460 Recipient Committee Campaign Statement/Termination Statement 12-31-2009 ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200.84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
i .-; , c
from '~~
through ~ ~ I i`~
1. Type of Recipient Committee: All Commktees -Complete Pena 1, 2, s, and a.
0 Officeholder, Candidate Controlled Committee ^ Primarily Formed Ballot Measure
QStateCand~ateElectionCommittee Committee
Q Recall Q Controlled
(AlsoCamplerePert5) Q SponSOted
(AlsoCanpmmPartS)
^ General Purpose Committee
Q Sponsored ^ Primarily Formed Candidate)
Q SmallContnbutorCommittee Officeholder Committee
QPoliticelPattylCentrelCommittee (asocom~erePert7)
3. Committee Information
Friends of Dolly Sandoval
I.D. NUMBER
NAME IF NO COMMITTEE)
Date of election If appli
(Month, Day, Year)
nla
2. Type of Statement:
^ Preelection Statement
[~Semrannual Statement
][ f Termination Statement
TINO CITY
(Also file a Form 410 Termination)
^ Amendment (Explain below)
COVERPAGE
of
For Oficial Use Only
^ Quarterly Statement
^ Spectal Odd•Year Report
^ Supplemental Preelection
Statement -Attach Fonn 495
Treasurers)
NAME OF TREASURER
Ed Hoffman
MAILING ADDRESS
10720 Alderbrook Lane
STREET ADDRESS (NO P.O. BOX)
10720 Alderbrook Lane
CITY STATE ZIP CODE AREA CODEIPHONE
Cupertino CA 95014 4081725.8939
MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX 1 E-MAIL ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
Cupertino CA 95014 4081725.8939
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX 1 EMAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and rev~wwing this statement and to the best of my knowledge ~ information contained herein and in the attached schedules is true and complete. I certify
underpenaltyofperyuryunderthelawsoftheStateofCalifomiathattheforegoingistmeandcorrect~; ,
Executed ~ January 25, 2010
Dam
Exerted ~ January 25, 2010
Data
Executed on
Dem
Executed on
Dam
ei
sy
Si~lureotCmVdNrgOfirelxrlder,Candxmte,SmmM~auraPmpa~ent
SipnehredCadrdlvgOficeralder,Candidate,SmteM~uiePmpaKira
FPPC Fonn 460 (January105)
FPPC Toll•Free Helpline: 6881ASK•fPPC (6661275x712)
State of Calitomla
ype or print in ink.
Recipient Committee
Campaign Statement
Cover Page -Part 2
6. Primarily Formed Ballot Measure Committee
Page of
5. Officeholder or Candidate Controlled Committee
NAME Of OFFICEHOLDER OR CANDIDATE
Dolores (Dolly) Sandoval
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Councilmember, City of Cupertino
RESIDENTIALIBUSINESSADDRE8S (NO. AND STREET) CITY SPATE ZIP
10720 Alderbrook Lane Cupertino, CA 95014
Related Committees Not Included in this Statement: ustanycommlttees
not Included In thla afatement that are controlled by you or are primarily formed to receive
confrfhudons or make expendRures on behaN of your cendldacy.
COMMTTTEENAME I.D. NUMBER
Dolly Sandoval for Supervisor -Debt 990787
retirement Comrniuee I
NAME OF TREASURER CONTROLLEDCOMMfrTEE?
