HomeMy Public PortalAboutForm 490 (Jan 17 - Feb 13, 1999)Officeholrier, Candidate, Type Dr printlnlnk.
and Controlled Committee
Campaign Statement -Long Form
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to Indlate the type of statement being filed:
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 rtatement.)
lc o er an l ate, an ontro a ommlttee
Inclu~ed in this Statement
NAME OF OFFICEHOLDER OR CAN ATE
Sandra Baldonado
/KE SOVGIET OR NEID PMCLUDE IOtAT10N AND DtsTRKT MUMaER M AF'/EKJ1alE)
City Council, City of Claremont, California
IItS10E 1R1A1011 aVSINESS ADOR[SS (FFO. AND STREET)
776 Windham Drive
CRT ~ STATE ZI- COOE AREA COOUDATTIME MIONE
Claremont, CA 91711 (909) 626-1224
ENAME
Sandy Baldonado for City Council
COMMRTt[ ADDRESS
1003 N. Indian Hill Boulevard
I.D. NUMaER
Pending
cRr STATE zlr coot AREA coouDArTIMt -IIONE
Claremont, CA 91711, (909) 626-1224
NAME OF TREASURER
Anne Ashford and Cindy Sullivan
t'tRMANEN7 ADDRESS Or TR[ASVRLR (No. AND fTRLET)
1003 N. Indian Hill Boulevard
JTY STATE EI-COOE AREA COOt/DAYTIME MFONE
Claremont, CA 91711 (909) 621-1953
Statement covers period
from 1/17/99
through 2/13/99
Date of election H applicable:
(Month, Day, Year)
3/2/99
Date Stamp
~EC~O~~~
FEB 1 8 1999
C14Y CLERK
CCTV OF CLAREMOWT
use only
utner committees Not Included in this Statement: ust.nyother
committees not Included in this consolldatedrtatement that are contro/fed by you and any
commfKees of whkA you have knowledge that are prlmarffy loaned to receive contrlbutlons
a to make expenditures on i'xhal/ of your candkiaq.
Co>aMRTEE NAME
I.D. NVh1afR
NAM(W TRIASIMER CONTROIIED COMMRTE[1
^ its ^ NO
COMMrTT[t ADOItESS ~ M0. ANO STREtT)
CRr STATE ZN CODE AREA COOt/DATTIME --FON[
COMMRTEE NAM[
I.D. NVM
NAME Of TREASURIR CONTROII[0 COMMRT[ET
^ its ^ ND
COMMrtTtE ADDRESS (NO. AND STREET)
CfTY STATE EM COD[ AREA COOUDAYTIM[ MFONE
Attach addh/onal information on appropriately bbekdcorTtinuat/on sheets.
erl Icabon
I hart used all reasonable diligence (n preparing this statement. I have reviewed the statement and to the best of my ge t~h~e inl~rm~ation contained herein and in the attached schedules is
true and complete. 1 certify under Wally of perjury under the laws of the State of California that the foregoin rue a cofrecte=-I~
Executed on ~ ~~~~ ~ At Claremont, California- By
DATE CITY ANO STATE SIGNATURE OE T SURtR
An officeholder or wndldate who controls • committee must also wrHy the umpalgn statement. I have used all reasonable diligence and to the b!rt 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 informatio <ontained ein and in the attached schedules is true end
complete. I certify under penahy of perjury under the laws of the State of California that the foregoing is true a rrect.
Executedon a ' ~~ ' ~ ~ At Claremont, California ey
DA I CRY AND STATE SIGNATURE OE CANgDATE/MFKENOIOER
Executed on At Claremont, California 9y ~
o TE CRT AND STATE SIGNATVRE DF Treasure r
Executed on At By
DATI CRY ANO STAT( SIGNATUR( OI CANDIOA1EKkFICENOIDLR
FOR INFORMATION REQUIRED TO 1E t'ROVIOEO TO TOV -URSUANT TO iNE INFORMATKNI f'MCTK[S AR O/ If7r, S(F INFORMATION MANUAI ON CAMPAIGN DISCIOSVRE -IIOVISIONS OI TN( -Ol ITKA( REIORM ACl
COVERPAGE-LONGFORM
1 of 7
State of Call}ornis Falr Volltical Practices Commission
Campaign Disclosure Statement
Summary Page
Type or print In Ink.
Amounts mar be rounded
to whole dollars.
