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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 $