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460 Second Pre-Election COVER PAGE - LONG FORM Recipient Committee Campaign Statement (Government Code Sections 84200 - 84216.5) [~ ~ ~?'''' [Q''~: ,FI". .~ ..... ~ 5 ~001 A For~dalUse0nly 1. Type of Recipient Commiffee: 2. Type ~ S~tement: ffi ~holder. Cand~ate ~ Primarily Fo~ Candida~ ffi Pm~l~on S~tement D Quadedy S~tement Con.lied ~mmi~ee ~holder CommiR~ ~ Semi-annual S~tement ~ Special Odd-Year Re~d D Te~ination S~tement D Supplemen~l P~ele~i0n ~ Ballot Measure Commiffee D General Pu~ ~mmi~ D Amendment (Explain bel~) Statement - A~ch Fo~ 495 O Primarily Fo~ O S~n~md O Con~ll~ O Brad Ba~ O S~n~ 3. Comm~ee Info~ation ~'i~ Tmasum~s) Dolly S~doval for City Co~cil ~aria Smigh 1038 Shady Dale STRE~ADDRESS(~P.O.~ CITY STA~ ~.COOE ;M~COOE~MONE 10720 Alderbrook Lane Campbell CA 95008 (408)377-3570 Cupertino CA 95014 (408) 725-8939 (408) 255-6873/ S/CCW - PCAB05 01380 (Rev. 9/99) Stata of California Fair Political Practices Commission. COVER PAGE - PART 2 Recipient Committcc c~ hi FOR% 1,% 4 6 0 Campaign Statement Cover Page - Part 2 .-g- 2 ~ 14 I 4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee NAME OF OFFICEHOLDER OF CANDIDATE N, AME OF BALLOT MEASURE Ms. Dolores Sandoval OFFICE -- OR HELD (INCLUDE LOCAllON -- DISTRICT NU-- IF --BLE) BALLOT NO. OR LE1TER I JURISOICTION I rl SUPPORT City Council, District n/a r'loPPoRE Identify the controlling officeholder, candidate, or state measure proponent, if any. 10720 Alderbrook Lane Cupertino CA 95014 NAME OF OFFICEHOLOER, CANOIOAT~O~.PRO~ONENT Related Committees Not Included in this Statement: List any committees not included in Etis consolidated statement ~hat are contrelled by you or which am ptfmarily OFFICE SOUGHT OR HELD IDISTRICT NO. IF ANY I formed to receive conttfbutions or to make expenditures on behalf of your candidacy. Dolly Sandoval for Supervisor - Debt/ 6. Primarily Fo,,.ed Committcc Friends of Dolly Sandoval 990787/851028 Dolly Sandoval/Ed Hoffman 10720 Alderbrook Lane Cupertino CA 95014 (408) 725-8939 7. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information conteined 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 foregoi~n.g~is true and correct. 10/25/2001 By Executed on 10/25/2001 By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. STATE MEASURE PROPONENT SUMMARY PAGE Campaign Disclosure Statement ~ co~er~ period C X LIFORNI.X 46 0 Summary Page FOR~i lmm 09/23/2001 tl.'ough 10/20/2001 Page 3 of 14 NAMEOFFILER MB. Dolores Sandoval, Dolly Sancloval for C±t.¥ Counc±l LD. NUMBER 1236761 Contributions Received Column A Column B Calendar Year Summary for Candidates TOT~. T.:S ~;uoo C,~LE~O~R ~ Running in Both the S'.:-t~ Pdma~y and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Beetions 1. Monetary Contributions ..................................... Schedule A, Line 3 $ 5,696.00 $ 20,274. O0 2. Loans Received ................................................ Schedule B, Line 7 0.00 1, 000.00 111 through 6/30 711 to Date 20. ConlributJons 3. SUBTOTAL CASH CONTRIBUTIONS .................. AddUnesl+2 $ 5,696.00 $ 2.1,274.00 Received....$ 0 0 4. Non-monetary Contributions ............................. Schedule C, Line 3 0.00 0.00 21. Expeflditures Made .......... ~ 0 0 5. TOTAL CONTRIBUTIONS RECEIVED ................. Add Lines 3 + 4 $ 5,696.00 $ 21,274. O0 Expenditures Made r=xp~.d~.r~ unit Summary for stat. 6. Cash Payments ................................................ ScheduleE, Line4 $ 3,198.95 $ 4,145.75 CandidL~__- 7. Loans Made ...................................................... Schedu/e 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 $ 3,198.95 $ 4,145.75 Data of E~-~lion Total te Date 9. Accrued Expenses (Unpaid Bills) ...................... Schedule F, Line 3 1,59 3.2 8 1,830.03 (mm/dd/yy) 10. Nonmonetary Adjustment ................................ Schedule C, Line 3 O . O0 O. O0 11. TOTAL EXPENDITURES MADE .................. Add Lines 8 + 9 + 10 $ 4,7 92.23 $ 5,975.7 8 Current Cash Statement 12. Beginning Cash Balance .......... Previous Summery Page, Une 16 $ 14,631.2 0 13. Cash Receipts ......................................... Column A, Line 3 above 5,696. O0 14. Miscellaneous Increases to Cash ..................... Schedule I, Line 4 O . O0 15. Cash Payments ....................................... Column A, Line 8 above 3,198.95 16. ENDING CASH PA'~'"~os 12 + 13 + 14, then subtract Une 15 $ 17,128.25 ff this is a Termination Statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVEDSchedule B, Part 1, Column (b) $ O . O0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................................................ $. 0.00 19. Outstanding Debts .......... Add Line 2 + Line g in Column C above $ 2,830.03 SICCW - PCAB05 01380 (Rev. 9/99) SCHEDULE A Schedule A ~.:.~ ¢ov~f~ pemtod CALl FO RN IA Monetary Contributions Received ~ 09/23/2001 FORM Ihrou~h 10/20/2001 Palm 4 of 14 NAME OF FILER MS. Dolores Sandoval, Dolly Sandoval for City Council I.D. NUMBER 1236761 IF AN INDIVIOUAL. ENTER DATE FULL NAME, MAILING ADDRESS AND ZIp CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPtOYER AMOUNT RECEIVED CUMUtATIVE TO DATE CUMULATIVE TO DATE RECEIVED (IF COMMITI~E. N. SO ENTER I.D. NUMBER) COOE ' (1~ SEU:-EM~.OVEO ENTER m~ME THIS PERIOD CALENDAR YEAR OTHER OF ~USmNESS) (JAN 1 - DEC 31) (IF APPLICABLE) 10/01/2001 Mr. Tom Anderson [] IND Engineer 100.00 100.00 100.00(P01) 12408 Torrey Pines Drive [] COM Auburn, CA 95602 [] Ol14 Hewlett-Packard 10/01/2001 Mr. Robert J. Bettencourt [] IND Rancher 100.00 100.00 100.00(P01) P.O. Box 8241 [] COld San Jose, CA 95155-8241 [] OTH Self-Employed [] PlY (Same) [] sec 10/15/2001 Mr. Ziya Boyacigiller [] IND Engineer 100.00 100.00 100.00(P0I) 4 Arthur Lane [] C0M Atherton, CA 94027 [] OTH Self-Employed [] PIY (Same) [] 10/01/2001 Ms. Sherry Brown [] ~NO Psychotherapist 150.00 100.00 150.00(P01) 10/20/2001 430 Tennyson [] cx~4 (50.00), Palo Alto, CA 94301 [] OIH Self-Employed *CONTRIBUTION RETURNED [] PTY (Same) 10/13/2001 California Real Estate Political [] ~NO ID# 890106 100.00 100.00 100.00(P01) Action Committee Candidate Suppozt[] 525 S. Virgil AVenue [] Ol~ Los Angeles, CA 90020 [] ~Y SUBTOTAL $ 500.00 Monetary Conbibut]ons Summary I. Amount received this period - contributions of $100 or mom. (Include all Schedule A subtotals.) .................................................................................................. $ 3,400.00 2. Amount received this period - contributions of less than $100. (Do not itemize.) .............................................................................................................................. $ 2,296.00 3. Total monetary contributions ~ceived this period. (Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1 .) .............. TOTAL $ 5,696.00 SCHEDULE A (cont.) Schedule A (Continuation Sheet) s~;~.~ ~,,= r~d C ',LIFOP,'~I.', 4 6 Monetary Contributions Received ~ 09/23/2001 FOR~ t~rou~h 10/20/2001 Page 5 d. NAME OF FILER MS. Dolores .qandoval, Dolly Sandoval for City Council I.D. NUMBER 1236761 IF AN INDMDUAL. ENTER DATE FULL NAME, M~LING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION ANO EMPtOYER AMOUNT RECE~/ED CUMULA~VE TO DATE CUMULATIVE TO DATE RECEIVED (~ COMMITTEE. ~ ENTER I.D. NUMBER) CODE * (~ S~LF~TJ~tOYED ENTER NAME ~HIS P~RIOD CALENDAR YEAR OTHER OF BL~INESS) (JAN 1 - DEC 31) (IF APPtICABLE) 10/02/2001 MS. Parris Correa [] IND Consultant 100.00 100.00 100.00(POZ) 196 South 15th Street [] COM San Jose, CA 95112 [] OTH Self-Employed [] PTY (Same) [] scc 10/01/2001 Democratic Activists for Women Now [] INO ID# 960169 200.00 100.00 200.00(P01) 10/20/2001 1520 Cherry Avenue [] COM (100.00} ~ San Jose, CA 95125-3803 [] OTH *CONTRIBUTION RETURNED [] PTY 10/09/2001 MS. Mary Helen Doherty [] IND Executive Director 100.00 100.00 100.00 (P01) 465 S. 12th Stret [] COM San Jose, CA 95112 [] OTH Child Advocates •~c 10/15/2001 Mr. Abdullah Erda1 [] INO Engineering 100.00 100.00 100.00(P01) 19336 Newhorse Court [] COM Saratoga, CA 95070 [] OTH Self-Employed [] PTY (Same) •scc 10/01/2001 Mr. Antonio Estremera [] IND Attorney 100.00 100.00 100.00(P01) 1016 Adolbe Creek Court [] COM San Jose, CA 95127 [] OTH Legal Aid Society [] SCC 10/01/2001 Ms. Yoland P. Estremera ~-~ IND Computer Analyst 100.00 100.00 100.00(P01) 1016 Adolbe Creek Court [] COM San Jose, CA 95127 [] OTH County of Santa [] FrY Clara [] SCc SUBTOTAL $ 600.00 SCHEDULE A (cont.) Schedule A (Continuation Sheet) s,~,.~. ~.~-,.,.,~d C ~u~OI~.~ 4 6 0 Monetary Contributions Received ~.