Statement of Economic Interest
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
(MIDDLE)
STATEMENT OF ECONOMIC INTE
COVER PAGE
AUG 1 1 2005
Please type or print in ink
A Public Document
NAME
(LAST)
(FIRST)
Dolores
CITY
Sandoval
MAILING ADDRESS STREET
(May use business address)
10720 Alderbrook Lane
Cupertino
1. Office, Agency, or Court
Name of Office, Agency, or Court:
City of Cupertino
Division, Board, District, if applicable:
Your Position:
Councilmember
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o County of
[JClty of Cupertino
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Officellnitiai
Date: ---1---1_
o Annual: The period covered is January 1, 2004,
through December 31, 2004.
-or-
C The period covered is ---1----1_. through
December 31, 2004.
o Leaving Office Date Left: ---1---1_
(Check one)
a The period covered is January 1, 2004, through the
date of leaving office.
-or-
a The period covered is ---1---1_, through
the date of leaving office.
[J Candidate
Ann
725-8939
STATE ZIP CODE
OPTIONAL: FAX { E-MAIL ADDRESS
CA 95014
4. Schedule Summary
(Check applicable schedules or "No reportable interests. ")
.. During the reporting period, did you have any reportable
interests to disclose on:
Schedule A-1 ~es - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 0 Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B ~es - schedule attached
Reat Property
Schedule C ~es - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts and
Travel Payments)
Schedule D (Eliminated - report loans on Schedule C)
Schedule E 0 Yes - schedule attached
Income - Gifts
Schedule F 0 Yes - schedule attached
Income - Travel Payments
-or-
.. 0 No reportable interests on any schedule
Total number of pages Ù
completed Including this cover page: - \
5. Verification
I have used aU reasonable diligence in preparing this statement.
I have reviewed this statement and to the best of my knowledge
the information contained herein and in any 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 correct.
Date Signed
August 9. 2005
Signature
(File e originally signed statement with your filing officiaL)
FPPC Form 700 (2004/2005)
FPPC TolI~Free Helpline: 866/ASK~FPPC
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements.
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Dolores Sandoval
)0 NAME OF BUSINESS ENTITY
The Walt Disney Company
)0 NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
~ $2.000 . $10,000
0$100,001 - $1,000,000
D $10,001 . $100,000
DOver $1,000,000
FAIR MARKET VALUE
D $2,000 . $10,000
0$100.001 . $1.000,000
0$10,001 . $100,000
DOver $1,000,000
NATURE OF INVESTMENT
[R Stock
o Other
NATURE OF INVESTMENT
o Stock
o Other
(Describe)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
---1---1...M...
ACQUIRED
---1---1...M...
DISPOSED
---1---1...M...
ACQUIRED
---1---1...M...
DISPOSED
)0 NAME OF BUSINESS ENTITY
)0 NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
D $100.001 . $1.000.000
0$10,001 - $100,000
DOver $1,000,000
FAIR MARKET VALUE
D $2,000 . $10.000
0$100.001 . $1,000,000
o $10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
o Stock
o Other
NATURE OF INVESTMENT
o Stock
o Other
(Describe)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
---1---1...M...
ACQUIRED
---1---1....M...
DISPOSED
---1---1...M...
ACQUIRED
---1---1....M...
DISPOSED
) NAME OF BUSINESS ENTITY
) NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
0$2,000 . $10,000
o $100,001 - $1,000,000
0$10.001 . $100,000
DOver $1,000,000
FAIR MARKET VALUE
D $2.000 . $10,000
0$100,001 . $1,000,000
0$10.001 . $100.000
DOver $1,000,000
NATURE OF INVESTMENT
D Stock
D Other
NATURE OF INVESTMENT
D Slock
o Other
([)ascribe)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
---1---1...M...
ACQUIRED
---1---1....M...
DISPOSED
---1---1...M...
ACQUIRED
---1---1...M...
