomJa afConRliñii By By DOlo - Executed on Exacuted on COVER PAGE - PART 2 Recipient Committee Type or print in Ink. Campaign Statement Cover Page - Part 2 - 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDlOATE NAME OF BALLOT MEASURE Dolly Sandoval OFFICE SOUGHT OR HELD (INCLUOE LOCATION ANO OISTRICT NUMBER IF APPUCASLE) BALLOT NO. OR LETTER JURISOICTION o SUPPORT o OPPOSE Identify the controlling officeholder. candidate, or ltate mealure proponent. If any. NAME OF OFFICEHOLDER, CANOIOATE. OR PROPONENT OFFICE SOUGHT OR HELO Primarily Formed Candidate/Officeholder Committee u.! n..... or otrIcohoIdsr(.¡ 0' e.ndld.to(.¡ for which "". commlttes I. primsrIIy fonned. NAME OF OFFICEHOLDER OR CANOIOATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOlDER OR CANOIOATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANOIOATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANOIOATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation sheets IWf DISTRICT NO. IF If necesury 7. Cupertino City Council RESIOENTIAUBUSINESS ADORESS (NO. ANO STREET) CITY S1!\1E ZIP 10720 AJderbrook Lane Cupertino CA 95014 - Related Committees Not Included In this Statement: Us/.nyeomml_ not Included In thl. _tement that .,.. controHed by you or .'" prltMtIIy funned to receive contrtbutlona or rrMke expendlturu on behllf of your candidacy. COMMITTEE NAME 1.0. NUMBER Dolly Sandoval for Supervisor Debt Retiremet 990787 NAME OF TREASURER CONTROLLEO COMMITTEE? Dolly Sandoval YES o NO COMMITTEEADCRESS STREET ADORESS (NO P.O. BOX) 10720 AJderbrook Lane CITY swe ZIP CODE AREA COOEJPHONE Cupertino CA 95014 COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLEO COMMITTEE? DYES DNO COMMITTEEADORESS STREET ADDRESS (NO P.O. BOX) ëiTŸ sr¡¡¡¡¡ ZIP COOE AREA COOEJPHONE FPPC Fonn 410 (JanuarylO6) FPPC TolI-Fr.. Helpline: 8861ASK-FPPC (8881275-3772) State of CaIIfomill SUMMARY PAGE Stltement coyer. period f Sept. 25, 2005 rom Type or print In Ink. Amounte may be rounded to whole dolla... Campaign Disciosure Statement Summary Page Pogo -L of 11- I,D. NUMBER 1277455 Oct, 22, 2005 through SEE INSTRUCTIONS ON REVERSE NAME 01' FILER Friends of Dolly Sandoval Calendar Year Summary for Candidates Running In Both the Stete Primary and General Elections ColumnS """.......- TOTAL TO DATE 29141,00 Column A TOTÞL THlSÆRIOD (fROMATTAØED8CHEDULES) 12863.00 Contributions Received $ $ to Date 71 $ through SI30 1/1 $ 20. Contrlbutiono Racelved Expendlturee Mode 21 29141.00 150.00 29291.00 $ $ 12863.00 150.00 13013.00 $ $ SdJedu/ø A, Uno 3 _S,Uno3 Add Lines 1 + 2 Schedule C, Uno 3 AddUnn3+4 Monetary eontrlbutlons Loans Recalvad .......... SUBTOTAL CASH eONTRIBUTIONS Nonmonetery eontrtbutlons .............. TOTALeONTRIBUTIONS REeEIVED 1, 2. 3. 4. 5, State $ Expenditure Limit Summary for Candidate. $ Cumulltlve Expenditure. Mid.· (H lubltot to VoIunbtty Ixpendtturt UmII) Total to Dote 22. Date 01 Election (mmlddJyy) .46 11371.46 259.00 150.00 11780.46 11371 $ $ $ 9257.07 9257.07 -141.61 150.00 9265.46 $ $ $ _leE,Uno4 SdJedule N, Uno 3 . AddUnea6+7 . Schedule F, Une 3 SoheduIeC, Uno 3 .....................Add L/net 8 + ø + 10 SUBTOTAL CASH PAYMENTS Accrued Expensas (Unpaid Bills) Nonmonetery Adjustment ........ TOTALEXPENDITURESMAOE Expenditures Made 6, Payments Mede 7, Loans Mede 6, 9. 10. 