HomeMy WebLinkAboutSALVAGGIO SEMIANN98(2) fficeholder, Candidate, Type or pri.t ~. i.k.
and Controlled Committee
Campaign Statement -- Long Form
(Government Code Sections 64200-84216,5)
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to indicate the type of statement being filed:
[] Pre-electlon Statement
SuPPlemental Pre-election Statement (Attach a completed Form 495 to this statement )
Special Odd-Year Campaign Report
,~f Semi-annual Statement
Included in t~is Statement
SlDENTIAL OR IU ESS RESS (NO. AND STRE t 1
COMMI'~EE DDRES - (NO, AND T) /
Crrv STATE AREA CODE/OAYTIME PHONE
III
[~/~ ~ /d/ STATE ZIP COD AREA CODE/DAYTIME PHONE
Verification
Statement covers period Date Stamp
from /
,,.o.,,
Date of election if applicable:
(Month, Day, Year)
COVER PAGE - LONG FORM
NAME O~ TREASURER
COMMnTEE ADDRESS
For Official Use Onqy
~m~T~,~L:~-u~ifei;Ct~"~ot Included in this Statement: u...yotha,
committees not irKluded in this consolidated s~atement that are controlled by you and any
come/trees of which you have knowledge that are primarily formed to receive contributions
or to make expenditures on bahaft of your cand/dacy,
COMMI11EE NAME I.D. NUMBER
CONTROtL[D COMMITTEE?
[] YEs [] NO
(NO. AND STREET)
CITY STATE
ZIP CDI)E AREA CODE/DAYTIME PHONE
I.D, NUMBER
CONTROLLED COMMITTEE?
COMMITTEE NAME
NAME O~ TREASUlER
COMMITTEE ADDlESS
(NO AND STREET)
CiTY STATE ZIP CODE AREA CODE/DAYTIME PHONE
A~a~h additional/nformat/on on appropriately labeled cominuatton sheets.
I have 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
: ::::: v:'. -"':,o'." °' ""'°'"" '"" '"' 'o'v,o'-
An officeholder o~ ~ndldate who ~ntrols I committee must also verify the caml~i~n statement. I have used all reasonable diligence and to the best of my knowledge the treasurer has used all
reasonable dilHBerKe 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
Executed on At By
DATE CITy ANO STATE
Executed on At By
DATE CITY AND STATE SIGNATURE Of CANDIOATE/OFFI(EHOtDER
FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT Of 1977, SEE NORMATION MANUAL ON CAM:>AIGN DISCLOSURE PROVISIONS Of THE POtlTICAL REFORM ACT
and rr ~ SIGNATURE Of ~
SIGNATURE Of CANDIDATE/OFFtCEH0tDIR
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Contribution ceive ~c~/ ~ ~ ~
1. Monetary Contributions ............................... Schedule A Une 3
2. Loans Received ......................................... schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ...................... AddUces I · 2
4. Non-monetary Contri butions ......................... achedale C, Lhe 3
5. SUBTOTAL CONTRIBUTIONS(Exclude Enfonceab~ Promises) Add Unes 3 ~t 4
6. Enforceable Promises
(Exclude Loen Guarantees, Lice l a below) ................... $chedule D, Une 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... Adducess, 6
Expenditures Made
8. Cash Payments (Other than Loans Made) ............ Schedule E, Une 5
9. Loans Made ............................................. ,scJm~le H, Une 7
10. SUBTOTAL CASH PAYMENTS ............................ AddLines8 + 9
11. Accrued Expenses (Unpaid Bills) ........................ scheduleF, UneS
12. TOTALEXPENDITURESMADE ......................... AddUnes10 ,11
'Current Cash Statement
t 3. Beginning Cash Balance .................. Previous SummaryPage, t. ice 17
14. Cash Receipts ...................................... ColumnA, Une3above
15, MiKellaneouslncreasestoCash ........................ Sd~lu~e #, Une 4
16. Cash Payments ....................................Column A, Line I0 above
17. ENDING CASH BALANCE ..... AddLicesl3 · 14,15. thensubtredUne 16
ff fhis is a termin~ian statement, Line 17 mult be zero.
18. LOAN GUARANTEES RECEIVED .............. Schedule 9, Patti, Column(b)
cash Equivalents and Outstanding Debts
19, Cash Equivalents ................................ See/natfurl/ore on reverse
20. Outstanding Debts ................. AddLine 2 · Line 11inColumnCabove
Type or print in ink.
Amounts may be rounded
to whole dollars.
TOIAL THIS PERIOD
(FROil ATIACHED SCHEDULES)
Z,/~ c>---.
/
..... C~ ~
:Z/2zZ.
SUMMARY PAGE
Statement covers period
I,D. NUMBER
Column B* Column C
TOTAL ~S PE~ TOTAL TO DA~
s ..'2 7 t;:2-
/
s33, oo
---~..
s 3 s' s5,2/ 3 .