DISPOSED
Comments:
FPPC Form 700 (2004J2005) Sch. A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE B
Interests in Real Property
(Including Rental Income)
). STREET ADDRESS OR PRECISE LOCATION
10720 Alderbrook Lane
CITY
Cupertino
Name
Doiores Sandovai
> STREET ADDRESS OR PRECISE LOCATION
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE
0$2,000 - $10,000 -'-'~ -'-'~ 0$2.000. $10.000 -'-' 04 _I-'~
o $10,001 - $100,OGO ACQUIRED DISPOSED 0$10,001 - $100,000 ACQUIRED DISPOSED
IKI $100,001 - $1,000,000 0$100,001 - $1,000,000
DOver $1,000,000 DOver $1,000,000
NATURE OF INTEREST NATURE OF INTEREST
~ OwnershipfDeed of Trust o Easement o Ownership/Deed of Trust D Easement
0 leasehold 0 0 Leasehold 0
Yrs. remaining Other Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0 - $499 0 $500 - $1,000 0 $1,001 - $10,000
0$10,001 . $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that Îs a single source of
income of $10,000 or more.
NAME OF LENDER*
Wells Fargo
ADDRESS
P.O. Box 14411, Des Moines, IA
BUSINESS ACTIVITY OF LENDER
Financial Institution
INTEREST RATE
TERM (Months/Years)
4.875 % 0 Non,
15 years
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1.000 0 $1.001 - $10,000
o $10,001 . $100,000 ~ OVER $100.000
D Guarantor, if applicable
Comments:
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0. $499 0 $500 - $1,000 0 $1,001 - $10.000
0$10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
NAME OF LENDER*
ADDRESS
BUSINESS ACTIVITY OF LENDER
INTEREST RATE
TERM (Months/Years)
% D None
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000 0 $1,001 . $10.000
0$10,001 - $100,000 0 OVER $100,000
D Guarantor, if applicable
* Loans from commercial lending institutions made in the lender's regular course of business on terms available to
members of the public without regard to your official status are not reportable.
FPPC Form 700 (200412005) Sch. B
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE C
Income, Loans* & Business
Positions
(Other than Gifts and Travel Payments)
» 1 NAME OF SOURCE OF INCOME
Los Gatos Saratoga Jt. Union High School Dist.
ADDRESS
20 High School Ct. LosGatos, CA
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Education
YOUR BUSINESS POSITION
Math Teacher
GROSS INCOME RECEIVED/HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
D $500 - $1,000 D $1,001 - $10,000
~ $10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
IKI Salary 0 Spouse's income 0 Loan repayment
o Sale of
(Property, car, boat, ete.)
D Commission or 0 Rental Income, list each source of $10,000 Of more
o Other
(Describe)
D LOAN RECEIVED (complete box 2)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Doiores Sandovai
» 1 NAME OF SOURCE OF INCOME
SLI Systems
ADDRESS
350 Sansome St. SF CA 94104
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Software
YOUR BUSINESS POSITION
VP Sales
GROSS INCOME RECEIVED/HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
D $500 - $1,000 D $1,001 - $10,000
o $10,001 - $100,000 ~ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary IKI Spouse's income 0 Loan repayment
o Sale of
(Property, cer, boat, etc.)
o Commission or 0 Rental Income, list each sOl/rea of $10,0Q{) or more
o Other
(Describe)
o LOAN RECEIVED (complete box 2)
» 1 NAME OF SOURCE OF INCOME )0 2 LOAN RECEIVED
TERM (MonthslYears)
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED/HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
D $500 - $1,000 D $1.001 - $10.000
0$10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's income 0 Loan repayment
o Sale of
(Property, car, boat, etc.)
o Commission or 0 Rental Income, list each source of $10,000 or more
o Other
(Describe)
o LOAN RECEIVED (complete box 2)
INTEREST RATE
%
o None
SECURITY FOR LOAN
o None 0 Personal residence
o Real Property
Street eddress
City
o Guarantor
o Other
(Describe)
. You are not required to report loans from
commerciai lending institutions, or any indebtedness
created as part of a retail installment or credit card
transaction, made in the lender's regular course of
business on terms availabie to members of the
public without regard to your officiai status.
Comments:
FPPC Fonn 700 (200412005) Sch_ C
FPPC Toll-Free Helpline: 866/ASK·FPPC