11 $ $ ·Amounts In this oection may ba different from amounts reported In Column B. ---1---1_ ---1---1_ To celculate Column B, odd amounts In Column A to the corraopondlng amounts from Column B 01 your laot report, Some amounts In Column A may ba negative flguree that ohould ba oubtracted from previouo period amounts. If thlo 10 !he finlt report baing filed for thlo calandar year, only carry over tha amounts from Un.. 2, 7, and g (if any). 14163.61 12863.00 9257,07 17789.54 $ $ Pro...,. &immory Pogo, Uno Ie Column A, Una 3 8bow ..... SoheduIe/,Llne4 Column A. Une 8 abow 14, then ",bInI01 Uno 16 Current Cash Statement 12, Beginning Cesh Belencs ....... 13, eash Receipts ....................... 14, Miscellaneous Increases to eash 15. eash Payments ............................, 16. ENDING CASH BALANCE .......... AddLln.012+13+ " this Is a IermlMtIon 1118_, Un. 18 must ba zero. $ _8. Port 2 17. LOAN GUARANTEES RECEIVED FPPC Fonn 4eO (JonuarylO5) IIeIASK·FPPC (888/215-3772) FPPC Tol~F_ lfelplln.: 259,00 $ $ S" 1natructIon, on I'8WII8 Add l./ne 2 + Un, g In Column B ebo~ Cash Equivalents and Outstanding Debts 18. eash Equivalents.. 19, Outstendlng Debts Schedule A Type or print In ink. SCHEDULE A Amounts may be rounded Statement œ Monetary Contributions Received to whole dollars. from_ (PI .,JL through _ SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER Friends of Dolly Sandoval 1277455 IF AN INOIVlOUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION FULL NAME, STREET AOORESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVEO THIS CALENOAR YEAR TDOATE DATE (lFCCUArnEE, ALSO ENTER I.D. NUMBER) CODe * OCCUPATION ANO EMPLOYER PERIOO (JAN. 1 . DEC, 31) (IF REQUIRED) RECEIVEO ('IFSEL~OVEO,ENTERNNÆ OFBUSlNESS) ~IND Margaret Abe-Koga COM Homemaker 100.00 100,00 10108/05 10108105 679 Church Street OOTH Mt. View CA 94041 OPTY osec Marybeth Affleck Nacey !!~D Executive/Role Model 10112/2005 OCOM 100.00 100,00 10112/2005 1575 Fuscia Drive OOTH Program San Jose CA 95125 OPTY osec IND Mehmet and Mine Clrit OCOM EngineerlLibtech 100.00 100.00 9/28/05 9128105 19959 Lanark Lane OOTH Saratoga CA 95070 OPTY oscc Adam Diamant IJ!JND Self OOOM 100.00 100,00 1010812005 913012005 1805 Arilngton Blvd. OOTH EI Cerrito CA 94530 OPTY OSCC Mark Edwards !!!!~ND Attomey, Edwards & 100.00 10/15105 OOOM 100,00 10115/05 10512 Peralta Ct. OOTH Scharff, LLP Cupertino CA 95014 OPTY osec , ;¡: C'~i,,&::;,,"\ > <:jZ,j~£~::1,WÆIfi~,; d;;,-O ,.",.,- SUBTOTAL$ 500.00 ~ . '," .;::,:::!::: ',>~¡;;.~::¡>' ,--, Schedule A Summary ·Contributor Codes IND -Individual 1. Amount received this period - itemized monetary contributions. ............ $ 3413.00 COM - RecIpient Committee (Include all Schedule A subtotals.) ..,......,....................,.................,....."..,............... (other than P'TY or SCC) 9450.00 OTH - Other (e.g" buslne.. enllty) 2, Amount received this period - unitemized monetary contributions of less than $100 ............ $ PTY - PoilUcaI Perty SCC - Small Contributor Commlltee 3 Total monetary contributions received this period. TOTAL $ 12,863,00 . (Add Lines 1 and 2, Enter here and on the Summary Page, Column A, Line 1.) FPPC Fonn 460 (JenuaryIOS) FPPC Toll-Free Helpline: 8681ASK-FPPC (868/275-3772) SCHEDULE A (CONT.) 1d5 Statement..,...... period 09/25105 (P/z.. from TYpe or print In Ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received J.D. NUMBER 1277455 through NAME OF FILER Friends of Dolly Sandoval PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENOAR VEAR (JAN. 1 . OEC. 31) AMCJl.M" RECEIVEO THIS PERIOD IF AN INOIVlOUAL, ENTER OCCUPATION AND EMPLOYER {IF SQ..F.Et.R.OYI¡O, EN'ÆR NAME OF BUSINESS) FULL NAME, STREET ADDRESS ANO ZIP COOE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO EN'ÆR 1.0. NUMBCR) CODE * DATE RECEIVEO 10101105 100.00 100.00 Executive, M E Fox & Co. IND oCOM oOTH oP"IY osee Michael E, Fox 14751 Quito Road Saratoga, CA 95070 10101105 10108/05 100.00 100.00 Retired IND oeDM oOTH oPTY osee Caraol Garvey 647 North 16th Street San Jose, CA 95110 9127105 10110105 100.00 00,00 Program Manager, Maryland Dept. of Environment rNO COM oOTH oP"IY osee Jim George 606 W. 37th St. Baltimore, MD 10110105 10112/05 100.00 00.00 Retired IND oeOM oOTH oPTY sec 21211 Robert Grimm 1001 Parma Wy, Los Altos, CA 94024 10112/05 10115/05 100.00 00.00 Homemaker ND o COM oOTH OP"IY osee Michelle Hocker 21150 Canyon Oak Way Cupertino, CA 95014 0115105 500.00 SUBTOTAL $ FPPC FOn11 460 (January/OS) FPPC TolI-Frea Helpline: 8661ASK·FPPC (886/275-3772) 'Contrlbutor eodes IND -Individual COM - Recipient Commllles (other than PTY or SCe) OTH - Other (e.g.. business entity) P"IY - PoIlUcal Party sec - Smsll Contributor CommlUes SCHEDULE A (CONT.) from Type or print In Ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received Page ï:õ.N'UMBER 1277455 through NAME OF FILER Friends of Dolly Sandoval PER ELEC'IlON TOOATE (IF REQUIREO) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - OEC. 31) AMOIM" RECEIVEO THIS PERIOO IF AN INDIVlOUAL, ENTER OCCUPATION ANO EMPlOYER (tFSEL.F-eMPI..OYE,ENTERNNÆ Of' BUSINESS) FUll NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR OFCOMMITlEE,ALSOENTeRI.D.NUMEI£R) CODe * DATE RECEIVED 10108105 100.00 100.00 Sales/All Covered ND OCOM OOTH OPTY oscc Gay Katillus 2573 Lancaster CI. Santa Clara CA 95051 9127105 10108105 100.00 100.00 Retired IND OCOM OOTH OPTY osec Gertrude McCulloch 6528 High Meadow Ct. San Jose, CA 95135 9130/05 10108105 00.00 1 100.00 Retired 10/08105 100.00 100.00 Dir, of Construction, Habitat for Humanity IND OCOM OOTH OPTY osce iZlND OCOM OOTH OPTY OSCC Chartes E. Newman 206 Whitney Street San Francisco, CA 94131 9128105 David & Ann Randolph 506 E. Evelyn Ave, Sunnyvale, CA 94086 9127105 10/08105 100.00 100.00 Retired IND OCOM OOTH OPTY OSCC Ted Smith 465 S, 15th SI. San Jose, CA 95112 9127/05 500.00 SUBTOTAL $ FPPC Form 460 (January/OS) FPPC TolI-Frea Helpline: 8661ASK-FPPC (866/275-3772) ·Conlrlbutor eod.. IND-Indlvldual COM - Recipient Committee (other than PTY or SCe¡ OTH - Other (e.g., buslne.. anlily) PTY - Polllical Party see - Small Contributor Committee SCHEDULE A (CONI) from Type or print In Ink, Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received 1 through 1.0. NUMBER 1277455 NAME OF FILER Friends of Dolly Sandoval PER ELECTION TOOA"!E (IF REQUIRED) CUMULATlVETOOATE CAlENDAR YEAR (JAN. 1 . OEC. 31) AMOUNT RECEIVEO THIS PERIOO IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPlOYER (lFseu:.eMP\..O'VE,ENTERNAAE OF BUSINESS) NAME, STREET AOORESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (lFCOMMmEE,ALSOENTERI.D.NUM8ER) COOE * 10108105 100.00 100.00 Executive Director, CEEF 10/20105 150,00 150.00 Homemaker 10108105 150,00 150,00 Acorn Campus Prtncipal 10113/05 200.00 200.00 Los Gatos High Teacher, School 10108105 200.00 