HomeMy WebLinkAboutSALVAGGIO SEMIANN97(2) OH fficeholder, Candidate,
and Controlled Committee
Campaign Statement -- Long Form
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type m I~lnt in Ink.
Check one of the following boxes to indicate the type of statement being filed:
[Pre-election Statement
Supplemental PrHlection Statement (Attach a completed Form 495 to this statement.)
Special Odd-Year Campaign Report
Semi-annual Statement
Termination Statement (Attach a completed Form al 5 to this statement.)
tree
Statement
NAME OF OFFICEHOLDER OR CANDIDATE
/
NAME OF TREASURER
2213
III Verifi~tion
FILE COPY
Date Stamp
COVERPAGE-LONGFORM
Date of
.... · For Off,iai ~ Only
(~h, ~y, Yeor) ~,',
coma/flees not included ln this consolidated statement that are controlled by you and any
coma/flees of which you have knovdedge that are pdmarlly formed to receive contr/bnt~or~
or tO make expend;tures on behalf of your candidacy.
Attedt additional Information on elN)~op~lately laheled condn~atlon d~eets.
complete. I certify, under penalty of perjury un,er thp laws of the St~t9 of California that the foregoing is true and cor rec~. ~/~
Executed on At By
Executed On At ly
have uted all remonable diligence in preparing this statement. I have rev~qved the ~tetament and to the bat of my knowledge the infqrmetion conta ned herein and in the attached Khedules is
trueandcomplete. ~¢ertifyu-nder~en~Ryofpe~ury~n~derthe~aw~rfthe~ev~te~fca~if~rniathatthef~regolngis~andc~rrect/~ /~ /) '
OAT! ~ C~TYANOSTATE ~ ! -- ! ~ ~--~NA'r~I~pTREASUPJER
An eff~ehekler ~r t,t odldate whe ~q;[al~ I ~ommlttee m~t aka verify the ~mpelgn ~tetement. I have u~ed all reasonable diligence and tO the be~t of my knowledge the treasurer has used all
reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Type M I~lnt in Ink.
Amount~ may be rounded
to whole dollars.
Contributio'ns Received
I. Monetary Contributions ............................... Schedole A Une 3
2. Loans Received ......................................... scbedule e, One 7
3. SUBTOTALCASHCONTRIBUTIONS ...................... AddUnes! *2
4. Non-monetary Contributions ......................... Schedule C, Une 3
5. SUBTOTAL CONTRIBUTlONSi(Exdude Enforceab~e ~romlses) Add Unes3 +4
6. Enforceable Promises
(Exclude Loan Guerentee~, Une ! ~ below) ................... Schedule D, Une 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddunesS, 6
Expenditures Made
8. Cash Payments (Other than Loans Made) ............ Sd~eduleE, LineS
9. Loans Made .............................................scbedole H, Une ?
10. SUBTOTAL CASH PAYMENTS ............................ Adu'Lines a, 9
! 1. Accrued Expenses (Unpaid Bills) ........................ Scbedu/e F, One S
12. TOTAL EXPENDITURES MADE ......................... AddUnes 10 * Il
Current Cash Statement
13. Beginning Cash Balance .................. ~revlous SummetyPe~e, One 17
14. Cash Receipts ...................................... ColumnAUneJabove
15. MiKellaneous Increases to Cash ........................Schedulel, Une4
16. Cash Payments .................................... Column A, Line I0 above
17. ENDING CASH BALANCE ..... AddLInes 13,14 ~ IS, thensubtraetUne 16
Column A Column
g*
TOIAL TMra I~PaOO
18. LOANGUARANTEESRECEIVED .............. Schedulea, Pertl, Column(b) S
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................ $eelnsuuct/omonrevene $
20. Outstanding Debts ................. AddUne2 , ~ ll inColumnCabove S
SUMMARY PAGE
I.D. NUMBER
C61umn C
$
* From pre~tous Stitement SummIry Page Column C However. f J
this is the first regx~-t flied for the calendar year Column B should be I
I blank except Jo~ Loans RecalvKI (Line ~), Fntm'caehle Rromisel (LineI
J G), Loans Made (Line 9)o and Accrued Expenses (Line 1 I). J
Summary for Candidates in Both June and
November Elections
111 through 6/30 7/1 to Date
- .ece,vea .... s ..