* From previous Statement Summary Page, Column C. HOWever, if
this is the first report filed for the calebclef year, Column B should be
blank except for Loam Received (Line 2), Enforceable Promises (Line
6), Loam Made (Line t), 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 l~l/,j~k Z~/t~
Schedule A
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
L R
OCCUPATION AND EMPLOYER
DATE (tf COMMITTEE, IN ADOtTION TO COMMITTEE 'S NAME AND ADDRESS, ENTER I.O NUMBER(If 5ELF-EMPLOYED, ENTER
RECEIVE D O~, ff NO I.O. NUMBER HAS IEEN ASSIGNED. ENTER TREAr, URER'S NAME AND ADDRESS)NAME Of IUS, IN~SS)
,/
SUBTOTAL $ 22.5" O.,..~
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 $1OO.
(Do not itemize.)
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ........................................ TOTAL
SCHEDULE A
AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE
RECEIVED THIS CALENDAR YEAR OTHER
PERIOD (JAN. 1 - DEC. 31) (IF APPLICABLE)
s 5 75
Schedule A (Continuation Sheet)
Monetary Contributions Received
N/~ME OF OFFICEHOLDER2R CA:DIDATE AND CONTRO,,LLED COMMITTEE,
P-,'Tq .
FULL ~AND ADDRESS OF CONTRIBUT~RO~
DATE (tF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRIS$, ENTER I.D. NUMBER
RECEIVED OR., IF NO I.D. NUMIER HAS IEEN A$II6NED, ENTER TREASURER'S NAM[ AND ADDRESS)
Type Or print in ink,
AmOunts may be rounded
to whole dollars,
, /
G(,////C//
OCCUPATION AND EMPLOYER
(IF $ELF-EMIq. OYED, ENTER
NAME OF BUSINESS)
Statement covers period
from
AMOUNT
RECEIVED THIS
PERIOD
SCHEDULE A (cont.)
J :' ::: :5' :,
Page ~ of//
I,D, NUMBER
CUMULATIVE TO DATE CUMULATIVE TO DATE
CALENDAR YEAR OTHER
(JAN. 1 - DEC. :31) (IF APPLICABLE)
///c_) '-a~-L)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
" FULL NAM~A'DDRESS OF CONTRIBUTOR
DATE (IF COMMITTEE, IN ADDITION TO COMMITI'EE'S NAME AND ADDRESS, ENTER I.D. NUMIER
RECEIVED
OR., IF NO I.D. NUMBER HAS IEEN ASe~tGNED, ENTER TREASURER'S NAME AND ADDRESS)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Page.
SCHEDULE A (cont.)
(,,_""Q c4hC/ /
OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE
(if SELF-EMPtOYEO, ENTER RECEIVED THIS CALENDAR YEAR
NAME OIt BUSINESS) PERIOD (JAN. 1 - DEC. 3 1 )
I.D. NUMBER
CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
DATE m COMMITTEE, IN AOOIllQN TO CQMMITTEE'$ NAME ANO t, DI~E$$, ENTER I.O. NUMIER
RECEIVED o~ If NO I,D, NUMIER HAS IEEN AS~GNED, ENTER TREASURER'5 NAME AND ADDI~$S)
Type Ix print in Ink,
Amounts may be rounded
to whole doffIn,
OCCUPATION AND EMPLOYER AMOUNT
(IF S~LF-~MR. OYED, linER RECEIVED THIS
NAME m lu~wl$$) PERIOD
SCHEDULE A (cont.)
Statement covers period . ~ ....~! ,
,,o.,/c'~'/~/~',~_- · : :;!
] 2j"c~ ~,2,.5',
CUMULATIVE TO DATE CUMULATIVE TO DATE
~.~D.~I~.~,I oTHE.
(IF APPLICABLE)
SUBTOTAL
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
AND CONTROLL E D COMMITTEE
Statement covers period
through 72/r~;/? ~
SCHEDULE E
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 o?~ach category.
'C"-
MONETARY AND IN-KIND (NON-MONETARY) 'B' -
CONTRIBUTIONS TO OTHER CANDIDATES -N~ _
AND COMMITTEES 'O" -
INDEPENDENT EXPENDITURES 'S' -
LITERATURE 'F" -
BROADCAST ADVERTISING
NEWSPAPER AND PERIODICAL ADVERTISING
OUTSIDE ADVERTISING
SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS
FUNDRAISING EVENTS
'G" -- GENERAL OPERATIONS AND OVERHEAD
"T' - TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
'P'- PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. ENTER I.O NUMIER OR, If NO I.D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW.
NUMBER HAS BEEN ASSIGNED, ENtIER TREASURER'S NAME AND ADDRESS)
{ ~7 ~ ' ErSt' P"; (4 Y7 ['~"""' k' ~ ~.~ F ' CODE OR DESCRIPTION OF PAtMENT :,~MOUNT PAID
Payments and Contributions Made Summa /
1. Payments made this peri~ of $1 ~ or more. (Include all Schedule E subtotals.) ............................ : .........................