200.00 County Assessor, Santa Clara County 800.00 SUBTOTALS FULL DATE RECEIVEO Maseo & Eleanor Watanabe 1290 Windimer Drtve Los Altos, CA 94022 9127105 DiBne Polgar 10373 Ann Arbor Ave. Cupertino. CA 95014 10120/05 T. Chester Wang 27101 Horseshoe Lane Los Altos Hills, CA 94022 9126105 Michael Bollhorst 698 BIBckford Ct. SanJose,CA 95117 10/13/05 Lawrence and Carmen Stone 1373 Bedford Ave. Sunnyvale, CA 94087 9125/05 FPPC Fonn 480 (January/05) FPPC TolI·Free Halpllne: 866JASK·FPPC (8681275-3m) ·Contributor Cod.. IND -lndMduel COM - ReciplenteommlUæ (other than PTY or SCC) OTH - Other (e.g., buslne.. entity) PTY - PolIUcel Perty see - Smell Contributor Committee SeHEDULE A (CO NT.) Statement coyers period 9125105 wJ:{,Z from Type or print In Ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received 1,0. NUMBER 1277455 through NAME OF FILER Friends of Dolly Sandoval PER ElECTION TODATE (IF RECUIRED) CUMULATIVE TO DATE CALENOAR YEAR (JAN. 1 - OEC. 31) AMOUNT RECEIVEO THIS PERIOO IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER pF SELF-EMPlO't'ED, ENTER NAME OF""""'""'1 FULL NAME, STREET ADDRESS ANO ZJP CODE OF CONTRIBUTOR I CONTRIBUTOR (WCOMMITTEE.N...SOENTERI.O.NUM9ER) CODe * DATE RECEIVED 10/08/05 250.00 250.00 CEO, Meirofi IND eOM ODTH OPTY see Charies and Ellen Haas 10533 Esquire Place Cupertino, CA 95014 9129105 10/08/05 250,00 250.00 4..·~ Manager, /J¡,.¡:/'~L... ND eDM OOTH OPTY see Jenna Huong Lu 4661 St. Francis Terrace Fremont, CA 94539 9128105 10/08/05 250.00 250,00 s...j.J,-.L. ....~ ow,w- IND oeDM OOTH OPTY see Roney Ich Lam 4235 Palisade Terrace Fremont, CA 94539 9128/05 10/08/05 350.00 250.00 CEO, Caspr Library Systems IND oeDM OOTH DPTY see Nonman & Allison Kline Post Office Box 246 Saratoga, CA 95071-0246 9127/05 1018/05 250.00 250,00 Homemaker Jill Schumb 1508 Newport Ave. San Jose, CA 95113 9/28/05 1250.00 SUBTOTAL $ FPPC Fonn 460 IJenuarylO5) FPPC TolI·Free Helpline: 8861ASK-FPPC (868/275-3772) *Contributor Codes IND -Individual eOM- Recipient Comml_ (other than PTY or See) OTH - Other (e.g., business entity) PTY - Political Party see - Small eontrlbutor Comml_ Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period ~~NIA 460 to whole dollars. from 9125105 I q'e.tjt Pege '1 0111- through -----1 W5 NAME OF FILER - 1.0. NUMBER Friends of Dolly Sandoval 1277455 - - DATE FUll NAME, STREET AOORESS ANO ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVEO PFCOMUIT1'æ,AL80ENTERI.D.NUM8ER) CODE * OCCUPATION ANO EMPLOYER RECEIVEO THIS CALENDAR YEAR TO DATE (lFSEL.f..EMPI..CID,ENTERNAME PERJOO (JAN. 1 - OEC. 31) (IF REQUIRfD) OFOU......, ISTÍND - 9/28/05 Chris & Jill Schumb OCOM Self, Attomey 1508 Newport Ave. OOTH 250,00 250.00 10/08/05 San Jose, CA 95113 OPTY OSCC OIND - 10/08105 Tramultola Company f~ 250,00 10108/05 191 Ridgeway 250.00 Oakland, CA 94611 OSCC ~ - 9128105 Dong Vinh, Inc. 1979 Monterey Road, Suite 120 ~~ 250.00 250.00 10108/05 SanJose,CA 95112 oscc - 9/29105 James A. Yee Architect 309 Woodland Park Lane Se\-Çe mpOljed 250,00 250,00 10108/05 MI. View, CA 94043 - 9/25108 Greg Plnn CEO. Pinn Bras, 20855 Saratoga Hills Rd. Construction 500.00 500.00 10108105 Saratoga, CA 95071 , SUBTOTALS 1500.00 FPPC Form 460 (Januory/05) FPPC TolI-Fr.. Helpline: Be6lASK-FPPC (868/275-3772) 'Contributor Codes INO -Individual COM - Recipient Committee (other then PTY or SCC) OTH - Other (e.g" business