Dolly Sandoval ®YES ^ NO
COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX)
10720 Alderbrook Lane
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino, CA 95014
COMMITTEE NAME
NAMEOFTREASURER
I.D. NUMBER
CONTROLLEDCOMMITTEE7
^ YES ^ NO
COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
NAMEOFBALLOTMEASURE
BALLOTNO.ORLETTER I JURISDICTION
COVERPAGE•PART2
^ SUPPORT
^ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, ff any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
Primarily Formed CandidatelOfficeholderComrmttee uat names of
o/Aceholder(s) or candidate(s) for which fhla committee la primarily Po-med.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ~ SUPPORT
Dolly Sandoval Councilmember, Clty ^ 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 I''
FPPC Toll•Free Helpline: 6681ASK-FPPC ('
State
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Summary Page Amounts may be rounded
to whole dollars Statement covers period ~ • i
~ ~ ,
. ~ '
from l Q t ~~~~ 0 •
throw h
g Z ~ ~ ~ k~~'~~ Page 3 of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
z~~1'~S~
Contributions Received ColumnA Column B Calendar Year Summary for Candidates
TOTALTHISPERIOD
(FROMATTACHEDECHEDULE5) CALENDARYEAR
TOTALTODATE Runninfl In Both the State PrimaN and
9 • •~
General Elections
1, Monetary Contributions .•..........•.......•......•......•.,..,,.. scnedutea, Line 3 $ 0 $ 0
0 0 111 through 8130 711 to Date
2. Loans Received...,.•....•• .......................................... scneduie9,Line3
3. SUBTOTALCASHCONTRIBUTIONS ......................... addunesl+2 $ 0 $ 0 20. Contributions
Received $ $
4. Nonmonetary Contributions.....•• ............................. schedule c,Line3 0 0 21. Expenditures
5. TOTALCONTRIBUTIONSRECEIVED ••••~~~••••~~••••••••••••••addlines3+4 $ 0 $ 0 Made $ $
Expenditures Made Expenditure limit Summary for State
6. Payments Made• ...................................................... scheduieE,Line4 $ 2290.89 $ Candidates
7. Loans Matle ............................................................. schedule H, Line 3 0 0
,,,,,,,, ~„ 22. Cumulative Exoendltures Made"
8. SUBTOTALCASHPAYMENTS .................................... Add lines8+7 $ «'~'0' $ (xaubJectWVduntuyExpendlturellmiq
9. Accrued Expenses (Unpaid Bills) ............................... schedule F, Line 3 0 0 Date of Electbn Total to Date
10. Nonmonetary Adjustment .......................................... scnedule c, Line 3 0 0 (mMddtyy)
11. TOTALEXPENDITURESMADE ................................addLinesa+9+1o $ 2290.89 $ ~_ J $
Current Cash Statement ~-~ $
12. Beginning Cash Balance ....................... Prevbus summaryPape, Line 1s $ 2415.50
To calculate Column B, add
13. Cash Receipts .......• ........................................... Cotumn a, Line 3 shove 0 amounts in Column A to the
14. Miscellaneous Increases to Cash ........................... schedule t, Line 4 •124.61 corresponding amounts
from Column B of your last *Amounts in this section may be different from amounts
reported in Column B.
15. Cash Payments .................................................. Cotumna,Lineeabove 2290.89 report. Some amounts in
Column A may be negative
16. ENDINGCASH BALANCE .......,.. Add Lines 12 + 13+ 14, then suhhacf Line 15 $ 0 figures that should be
subtracted from previous
if this is a termination statement, Line 16 must be zero. period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... Schedule a, Part 2 $ 0 for this calendar year, only
carry over the amounts
Cash E uivalentS and Outstandin Debts
q 9 from Lines 2, 7, and 9 (if
0 any).
18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2+Line 9 in Column B stave $ 0 FPPC Form 460 (January105)
FPPC Toll•Free Helpline: 8661ASK•FPPC (86812753172)
chedule E Type or print in ink, Statement covers period
Pa menu Made Amounts may be rounded
y to whole dollars.