~ ~ 22. Exoenditures /L///'~ /g'/,~
Made ....... s
lule A, Continuation Sheet) T~ pdnt Ifllnk. SCHEDULE A (cont.)
3t. ll~UU I~ ~ ~.Ul ! ~,11 ! u~z MV~ ~ ~ ~1 Am~-m~ ~ r~ Stateme~ covers ~r~
Moneta~ Contributions Received tOwn'lb., fr~
' ~ ' ' ' F~LL NiME ANb~DDRESS OF CO~T~ ~CUPAT~NAND EMPLOYER A~UNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE
DATE ~ C~M~EE. ~ A~ TO C~M~EE~ ~E AND ~S~. ;mEe ~.o. N~R N ~LF~M~OY~D. emEa RECEIVED THIS ~LENDAR Y EAR OTH E R
RECEIVE D ~ ~F ~ i.D. NUMaER ~S ~E. ASkeD, [ruER T~A~e3 ~ME AND A~SS) ~ME m BMSS) PE RIOO (JAN. 1 - DEC. 31 ) (IF APPLI~BLE)
~' /~; / ~' / ·
~ , ~ -, / '/ / ~ .
SUBTOTAL
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Type DC p~int Jn ink.
Amounts rely be rounded
to whom dolllrs.
throu~l PIg~ ~*
SCHEDULE A
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
~ ' , .~.~ * //
FULL NAME AND ADDRESS OF CONTRIB~T~R
OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE
DATE (W COMMrrrEE, IN ADO~ON TO COMMITTEE'S ~e. ME AND ADD.SS, EmEB I.O ~MBER ~ ~LF~M~O~D, EmER RECEIVED THIS ~LENDAR YEAR OTH E R
RECEIVE D ~ w ~ I.D. ~R ~S BEEN AS~O, EmEg T~AS~R~ ~ME A~ ADDRESS) ~ME M ~SS) PE R~D (JAN. 1 - DEC. 31 ) (IF APPL~BLE)
_ SUBTOfAL S R6
Monetary Contributions Summary
1. Amount received this period -- contributions of $100 or more.
(Include all Schedule A subtotals.) ...................................................................................................
2. Amount received this period -- contributions of less than $100.
...................................................................................................................... , /??
(Do NOt itemize.)
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)
...................................... TOTALS "/~ / a'~L .~__
Schedule E
Payments and Contributions
(Other Than Loans) Made
Type or print In ink.
Amounts may be rounded
to whole dollar~.
SCHEDULE E
SEE INSTRUCTK)NS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE .D. NUMBER
. .. 97o
' ~CODES FOR C~SSIFYING EX~NDITURES
~a°~e~ft~e~ollowing c~esaccuratelyd~ri~theex~nditure,~ou mayenter the c~eand leavethe 'De~riptionof Payment' cotumn blank. Refer tothe
cK OT ~n~ule E-Continuation Sheet for detailed explanations or each catego~.
'C'- MONETARYANDIN-KIND(NON-MONETARY) 'B'- BROADCASTADVERTISING 'G'- GENERALOPERATIONSANDOVERHEAD
CONTRIGUTIONSTOOTHERCANDIDATES °N'- NEWSPAPERANDPERIODICALADVERTISING 'T'- TRAVEL, ACCOMMODATIONSANDMEALS
AND COMMITTEES 'O'- OUTSIDE ADVERTISING (MUST BE DESCRIBED)
'1' - INDEPENDENTEXPENDITURES "S'- SURVEYS, SIGNATUREGATHER]NG, DOOR.TO-DOORSOLIClTATiONS 'P'- PROFESSIONALMANAGEMENTANDCONSULTING
'L'- LITERATURE 'F'- FUNDRAISINGEVENTS SERVICES
NA ME AND ADDRE SS OF PAYEE, CAE DITOR. OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
(IF COMMrITIEI, ~l ADorF~oN TO COMM~'li'$ NAME AND AODNI$$, INTER I.D. #UMIER OR. ~ NO LO. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF TH E SUMMARY SECTION BE LOW.