enllty) PTY - Political Party SCC - Small Conttibutor Committee SCHEDULE A (CONT.) Statement covers period 9/2510: 7 from 'JYpe or print In Ink. Amount. may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received 1.0. NUMBER 1277455 through NAME OF FILER Friends of Dolly Sandoval PER ELECTION TO OATE (IF REQUIRED) CUMULATlVETOOATE CALENDAR YEAR (JAN. 1 . OEC, 31) AMOUNT RECEIVED THIS PERIOD IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPlOYER {tF SELF-EMPI.OYED, ENTER NAME CO' BUSINESSI FULL NAME, STREET AOORESS ANO ZIP COOE OF CONTRIBUTOR I CONTRIBUTOR (lFCOMMITTEE,AL.SOENTERLO.NUMBER) CODE .. 10108105 500.00 500.00 (þ.¡~ +:, Psychologist S.......-\;. a........ 9/28105 250.00 250,00 9/28105 250,00 250,00 9/28/05 250,00 250.00 9/28/05 250.00 250.00 1100.00 SUBTOTALS IND OCOM OOTH OPTY osee ~ OPTY OSCC ~ ~~ osec OIND ~ ~TY OSCC ~ OSCC DATE RECEIVEO Jodi Pinn 20855 Saratoga Hills Rd. Saratoga. CA 95070 9/25105 2000 Senter Road LLC 2020 Senter Road San Jose, CA 95112 9128/05 Inc, Califoma King Egg Rol 1221 Story Road #10 San Jose, CA 95122 9128/05 Chinatown LLC 1290 S, First Street San Jose. CA 95110 9/28105 Inc. Golden Land Development, 1290 S. First Street San Jose, CA 95110 9/28/05 FPPC Fonn 460 (January/OS) FPPC TolI-Frae Halpllna: 8661ASK·FPPC (888/275-3772) ·Contributor Codes IND -Individual COM - Reclpiant Committee (othar than PTY or see) OTH - Other (e,g., business entity) PTY - Political Party see - Small Contributor Commlttaa SCHEDULE A (CONT.) statement covers period 9125105 from Type or print In Ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received Page -L1- of 1.0. NUMBER 1277455 1 through NAME OF FILER Friends of Dolly Sandoval PER ELECTION TO DAlE (IF REQUIRED) CUMULATIVE TO DATE CA!.ENOAR YEAR (JAN. 1 - OEC, 31) AMOUNT RECEIVEO THIS PERIOD IF AN INDIVIDUAl, ENTER OCCUPATION AND EMPLOYER (IF SEl.f.ðl'l...a'D, ENTER NNdE OFBUSOIESS) FULL NAME, STREET AOORESS ANO ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (JFCOMMIT1æ,A1.SQENTERI.D.NUMBER) CODE * 10/08/05 250.00 250.00 Owner, Mc.KeL. MµXet 9/28105 250.00 250.00 9128/05 250.00 250.00 9/28/05 250.00 250.00 9/28105 100.00 100,00 1100.00 SUBTOTAL $ IJIND OCOM OOTH OPTY OSCC OIND ~ OPTY osee OIND = OPTY osee OIND e osee ~ gOTH OPTY osee DATE RECEIVEO Dan Tho Trinh 2331 McKee Road San Jose, CA 95116 9128/05 Huong Lan Sandwiches 1655 Tully Road San Jose, CA 95122 9128105 Kiing Eggroll Plaza 1221 Story Road #10 San Jose, CA 95122 9128105 TK Holding, Inc. 4545 St. Francis Terrace Fremont, CA 94539 9128105 Progressive Construction, Inc. 59 Washington Street, #133 Santa Clara, CA 95050 9125105 FPPC Fonn 460 (JanuaryI05) FPPC TolI·F.... Helpline: 8681ASK·FPPC (8681275-3772) ·Contrlbutor Code. IND-lndMdual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e,g" buslne.. entity) PTY - PolIUcal Peny see - Small Contributor Committee Schedule A (Continuation Sheet) Type or print In Ink, SCHEDULE A (CONl) Monetary Contributions Received Amounts may be rounded Statement covers period Ra ~NIA 460 to whole dollars. 