~ 09/23/2001 ~0{{~ lhruu~h 10/20/2001 p~ 6 of 14 NAME OF FILER MS. Dolores Sandoval, Dolly Sandoval for City Council ,.0. NUMBER 1236761 IF AN INDIVIDUAL, ENTER DATE FULL NAME. MAILING ADORES~ ,~ND ZiP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE CUMULATIVE TO DATE RECEIVED (1~ COMMITTEE, AL~O EN/E~ I.D. NUMBEf~ CODE ' IIF Sr~U=-~.MPt.O~ED ENI~R NAME THIS PERIOD CALENDAR YEAR OTHER OF BUSINESS) (JAN 1 - DEC 31) (IF APPUCABLE) i0/0i/200i F & W Investment Co. [] IND 100.00 100.00 100.00(P01) 3750-A Charter Park Drive [] COM San Jose, CA 95136 [] OTH 10/02/2001 MS. Nancy M. H. Harper [] IND Volunteer 100.00 100.00 100.00(PO1) 21500 Arrowhead Lane [] ~o~ Saratoga, CA 95070-6550 [] OTM N/A 10/01/2001 Mr. Arthur Harris [] ~ND Principal 100.00 100.00 100.00(PO1) 1052 Tuscany Place [] COM Cupertino, CA 95014 [] OTH Los Altos Schools [] SCC 10/01/2001 Mr. E. Steven Haze [] INO Consultant 100.00 100.00 100.00(PO1) 22681 San Juan Road [] COM Cupertino, CA 95014 DOTH Self-Employed D mTY (Same) 10/01/2001 Mr. Richard Holober [] 'NO Representative 100.00 100.00 100.00 (P01) 404 Juanita Avenue [] COM Millbrae, CA 94030 I-] OTH Holober Campaigns [] SCC 10/01/2001 Dr. Gregory F. Hooper [] IND Physician 100.00 100.00 100.00(PO1) 500 E. Remington Drive [] ~0~ Sunnyvale, CA 94087 [] OTH Self-Employed [] PTY (Same) SUBTOTAL $ 600. O0 SCHEDULE A (cont.) Schedule A (Continuation Sheet) s~.m..t =ov..s ,~dod c.,,u ~*o~',,~,, 4 6 0 Monetary Contributions Re~ived ~ 09/23/2001 FoRum tbm~ 10/20/2001 ~ 7 of 14 NAME OF FILER Ms. Dolores Sandoval, Dolly Sandoval for City Council I.D. NUMBER 1236761 ~F AN ~NOIWDU~., ENTER DATE FULL NAME. MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPtOYER AMOUNT RECEIVED CUMULATIVE TO DATE CUMULATIVE TO DATE OF BUS;NESS) (JAN 1 - DEC 31) (IF APPLICABLE) 10/0[/2001 Nr. Lawrence Hooper [] IN• Physician 100.00 100.00 100.00(PO'l) 500 E. Remington Drive, Suite 20 [] COM Sunnyvale, CA 94087 [] OTH Self-Employed [] PTY (Same) [] scc 10/01/2001 Mr. Eugene Hymen [] IN• Superior Court 100.00 100.00 100.00 (PO1) 142 Mount Hamilton Ave. [] COM Judge LOS Altos Hills, CA 94022-2235 [] OTH State of [] PTY California [] Scc 10/01/2001 Mr. Aminah Jahi [] IN• Executive Director 100.00 100.00 100.00 (P01) 2589 Sugarplum Drive [] COM San Jose, CA 95148 [] OTH AAACO [] SCC 09/28/2001 Mr. Shanranjit Kali Rai [] IN• Broker 100.00 100.00 100.00(PO1) 45372 Whitetail [] COM Fremont, CA 94539 [] OTH Self-Employed [] PTY (Same) •scc 10/15/2001 Mr. Aydin Koc [] IND Executive 100.00 100.00 100.00(P01) 1390 Manzanita Road [] COM Millbrae, CA 94030 DOTH Bitblitz Comm. 10/01/2001 Me. Gertrude McCulloch [] IND Principal 100.00 100.00 100.00(P01) 6258 High Meadow Court [] COM San Jose, CA 95135 [] OTH Los [] PTY Gatos-Saratoga [] SCC High School Dist SUBTOTAL $ 600.00 SCHEDULE A (cont.) Schedule A (Continuation Sheet) st~.,..t=,~,~,a c~uvo,~,.