HomeMy Public PortalAboutForm 490 (Nov 27, 1998 - Jan 16, 1999)..Officeholder, Candidate, 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 Indlute the type of statement being flkd:
Pre-election Statement
Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.)
Special Odd-Year Campaign Report
Semi-annual Statement
Termination Statement (Attach a completed Form 41 S to this statement.)
Ic o er an I ate, an ontro a ommlttee
Inclu ed in this Statement
NAME OF OFFICEHOLDER OR CAN ATE
Sandra Baldonado
~fICE SOVGMT OR NEID pMCLUOE IoCAT10r1 AND DKTRKT NUMaER M A-ILKAaIE)
City Council, City of Claremont, California
R[SIOEIn1Al OR aUSINESS ADDRESS Mo. ANO STREET)
776 Windham Drive
CnY STATE ZI- CODE ARLA COOUDAYTIME PfgNE
Claremont, CA 91711 (909) 626-1224
co
r~lAMt ( I,D. NUMSER
Sandy Baldonado for City Council I Pending
Statement covers period
from 11/27/98
through 1/16/99
Date of election H applicable:
(Month, Day, Year)
3/2/99
Date Stamp
JAN 2 1 1999
CIYY OF CL~AREMOPl11'
RPAGE-LON
Page 1 of 6
For Otiicial Use Only
utner Committees Not Included in this tatement: ust.nyorhe-
committees not Included !n this consolld~ted statement that are controlled by you and any
commttees o/ whkh you have knowledge that are prlmarlfy formed to receive contrlbutlons
or to make expenditures on i'xhall o/your carxlldaq.
CCN,IMnTEE MAME
I.D. NV'A(IR
NAME O/ TREASURER CONTRCKLED CCMAMRTE[T
^ rrs ^ ro
COMMrtTEE ADDRESS tN0• ANO fTllE[T)
City STATL Z» COOS AREA COOUDAYTIME h10N!
CCM.tM(TTEE ADDRESS
MO. AND STREET) coMMrrtcE NAME
I.O. NUMBER
1003 N. Indian Hill Boulevard
CIiY
Claremont, CA 91711 STATE ZI- CCK)E AREA COOE/DAYTDAE -NONE
(909) 626-1224 NAME OR TREASURER CONTROII[D CC».IMRTEII
~
. ^ YES ^ No
NAME OF TREASURER cOMMrTTEE AooRESS (NO. AND STREET)
Anne Ashford and Cindy Sullivan
-EMIAN
I
E
fT ADDRESS 01 TR[ASt1RER
1003 N. Indian Hill (NO. ANO STR[[T)
Boulevard CITY STATE ZT/ C00[ AREA CODE/DAYTIM[ -F10N[
CT<Y STATE Z
-
I
COD( AREA COOEJDAYTIME M10NE
•. Claremont, CA 91711 (909) 621-1953
Attachaddk/onalln/CNTnadononapproprlatelylabekdcont/nvat/on sheets.
erl Icatlon
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the hart of my fledge the Inlormation contained herein and in the attached schedules is
true and complete. 1 certify under~y natty of perjury under the laws of the State of California that the foregoin rue r(d correct.
Executed on ~ ~~~ 7 7 At Claremont, California __ By ~f,, ~~~_ _ ~
DATE CRY AND STATE ..__.._____ _.
An officeholder or undldate who controls a committee must also verHy the campaign statement. I have used all reasonabl! diligence and to the hasty 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 irtormation contained he i and in the attached schedules is true and
complete. I certi under penpahy of perjury under the laws of the State of Cali ~ ornia that the foregoing is true and c rect.