9125105 from ~Z¡ through Page r' Z- 01 11 , - 1.0. NUMBER NAME OF FILER Friends of Dolly Sandoval 1277455 - IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO CATE PER ELEC110N DATE FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENOAR YEAR TOCATE RECEIVEO (lFCOMMItTEE,ALSOENTERI.D.NUMBER) CODE * (IF SELFðIPl.Cn'ED, ENTER NAME PERlOO (JAN. 1 - DEC. 31) (IF REQUIRED) OF 0U8IHESSj OIND BAYMEC 10#841499 ]$:OM 150,00 150.00 10111105 9125105 Post Office Box 6296 OOTH San Jose, CA 95150 OPTY ~ Santa Clara and San Benito Counties Building OIND 10118105 ~OM 150.00 150.00 10118105 and Construction Trades Council 10# 743618 OTH 2102 Almaden Rd, #101 ~ Santa Clara County Firefighters, 10# 760851 OIND 25COM 250.00 250.00 10118/05 9128/05 p,o .(¡"" ¡{of OOTH ¿">G....J... cA 15"03( ~ CREPAClBORPAC Callfomia Real Estate PAC OIND 10/08105 $OM 250.00 250.00 9129105 10# 890106 OOTH OPTY ~ CREPACIBORPAC Califomia Real Estate PAC OIND ~~ 150.00 400.00 10/20105 10120105 ID# 890106 OPTY , 950.00 r '>~;""';2&;"2 . . ,'; ':;¡~~~~~i SUBTOTAL $ . . ,.- ·c· - :'::>";'i' :;~,;:~ :-:"<'-_~!L-.s"'-'tÞ.P_oi 'ContJibutor Codes IND-lndMdual COM - Rsclplent Committee (other then PTY or SCC) OTH - Other (e.g., business entity) FPPC Fonn 480 (January/OS) PTY - PolltJcel Party SCC - Small Contributor Committee FPPC Toll-Free Helpline: 8661ASK-FPPC (8681275-3m) SCHEDULE A (CO NT.) Type or print in Ink. Amounts may be rounded to whole dollar.. Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period 9/25/05 from Pege T.õ:ÑUMBER 1277455 through NAME OF FILER Friends of Dolly Sandoval PER elECTION TO DATE (IF REQUIREO) CUMULATIVE TO OATE CALENOAR YEAR (JAN. 1 . DEC, 31) AMOUNT RECEIVEO THIS PERIOD IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF S8..F..eMPLOYEO, EN1ER NAME OFBUSlNESS) FULL NAME, STREET AQORESS ANO ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IIFCOMMITTEE.ALSOENTERt.D.NUM8ER) CODE * DATE RECEIVED 10108105 150.00 50.00 OINO gpOM 1]OTH OPTY TriCounty Apartment Assoc. 10# 745208 20863 Stevens Creek Blvd., Suite 250 Cupertino, CA 95014 10105/05 10/08105 250.00 250.00 NAlOP - Santa Clara County 69 Lester Ave, San Jose, CA 95125 9128105 1010812005 100.00 100.00 500.00 SUBTOTAL $ OIND Ja:JM ¡g¡OTH OPTY OSCC OIND OCOM OOTH OPTY OSCC OIND OCOM OOTH OPTY osce The Sausedo Company 69 Lester Ave. San Jose, CA 95125 9128105 FPPC Fonn 460 (Jenuary/OS) FPPC Toll-Free Helpline: B661ASK-FPPC (866/275-3772) *Contrlbutor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - PolIUcel Party SCC - Small Contributor Committee SCHEDULE C Statement coven period from 9125/05 Type or print In Ink. Amounts may be rounded to whole dollers. Schedule C Nonmonetary Contributions Received Page 1.0. NUMBER 1277455 101: through SEE INSTRUCTIONS ON REVERSE NAME OF FILER PER ELECTION TO DAiE (IF REQUIRED) CUMU!.ATlVE TO DATE CALENOAR YEAR (JAN 1· OEC 31) AMOUNT/ FAIR MARKET VALUE OESCRIPTION OF GOODS OR SERVICES IF AN INDMOUAl, ENTER OCCUPATION ANO EMPLOYER (IF Se.F-EMPLOYED, ENTER NMÆ OFBUSlNiSS) CONTRIBUTOR CODE . Friends of Dolly Sandoval FULL NAME, STREET AOORESS ANO ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. MJMBeR) DATE RECEIVEO /50 /50 S"D Food donated for kickoff party SUBTOTAL $ OIND OCOM ØQTH OPTY OSCC OIND OCOM OOTH OPTY osce OIND OCOM OOTH OPTY osce OIND OCOM OOTH OPTY OSCC Attach additional information on appropriataly labeled continuation sheets. Rio Adobe DeAnza Blvd. Cupertino 912812005 ·Contributor Codes IND -lndMdual COM - Reåplant CommJttoe (other than PTY or SCC) OTH - Othar (a.g., business entity) PTY - Political Party see - Small Contributor Commmee 150 o Schedule C Summary 1, Amount received this period - itemized nonmonetary contributions. (Include all Schedule C subtotals.)