Semi-annual debt retirement
Statement covers period
COVER PAGE
Recipient Committee
Campaign Statement
Cover Page
(Govemment Code Sections 84200 - 84216.5)
U-~D1t~ s~m~\i1 r~:
lor
6
,
u!~,
from 07/01/2006
through 12/31/2006
(Month, OIly, Year)
L
IPER1 !NO CITY CLE
For Official Use Only
N'/n
1. Type of Recipient Committee:
IJJ Officeholder, Candidate Controlled Committee 0 Ballot Measure Committee
o State Candidate Election Committee 0 Primarily Formed
o Recall 0 Controlled
o Sponsored
2. Type of Statement:
o Pre-election Statement
~ 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 General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
o Primarily Formed Candidate
Officeholder Committee
3. Committee Information
1.0. NUMBER
990787
Treasurer(s)
(408) 725-8939
NAME OF TREASURER
Dolly Sandoval
MAILING ADDRESS
10720 Alderbrook Lane
CITY
San Jose
NAME OF ASSISTANT TREASURER, IF ANY
STATE ZIP CODE
CA 95014
AREA CODElPHONE
(408) 725-8939
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
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
AREA CODElPHONE
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHONE
CITY
STATE
ZIP CODE
AREA CODElPHONE
OPTIONAL: FAXIE-MAIL ADDRESS
/
OPTIONAL: FAXlE-MAIL 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 tDate of C . ornia that tl)e foregoing is true and correct.
J .? ) :').'v. 'I I C -
Executed on '. A-TV 'J( I c^- By
DATE .D OF TREASURER OR ASSISTANT TREASURER
Executed on .-J 41 V' -30 J :XX) 7 By . ,-
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
Executed on
By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
Executed on
By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
State of California Fair Political Practices Commission.
S/CCW - PCAB05 01380 (Rev. January/OS)
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OF CANDIDATE
Ms. Dolores Sandoval
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Board of Supervisors, District 5, Santa Clara County
RESIDENTIALJBUSINESS ADDRESS (NO. AND STREET) 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 are controlled by you or which are primarily
formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME
I.D. NUMBER
Friends of Dolly Sandoval
NAME OF TREASURER
1277455
CONTROLLED COMMITTEE?
Sarah Hathaway-Felt
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
10720 Alderbrook Lane
CITY STATE ZIP CODE AREA CODElPHONE
Cupertino CA 95014 (408) 725-8939
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODElPHONE
COVER PAGE - PART 2
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION
o SUPPORT
o OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, If any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
Campaign Disclosure Statement
Summary Page
SUMMARY PAGE
Statement covers period
( \111 (lR'\1 \ 460
H>R\J
ham 07/01/2006
through 12/31/2006
Dolly Sandoval for Supervisor - Debt Retirement
NAME OF FILER Ms. Dolores Sandoval,
Committee
Contributions Received
1. Monetary Contributions ..............................,...... Schedule A, Line 3 $
2. Loans Received ................................................ Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS .................. Add Lines 1 +2 $
4. Nonmonetary Contributions .............................. Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........,........ Add Lines 3 + 4 $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDUUES)
Column B
CALENDAR YEAR
TOTAL TO DATE
Page 3 or
1.0. NUMBER
6
990787
Calendar Yeer Summary for Candidates
Running In Both the State Primary and
General ElecUons
1/1 through 6/30 7/1 to Date
20. Contributions
Received .... $
21. Expenditures
Made .......... $
o
o
0.00
0.00
0.00
0.00
0.00
$
0.00
110,000.00
110.000.00
0.00
110,000.00
o
o
$
$
ExpendUure Umlt Summary for State
Candidates
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
$
0.00
0.00
0.00
0.00
0.00
0.00
$
$
25,916.88
0.00
25.85
0.00
25,942.73
17. LOAN GUARANTEES RECEIVED Schedule B, Part 1, Column (b) $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................................................$.
19. Outstanding Debts .......... Add Line 2 + Line 9 in Column C above $
S/CCW - PCAB05 01380 (Rev. January/OS)
0.00
0.00
110,000.00
22. Cumulative Expenditure Made*
(If Subject to Voluntary Expenditure Umit)
Date of Election
(mmlddJyy)
Total to Date
. Amounts in this section may be different
from amounts reported in Column B.