Executed on ~ a~ ` -` ~ At Claremont, California e
r
~ DAT C C CRY ANO STATE 9 __ SIGNAT r. OI NDIDaT[/Or/KE
Executed on At Claremont, California 9y
D E CRY AMO STATE B SIGNATURt Of Treasurer
Executed on ~~ ~ ~~ ~ At y /
DATE CRY ANO STATI SIGNATURE 01 CANDIDAT(p/IKENOIDLR
rOR IN-ORMATIOM RECIVIRIO f0 aE -ROVIDEO To YOU -UASUAM TO THE INrORMATIOM -MCTKf S ACT Of 1977, S[E INrORMATION MANUAL ON CAMPAIGN DISCLOSURE -ROvISIONS 0- TNt PO1111CA1 REIORM ACT
State of California Falr Dolltical Dla<tices Commission
--C~mpaign Disclosure•Statement Type orprlntlnlnk. SUMMARY PAGE
Summary Page Amounts may bt rounded
Statement coversperfod
. 4owhokdollars.
from 11/27/98
SEE INSTRUCTIONS ON REVERSE through 1/16/99 Page 2 ~ 6
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITT EE I.D. NUMBER
Sandra Baldonado, Sandy Baldonado for City Council Pending
Contributions Received Column A Column B* Column C
• TOTAL TMS KI000
ffROM ATTAd1E0 SWEDUItS) TOTAL M1[VIOUS KNOO
~ (SEE NOTE aElO'MQ TOTAL TO GATE
tA[!D COLUMNS A ~ e)
1. Monetary Contributions ............................... schedule A, urx 3 S 4, 218.00 S 0 S 4, 218.00
2. Loans Received .............................. schedure e, une 7 0 0 0
SUBTOTAL CASH CONTRIBUTIONS ...................... Addunes ~ . 2 t 4, 218.00 s 0 s 4, 218.00 '
Non-monetary Contributions ......................... Schtdtrk ~, une 3 0 0 0
S. SUBTOTAL CONTRIBUTIONS:(EzdurkEnfbrreabk Promr:es) adldunes3 . ~ S 4, 218.00 : 0 s 4, 218.00
6. Enforceable Promises 0 0
(Exchida Loan Guarantee; flee fe below) ...................
Schedule D, Une 7 0
7. TOTAL CONTRIBUTIONS RECEIVED Adduness . 6 S 4, 218.00 s 0 : 4, 218.00
Expenditures Made
B. Cash Payments (Other than loans Made) ............ Schedule E, une s s 1, 097.25 s 0 s 1, 097.25
9. Loans Made ............................................. schedule H, Line 7 0 0 0
10. SUBTOTAL CASH PAYMENTS ............................ Addunes e . 9 s 1, 097.25 s 0 s 1, 097.25
11. Accrued Expenses (Unpaid Bills) ........................ sd+edure F une s 0 0 0
12. TOTAL EXPENDITURES MADE ......................... Add uses io + f t s 1, 097.25 s 0 s 1, 097.25
Current Cash Statement
SBeginning Cash Balance ...... Previous summary Paye, cr.Te r7
S
0 _
14. Cash Receipts ...................................... CdvmnA, Une 3 above
4, 218.00 From previous Statement Summary Pagt, Column C. However, 11
this is the first report filed for the calendar year, Column B should be
15. Miscellaneous Increases to Cash ........................ Schedure r, une ~ 0
16. Cash Payments .................................... column a, une fo above 1, 097.25
17. ENDING CASH BALANCE ..... Aditrnes f3 . t~ * 15, thensubtrad Une f6 S 3,120.75
dMlsls a terminatbn statemerTt, Une i7 must be xero. ENaN~ usN sAUNO: sNOULo
NOT eE A NEWTIVE AMOUNT
18. LOAN~GUARANTEES RECEIVED .............. Schedule e, Part 1, Column (b) s ~
-Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................ see instructions on reverse s __ 0
20. Outstanding Debts ................. Addune~ • Une 11lnColumnCabove s n
blank except for Loam Received (Line 2), Enforceable Promises (line
6), Loans Made (Line 9), and Accrued Expenses (Line 11).
