460 Amendment - Debt Retirement ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
Statement covers period
from 07/01/2007
SEE INSTRUCTIONS ON REVERSE ~ through 12/31/2007
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and a.
^x Officeholder, Candidate Controlled Committee ^ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Also complete Part S) O Sponsored
^ General Purpose Committee (AlsocompletaFarts)
Q Sponsored ^ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Pert 7)
3. Committee Information
I.D. NUMBER
990787
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Dolly Sandoval for Supervisor-Debt Retirement Committee
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
~ v fi '~('~fl r>J~ ~ ~sv/~
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date of election if appli
(Month, Day, Year)
~~~ c~ ~
J U L 3 1 2008
CUI'ERTINO CITY CLERK
2. Type of Statement:
^ Preelection Statement
® Semi-annual Statement
^ Termination Statement
(Also file a Form 410 Termination)
COVER PAS
1 of - 6 -
For Official Use Uniy
^ Quarterly Statement
^ Special Odd-Year Report
^ Supplemental Preelection
Statement -Attach Form 4ca5
~ Amendment (Explain below) I ~ f
~'~~` IE~'/ t~~V/~Y'Sii i~rrh~~I~v~tc LKv,~y.-~rrJ•~rG ~fY3M~o~u"
/~ bl ~~~ t..i ~ ~ r..l~ ~ I 7~ ~ ~'yr ~/~» ~y .1' 4~~^t G,.+ya'Vi.. 'ti~ y~~~.a~
Treasurer(s)
NAME OF TREASURER
MAIL`ING~A7DD,R-E`SS/~/1, / 1
CITY STATE ZIP CODE AREA CODE/PHO~
~~ y~~~i ~ ~ ~sa~ ~
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS r
CITY STATE ZIP CODE AREA CODE/PHO~
OPTIONAL: FAX / E-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
under penalty of perjury under the laws of the State of California that the foregoing is tl
G
Executed on ~ ~ ~ By
ate
Executed on ~ ~ ~ ~~~ By
Dale
Executed on
Date
I certify
Executed on By
Date SignaturedControllingOfficeholder,Candidate,StateMeasureProponeM FPPC Fr 'SO (January)
FPPC Toll-Free Helpline: 886/ASK (866/275-37
.ate of Califor
By
Signature d C«itrolling OfTceholder, Candidate, State Measure Proponent
ype or print in Ink. COVER PAGE -PART
Recipient Committee
Campaign Statement ~ ~ ~ ~ ~ ~ • 1
Cover Page -Part 2
Page 2 of 6
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
/~ l % n l~ (
OFFICE SOUGHT OR HELD (INCL E LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAUBUSINESSRDDRESS (NO. AND STREET) CITY STATE ZIP
/,~ 7~ ,~- ~~ ~ ~~~ ~ ~' ~ Sri ti~~ f-!91 ~.~ ~
Related Committees Not Included in this Statement: List any committees
not Included In this statement that are controlled by you or are primarily formed to receive
conbibutiona or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES ^ NO
COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
~a~~-.~ ~~ ~~s~i y
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEES
^ YES ^ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO.OR LETTER I JURISDICTION ~ ^ SUPPORT
^ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if am
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT N0. IF ANY
7. Primarily Formed Candidate/Officeholder Committee Llat names of
offlceholde-(s) or candidate(a) for which this committee Is prlmar/ly formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
^ SUPPORT
^ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
^ SUPPORT
^ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT
^ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT
^ OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (Januaryl
FPPC Toli-Free Helpline: 8661ASK-FPPC (8661275-37
ate of Caiifor
Campaign Disclosure Statement Type or print in lnk. SUMMARYPA~
Amounts may be rounded Statement covers period ~
Summary Page to whole dollars. ~ ~ , ~ '
from 07/01/2007 ~
SEE INSTRUCTIONS ON REVERSE
through
NAME OF FILER
Dolly Sandovnl for Supervisor-Debt Retirement Committee
12/31/2007
Page 3 of 6
I.D. NUMBER
990787
Contributions Received ColumnA
TOT
T
E
O Column B Calendar Year Summary for Candidates
AL
HISP
RI
D
(FROM ATTACHEDSCHEDUI.ES) CALENDARYEHR
TOTALTODATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions ........................................... schedule A,Ltne3 $ $o.oo $ $o.oo