CODE OR DESCRIPTION OF PAtMENT AMOUNT PAID
/ ~- / -
Po 4'
Irn,~. ortant: Contributions and exl~enditures made out of campaign funds to or on behalf of ot SUBTOTAL
officeholder, candidates, committees, or ballot measures must also be entered on the Allocation Pa~e, Part I.
'ayments and Contributions Made Summary
· Payments made this period of $100 or more. (Include all Schedule E subtotals.) ...........................
!. Payments made this period of under $100. (Do not itemize.) .......................................................................
~. Total interest paid this period on outstanding loans· (Enter amount from Schedule B, Part II, Column (d).) ..............................
· Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) .....................................
· Totalpaymentsmadethisperiod. (Add Lines 1,2,3, and4. Enter hereand ontheSummaryPage, ColumnA, LineB.) ........... TOTAL
Schedule E
(Continuation Sheet)
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
Type or pe~t In ink,
Amounts rely be rounG~d
to whole doll&rs.
Statement covers laedod
from ~
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED C~)MMITrEE
· '-~'/O'DES FOR CLASSIFYING EXPENDITURES
'C'- MONETARYANDIN-KIND(NON-MONETARY) 'B'- BROADCASTADVERTISING
CONTRIBUTIONS TO OTH E R CANDIDATES °N'- NEWSPAPER AND PERIODICAL ADVERTISING
AND COMMITTEES 'O'- OUTSIDE ADVERTISING
'1' - INDEPENDENTEXPENDITURES 'S'- SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOORSOLIClTATIONS
'L'- LITERATURE 'F'- FUNDRAISINGEVENTS
SCHEDULE E (con~.)
Page ~~' of ~
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECrPIENT OF CONTRIBUTION
, CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL
"G'- GENERAL OPERATIONS AND OVERHEAD
"T'- TRAVEL, ACCOMMODATIONS AN D MEALS
(MUST BE DESCRIBED)
'P'- PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
I.D. NUMBER
Schedule E
(Continuation Sheet)
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEH/OLDER OR CANDIDATE AND CONTROLLED COMMITTEE ·
P
MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
INDEPENDENT EXPENDITURES
LITERATURE
Typ~ m I~lnt In Ink.
Amounts mey b~ rounded
to whole doffers.
Statement covers p~rlod
~'~DES FOR CLASSIFYING EXPENDITURES
*B'- BROADCAST ADVERTISING
'N'- NEWSPAPER AND PE RIO DICAL ADVERTISING
°O'- OUTSIDE ADVERTISING
'S'- SURVEYS, SIGNATURE GATH E RING, DOOR-TO-DOOR SOLICITATIONS
'F' - FUNDRAISING EVENTS
SCHEDULE E (cont.i
I.D.. NUMBER
GENERAL OPERATIONS AND OVERHEAD
TRAVEL. ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
°P'- PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
'
NAME AND ADDRESS OF PAYEE. CREDITOR. OR RECIPIENT OF CONTRIBUTION
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $ 2 6 O
Schedule I TW,e ~.m.~m ~, SCHEDULE I
Miscellaneous Increases to Cash Amountsmlyberounded Stltememcoverspedod
to whole dol~ri,
from
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
DATE F~LL NAME AND ADDRE~ ~ SOURCE
RECEIVE D ff c~M~E~, m A~ ~O C~M~EE~ ~ME AUD ~D~SS, EmE~ *D. ~M~ DESCRIPT~N OF RECEIPT AMOUNT OF
Allach additional information on appropriately labeled continuation sheets.
SUBTOTAL
Miscellaneous Increases to ~ash Summary
1. increases to cash of $100 or more this period .............................................................
2. Increases to cash under $100 this period. (Do not itemize.) .................................................
3. Total of all interest received this period on loans made to others. (Schedule H, Part II (b).) ....................
4. Total miscellaneous increases to cash this period. (Add Lines 1,2, and 3. Enter here end on the
Summary Page, Line 15.) ....................................................................... TOTAL