Semi-Annual 460 Debt
.
I I.
Dme 01 EJedon If
(\I.IIOR'\1 \ 460
FOH\I
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
Page
lor
6
SI8Iemer4 CGV8IS pedad
A For Official Use Only
from
01/01/2006
(Mo.llh, OIly, VRI')
CllD RT!~10 CITY CLER.
~J ,
~~ 06/30/2006
N /ll.
1. Type of Recipient Committee:
III Officeholder, Candidate Controlled Committee 0 Ballot Measure Committee
o State Candidate Election Committee 0 Primarily Formed
o Recall 0 Controlled
o Sponsored
o General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
2. Type of Statement:
o Pre.election Statement
[!!I Semi~annual Statement
o Termination Statement
o Amendment (Explain below)
o Quarterly Statement
o Special Odd.Year Report
o Supplemental Pre-election
Statement ~ Attach Form 495
o Primarily Formed Candidate
Officeholder Committee
3. Committee Information
1.0. NUMBER
990787
Treasurer(s)
COMMITTEE NAME
Dolly Sandoval for Supervisor - Debt Retirement
Committee
STREET ADDRESS (NO P.O. BOX)
10720 Alderbrook Lane
CITY STATE ZIP CODE
Cupertino CA 95014
MAIUNG ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
NAMEOFTREASURER
Dolly Sandoval
MAIUNG ADDRESS
10720 Alderbrook Lane
r,tTV
STATE ZIP CODE
CA 95014
AREA COOEIPHONE
(408)725-8939
AREA CODEIPHONE
(408)725-8939
NAME OF ASSISTANT TREASURER, IF ANY
MAlUNG ADDRESS
CITY
STATE
ZIP CODE
AREA CODElPHONE
CITY
STATE
ZIP CODE
AREA COOEIPHONE
)
OPTIONAL: FAXIE-MAll ADDRESS
(
/
OPTIONAl.: FAXIE-MAll 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 laws of the tate of California that the f~. "og is true and correct.
J . ) '----. ,)
Executed on v l"-l Lv I W 0 b By
, DATE
Executed on ~ \..i G-, L7 1 20 D lo
OATE
By
~TURE OF RER OR ASSISTANT TREASURER
. J
. ,
SIGNATURE OF CONTROlUNG OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSiBlE OFACER OF SPONSOR
Executed on
DATE
By
SIGNATURE OF CONTROlUNG OFACEHOLOER, CANDID"TE, STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROlLING OFFlCEHOLOER. CANDIDATE. STATE MEASURE PROPONENT
State of California Fair Political Practlces Commission.
S1CCW. PCAB05 01380 (Rev. JanuarylO5)
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFlCEHOLOER OF CANDIDATE
Ms. Dolores Sandoval
Of'FIGE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPUCABLE)
Board of Supervisors, District 5, Santa Clara County
RESIDENT1ALlBUSINESS ADDRESS (NO. AND smEET) CITY STATE ZIP CODE
10720 Alderbrook Lane
Cupertino
CA 95014
Related Committees Not Included In this Statement: List any committees
not included in this consolidated statement that arB contro/led by you or which arB primarily
formed to recsiv8 contributions or to make expenditUrBs on behalf of your candidacy.
COMMITTEE NAME
1.0. NUMBER
Friends of Dolly Sandoval
NAME OF TREASURER
1277455
CONTROLLED COMMITTEE?
Sarah Hathaway-Felt
COMMITTEE ADDRESS smEET ADDRESS (NO P.O. BOX)
10720 A1derbrook Lane
CITY
STATE
ZIP CODE
AREA CODEIPHONE
Cupertino
COMMITTEE NAME
CA 95014
(408)725-8939
1.0. NUMBER
NAME OF TREASUR!:R
CONTROLLEO COMMITTEE?
COMMITTEE ADORESS
STREET ADDflESS (NO P.O. BOX)
CrTY
STATE
ZIP COOE
AREA CODElPHONE
COVER PAGE - PART 2
( \111 1I1{,! \ 460
H)I{\1
Page
20r
6
6. Primarily FOm.ed Ballot Measure Committee
NAME OF BALlOT MEASURE
BALlOT NO. OR lETTER
I JURISDICTION
I [J SUPPORT
[J OPPOSE
Identity the controlling officeholder, candld.te, or state measure proponent, If .ny.