2. Loans Received ...................................................... schedute e, Line 3
$0.00
$110,000.00
1i1 through 8/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ....................... .. AddLinesl+2 $ So.oo $ $110,000.00 20. Contributions
Received $ $
4. Nonmonetary Contributions .................................... schedute c
Line 3 s o . oo So . o0
, 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED •.•.••.•......•.•.•... •....addLinesl+a $ So.oo $ Sllo,ooo.oo Made $ $
Expenditures Made
6. Payments Made ....................................................... schedute E, Line 4 $ $o . 00
7. Loans Made ............................................................. scnedute H, Line 3 So . 00
8. SUBTOTAL CASH PAYMENTS ................................. ... AddLiness+7 $ 50.00
9. Accrued Expenses (Unpaid Bills) ............................ ... schedule F, Ltne 3 $o. 00
10. Nonmonetary Adjustment ........................................ .. schedule c, Line 3 S o . 00
11. TOTAL EXPENDITURES MADE ................................ AddLiness+s+lo $ So.oo
$ So.oo
So.oo
$ So.oo
So.oo
So.oo
$ So.oo
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summary/=age, Line 18 $ $25, 968.62
13. Cash Receipts ................................................... column A, Line 3 above $o . 00
14. Miscellaneous Increases to Cash ........................... schedute t, Line 4 526.34
15. Cash Payments .................................................. column a, Line a above S o . 0 0
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 525, 994.96
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... schedule e, Part 2 $
50.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + line 9 in Column B above $
So.oo
$110,000.00
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
I Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made"
(NSubJedtoVolunisry Expsndlturo LImIt)
Date of Election Total to Date
(mm/dd/yy)
J~ $
I J~ $
"Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 480 (Januaryh
FPPC Toll-Free Helpline: 868/ASK-FPPC (868/275-37'
CHEDULE B -PAR'
Schedule B -Part 1 ~" ~ r~~~~- ~~~ ~~~~`~
Amounts may be rounded Statement covers eriod
p
~
Loans Received to whole dollars. ~ '
~ •
'
from 07/01/2007 •
SEE INSTRUCTIONS ON REVERSE through 12/31/2007 page 4 Of 6
NAME OF FILER I.D. NUMBER
Dolly Sandoval for Supervisor-Debt Retirement Committee
990787
FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
a
OUTSTANDING
BALANCE AMOUNT
(~)
AMOUNT PAID
OUTS ANDING
B
A
E
~
INTEREST ORIGINAL
~)
CUMULATIVE
OF LENDER
(IFSELF-EMPLOYED, ENTER
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN AL
NC
AT
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIO
(IFCOMMITTEE,ALSOENTERI.D.NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD" PERIOD LOAN TO DATE
Ms. Dolores Sandoval Councilmember
^ PAID CALENDAR YEP
City of Cupertino Szo,ooo.oo Szo,ooo.oo So.
S S °k S S
10720 Alderbrook Lane ^ FORGIVEN R'O'TE PERELECTIOP
Cupertino CA 95014 S Szo,ooo.oo $ So.oo S $ So.oo 09/30/1999 $
t® IND ^ COM ^ OTH ^ PTY ^SCC DATE DUE DATE INCURRED
Ms. Dolores Sandoval Councllmember ^ PAID CALENDAR YEP
City of Cupertino Szs,ooo.oo Szs,ooo.oo So.
S S °~ S S
10720 Alderbrook Lane ^ FORGIVEN RATe PERELECTIOP
Cupertino CA 95014 S 52s,ooo.oo S So.oo $ S So.oo 02/29/2000 $
t® IND ^ COM ^ OTH ^ PTY ^SCC DATE DUE DATE INCURRED
Ma. Dolores Sandoval Councilmember ^ PAID CALENDAR YEP
City of Cupertino Sao,ooo.oo Sao,ooo.oo So.
a s % a s
10720 Alderbrook Lane ^ FORGIVEN RATe PERELECTIOP
Cupertino CA 95014 S Sao,ooo.oo $ So.oo $ S So.oo 11/06/2000 S
t® IND ^ COM ^ OTH ^ PTY ^SCC DATE DUE DATE INCURRED
SUBTOTALS $ So.oo$ So.oo$ sas,ooo.oo$ So.ool
Schedule B Summary
1. Loans received this period .................................................................................................................... $
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ......................................................................................................... $
(Total Column (c) plus loans under$100 paid orforgiven.)