Statement covers period
from 1/17/99
SUMMARY PAGE
SEE INSTRUC110NS ON REVERSE througA 2/13/99 -aQe 2 o f 7
NAME OF OFFKEHOLDER OR CANDIDATI: AND CONTROLLED COMMITTEE I.D. NUMBER
Sandra Baldonado, Sandy Baldonado for City Council Pending
Contributions Received column A Column e• column C
• TOIAI THS rtRJ00
OROM ATTACHED sWEDUI[S) TOTAL Mt[V1pl)S -[11100 TOTAI TO DATE
~ (SQ NOT[ e[lOM1~ (ADD CDIUMNS A ~ ~
1. Monetary Contributions ............................... schedule a, une 3 S 8, 466.00 s 4, 218.00 s 12, 684.00
2. Loans Received .................................... schedule e, une ~ 0 0 0
SUBTOTAL CASH CONTRIBUTIONS ...................... AddUnes t .2 s _ 8.466.00 s 4, 218.00 s 12, 684:00
Non-monetary Contributions ........................ . Schedule G une 3 0 0 0
5. SUBTOTAL CONTRIBUTIONS:(Exdude Enforceable Promltet) Add Unes3 • t S 8.466.00 S 4, 218.00 s 12 , 684.00
6. Enforceable Promises 0 0 0
(Exctudie Loan Gvar~ntee; une to below) ................... Schedule D, Una 7
7. TOTAL CONTRIBUTIONS RECENED AddUnesS • 6 s 8, 466.00 s 4, 218.00 S 12, 684.00
Expenditures Made
8. Cash Pa ants (Other than Loans Made Schedule E, LhNr s
yn'1 ) ............ s 3 , 716.34 s 1, 097.25 s 4 , 813.59
9. Loans Made ..................................
........... Stheduk H, Una 7
0 ~ 0
10. SUBTOTAL CASH PAYMENTS ............................ Addunesa • 9 s 3, 716.34 S 1, 097.25 s 4, 813.59
11. Accrued Expenses (Unpaid Bills) ....................... . SdTeduk F, une s 0 0 0
12. TOTAL EXPENDITURES MADE ......................... Add uses to . t t S 3, 716.34 s 1, 097.25 s ~ 4, 813.59
Current Cash Statement
~eginning Cash Balance PrevJovsSumnEaryPaye, une 17
~ ~ ~ ~ ~ ~ ~ ~ S 3, 120.75
14. Cash Receipts ...................................... Cotun+nA, Une 3 above
8, 466.00 From previous Statement Summary Page, Column C However, If
this a the first report tiled for the calendar rear, Column 6 should be
15. Miscellaneous Increases to Cash ........................ Schedure ~ une a
0 blank except for loero Received (Line 2), Enforceable Promises (Line
6), Loans Made (Line 9), and Aoxued Expenses (Line 11).
16. Cash Payments .................................... Column.q, Una to .bore 3 , 716.34
17. ENDING CASH BALANCE ....: Adidunes t3 . t~ . IS, then subtractL/ne 16 s 7, 870.41 ~ Summary for Candidates in Both June and
MthJs&atenrE,n,t~forESCatenEerTt,u,Te trmustbes~era ENDINGCgsMtAEANQ:NOUio November Elections
NOT t[ A NEGATIVE AMOIIHr
18. LOAN GUARANTEES RECEIVED .............. Schedule e, Part f, Column (b)
S
0 CC 1/1 through 6x30 7/1 to Date
21' Receive~tions s ____ ____
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................ seelnstn+cHonsonreverse s 0 22. Ex~4nditures ____ ____
M de s
20. Outstanding Debts ................. Addune? • une ttlnColumnCabove s 0
Schedule A Type orprlntlnlnk. SCHEDULER
Amounts may be rounded Statement covers period
Monetary Contributions Received tDwhDledouar:. ~ ;I
from 1/17/99 ~
SEE INSTRUCTIONS ON REVERSE through 2/13/99 p~9e 3 ~ . 7
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
Sandra Baldonado, Sandy Baldonado for City-Council Pending
DATE
RECEIVED FULL NAME AND ADDRESS OF CONTRIBUTOR
(IrCON1MITTEE,MIADDRgNT000MMRTE['SNAM[ANDADDII[SS,fIREIII.D.NUMlE11
' OCCUPATION AND EMPLOYER
(1fS[lf-EM-IO~ED,ENT[R AMOUNT
RECEIVED THIS CUMULATIVE TO DATE
('ALENDARYEAR CUMULATIVE TO DATE
OTHER
01~rN01.D.NVMa[RNASeEENASSIGN[D,ENTERTIIEASUIIfR
SNAMEANOAODRESS) NAME Of~VS1NESS) PERIOD (1AN.1-DEC.31) (IF APPLICABLE)
Ron and Susan Cohen ~ Attorney
13/99 2275 Oxford Avenue Sidley 5. Austin 100.00
Claremont, CA 91711
Woody Douglas Owner
1/29/99 2058 N. Mills, Suite 233 Woody Douglas Gunite 150.00
Claremont, CA 91711 Company
Miguel Garcia Physician
1/30/99 2835 Rosemary Drive Miguel A. Garcia,M.D. 100.00
West Covina, CA 91791
Ronald Griffen Retired
1/18/99 1549 E. Vine Avenue 200.00
West Covina, CA 91791
Jerry Irish Professor
1/21/99 654 California Drive Pomona College 125.00 ,
Claremont, CA 91711 ,
SUBTOTAL S 675.00
mvneLary a.vninouzions summary
1. Amount received this period - contributions of S 100 or more. 1, 275.00
(Include all Schedule A subtotals.) .....................................................................~::............................. S
2. Amount received this period - contributions of less than S100. 7,191.00
(Do not itemize.) ...................................................................... ..................................... .......... S
3. Total monetary contributions received this period. 8, 466.00
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .... ... ................................. TOTAL S
Schedule A (Continuation Sheetl Typ.orprlntinink. SCHEDULEA(COnt.)