~ 460 Monetary Contributions Received t,~ 09/23/2001 [OR3I through 10/20/200i Page 8 of 14 NAME OF FILER MS. Dolores Sandoval, Doily Sandoval for City Councii I.D. NUMBER 1236761 IF AN INDIVIDUAL, ENTER DATE FULL NAME, MAILING ~DRES~ AND ZiP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE CUMULATIVE TO DATE OF BUSINESS) (JAN 1 - DEC 31) (IF APPt. ICABLE) 10/01/2001 Norcal Waste Systems, Inc. [] IND ID# 921099 200.00 100.00 200.00 (POi) 10/20/2001 Political Action Committee [] COM (100.00) 160 Pacific Avenue #200 [] OM *CONTRIBUTION RETURNED San Francisco, CA 94111 [] PTY 10/09/2001 Ms. Ann G. S. Randolph [] IND Systems Analyst 100.00 100.00 100.00 (P01) 945 High School Way, Apt. 15 [] COM Mountain View, CA 94041 [] OIH E1 Camino Hospital 10/08/2001 Ms. A. P. Santiago [] ~ND Executive Director 100.00 100.00 100.00 (P01) 3323 Woodside Lane [] COM San Jose, CA 95121 [] 01~ Asian Amer for [] m~ Corem Invlvmnt 10/08/2001 Ms. Marcine Azure Seid [] IND Attorney 100.00 100.00 100.00 (P01) 1615 Edgewood Drive [] COM Palo Alto, CA 94303 [] OTH Self-Employed [] PrY (Same) 10/01/2001 Mr. Wendell B. Stephens [] IND Investment 100.00 100.00 100.00 (P01) 10397 Anson Avenue [] ~0M Representative Cupertino, CA 95014 [] OIM Edward Jones 10/03/2001 Sugimura & Associates, Inc. [] IND 100.00 100.00 100.00 (P01) 2155 S. Bascom Ave., Ste. 200 [] Campbell, CA 95008 [] SUBTOTAL $ 600. oo SCHEDULE A (cont,) Schedule A (Continuation Shcct) Sta..~t~,.~.~.,~d C,L,rO,~,., 460 Monetary Contributions Received ~ 09/23/2OOl [~o~ Ihrou~h 10/20/2001 Page 9 of 14 NAME OF FILER MS. Dolores Sandoval, Dolly Sandoval for City Council LD. NUMBER 1236761 IF AN INDIVIDUAL, ENTER DATE FUI. J_ NAME, MAILING ADORESS AND ZIP CODE OF COI~q~IBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE CUMULATIVE TO DATE RECEIVED (IF COMMITTEE. AL~O ENTER I.D. NUMBER) COD~ * (IF SEU~-EM~.O~EO ENTER ~E THIS PERIOO CALENDAR YEAR OTHER OF BUSlHESS) (JAN I - DEC 31) (IF APPLICABLE) 10/13/2001 Ms. Dilek Toprak [] IND Engineer 100.00 100. O0 100.00 (P01) 1582 Jamestown Drive [] COM Cupertino, CA 95014 [] OTH Coherent [] PTY [] scc 10/05/2001 Tri-County Apartment Association - [] IND ID# 810014 200.00 100.00 200.00(P01) 10/20/2001 PAC [] COM (100.00)* 792 Meridian Way, Suite A [] OTH *CONTRIBUTION RETLTRNED San Jose, CA 95126 [] PTY [] SCC 10/15/2001 Turkish American Alliance For D IND 100.00 100.00 100.00 (P01) Fairness [] COM 1390 Manzanita Drive [] O~ Millbrae, CA 94030 [] PTY 10/01/2001 Mr. Paul Wysocki [] IND Consultant 100.00 100.00 100.00(P01) P.O. BOX 1537 [] COM San Jose, CA 95109 [] OTH Self-Employed [] PTY (Same) [] SCC 10/03/2001 Mr. Hamza Yil~z [] INO Engineer 100.00 100.00 100.00(P01) 20755 Trinity Ave. [] ~O~ Saratoga, CA 95070 [] O~ Self-Employed [] ~T~ (Same) [] IND [] OTH [] scc SUBTOTAl. $ 500.00 SCHEDULE B - Part III Schedule B- Part I11 stm,.