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HomeMy WebLinkAboutSALVAGGIO SEMIANN97(1) fficeholder, Candidate, and Controlled Committee Campaign Statement -- Long Form (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In ink. Check one of the following boxes to indkate the type of ~tetemant being filed: [] ere-election Statement [] Supplemental Pre-election Statement (Attach a completed Form 495 to this ~tatement.) Special Odd-Year Campaign Report Semi-annual Statement Termination Statement (Attach · completed Form 415 to this statement.) Officeholder..Candidate, and Controlled Committee Included in this Statement NAME OF TREASURER III V~rifiatio~ Date Stamp COVER PAGE - LONG FORM throug , !Ill o, .,. / ~ Deteofelectk)nfflipIdltable: ,.,,~ .... '.. ~ Page of (Month, Day, Year) ~J.~ ,:~ ........ ~ For Official ~ II Other Committees Not Included in this Statement: un,.yo~, comm/~ees of which you have knowledge that ere pdmar#y formed to receive contr/but/om or to make exaonditures on behalf of your candidacy. c(xvwrreE N~ME I ,.O. NUMeE, I [] ,Es [] .o COMMOq'EE A~SS ~O. AND STt~T) Afl, ch edditlm~l Information o~ epFopriately lehel~d contlouatlo~ Jheet~. I have u~d all reasonable diligence in preparing this statoment, t have reviewed the statement end to th~ ~ Of my knowledge the infor~tion contained herein and in the attached Khedules is true and comp~wte. ~ertify~nde~pen~tyofpegu~yVndorthe~e~fthe~tateofCa~if~rniath~tthef~reg~ingist~ndc~rrect , An officehold~T M candidate who cont~oili i committe~ ms~t ebo verify th~ c~mpaign stotem~flt. I have u~d ell reasonebt~ diligence and to the ~ of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the hast of my k nowl~dge the informat~)n contein~ herein and in the attached schedules is true and complete. I certify under I~nalty of perjury under tj~e laws of the State of California ~h~t the foregoing is true and correct. ;~/~./ Ex.cut. on /. ,, E~ecut~d on. At By DATE C/TY AK STATE SK~TLIR~ OF C~NO#)ATUOF Fff~ENOL DER Executed on At By gATE OTY ANe STATE FOR INF(~MATK)N REQ4Jh~EO TO lie P~4OVIDfD TO YOU P~JRSUAIfr TO THE INFONVlATIOFd P(qACTICE S ACT OF 1977, SE i INFO4U~ATK)N MANyA~ OFd CAMPA~N D~SCLOSURE PROYISK)N$ OF THf POL~L RE FORM ACT State of Caflfornia Flit Political Practices Commission campaign Disclosure Statement Summary Page Ty~ ~ I~lnt In ink. Amounts may be m~mded SEE INSTRUCTIONS ON REVERSE Se.eemeflt myers pedod from ~ NAMLOF OFFICEHOLDRR OR CANDIDATE AND CONTROLLED COMMITTEE Contributions Received ~ Column A Column B* 1. Monetary Contributions ............................... ~ A, Une $ 2. Loans Received ......................................... Sched~ a, Une 7 3. SUBTOTALCASHCONTRIBUTIONS ...................... AddUnest *2 4. Non-monetary Contributions ......................... ~hedu/e CUne 3 5. SUBTOTAL CONTRIBUTIONSi(Exdude Enfo~cee~e e~m~es) ~dUnes3 + a 6. Enforceable Promises (Exdude Loan G~arer~eet;, Ltne M below) ................... 50~,d~e D, Une 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddU~s5 + 6 Expenditures Made 8. Cash Payments (Other then Loans Mede) ............ ~ E, U,w S 9. Loans Mede ............................................. Schedu/e H, U~e 7 10. SUBTOTAL CASH PAYMENTS ............................ addunese · 9 1 1. Accrued Expenses (Unpaid Bills) ........................ ~ R b~e ~ 12. TOTAL EXPENDITURES MADE ......................... ~,ddUnes t0 * ;! Current Cash Statement 13. Beginning Cash Balance .................. I~evlou~SumetatyP~,~Jr~;7 14. Cash Receipts ...................................... Ce/m~n A Une $ a~we 15. Miscellaneous Increases to Cash ........................ ~edu~e I. Une a 16. Cash Payments .................................... Co~umnAUnelOebo~e 17. ENDING CASH BALANCE ..... AddUnesU*14+IS, thensub~actUne~6 If fff~ ls a letmlna#on ~tetement, l. ine 17 mmt be zem. 18. LOAN GUARANTEES RECEIVED .............. s~heo~te ;, Peril, Column~) SUMMARY PAGE Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................ Seel~omo~mveme $ 20. Outstanding Debts ................. AddLIne2 ~,LlneffinColumnCa~ove S Column C TOTAL TO DATE s '/ I'"G ~ s /~ / , * F~ pr~i~i $teteme~ $umml~ Pa~, C~umn C. N~e~r. th~ a~ fi~ rt~ fl~ f~ t~ ~ndar ~lr. C~umn a Ihould I ~lnk e~ ~ L~m R~elv~ (LI~ 2), Enf~ceable ~i~ Summery for Candidates in Both June and November Elections 111 through ~10 711 to Date 21. ;ontribqtiom /L,//./~ /L///~ Kecmvea .... S . . 22. ~p~nditures A] /~ ~ /~ MaDe ....... ~ .... Schedule A Tv,, o~ ~.lnt inl,k. SCHEDULE A HOLDER OR ~DIDATE AND CONTROLLED COMMI~EE I.D. NUMBER FULL ~E AND ADDRESS OF C~TRIBUTOR ~CUPATION AND EMPLOYER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE Monetary SEE INSTRUCTIONS ON REVERSE C. O Ll ~ ct ' DATE RECEIVED SUBTOTAL $ (~)~ (~ 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 $100. (Do not itemize.) ....................................................................................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ........................................ TOTAL Schedule A (Continuation Sheet) Ty~,~m~ln~,k. SCHEDULEA(cont.) Monetary Contributions Received towhole doll,rs. from ~ NAME OF OFFICEHOLDER OR C~NDIDATE AND CONTROLLED COMMITTEE I.D. NUMRER FULl NAME AND ADDRES~ ~F CO~UTOR KCUPATION AND EMPLOYER AMOUNT CUMU~TIVE TO DATE CUMU~T~VE TO DATE DATE (w C~M~E[, ~ A~ TO C~M~E'$ ~ME AND ~0~$$, E~ER I.O N~R (~ SELF ~M~OYED, E~ER RECEIVED THIS ~LE NDAR YEAR OTH E R RECEIVE D ~ IF ~ LD. NUMI~M ~S I~(N ASkeD, EmER TREA~R'$ ~ME A~ A~$S) ~ME m I~SS) PER~D (JAN* 1 - DEC* 31 ) (IF APPLI~BLE ) SUBTOTAL Schedule E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF OFficEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period ,,- ////¢7 through ' ~/~/~; ~ SCHEDULE E pape ~...~' C~'/'CODES FOR CLASSIFYING EXPENDITURES I.D. NUMBER If one of the following codes accurately describes the expenditure,you may enter the code and leave the 'Description of Payment' column blank. Refer to the back of Schedule E-Continuation Sheet for detailed explanations of each category. 'C'- MONETARYANDIN-KIND(NON-MONETARY) 'B'- BROADCASTADVERTISING 'G'- GENERALOPERATIONSANDOVERHEAD CONTRIBUTIONSTOOTHERCANDIDATES 'N'- NEW~PAPERANDPERIODICALADVERTISING °T'- TRAVEL, ACCOMMODATIONSANDMEALS AND COMMITTEES 'O'- OUTSIDE ADVERTISING (MUST BE DESCRIBED) '1~ - INDEPENDENTEXPENDITURES 'S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOORSOLICITATiONS °P' - PROFESSIONAL MANAGEMENTANDCONSULTING 'L°- LITERATURE 'F'- FUNDRAISINGEVENTS SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. ~F caeaMm~E, m A~OmO~ TO CO~Un'rEE'S ~r~ME A~ ADD.SS, EmE~ ~.D. N~lER ~ · ~ I.D. RE ~RT ONLY TH E LUMP SUM OF SUCH PAYMEN~ ON LINE 4 OF TH E SUM~Y SE~ION BE LOW. CODE OR DESCRIPT~N OF PAYMENT A~UNT PAID oe,~! ee//~. C 9~/~.) ~5 C,Ooa/e~-. tg~,.,~.. Im, .~o~ant/ ¢ontri ,bu. t. ions and exp. enditures made out of campaign funds to or on behalf of other ~ffiCen~er~` ~andi~ates~ c~mmlttees~ ~r be~t measures mu~t a~s~ be entered ~n the A~cati~n Pa~e~ Part ~* SUBTOTAL Payments and Contributions Made Summary 1. Payments made this period of $100or more. (Inctudeall Schedule E subtotals.) ............................ : ......................... 2. Payments made this period of under $100. (Do not itemize.) ....................................................................... :1. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Co)utah (d).) .............................. 4. Total accrued expenses paid this period. (Do not itamiza. Entaramount from schadula F, Line4.) ................................... S. Total payments made this period. (Add Lines 1,2,3, and4. Enter here and on the Summary Page, ColumnA, LineS.) ........... TOTAL Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts rely be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE DATE ' * ' FULL NAME AND ADDRES~)It/S*OURCE Statement covers period th.,,,.,, DESCRIPTION OF RECEIPT SCHEDULE I I.D. NUMBER AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. 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 Cb).) .................... 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 15.) ....................................................................... TOTAL SUBTOTAL S %~)~-__. Officeholder, Candidate, and Controlled Committee Campaign Statement -- Long Form (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type oz print In ink. Check one of the following boxes to indicate the type of statement being filed: [] Pre-election St atement [] Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) Special Odd*Year Campaign Report Semi-annual Statement Termination Statement (Attach · completed Form 415 to this ~tatement.) Officeholder. Candidate, and Controlled Committee Included in this Statement FILE Date of election If (Month, Day, Year) Date Stamp COVER PAGE - LONG FORM For Off~ Other Committees I )t Included in this Statement: Ust any other r-i .s [] .o COMMrT'rE ( A[~4~ SS (NO. AND STKELr'0 III NAME OF T/REASURER Verification Attach addltJonal lnformatlo~ O~ appropriately labeled continua don sheets. have used all reasonable diligence in preparing this Statement. I have reviewed the ~titement and to the be~t of my knowledge the Information contained herein and in the attached schedules is t~"e ~ndc~: ~e#rt~ i~rde~ ~n&~ty~f~ ~/~r~/~r~/~d~th~ ~&v~th~&ii~rni~th~tth~ f~reg~g~s~`f~ndc~r~ec~ /)~ ', An offlcebo~er ~ M ~ldat~ who ~ontrol~ I (om m~ee muff ~ I~ ver~y ~ um~ Ign s~teme~. I have u~ all re·tunable dilige nee and to the ~ of my k n~l~ge the treasurer has used a II reachable dilige~e in pre.ring tM~ ~atement. ~ have reviewed the ~atement and to the ~ of my kn~l~ge the information cOntained herein and in the a~Khed ~hedules is true and corn plate. I ~e~i~ under ~nal~ of ~rj u~ under ~e la~ of the State of California that the foregoing is true · nd corr~ / __ Ex~ed on At By Sch ed ule I Type ot print in Ink. SCHEDULE I Miscellaneous Increases to Cash Amountsmayb~rounded to whole dollars. Statement covers period NAME OF OFFICEHOLDER OR CANplDATE AND CONTROLLED COMMITTEE I.D. NUMBER DATE ~ 'FULL NAME AND ADDRESS O~SOURCE RECEIVE O 0F C~M~EL m A~ I0 C~M~[(3 ~ME ANO ADD.SS, ENTER I.D. NUMIER DESCRIPTION OF RECEIPT AMOUNT OF Attach additional information on appropriately labeled continuation sheets. 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, 2, and 3. Enter here and on the Summary Page, Line 15.) ........................................................................ TOTAL $ SUBTOTAL $ Sched u le E Type o~ print In ink. SCHEDULE E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE COMMITTEE C~ CODES FOR CLASSIFYING EXPENDITURES I.D. NUMBER If one of the following codes accurately describes the expenditure,you may enter the code and leave the ~Description of Payment' column blank. Refer to the back of Schedule E-Continuation Sheet for detailed explanations of each category. 