NAME OF OFfICEHOlDER, CANDIDATE. OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF AN'(
7. Primarily FOm.ad CandidatelOfficeholder Committee
NAME OF OFFlCEHOLOER OR CANDIDATE OFfICE SOUGHT OR HELD DsuPFORT
o OPPOSE
NAME OF OFRCEHOLOEA OR CANDIDATE OFFICE SOUGHT OR HELD DsuPPOAT
o OPPOSE
NAME OF OFFICEHOlDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OffiCEHOLDER OR CANDIDATE OFRCE SOUGHT OR HELD o SUPPORT
o OPPOSE
Campaign Disclosure Statement
Summary Page
NAME OF FILER MS. Dolores Sandoval,
Committee
Contributions Received
Column A
TOTAL THIS PERIOO
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions ..................................... Schedule A, Line 3 $
2. Loans Received ................................................ Schedule B, Line 7
0.00
0.00
0.00
0.00
0.00
3. SUBTOTAL CASH CONTRIBUTIONS .................. Add Lines 1 + 2 $
4. Nonmonetary 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 ............................ Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ...................... Schedule F, Line 3
10. Nonmonetary Adjustment ................................ Schedule C, Line 3
11. TOTAL EXPENDITURES MADE .................. Add Lines 8 + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance .......... Previous Summary 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 BALANCE ............ Lines 12+13+14. less Line 15 $
If this is a Termination Statement, Line 16 must be zero.
0.00
0.00
0.00
0.00
0.00
0.00
25.891. 05
0.00
25.83
0.00
25.916.88
17. LOAN GUARANTEES RECEIVED Schedule a, Part " Column (b) $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................................................$.
19. Outstanding Debts .......... Add Line 2 + Line 9 in Column C above $
0.00
0.00
110.000.00
S1CCW - PCAB05 01380 (Rev. January/05)
SUMMARY PAGE
( \1 II OW\I \ 460
I ()R\!
Sbab:.lnent co IIeI'S period
Column B
CALENDAR YEAR
TOTAL TO DATE
$
0.00
110.000.00
110.000.00
0.00
110.000.00
ftom 01/01/2006
through 06/30/2006
Dolly Sandoval for Supervisor - Debt Retirement
$
$
$
0.00
0.00
0.00
0.00
0.00
0.00
$
$
Page 3 of
l.D. NUMBER
6
990787
Calend8r Year Summary for Candld8tes
Running In Both the Stale PrImary and
CeneraI EJecUons
1/1 through 6/30 7/1 to Date
20. Contributions
Received.... .,
21. Expenditures
Made .......... $
Expenditure Umlt SuI1'll1By for Slate
Candidates
22. Cumulative Expenditure Made*
(If Subject to Volunlary Expenditure Umit)
Date of Election
(mm/ddIyy)
Total to Date
. Amounts in this section may be different
from amounts reported in Column B.
Schedule B - Part I
Loans Received
SCHEDULE B - Part I
( \1 II OR.... I \ 460
lOR\!
Sbolbnaent covers period
&am 01/01/2006
through 06130/2006
Dolly Sandoval for Supervisor - Debt Retirement
NAME OF FILER Ms. Dolores Sandoval,
Committee
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
Ms. Dolores Sandoval
10720 Alderbrook Lane
Cupertino, CA 95014
a
OUT ANDING
BALANCE
BEGINNING THIS
ANDING
BAlANCE AT
CLOSE OF THIS
(b)
AMOUNT
RECEIVED THIS
PERIOD
(c)
AMOUNT PAID
OR FORGIVEN
THIS PERlOO
IF AN INDlVlDUAl, ENTER
OCCUPATIQIII AND EMPLOYER
(IF SELF-EMPLOYED, I!NTER
NAME OF BUSINESS
Councilrnember
o PAlO
$
o FORGIVEN
s
20,000
o
City of Cupertino
JjIIND 0 COM 0 OTH 0 PTY 0 see
Ms. Dolores Sandoval
(Continued)
$ 20,000 $ 0 $ 0 12/31/2006 $
DATE DUE
o PAlO
$ 0 $ 25,000
o FORGIVEN
$ 25,000 $ 0 $ 0 12/31/2006 $
DATE DUE
o PAID
$ 0 $ 40,000
o FORGIVEN
o IND 0 COM 0 OTH 0 PTY 0 sec
MS. Dolores Sandoval
(Continued) (Continued)
o IND D COM 0 OTH 0 PTY 0 sec
$ 40,000 S
o $
o 12/31/2006 $
DATE DUE
SUBTOTAL $
0.00 $
0.00 $ 85,000.00 $
Schedule B Summary
1. Loans received this period.............................................. ................ .............................................. $
(Total Column (b) plus un itemized loans less than $100.)