Schedule B - Part I
Loans Received
Statement covers period
ham 07/01/2006
through 12/31/2006
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 I.D. NUMBER)
Ms. Dolores Sandoval
10720 Alderbrook Lane
Cupertino, CA 95014
(c)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD
(b)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF ~%E~~~~\WE~;ITER
Councilmember
o PAID
$ 0
o FORGIVEN
City of Cupertino
IiIIND 0 COM 0 OTH 0 PTY 0 scc
Ms. Dolores Sandoval
(Continued)
$ 20,000 $
OUTS ANDING
BALANCE AT
CLOSE OF THIS
$ 20,000
0 $ 0 12/31/2006 $
DATE DUE
o PAID
$ 0 $ 25,000
o FORGIVEN
$ 25,000 $ 0 $ 0 12/31/2006 $
DATE DUE
o PAID
$ 0 $ 40,000
o FORGIVEN
$ 40,000 $ 0 $ 0 12/31/2006 $
DATE DUE
SUBTOTAL $ 0.00 $ 0.00 $ 85,000.00 $
o IND 0 COM 0 OTH 0 PTY 0 scc
Ms. Dolores Sandoval
(Continued) (Continued)
o IND 0 COM 0 OTH 0 PTY 0 SCC
Schedule B Summary
1. Loans received this period ...................................... ...... ................................................................ $
(Total Column (b) plus unitemized loans less than $100.)
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.)
3. Net change this period. (Subtract Line 2 from Line 1.) ...................................................
Enter the net here and on the Summary Page, Column A, Line 2
NET $
0.00
0.00
0.00
(e)
INTEREST
PAID THIS
PERIOD
0.000 % $
RATE
0.000 % $
RATE
0.000 % $
RATE
SCHEDULE B - Part I
( \I II (H{\I \ 460
JOJ{\J
Page 4 or
I.D. NUMBER
990787
(I)
ORIGINAL
AMOUNT OF
LOAN
20,000
o 09/30/1999 $
DATE INCURRED
6
(g)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
$
PER ELECTION
CALENDAR YEAR
25,000 $
PER ELECTION
o 02/29/2000 $
DATE INCURRED
40,000 $
o
0.00
CALENDAR YEAR
PER ELECTION
$
Schedule B - Part I (Continuation Sheet)
Loans Received
SCHEDULE B - Part I (cont.)
Statement covers period
ftom 07/01/2006
through 12/31/2006
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 I.D. NUMBER)
Ms. Dolores Sandoval
(Continued) (Continued)
(Continued)
IF AN INDIVIDUAl, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS
a
OUT ANDING
BALANCE
BEGINNING THIS
OUTS ANDING
BALANCE AT
CLOSE OF THIS
(b)
AMOUNT
RECEIVED THIS
PERIOD
(e)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD
o PAID
$ 0 $
o FORGIVEN
10,000
o IND 0 COM 0 OTH 0 PTY 0 scc
Ms. Dolores Sandoval
(Continued) (Continued)
(Continued) (Continued)
$
10,000 $
o IND 0 COM 0 OTH 0 PTY 0 scc
$ $
0 $ 0 12/31/2006 $
DATE DUE
o PAID
$ 0 $ 15,000
o FORGIVEN
0 $ 0 12/31/2006 $
DATE DUE
o PAID
$ $
o FORGIVEN
$ $
DATE DUE
o PAID
$ $
o FORGIVEN
$ $
DATE DUE
o PAID
$ $
o FORGIVEN
$ $
DATE DUE
0.00 $ 0.00 $ 25,000.00 $
o IND 0 COM 0 OTH 0 PTY 0 SCC
$
15.000 $
o IND 0 COM 0 OTH 0 PTY 0 SCC
$
$
o IND 0 COM 0 OTH 0 PTY 0 SCC
$
$
SUBTOTAL $
0.000 % $ 10,000 $
RATE PER ELECTION
0 11/13/2000 $
DATE INCURRED
CALENDAR YEAR
0.000 % $ 15,000 $
RATE PER ELECTION
0 11118/2000 $
DATE INCURRED
CALENDAR YEAR
(e)
INTEREST
PAID THIS
PERIOD
RATE
RATE
RATE
( \III liH\1 \ 460
I () I{ "
Page 5 or 6
1.0. NUMBER
990787
(I)
ORIGINAL
AMOUNT OF
LOAN
(g)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
% $
$
PER ELECTION
$
DATE INCURRED
CALENDAR YEAR
% $
$
PER ELECTION
$
DATE INCURRED
CALENDAR YEAR
% $
$
PER ELECTION
$
PATE INCURRED
0.00_
SCHEDULEr
Schedule I
Miscellaneous Increases to Cash
Slalement covers period
( \I "PW\I \ 460
lOR\!
NAME OF FILER Ms. Dolores Sandoval,
Committee
fiom 07/01/2006
through 12/31/2006
Dolly Sandoval for Supervisor - Debt Retirement
Page 6 or
1.0. NUMBER
6
990787
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER 1.0. NUMBER
OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME & ADDRESS)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
SUBTOTAL $
0.00
Schedule I Summary
1. Itemized increases to cash this period. ...............................................................................................
2. Unitemized increases to cash under $100 this period.
0.00
3. Total of all interest received this period on loans made to others.
(Schedule H, Column (e).) ...... ...................... ................. ..... ................. ..............., .... ......... ... ... ..... ......
4. Total miscellaneous increases to cash this period.
(Add Lines 1,2, and 3. Enter here and on the Summary Page, Line 14.) ........................... TOTAL
$
$
$
$
25.85
0.00
25.85