'C'- MONETARY AND IN-KIND (NON-MONETARY) CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES '1' - INDEPENDENTEXPENDITURES °L' - LITERATURE 'B'- BROADCAST ADVERTISING 'N'- NEWSPAPER AND PERIODICAL ADVERTISING 'O'- OUTSIDE ADVERTISING 'S'- SURVEYS, SIG NATURE GATHERING. DOOR-TO4X)OR SOL~ClTATIONS 'F' - FUNDRAISING EVENTS GENERAL OPERATIONS AND OVERHEAD TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) 'P*-- PROFESSIONAL MANAGE MENT AN D CONS ULTiNG SERVICES NAME AND ADDRE SS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE TH E PAYMENT OF ACCRUED EXPENSES ON SCH E DULE E. (~F COMMn~E[. ee AOO~ON TO C~M~EE'S ~ME AND AD.SS, EmER I.D. NUMIER R IF ~ I.D. RE ~RT ONLY TH E LUMP SUM OF SUCH PAYME N~ ON LINE 4 OF THE SUM ~RY SE~ION BE LOW. y. Jo ,.Jv. _, I_ /r2 - I?f~o~an. t: Contributions and expenditures made out of campaign funds to or on behalf of other o ~cen~de~candidates~c~mm~ttees~rba~tmeasuresmusta~s~beentered~ntheA~cati~nPage~Part~ ~ SUBTOTAL 'ayments and Contributions Made Summary · Paymentsmadethis period of $100or 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.) ..................................... $ · Total payments made this period. (AddLines 1,2,3, and4. Enter here and on the Summary Page, ColumnA, Line8.) ........... TOTAL $ '"'~- 0 "'"'- "--0 -'- Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLI~ER OR CANDIDATE AND CONTROLLED COMMITTEE Contributions Received ~ 1. Monetary Contributions ............................... Sd~edu/e A Uno 3 2. Loans Received ......................................... :;<hedule a, Uno 7 3. SUBTOTALCASH CONTRIBUTIONS ...................... AddUoa$ ! + 2 4. Non-monetary Contributlons ......................... S~he~e C, Uno 3 5. SUBTOTAL CONTRIBUTlONSi(Exdude Enforceable ~tomlses) AddUnes3 * a 6. Enforceable Promises (Exclude Loan Guarantees, Uno ! m below) ................... Schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS, · Expenditures Made 8. Cash Payments (Other than Loans Made) ............ sd~edu/e E, L/ne 9. Loans Made ............................................. Schedu/e H, Uoa 10. SUBTOTAL CASH PAYMENTS ............................ ,add.Unesa, 9 11. Accrued Expenses (Unpaid Bills) ........................Schedu/e F, Uno S 12. TOTAL EXPENDITURES MAD): ......................... AddUneslO * ~ Current Cash Statement 13. Beginning Cash Balance .................. I'revlousSummaryt'age, une~? 14. Cash Receipts ...................................... ColumnA, Une3above 15. Mi~ellaneous Increases to Cash ........................ .;cheduleI, LIne4 16. Cash Payments .................................... Co.~umnA, UoalOabo~e 17. ENDING CASH BALANCE ..... Ad~Llnes 13, 14 · IS, then subtrKtUne 16 18. LOAN GUARANTEES RECEIVED .............. $cheduleB, Partl, Column(bJ Cash Equivalents and Outstanding Debts lg. Cash Equivalents ................................See lmtruct/oru on reverse $ 20. Outstanding Debts ................. AddUne 2 ,~ Line ll lnColumnCabove Type m' I~lnt In Ink. Amount~ rely be rmanded to whole dollars. SUMMARY PAGE I.D. NUMBER Column C S * From previous Statement Summary Page, Column C. However, if this is tho first rei~ort filed for the calendar year Column B should be blink except for Loans Received (Line 2), Enforceable Promises (Line ~), Loins Made (Line 9), and Accrued Expenses (Line 11). Summary for Ca.ndidates in Both June and November Elect~ons