HomeMy WebLinkAboutSALVAGGIO PREELEC98(2) OH fficeholder, Candidate,
and Controlled Committee
Campaign Statement - Long Form
Type or print in ink.
(Government Code Sections 84200-84216,5)
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to indicate the type of statement being filed:
/Pre-election Statement
Supplemental Pre*eledion Statement (Attach a completed FOrm 495 to this statement.)
'] Special Odd-Year Campaign Report
::::] Semi-annual Statement
Termination Statement (Attach a completed Form 415 to this statement.)
I ;~)fficehol.der
Included in tt~is Statement
CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE
III
~IP CODE AREA COD~OA YTIME PHONE
Verification
Statement covers od
//:ri
from/
Date of election if applicable:
(Month, Day, Year)
Date Stamp
: ILE C PY
COVER PAGE - LONG FORM
Page / of ~
For Official Use Only
~m~T~,'~:~,-CA'i i~i~z~tI-7~";~Ot Included in this Statement: u, ,.y other
commiffees nOt included in this consolidated statement that are controlled by you and any
committees of which you have knowledge that are primarily formed to receive contributions
or to make expenditures on behalf of your candidacy.
COMMffrEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS (NO. AND STREET)
Jl D. NUMBER
CONTROLLED COMMII'rEE?
] ~Es [] ,,.o
CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE
COMMITTEE NAME [ I,D. NUMBER
NAME O~ TREASURER CONTROLLED COMMITTEE
COMMITTEE ADDRESS (NO AND STREET)
CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE
Attach additional information on appropriately labeled continuation sheets,
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my kno~.ledge the informa,tior~tontained herein and in the attached schedules is
true and com plate. I ertify nder penalty of qury der the I/qws of the State of California that the foregoing is tr · : correct.
An officeholder or candidate who controls a committee must also verify the campaign statement. I have used all reasonable diligence and to the best 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 k nowledge the information contained herein and in the attached schedules is true and
,0.,,... `".` ` _ . ,
Executed on At By
DATE CITy AND STATE SIGNATURE OF CANDIDATEIOFFICEHOtDER
Executed on At By
DATE CITY AND STATE SIGNATURE Of CANDIDATE/OFFICEHOLDER
FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT DE 11377. SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROyI$1ONS_~t__T_H_E__pOLITICAL REFORM ACT
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Contributions Received
fr
1. Monetary Contributions ............................... Schedule A, Line 3
2. Loans Re~ei ved ......................................... Schedule 8, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ...................... AcedUnes I, 2
4. Non-monetary Contributions ......................... schedule c, Line 3
5. SUBTOTAL CONTRIBUTIONS.(Exdude Enforceable Promlies) Add Lines 3 ~t 4
6. Enforceable Promises
(Exclude Loan Guarantees, Line 18 below) ................... Schedule D, Une 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS ,, S
Expenditures Made
8. Cash Payments (Other than Loans Made) ............
9. Loans Made .............................................
t0. SUBTOTAL CASH PAYMENTS ............................
11. Accrued Expenses (Unpaid Bills)
12. TOTAL EXPENDITURES MADE
Current Cash Statement
Type or print in ink.
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS I~NOD
fiROld ATTACHED S4:3-1EDULE$)
~'~c~ ~ s
"""G ~ ~
~ ~ $
'~,. ~
"G ~- s
Schedule E, Une 5 S
Schedule H, Une 7
Add Lines 8 + g $
Schedule F, Une 5
AddLines I0, I1 $
13. Beginning Cash Balance ..................Previous Summanl Page, fine 17
14. Cash Receipts ......................................ColumnA, Line3above
15. Miscellaneous Increases to Cash ........................Schedule I, Line 4
16. Cash Payments ....................................ColumnA, Line lOebDye
17. ENDING CASH BALANCE ..... AddLines13 + 14,~ 15, thensubtredUnel6
If ~is is a termination statement, Line 17 must be zero.
18. LOAN GUARANTEES RECEIVED .............. Schedule& Pads, Column(b) S
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................See instructions on reverse
20. Outstanding Debts ................. AddLine 2 ~, Line 11 inCotumnCabove
SUMMARY PAGE
Statement covers period .: ~=. ::~. ,:
from /(~///~/~7 ~ "' ~:
I.D. NUMBER
Column B*
TOTAL PREVIOUS PERIOD
(SEE NOTE IELO~
---~(~ ~
Column C
TOTAL TO DATE
(ADO COtUMNS A · l)
---~--~
· From previous Statement Summary Page, Column C. HOwever, if
this is the first reDoft filed for the calendar year. Column B should be
blank e.cept for Loam Received (Line 2), Enforceable Promises (Line
6), Loans Made (Line 9), end Accrued Expenses (Line 11 ).
Summary for Candidates in Both June and
November Elections
1/1 through 6/30 711 to Date
21 ontrib tions d)///~ /~.//~/~
22. Ex nditures
M~ ....... S
Schedule E
Payments and Contributions
(Other Than Loans) Made
Type or print in ink,
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLD/ER OR CANDIDATE AND CONTROLLED COMMITTiE
C~ ~ c/~[ ~ ~ ~ CODES FOR C~SSIFYIN~ EX~NDITURES
Statement covers period
from
through
SCHEDULE E
I I'D'~UMBE2~/
If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment" column blank. Refer to the
back of Schedule E-Continuation Sheet for detailed explanations oiY;ach category.
'C' - MONETARY AND IN-KIND (NON-MONETARY) 'B' -
CONTRIBUTIONS TO OTHER CANDIDATES 'N' -
AND COMMITTEES 'O' -
'1" - INDEPENDENT EXPENDITURES "S" -
=L"- LITERATURE =F"-
BROADCAST ADVERTISING 'G" '-
NEWSPAPER AND PERIODICAL ADVERTISING 'T" -
OUTSIDE ADVERTISING
SURVEYS. SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS -p' _
FUNDRAISING EVENTS
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
(If COMMITTEE, IN ADDITION TO COMMII'rEE'.~ NAME AND ADDRESS, ENTER I.D. NUMBER OR, IF NO I.D.
NUMBER HAS BEEN ASSIGNED. ENTER TREASURER'S NAME AND ADDRESS)
GENERAL OPERATIONS AND OVERHEAD
TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW.
CODE OR
DESCRIPTION OF PAtMENT
AMOUNT PAID
Im ortant: Contributions and expenditures made out of campaign funds to or on behalf of other
o~eholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part I. SUBTOTAL $
Payments and Contributions Made Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................ ~ ......................... $
2. Payments made this period of under $100. (Do not itemize.) $ _/__C~
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) .............................. $ --- ~ "--
4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ..................................... $
5. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8) ........... TOTAL $ {/.0
~cnedule I
Miscellaneous Increases to Cash
Type or print in ink.
Amounts may be rounded
to whole dollars·
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
DATE AND ADDRESS ~URCE '
RECEIVE D (JF COMMI~I'E{E, IN ADDITION TO COMMJTIEE'S NAME AND ADDRESS, ENTER I D, NUMBER
0R, IF NO LD NUMIER HAS IEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS)
thr..O.
DESCRIPTION OF RECEIPT
Page ~ of ~/
I.D. NUMBER
AMOUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL
Miscellaneous Increases to Cash 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 1.20 and 3. Enter here and on the
Summary Page, Line 15.)
....................................................................... TOTAL $