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HomeMy WebLinkAboutSALVAGGIO SEMIANN98(2) OH ll Office h o Ide r, C a n d ida te, Type or print in Ink. and Controlled Committee Campaign Statement -- Long Form (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-election Statement (Attach a completed Form 495 to this statement.) S~ff,ecial Odd-Year Campaign Report Semi-annual Statement mm~tt~:'lncluded in tl~is Statement 22/3 Wc.c~{~ ~'~/'u ~. CiTY STATE ZIP CODE AREA CODE/DAYTIME PHONE Verification Statement covers period Date Stamp Datedelection,applicable= 9~ (Month. Day, Year) COVER PAGE - LONG FORM Page ~1 fienly~ · ~"~;~;'~','~-o','i','ih~,ViT~Ce~'u~n~tatement: ,ist,nrother commitTees not included in this consolidated statement that are controlled by you and any cornretirees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMrFrEE NAME NAME O~ TREA$URER COMMITIEE ADDRESS (NO. AND STREET) I D, NUMEER CONTROLLED COMMITTEE? ] YES [] NO CITY STATE ZIP COOE AREA CODE/DAYTIME PHONE COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS (NO AND STREET) NUMBER CONTROLLED COMMITTEE? ] ',Es [] ND CITy STATE ZIP CODE AREA CODE/DAYTIME PHONE Attach additional information on appropriately labeled continua Lion 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 harBin and in the attached schedules is true and complete. I certify under penalty of perjur nder the law of t State of lifornia that the foregoing is tue d 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 knowledge the information contained harBin and in the attached schedules is true and ::ZoYYx"' · ,. · Executed on At By DATE CITY AND STATE SIGNATURE OF CANDIDATE/OFFICEHOI. DER 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 OF 1977. SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded ow r. j a men cover fro SEE INSTRUCTIONS ON REVERSE . through NAME OF OFFICEHOLD~ OR ~NDgDATE AND CONTROLLED COMM~FTEE ~ (~ /~ I.D. NUMBER ' '/ Column A Column B· ' ~umn 1. Monetary Contri butions ............................... Schedule A, Une 3 2. Loans Re<eived ......................................... Schedule a, Line 7 3, SUBTOTAL CASH CONTRIBUTIONS ...................... AddUnes I , 2 4. Non-monetary Contributions ......................... Schedule c, une 3 5. SUBTOTAL CONTRIBUTIONS:(Exdude Enforceable Promises) AddLines3 ,, 4 6. Enforceable Promises (Exclude Loan Guarantees, Une 18 below) ................... Schedule D, Une 7 7, TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnes5 ,, 6 Expenditures Made 8. Cash Payments (Other than Loans Made) ............ 9. Loans Made ............................................. 10. SUBTOTALCASH PAYMENTS ............................ $~'hedule E, Une 5 scJ~edule H, Une 7 Add Lines 8 + 9 11. Accrued Expenses (Unpaid Bills) ........................ScheduleF, UneS 12. TOTAL EXPENDITURES MADE .........................AddUnes 10 · It Current Cash Statement 13. Beginning Cash Balance ..................Previous Summary Page, rim 17 14. Cash Receipts ......................................Column A, Line 3 abOve 15. Mis<el laneous Increases to Cash ........................Schedule t, Line 4 16. Cash Payments ....................................Co/umn A, Line I0 above 17. ENDING CASH BALANCE ..... AddLines13 + 14, IS, thensubtract Une 16 ff this is a termination statement, Line 17 must be zero. 18. LOAN GUARANTEES RECEIVED .............. Schedule e, Parf l, Column(b) Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................See insu'u~ons on reverie 20. Outstanding Debts ................. AddLine 2 + Line ll inColumnCabove TOIAL THIS I~RIO0 TOTAL PREVIOUS PERIOD TOTAL TO DATE (FROM ATTACHED SCHEDULES) {SEE NOTE IEL(WV) (ADD COLUMNS A · s 2. 33.%5' · From previous Statement Summary Page, Column C. However, if J this is the first report filed for the calendar year, Column B should be \ C) '-- blank except for Loam Received (Line 2), Enforceable Promises (Lme O- 3 (3 6), LOans Made (Line 9), and Accr~ Expenses (Line 11). ' ' 33. //, ,~' ~Z Summary for Candidates in Both June and ,a~us,,,u,~s,o,xo November Elections NOT BE A NEGATIVE AMOUNT 111 through 6/30 711 to Date "' 0 -- 21. ontrib tions ece.veU ....s / / "" 0 """ 22. Ex nditures Sch ed u le E Type or printin ink, Amounts may be rounded em n cver Payments and Contributions to whole dollar,. f o stat/e t/~//~____ (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE , through ~S FOR C~SSIFYING EX~NDITURES SCHEDULE E Page .c~ of ~ I.D. NUMBER 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 oT;ach category. 'C'- MONETARY AND IN-KIND (NON-MONETARY) =B" - CONTRIBUTIONS TO OTHER CANDIDATES =N" - AND COMMITTEES =0" - INDEPENDENT EXPENDITURES =S° _ 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 COMMITTEE'S NAME AND ADDRESS, ENTER I.O. NUMIER 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 Important: Contributions and expenditures made out of campaign funds to or on behalf of other officeholders, 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.) ............................ AMOUNT PAID 2. Payments made this period of under $100. (Do not itemize.) 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 43 ..................................... 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 SCHEDULE I Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE DATE FULL AND ADDRESS OF SOURCE RE CE IVE D (iF C~MI~E~, IN A~ff~ TO COMM~EE 'S NAME AND ADDRESS, ~NTER I.O. NUMIER ~ IF ~ I.D. NUMIER HAS BEEN ASSIGNED, E~ER T~ASUER'5 NAME AND ADDRESS) thro,.0. if 7 ,~C. a u ~,]4 I1 DESCRIPTION OF RECEIPT - 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 (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 $