Summary for Candidates in Both June and
November Elections
1r1 through 6/30 7/1 to Date
21. Cont~ib~tions ___ _ ___
ecelve ... s
22. ~x~4nditures --- ___
de s
. Sched u le A Type or print In Ink.
Monetary Contributions Received Amounts may be rounded
to whole dollsn.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Sandra Baldonado, Sandy Baldonado for City Council
DATE FULL NAME AND ADDRESS OF CONTRIBUTOR
(IF COMMITTEl.IN ADDITION TO COMMRTE['S NAME AND ADDR[SS
EIfT[R I
D
NUMEER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE
RECEIVED ,
.
.
OIl N NO I.O. NUMlER NAS SEEN ASSIGN[D, EFfTER TR[ASUR[R'S NAME AND ADDRESS)
(IF NAME OF ~USNIESS TER
REC ER OD HIS CALENDAR YEAR
(1AN. 1 - DEC. 31) OTHER
(IF APPLKABLE)
Sandy Baldonado Attorney at Law $100
/27/98 776 Windham Drive Sandra Baldonado
Claremont, CA 91711
Jacqueline Jacobsen Owner $100
12/8/98 184 Brown Avenue Oak Tree Country
Claremont, CA 91711 Day School-
William McVittie Judge $250
12/-24/98 400 Civic Center Plaza Los Angeles County
Pomona, CA 91766 Superior Court
1/11/99 Diann Ring ~
816 Peninsula Avenue Community Activist $100
Claremont, CA 91711
Roger Ginsburg Attorney at-Law $100
1/13/99 114 N. Indian Hi11,Boulevard Roger A. Ginsburg
.Claremont, CA 91711
SUBTOTAL S 650
..........v~~ ~.vrraFruuuvFFa ~unnna[y
1. Amount received this period - contributions of S 100 or more.
(Include all Schedule A subtotals.) .................................................................................................... S 1,175
2. Amount : eceived this period - contributions of less than S 100.
(Do not itemize.) ......................................................... .
S
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ........ ......................... ...... TOTAL S
3,043
4,218
Schedule A (Continuation Sheet) Type orprintinink. SCHEDULEA(COnt.)
Monetar Contributions Received Amoun;smayDerounded
y Statement coversperlod
to whole doilan.
from 11/27/98
through 1/16/99 PaQ. 4 ~ 6
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Sandra Baldonado, Sandy Baldonado for City Council I.D. NUMBER
Pending
DATE
RECEIVED FULL NAME AND ADDRESS OF CONTRIBUTOR
(IrCOMMnTE[,INADDrt.IONTOCOMMRTEE'SNAMEANOADDRESS,EIrtfIII.D.NUMSER
OR.Ir NO I.D. NUMBER 11AS ~EfN ASSIGNED. ENTER TREASURER'S NAME AND ADDRESS) OCCUPATION ANO EMPLOYER
(I/fElr{MROtED,ENTER AMOUNT
RECEIVED THIS CUMULATIVE TO DATE
~I4 LENDARYEAR CUMULATIVE TO DATE
OTHER
NAME Or ausINESS) PERIOD (JAN. 1 • DEC. 31) (IF APPLICABLE)
Frank Hungerford Investor $100
!13/99 1559 N. Webster Avenue Office of Frank '
Claremont, .CA 91711 Hungerford
Mary Anne Cox Thompson Retired $125
1/13/99 897 W. Bonita Avenue
•Claremont, CA 91711
Barbara Way Dean/Professor $100
.1/13/99 319 Dunbarton Cal Poly Pomona
Claremont, CA 91711
1/15/99 Robert Stafford
900 E. Harrison
H4 Attorney at Law $100
, Robert Stafford
Pomona, CA 91767
1/15/99 Marylouise Stafford Retired $100
900 E. Harrison, H4
Pomona, CA 91767
SUBTOTAL S 525
' • Schedule E Type orprlntlnlnk. SCHEDULE E
Amounts maybe rounded Statement covers period
• Payments and Contributions to whole dollars. 11/27/98
(Other Than Loans) Made frDm
SEE INSTRUCTIONS ON REVERSE through 116/99 Pepe 5 ~ 6
NAME OF OFFICEHOLDEROR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
