Loading...
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