." D $ $ Amount received this period - unltemlzed nonmonetary contributions of less than $100 Total nonmonetary contributions received this period. (Add Lines 1 and 2, Enter here and on the Summary Page, Column A, Lines 4 and 2, 3. DD FPPC F0n11460 (JanuaryI05) FPPC TolI·Free Helpline: 8861ASK·FPPC (8861275-3772) 5Q TOTAL $ 10.) Statement covers period from _ 9125105 - through 10122/05 Page J2-.- of ~ - 1.0. NUMBER 1277455 Type or print In Ink. Amounts may be rounded to whole dollar.. Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Friends of Dolly Sandoval candidate/sponsor Otherwise, describe the payment. RAe radio airtime and production costs RFD returned contributions SAL campaign workers' salaries 1B.. t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS stefflspousa travel, lodging, and meals TSF transfer between committees of the same VOT voter registration WEB Information technology costs the payment, you may enter the ~ member communications Mro meetings and appearances CFC office expenses ÆT patition circulating PHO phone banks POl. polling and survey resesrch POS postage, dellve'Y and messanger sarvlcas f'R) professlonel services (legal, eccounUng) PRr printada code. If one of the following codes accurately describes campaign paraphemalla/mlsc. campaign consultants contribution (explain nonmonetary)· civic donations candidate flllnglballot fees fundrafslng events Indapendent expendltura supporting/opposing others (explain) legal defense campa¡gn literature and mailings CODES: a.f' CNS CTB evc AL FND N) LEG UT e-mail NAME ANO AOORESS OF PAYEE (IF COMMITTEE. AlSO ENTER I,D. NUMBER) COOE OR DESCRIPTION OF PAYMENT AMOUNT PAlO Belaire Displays Inc. signs 5710 Hollis St. LIT 899.91 Emeryville, CA 94608 Voter Information Guide voter guide 13701 Riverside Dr. Suite 604 LIT 445.00 Sherman Oaks, CA 91423 DFS Associates USPS postage $1406.43 1346 The Alameda LIT literature Mailing, Design and development $1486.83 4792.01 San Jose, CA 95126 Spotilght Printing $1898,75 (Internet, 6136.92 1 oV SUBTOTAL $ $ $ $ allo ba summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2, Unitemized payments made this period of under $1 00 must contributions or Independent expenditures y' Column (e).) period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, ColumnA, Line 6,) .... TOTAL $ FPPC Form 480 (Janusry/05) FPPC TolI·Free Helpline: 8661ASK·FPPC (866/275-3772) 1 (Enter amount from Schedule B, Part paid this period on loans. this 3, Total 4. Total payments made interest SCHEDULE E (CONT.) Statament co.e.. period I<NIA 46 I Sept. 25. 2005 ,1,1 from _ " through Oct. 22, 2005 pegeL of~ - 1.0. NUMBER 1277455 type or print In Ink. Amounta mey be rounded to whole dolle... Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Friends of Dolly Sandoval cend1d.tetsponoor NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (F COMMfTTEE, ALSO ENTER I.D. NUMBER) DFS Associates USPS Postage $1406.43 1346 The Alameda UT Literature Design & Development $602.28 $2008,71 San Jose CA 95126 Political Data Inc. Burbank. CA CMP $483.83 MBNA America Accrued Expense from previous period· details reported on 9/2412005 report $400,61 Rio Adobe Restaurent 10525 S. DeAnza Blvd. FND $182.00 CvP~1'JNi) ú4 '15011 ~ FPPC Tol~F.... Helpline: SUBTOTAL $ 3075,15 FPPC Fonn 480 (JenuorylO5) BHlAlK·FPPC (BH/21B-3m) Otherwise, describe