~t =,,,~ ~ C,LIFORN,,4 6 0 Annual Report of Outstanding Loans Received 09/23/2001 Ihm~3h 10/20/2001 Pa~ 10 of 14 NAME OF FILER MS. Dolores Sandoval, Dolly Sandoval for City Council I.D. NUMBER 1236761 FULL NAME OF LENDER ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID INTEREST MS. Dolores Sandoval 07/19/2001 1,000.00 1,000.00 SUBTOTAL $ 1,000. O0 Annual Report of Outstanding Loans Summa~j 1. Total outstanding loans this period. (Enter here and on thc Summary Page, Column C, Line 2.) ............................................................... TOTAL $ 1,ooo.oo SCHEDULE E Payments Made eD= 09/23/2001 ~ 10/20/200~ ~, ~ ~ ~4 ~E~FI~R MS. Dolores Sandova~, Dolly Sandoval for Ci:y Council I.D. NUMBER ~236761 CODES: If one 0f the ~ll~ng ~des a~tely des~bes the pa~ent, ~u may enter ~ ~. O~se. ~sc~ ~ ~y~nt. CMP ~n ~li~m~, MBR ~ ~uni~ ~O ~ a~ ~ ~ ~ C~ ~~ ~G ~~ ~D ~~ ~C ~ ~s P~ ~ ~ ~ Lv. ~ ~ble aiffime a~ ~u~ FIL ~ ~ ~ ~ ~ ~ ~C ~ ~, ~i~ and ~ LEG ~d~ ~ ~~,~) VDT ~ UT ~,~ ~ ~ ~ P~ ~ ~ ~B ~ ~ ~ (~, ~ ~ ~ ~ PA~E ~ C~ 9elaine Dis~lay;, ~c. ~P 907.20 gme~iZ[e, ~ 94608 MBNAAJnerica POS 170.00 210.50 P.O. Box 15019 LIT 40.50 Wilmington, DE 19886~5019 Robert Mattoch Direct Marketing LIT 569.43 2,000.00 865 The Alameda POS 1,430.57 San Jose, CA 95126 SUBTOTAL $ 3,1~7.70 Schedu~ ~= Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ........................................................................... $ 3. I17.70 2. Unitemized payments made this pedod of under $100 .................................................................................................................... $ al. 25 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column(d).) .................................... $ 0.00 4. Total payments made this period. (Add Lines I. 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .... TOTAL $ 3. 198.95 SCHEDULE F Schedule F s~.~t covers period c \LIFOR'%I x 4 6 0 Accrued Expenses (Unpaid Bills) ~om 09/23/2001 ~ 10/20/2001 P~e 12 of 14 NAMEOFFILER MS. Dolores Sandoval, Dolly Sandoval for City Council LO. NUMBER 1236761 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise. descdbe the payment. CMP campaign paraphernalia/misc. MBR member c~nwnuni~ RAD radio air'dme and production costs CNS campaign consultants MTG meelings and appearances RFD returned CTB contribution (explain nonrnonets~,)* OFC ~ expermes SAL campaign workers salaries CVC civic donatkxts PET patil~m circulating TEL tv. or cable airfime and production costs FIL candidate filing/ballot fees PHC) phone banks TRC candidate travel, lodging and meals (explain) FND tundmising events POL polling and sun~ey research TRS ~'~spouse travel, iodg/ng and meats (explain} IND independe~texpendituresuppodiog/oppcaingomers(explain)' POS postnge, deli~andn~.,ssengerse~cas TSF Iransferbet',.~'=.