(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.) ............................................................... NET $
Enter the net here and on the Summary Page, Column A, Line 2.
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
$0.00
$0.00
$0.00
(May be a negative number)
tContributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entiq
PTY -Political Party
SCC -Small Contributor Committer
FPPC Form Aa0 (JanuaryA
FPPC Toll-Free Helpline: 8661ASK-Fr 166/275-37'
(Enter (e)on
Schedule E, Line 3)
...-~ --i.-~ i..l~
SCHEDULE B -PAR'
Schedule B -Part 1 •~ r- -• r••••- ••• ••••-•
Amounts may be rounded
Statement covers period
~
Loans Received to whole dollars. ~ '
~ •
from 07/01/2007 ~'
SEE INSTRUCTIONS ON REVERSE through 12/31/2007 Page 5 of 6
NAME OF FILER I.D. NUMBER
Dolly Sandoval for Supervisor-Debt Retirement Committee
990787
FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
AMOUNT
AMOUNT PAID
OUTS ANDING
INTEREST
ORIGINAL
CUMULATIVE
OF LENDER
(IF COMMITTEE
ALSO ENTERI.D. NUMBER)
(IF
ER
O
BEGINNING THIS RECEIVED THIS
PERIOD
~
*
O
I
E BALANCEAT
CLOSE OF THIS pglD THIS AMOUNTOF CONTRIBUTIO
, NAM OF R
SINESS) HIS
PER
O
D PERIOD LOAN TO DATE
Ms. Dolores Sandoval Councilmember
^ PAID CALENDAR YEP
City of Cupertino Sio,ooo.oo Sio,ooo.oo So.
S S °~ S S
10720 Alderbrook Lane ^ FORGIVEN RATe PERELECTIOP
Cupertino CA 95014 S S>o,ooo.oo S So.oo S S So.oo 11/13/2000 S
t® IND ^ COM ^ OTH ^ PTY ^SCC DATE DUE DATE INCURRED
Ms. Dolores Sandoval Councilmember ^pAID CALENDAR YEP
City of Cupertino Sis,ooo.oo sis,ooo.oo So.
S S % S S
10720 Alderbrook Lane ^ FORGVEN RATe PERELECTIOP
Cupertino CA 95014 S S>s,ooo.oo S So.oo S S So.oo 11/18/2000 S
t® IND ^ COM ^ OTH ^ PTY ^SCC DATE DUE DATE INCURRED
^ PAID CALENDAR YEP
S S % S S
^ FORGIVEN R4TE PERELECTIOP
S S 5 S S
t^ IND ^ COM ^ OTH ^ PTY ^SCC DATE DUE DATE INCURRED
SUBTOTALS $ So.oo$ So.oo$ Sze,ooo.oo$ so.ool
Schedule B Summary
1. Loans received this period ..........................................................................
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid orforgiven this period ..............................................................
(Total Column (c) plus loans under $100 paid orforgiven.)
(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.
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
(Enter (e)on
SGiedule E, Line 3)
$ So.oo
tContributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entit,
PTY -Political Party
SCC -Small Contributor Committer
so.oo
So.oo
.............. N~ $ (May be a negative number)
FPPC Form d60 (January/I
FPPC Toll-Free Helpline: 866/ASK-F/ 166/275-37'
Schedule I
T.nn n~...i..F in i..L
~r.HFnl I
Miscellaneous Increases to Cash Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE Statement covers period
from 07/01/2007
through 12/31/2007
~ ~ ~ ~ ~ ~ ~
•
Page 6 of 6
NAME OF FILER
Dolly 3andovnl for Supervisor-Debt Retirement Committee I.D. NUMBER
990787
DATE
RECEIVED FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT AMOUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets.
SUBTOTALa
Schedule I Summary
1. Itemized increases to cash this period ...................................................................................................
2. Unitemized increases to cash of under $100 this period ........................................................................
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ............
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) .......................................................................................................................
............$ x0.00
,,,,,,,,,.., $ 526.34
............$ x0.00
TOTAL $ x26.34
FPPC Fonr '~0 (January/~
FPPC Toll-Free Helpline: 888/ASK-FI 166/275-37'