the payment. RAD radio airtime .nd production coste RFD retumed contributions SAL cempelgn work.ra· ..I.rl.s 18. t.v. or cebl. .Irtlm. .nd production cos18 "IRe cendld.te !revel, lodging, and m..te TRS ste1flapous. !re.eI, lodging, .nd m88ls TSF !rensler botwe.n commltt_ of the aem. VOT .oter reglatreUon WEB InformetIon technology cos18 (Intemet. e-m.1 codes accurately describes the payment, you mey enter MBR member communications MrG m..lings .nd .ppesrances ~ otftce expenses Ær petition clrculetlng PHO phon. benks POL polling .nd survey .....rch POS posteg., d.llvery .nd m....ng.r s.rvtces I'R) profeulon.1 s.rvlces (leg.', .ccounting) I'RI' print ada code, the poymenta that ere contrlbutlone or Independent expendlturee muat ellO be eummorlzed on _dule D. (.xplaln)' othara CODES: If one of the following eM' cempelgn peraphemallalmlac. O'IS cempelgn consultants CT8 contribution (axpleln nonmonatary)' rNC civic don.tIons FL cendld.te flllng/b.11ot fees fN) fundra'slng evante I'D Independent .xpendlture supporting/opposing LEG tag., defense LIT cemp./gn Iltereture .nd molllngs SCHEDULE F statement covers period Iii from_ 9125105 through 10122105 pagoA of 11- - 1.0. NUMaER 1277455 Type or prinl In Ink, Amountll may be rounded to whole dollars. Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Otherwise, describe the payment. RAe radio airtime and production costs RFD retumed contributions SAL campolgn workers' salaries 1EL t.v. or cable airtime and production costs '!R:: candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer _een committees of the same candidate/sponsor VaT voter registration I'IoIæ Informotlon technology costs (Intemel, e-mail' code. payment, you may enter the member communications meetings and appearances office expenses petition clrculotlng phone banks polling and survoy research postago, dallvoty and messenger servicas prorasslonal services (Iagal, accounting) print acts codes accurately describes the MeR MTG OFC PET f'K) POL POS Pf«) PRT (explain)' Friends of Dolly Sandoval CODES: If one of the following O.f' campaign paraphernalia/mise. a..¡s campaign consultants CTII contribution (explain nonmonetary)' eve cMc donaUons FII. candidate ftllnglballot laos FI.[) fund raising events I[) Indapendent expandlture suj:Jport!ng/opposlng othOfS LEG lagal deranse UT campaign literature and malUngs (0) (b) (e) (d) NAME ANO ADDRESS OF CREDITOR CODE OR OUTSTANOING AMOUNT INCURREO AMOUNT PAlO OUTSTANDING (IF COMMmEE. AI.SO ENTER 1.D< NUMBER) OESCRlPTlON OF PAYMENT BAlANCE BEGINNING THIS PERlOO THIS PERIOD BALANCE AT CLOSE OF THIS PERIOO (ALSO REPORT ON E) OF THIS PEl<JOO MBNA America P~S $185.00 for USPs/Longs Drugs, Cupertino MBNA America P~S $74.00 for USPSILongs Drugs, Cupertino MBNA America 400.61 $400.61 , 259.00 - 259.00 - 400.61 - -141.61 $ 400.61 INCURRED TOTALS $ $ 259.00 $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ....... 2, Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unijemized payments on accrued expenses under $100.). Line 1. Enter the difference here and 400.61 SUBTOTALS $ Independent .xpendltu.... muM .Iso be P.ymentl th.t .... contl1butlon. or summarized on Schedule D. PAID TOTALS $ Net change this period. (Subtract Line 2 from on the Summary Page, Column A, line 9,) ..... . FPPC Fonn 4410 (Janusry/05) FPPC TolI·Fr.. Helpline: 8881ASK·FPPC (8881275-3772) NET $ 3.