-n. committsesoflhesamecandidats/sponsor LEG legaldefense PRO p~lservioes(legal, accounting) VOT votsrreg~.Fxxt LIT campaign literature and mailings PRT pdnt ads WEB infomlatkm technology costs (int~, e-mail) (.) {b) (c) {d) NAME AND/~ORESS OF PAYEE GR CREDITOR CODE OR OUTSTANDING AMOUNT INCURI~EO AM(~JND PAID OUTSTANDING BALANCE BEGINNING THIS P~RIOD THIS P~RIOO B~&.ANCE AT Ct~E (IF COtaMIT'I~.E. ALSO ENTER I.D. NUMBF..R DE~SCRIPTION OF PAYMEI~T OF THIS PERK)D (ALSO REPORT ON E) OF THIS PERIOO MBNA America LIT, POS 210.50 36.03 210.50 36.03 P.O. Box 15019 Wilmington, DE 19886-5019 Sandoval for Supervisor - Debt LIT 26.25 0.00 26.25 0.00 Retirement 10720 Alderbrook Lane Cupertino, CA 95014 ID# 990787 Spotlight Design & Printing LIT 0.00 1,384.00 0.00 1,384.00 1147 Mission Street San Francisco, CA 94103 SUBTOTALS $ 235.75 $ 1,420.03 $ 236.75 $ 1,420.03 Schedub F Summa~j 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for payments for accrued expenses of $1 O0 or more, plus total unitemized accrued expenses under S 100.) ......................................... INCUI~.]'D]'J~J.... $ 1.830.03 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ............................... P. JMD..T. QTJg3_.. $ 236.75 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) .......................................................................................................................................... NET. $ 1,593.28 SCHEDULE l~ ,(CONT.) Schedule F Sm,.~t=,~.p.dod c.,,.,eo,~x,,460 (Continuation Sheet) FORM Accrued ~nses (Unpaid Bills) ~ o~/~/~oo~ ~h 10/20/2001 ~ 13 ~ 14 ~EOFFILER Ms. Dolores Sandoval, Dolly Sandoval for City Council I.D. NUMBER 1236761 CODES: If one of ~e foll~ ~es a~umtely d~ri~s the ~ent, you may enter the ~e. Othe~ise, des~be the payment. ~P ~ ~m~Mi~m~. MBR ~m~ ~n~ ~ ~ ai~ ~ ~u~ ~ CNS ~ ~ MTG ~ ~ a~m~ RFD ~ ~s ~ ~ (~ ~)' OFC ~ ~ ~ ~n ~ ssla~ C~ ~s P~ ~~ ~L Lv.~a~~ FIL ~fili~l~ ~ ~ TRC ~,~a~s(e~ain) FND ~ ~ ~ ~li~ ~ su~ ~ ~S s~ ~el. ~i~ a~ ~b (e~n) IND i~tex~su~~em(e~a~)* ~ ~.~i~a~~ ~ ~3~~~s~ ~G ~d~ PRO ~~O~al.~nfi~) VOT ~~ Lff ~n ~ a~ ~ili~ P~ ~ ~ ~B i~ ~ ~ (i~, ~) (a) (b) (c) (d) ~E ~D ~ OF PAYEE OR C~DITOR ~ ~ ~T~ ~ I~URRED ~D PND ~ST~ ~ BEGINNING ~IS PERIOD ~lS PE~ ~E AT ~ (~ ~E. ~ ~ I.D. N~ DE~ ~ PA~ENT ~ ~tS ~ ~ ~ ~ E) ~ ~ ~ · op ~o~c~ Da~a ~[~ 0.00 ~10.00 0.00 410.00 312 B~o~a~ Road S~a CZa~a, ~ 95050 SUBTOTALS $ 0.00 $ 410.00 $ 0.00 $ 410.00 SCHEDULE G Schedule G Payments Made by an Agent or Independent ~ntm~or (on BehaE of an ~holder or Candidate) ~EOFFILER MS. Dolores Sandoval, Dolly Sandoval for City Council I.D. NUMBER 1236761 ~E ~ A~ ~ IND~EN~NT ~TO~ Robert Mattoch Direct Marketing CODES: If one ~ the ~lowing ~es a~umtely de~s the pa~ent, ~u may enter ~e ~e. Othe~ise, de.be the payment. CMP ~m~n ~r~. MBR ~ ~ni~ CNS ~ ~ MTG ~s ~ ~ (~ ~)* OFC ~ ~ ~ ~n ~ ~1~ FND ~m~ ~ ~L ~ ~ ~ ~ TRS ~ ~. ~ a~ ~ (exff~) ~G ~ PRO ~~(~1.~) ~T L~ ~n ~ a~ ~li~s PRT ~m ~E ~ ~ ~ PAY~ ~ CRE~T~ , ~ OR DE~ ~ PA~E~ ~ PND US ~os~al Se~ice - ~dy ?OS 1,430.57 S~ Gose, ~ 95101 SUBTOTAL $ 1,430.57