2. Payments made this ~ri~ of under $100. (Do not itemize.) .......................................................................
3. Total interest paid this ~ri~ ~ outstanding loans. (Enter amount from Schedule B, Paa II, Column (d).) .............................. $
4. Total accru~ ex~nses paid this ~ri~. (Do not itemize. Enter amount from 5ch~ule F, Line 4.) .....................................
5. lotal payments made this~ri~. (Add Lin~1,2,3, and 4. Enter here and on the Summary Page, Column A, Line 8.} ........... TOTAL
Schedule E
(Continuation Sheet)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
'C' - MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
°1~ - INDEPENDENT EXPENDITURES
"L"- LITERATURE
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
(If COMMr!TEE, IN ADOITION TO COMMITrEE'S NAME AND ADDRESS, ENTER I.D. NUMBER 0R, IF NO I.D.
NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS)
/
'f~ d t,,"' C71 $ C r9
"B" -- BROAI::K. AST ADVERTISING
"N" - NEWSPAPER AND PERIODICAL ADVERTISING
"0" - OUTSIDE ADVERTISING
"S" - SURVEYS. SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS
"F" - FUNDRAISING EVENTS
SCHEDULE E (cont.)
k , ' ~
" ! Pale / of ./____~_
I.D. NUMBER
z
OR DESCRIPTION OF PAYMENT
r- -7,,
O Co/,1 c)~J/'o~ 7c~ k,
"G" -- GENERAL OPERATIONS AND OVERHEAD
"T" - TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
'P"- PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
;
~ AMOUNT PAID
Zoo
SUBTOTAL
Schedule E
(Continuation Sheet)
Payments and Contributions
(Other Than Loans) Made
Type or print in ink.
Amounts may be rounded
to whole ddlers.
SEE INSTRUCTIONS ON REVERSE
CODE~ FOR ~S51FYING EXPENDITURES
°C' - MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
'1' - INDEPENDENT EXPENDITURES
"L'- LITERATURE [
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
(If COMMIlllE, ~ ADOfTION TO CO MMR'rEE'S NAME AND ADDRESS, iNTER I.O. NUNtIER O~ ff NO I,O.
NUMIER HAS liEN AS~d6NED, iNtER TREASURER'S NAME AND ADDRESS)
Statement covers period
,,, /
'B'- BROADCASTADVERTISING
'N'- NEWSPAPER AND PERIODICAL ADVERTISING
'O' - OUTSIDE ADVERTISING
'S" - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS
'F' - FUNDRAISING EVENTS
CODE OR
SCHEDULE E (cont.)
GENERAL OPERATIONS AND OVERHEAD
TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
PROFESS~)NAL MANAGEMENT AND CONSULTING
SERVICES
,
DESCRIPTION OF PAYMENT
AMOUNT PAID
[7/7 74
5'o0
SUSTOTA~ ~ 'J~ /"~" /
Schedule E
(Continuation Sheet)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
. · ' ~j~3 CODES FOR CLASSIFYING EXPENDITURES
'C'-
MONETARY AND IN-KIND (NON-MONETARY) ' B" -
CONTRIBUTIONS TO OTHER CANDIDATES "N" -
AND COMMITTEES 'O' -
INDEPENDENT EXPENDITURES 'S" -
LITERATURE 'F' -
1
Statement covers period
thr,, /
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 COMMITfEE, IN ADDITION TO COMMIi'1EE'S NAME AND ADDRESS, ENTIR I.O. NUMI~R
NUMIfR HAS IEEN ASfd6NED, EIDER TREASURER'S NAME AND ADDRESS)
CODE
~ ~ ~ ~- /
· L,_----
SCHEDULE E (cont.)
_ I'age , o/4
OR DESCRIPTION OF PAYMENT
GENERAL OPERATIONS AND OVERHEAD
TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
:
AMOUNT PAID
SUBTOTAL S
Schedule I
Miscellaneous Increases to Cash
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
' u' i
DATE ,/~ ~LLNAME AND ADDRESS OF SOU~RC~/'
RECEIVE D (~F COMMITTEll, IN ADDITION TO (OMMITIEE'S NAME AND ADDRESS, ENTER I,O. NUMBER
O1% IF NO I,D. NUMBER HAS BEEN ASSIGNED, ENTER TRIASURER'S NAME AND ADDRESS)
through
DESCRIPTION OF RECEIPT
SCHEDULE I
I.D. NUMBER
AMOUNT OF
INCREASE TO CASH
Miscellaneous Increases to Cash Summary
1. Increases to cash of $100 or more this period .............................................................
3. Total ofall interest received thisperiod on loans made to others. (Schedule H, Part ll(b).) ....................
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
5ummaryPage, Line 15.) ....................................................................... TOTAL