from ~ I ~
SEE INSTRUCTIONS ON REVERSE
through l `I ~t I V 1 Page 4 of T
NAME OF FILER I.D. NUMBER
121 ~ S~
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
ChP ampaign parephemalialmisc. N6R membercommunications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearences RFD returned contributions
CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries
CVC civic donations FET petltion circulating TEl t.v. or ceb~ airtime and production costs
FlL candidate filinglballot fees Fop phone banks TRC candidate travel, lodging, and meals
FM fundraising events F'OL polling and survey research TRS statflspouse travel, lodging, and meals
M independent expendfture supportinglopposing others (explain)* F'OS postage, delNery and messenger services TSF transfer between wmmittees of the same candidatelsponsor
tEG gal defense F'RO professional services (legal, accounting) VOT voter registration
LIT campaign Ilterature and mailings FFtT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IFCOMMITTEE,ALSOENiERLD.NUMBEri) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Rio Adobe 10525 S. DeAnza Blvd. Cupertino CA 95014 volunteer thank you parry
CMP 442.0
Cupertino Bakery 10251 S. DeAnza Blvd, Cupertino CA 95014 volunteer thank you parry
CMP 150.0(
Arya Restaurant 19930 Stevens Creek Blvd, Cupertino CA 95014 volunteer thank you party
CMP 225.0(
" Payments that are contributions or independent expenditures must also be summarized on Schedule D, SUBTOTALS
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ........................................................................... 2210'89
2. Unitemized payments made this period of under $100 .............................................................................................................. 80.00
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1,Column (e).) ....................................:. 0
4. Total payments made this period. (Atltl Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 2290.89
FPPC Fortn 460 (January105)
FPPC Toll•Free Holpline: 6561ASK•FPPC (Bti61275.3772)
chedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON
Type or print in ink.
Amounts may be rounded
towhole dollars.
Statement covers period
~ ~ (I~~l
through Z '~IID~I
SCHEDULE E (CONY)
Page - of
~~ I.D. NUMBER
1Z~1~~S~
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
C,VP campagn paraphemalialmisc. Iu6R memttercommunicetions RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries
CUC
FlL avic donations
i FET petition circulating TEL t.v. or cable airtime and production costs
cand
date filinglballot fees 810 phone banks TRC cendidate travel, lodging
and meals
FND fundraising events POL polling and survey research TRS ,
stafflspouse travel, lodging
and meals
M independent expendhure supportinglopposing others (explain)" POS postage, delNery and messenger services TSF ,
transfer between committees of the same cendidatelsponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
Lrf campaign Itterature and mailings PRT print ads WEB information technology costs (intemet, e-mail)
NAMEANDADDRESSOFPAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
City of Cupertino 10330 Torre Ave. Cupertino, CA 95014 volunteer thank you party
CMP 287.50
Allotta's Deli 2249 Grant Rd. Los Altos, CA 94024 volunteer thank you party
CMP 165,00
Picchetti Winery 13100 Montebello Rd. Cupertino, CA 95014 volunteer thank you party
CMP 417.68
West Valley Community Services 10104 Vista Ave. Cupertino, CA 95014 donation
CUC 523.62
'PaymentsthatarecontributionsorindependentexpendituresmustalsobesummarixedonScheduleD. SUBTOTALS 139380
FPPC Form 480 (January105)
FPPC Toll-free Helpline: 8661ASK•FPPC (8861275.3772)
Schedule I Tvoeororintinink. SCHEDULE
Miscellaneous Increases to Cash Amounts maybe-o~~aed statementDOVersperiod
~
to whole dollars. ~
from ~ I ~ ~ I e ~ a
~ / ~ '
~
~ Z(Z ~ I ~ C
SEE INSTRUCTIONS ON REVERSE i
through Page Of
NAME OF FILER
I.D. NUMBER
DATE
RECENED FULL NAMEANDADDRESSOFSOURCE
QF COMMITTEE, ALSO ENTER LD. NUMBER)
DESCRIPTION OF RECEIPT AMOUNTOF
INCREASE TO CASH
Santa Clara Valley Bank Contribution from 2005 mis-routed to unknown
account, due to mergers (CNB, SCVNB, •124
61
WeIlsFargo) records from past periods not .
available
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ •124.61
Schedule I Summary
1. Itemized increases to cash this period ........................................................................................................................ $ -124.61
2. Unitemized increases to cash of under $100 this period ............................................................................................. $ 0
3, Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ -124.61
4. Total miscellaneous increases to cash this period. (Atltl Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ........................................................................................................................... TOTAL $ •124.61
FPPC Form 460 (January105)
FPPC Toll-Free Helpline: 8561ASK-FPPC (8661275772)