Sandra Baldonado, Sandy Baldonado for City Council Pending
CODES FOR CLASSIFYING EXPENDITURES
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) •E• - BROADCA.cTADVERTISING 'G' - GENERAL OPERATIONS ANDOVERHEAO~
CONTRIBUTIONS TO OTHERCANDIDATES •N' - NEWSPAPER AND PERIODICALAOVERTISING °T' -TRAVEL, ACCOMMODATIONS AND MEALS
AND COMMITTEES •O- - OUTSIDE ADVERTISING (MUST sE DESCRIBED)
'I- - INDEPENDENT EXPENDITURES 'S- - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLKITATIONS ~P' - PROFESSK)NAL MANAGEMENT AND CONSULTING
'L' - LITERATURE 'F- - FUNDRAISING EVENTS SERVICES
~; NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
Qr CDMMRTL[, w AODfT1pN TO COMMRT[['S MAMt ANO ADDIItSS, [Ni[II ~.o. NUMe[R OIL M NO i.D. 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.
NUMetlllYlS e[[N Aff~GN[D, LNT[ItTIWSWItR'S NAM[ AND ADD11[SS)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Marilyn Dale
433 Baughman
Claremont, CA 91711 Reimbursement of Expenses:
See Schedule G for vendors receiving
$100 or more
$980.63
ofi~holdert,rarndidates, committees, or ballotmeasuresmust als ben teredon theA/location Page, Part L SUBTOTAL S 980.63
Payments and Contributions Made Summary
1. Payments made this period of 5100 or more. (Include all Schedule E subtotals.) ............................:......................... S 980.63
2. Payments made this period of under 5100. (Do not itemize.) ...................:........................................... .... s
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule @, Part II, Column (d).) .............................. s
116.62
0
4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ..................................... s 0
S. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8.) ........... TOTALS 1.097.25
.SLhr~•dule G Type or printlnlnk.
Pa ments Made by an A ent or Independent Amounts may be rounded
• Contractor (on Behalf of an Officeholder or to whole dollars.
_ Candidate)
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
NAMEOFAGENT
Sandra Baldonado, Sandy Baldonado for City Council
I.D. NUMBER
Pending
Marilyn Dale,
CODES FOR CLASSIFYING EXPENDITURES
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.
'L' - LfTERATURE
'B' - BROADCAST ADVERTISING
'N' - NEWSPAPERANDPERIODKALADVERTISING
'O' - OUTSIDE ADVERTISING
'S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOUOTATIONS
'F' - FUNDRAISING EVENTS
'T' - TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
NAME AND ADDRESS OF PAYEE OR CREDITOR
a CCNAMtRtE, W AOnR10N TO CpMMRTtt'f NAMt AND AD011ESS. [LATER L0. NUMaIR OIL /
HOLD.NUMttRNAfaE[NASfIGNEO,tNTERT11tASU11[Il'fNAM[ANt1AD011ESf) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Printing Works
681 East Foothill Boulevard
Pomona, CA 91767 L $418.92
Vilma Caldwall Sales
11557 Embree Drive
E1 Monte, CA 91732 O $250.00
U.S. Postal Service
140 Harvard Avenue
Claremont, CA 91711 L $256.00
,
Statement covers period
from
11/27/98
SCHEDULE G
through 1/16/99 I Pam 6 ~ 6
Attachaddlttonallnformationonappropriatelylabeledcontinua:ionsheets. ~ TOTAL• S 924.92
• Do not transhr to any other schedule o- to the Summary Paye. Th/s total may not eQua/the amount paid to the aflent or independent contractor as reported on Schedule E by the olliceholdeNCandida te.