0.00
2, Loans paid or forgiven this period.................................................... ....... ...................................... $
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
0.00
3. Net change this period. (Subtract Line 2 from Line 1.) ...................................................
Enter the net here and on the Summary Page, Column At Line 2
NET $
0.00
Page 4 of
1.0. NUMBER
6
(a)
IfIlTEREST
PAID THIS
PERIOO
990787
(I)
ORIGINAL
AMOUNT OF
LOAN
(0)
CUMULATlVE
CONTRIBlITIONS
TO DATE
CALENDAR YEAR
0.000 % $
RATE
20,000
$
PER ELEcnON
o 09/30/1999 $
DATE INCURRED
CALENDAR YEAR
0,000 % S
RATE
o 02/29/2000 S
DATEINCUAAEO
CALENDAR YEAR
0.000 % $
RATE
o 11/06/2000 $
DATE INCURRED
0,00_
SCHEDULE B . Part I (cont.)
Schedule B - Part I (Continuation Sheet)
Loans Received
Sbdement covers perlod
kom 01/01/2006
Ihrough 06/30/2006
Dolly Sandoval for Supervisor - Debt Retirement
NAME OF FILER Ms. Dolores Sandoval,
Conunittee
FUll NAME, smEET ADORESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO 811TER 1.0. NUMBER)
Ms. Dolores Sandoval
(Continued) (Continued)
(Continued)
a
OUT ANDING
BALANCE
BEGINNING THIS
OUT ANDING
BALANCE AT
CLOSE OF THIS
(b)
AMOUNT
RECEIVED THIS
PERIOD
(e)
AMOUNT PAID
OR FORGIVEN
T1-IIS PERIOO
IF AN INDIVIDUAL, ENTER
OCCUPATlON AND EMPlOYER
(IF SELF-EMPLOYED, ENTeR
NAME OF BUSINESS
o PAID
$ 0 $
o FORGIVEN
10,000
$ 10,000 $ 0 $ 0 12/31/2006 $
o IND 0 COM 0 OTH 0 PTY 0 sec DATE DUE
Ms. Dolores Sandoval o PAID
(Continued) (Continued) s 0 $ 15,000
(Continued) (Continued)
o FORGIVEN
(e)
INTEREST
PAlDTHlS
PERIOD
(" \111 OI{\I \ 460
FOR\I
Page
1.0. NUMBER
5 of 6
990787
(I)
ORIGINAL
AMOUNT OF
LOAN
(Q)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
0.000 % $ 10,000
RATE
$
PER ELECTION
o 11/13/2000 S
DATE INCURRED
D IND 0 COM 0 OTH 0 PTY 0 sec
$ 15,000 $
o $
o 12/31/2006 $
DATE DUE
CALENDAR YEAR
o PAID
$
o FORGIVEN
$
o INo 0 COM 0 OTH 0 PTY 0 sec
$
$
$
DATE DUE
o PAID
$ $
o FORGIVEN
$
DATE DUE
o PAID
$ $
o FORGIVEN
$
o INO 0 COM 0 OTH 0 PTY 0 sec
s
$
o IND 0 COM 0 OTH 0 PTY 0 see
$
$
DATE DUE
DATE INCURRED
SUBTOTAL $
0.00 $
0.00 $ 25,000.00 $
L..
QJ
CALENDAR YEAR
0.000 % $
RATE
o 11/18/2000 S
DATE INCURRED
% $ S
RATE PER ELECTION
$ S
DATE INCURREO
CALENDAR YEAR
% $ $
RATE PER ELECTION
$ S
DATE INCURREO
CALENDAR YEAR
RATE
s
% $
$
PER ELECTION
$
0.00_
Schedule I
Miscellaneous Increases to Cash
SCHEDULE I
Sbdbment co.... period
· \1 II Ol{\l \ 460
H)[nl
NAMEOFFILER Ms. Dolores Sandoval,
Committee
hum 01/01/2006
through 06130/2006
Dolly Sandoval for Supervisor - Debt Retirement
Page 6 of
1.0. NUMBER
6
990787
DATE
RECEIVED
FUll NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, IN ADDITION TO CO"lMITTEE'S NAME AND ADDRESS, ENTER 1.0. NUMBER
OR, IF NO 1.0. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME & ADDRESS)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
SUBTOTAL $
0.00
Schedule I Summary
L Itelllized increases to cash this period. ...............................................................................................
2. Unitemized increases to cash under $100 this period.
.,.~ P....... "..~ P...... P... P. P., _. P. P. P............ P. P. P. P. P. P. P.... P... P. P... P. P. P. P.~. P. P...... P... p. P. P.......... P... P. P. P. ... P. P. P. p.o.... p. p. P.........
$
$
$
$
25.83
0.00
3. Total of all interest received this period on loans made to others.
(1)chedule 1tI, ~011lIIlI1 (e).) .................................................................................................................
4. Total miscellaneous increases to cash this period.
(Add Lines 1, 2, and 3. Enter here and on the 1)ummary Page, Line 14.) ........................... TOTAL
0.00
25.83