Monetar Contributions Received Amountimayberound~d
y StstemeMtoversperiod
to whole dollars.
from 1/17/99
through 2/13/99 pay. 4 ~ 7
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.O. NUMBER
Sandra Baldonado, Sandy Baldonado for City Council Pending
DATE
RECEIVED FUII NAME AND ADDRESS OF CONTRIBUTOR
MCDMMITT[E,MADDRIONTOCOMMrtTt['SNAM(ANDADOII[SS,[Ni[111.D.NVM~I11
p~pND~,p.NVM~t~MAS~I[NAff1GN(D,IIR(RTIIEASURr4YNAM[ANDADDRtff)
«CUPATIONANDEMPLOYER
(n NAM
a~r
SMESSiE~ AMOUNT
RECEIVED THIS CUMULATIVE TO DATE
CAIENDARYEAR CUMULATIVE TO DATE
OTHER
l
V PERIOD 1AN.1-DEC.31) (IF APPLICABLE)
Mary Ellen Kilsby Pastor
•/17/99 4647 E. 4th Street United Church of 100.00 '
Long Beach', CA 90814 Christ, Long Beach
Dolores Martin Attorney
1/17/99 427 Yale Avenue, #103 Law Offices of 100.00
' Claremont, CA 91711 Dolores K. Martin
Julie Monson Retired
1/17/99 Box 1417 $100.00
Pt. Reyes Station, CA 94956
Loyal Nixon Broker
2/9/99 815 West 17th Street $100.00
Upland, CA 91784 Superior Property .
Management
/18/99 Carlos Teran
~ Retired Judge
an;d 1586 Mural Drive $100.00
2/12/99 Claremont, CA 91711
Mary Weis Director of Alumnae
2/3/99 545 West 11th Street Relations $100.00
Claremont, CA 91711 Scripps College
SUBTOTAL S 600.00
Schedule E
Payments and .Contributions
(Other Than Loans) Made
Type or print In Ink.
AmouMS may b~ roundtd
to whoN dottan.
Statement coven Pam
from 1/17/99
SCHEDULE E
SEE INSTRUCTIONSON REVERSE throu9A 2/13/99 Paps 5 ~ 7
NAME OF OFFICEHOLDER ORCANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
Sandra 13aldonado, Sandy Baldonado for City Council Pending
CODES FAR 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-KINDgNON-MONETARY) •®• - BROAOCA.tTADVERTKING 'G' - GENERALOPERATIONSANDOVERHEAD~
CONTRIBUTIONS TOOTHERCANDIDATES •N- - NEWSPAPERANDPERIOOKALADVERMING °T• -TRAVEL, ACCOMMODATIONSANOMEALS
AND COMMITTEES ~ •O' - OUTSIDE ADVERTISING (MUST 0E OESCRtBEO)
'1' - INDEPENDENT EXPENDITURES ~ •S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLKITATIONS ~P~ - PROFESSIONAL MANAGEMENT AND CONSULTING
'L' -LITERATURE •F' - fUNDRAKING EVENTS
SERVICES
NAME AND ADDRESS OF PAYEE. CREDROR.OR REOPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
pr coMMnTtt. M ~oomoN To coMMtrrtt's iuurt Ago •ooass, trrttR w. rn*ratR oR r rq i.c. REPORT ONLY TH E LUMP SUM OF SUCH PAYMENTS ON UNE 4 OF THE SUMMARY SECTION BELOW.
Nuwata w-s actN ~ss~cuto. nrrtRluwsuatRi w-Mt a+o aooatss)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Vilma Caldwell Sales
11557 IInbree Drive 0 975.05
E1 Monte, CA 91732
The Claremont Club
1777 Monte Vista Avenue F 250.00
Claremont, CA 91711
Marilyn Dale Reimbursement of expenses
433 Baughman~Avenue ~ See Schedule G for vendors receiving 654.56
Claremont, CA 91711 $100 or more
-mportant: ContrlDVtlons annexp eno~tures mace out of campaign funds to or on behalf of other SUBTOTAL S 1, 879.61
officeholders, candidates, cor»mlttees, or ballot measures must also be entered on the Allocation Page, Part 1.
Payments and Contributions Made Summary
1. Payments made this period of 5100 or more. (Include all Schedule E subtotals.) ............................:......................... S 3 ~ 619.56
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 B, Part II, Column (d).) .............................. s
4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) .......................... .
5. Total payments made this period. (Add Lines ;, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8.) ......... .
96.78
0
......... s 0
• TOTALS 3,716.34
Schedule E Type or printlnink. SCHEDULEE(tont.)
(Contir!;~ation Sheet) Am eowloi:d~ola~ `~
Statement coven riod
w
I
payments and Contributions 1/17/99
Other Than loans Made from
SEE INSTRUCTIONS ON REVERSE through 2/13/99 Page 6 ~ 7
NAME OF OFFKEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
Sandra Baldonado, Sandy Baldonado for City Council ~ Pending
CODES FOR CLASSIFYING EXPENDITURES
'C - MONETARYANDIN-KIND(NON•MONETARY) 'B' - BROADCASTADVERTKING 'G' - GENERAL OPERATIONS AND OVERHEAD
CONTRIBUTIONS TO OTHER CANDIDATES 'N' - NEWSPAPER AND PERIODICAL ADVERTISING 'T' - TRAVEL, ACCOMMODATIONS AND MEALS
AND COMMITTEES
~I' - INDEPENDENT EXPENDITURES 'O' -
'
' OUTSIDE ADVERTISING (MUST 0E DESCRIlED)
~P' ' PROFESSIONAL MANAGEMENT AND CONSULTING
S
- SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITA TIONS
'L' - LITERATURE 'F' - FUNDRAKING EVENTS
SERVKES
NAME AND ADDRESS OF PAYEE, CREDROR, OR RECIPIENT OF CONTRIBUTION
pf COMYRRE, Ey ADDRION TO C'OMMRTEEZ NAME AMO ADDRESS, ENTER I.D. MUMaER OR. / MO ID.
NUMaER NAS BEEN ASfIG11ED, [NT[RTR[AfUll[R'f NAME AMO ADDREST)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Zoe TeBeau
1009 West Butte Street ~ F 124.15
Claremont, CA 91711
Claremont Courier
111 South College Avenue N ~ ~ 1,615.80
Claremont, CA 91711
SUBTOTAL S 1,739.95
Scfieduie G Type or printlnink. SCHEDULEG
Pa ments Made by an A ent or Indeppendent Amounts may be rounded StatemeMcoversp.riod
Contractor (on Behalf of an Officeholder or towholedollan. from 1/17/99
Candidate)
SEE INSTRUCTIONS ON REVERSE ~ through 2/13/99 P~~ 7 ~ 7
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE ID. NUMBER
Sandra Baldonado, Sandy Baldonado for City Council Pending
NAME OF AGE NT OR INDEPENDENT CONTRA[TOR
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 ofSchedule E-Continuation Sheet for detailed explanations of each category.
'L' - LITERATURE
'B' - 6ROADCASTADVERTISING
'N' - NEWSPAPERANDPERIODICALADVERTKING
'O' - OUTSIDE ADVERTKING
'S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOUOTATIONS
'F' - FUNDRAISING EVENTS
'T' - TRAVEL, ACCOMMODATIONS AND MEALS
(MUST 0E DESCRItED)
NAME AND ADDRESS OF PAYEE OR CREDITOR
Qi fbMMrrRt, MI ADORl011 TO CD•INgfT[['S NAM[ Alq AOOR[ff. [IfitR LD. NUMa[A ~ ~
No LO.NUw~RtwraNASSw+uo,cNTCaTau-watirsNAMCANOAOOassl CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
AADCO Print and Mail
1342 N. Benson Avenue, Suite C L 259.15
Upland, CA 91786
Printing Works ~ .
681 East. Foothill Boulevard L 344.22
Pomona, CA 91767
Attach additional lnforrnstlon on appropriately labeled continua: ion sheetx TOTAL• S 603.37
! • Oo not tranthr to anyotMr schedrrk or to the Summary Pale. Thlt totalmay not eQval the amount paid to the aflent or independent coneractor as reported on Schedule f by the olficeholder/candidare.