HomeMy Public PortalAboutForm 490 (Feb 14 - June 30, 1999)~O#ficeholder, Candidate, Type or print in ink.
and Controlled Committee
Campaign Statement -Long Form
(Government Code Sections 8420()-84216.5)
SEE INSTRUCTIONS ON REVERSE
Check one of the folbwing 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 ommittee
Inclu~ed in this Statement
NAME OF OFFICEHOLDER OR tJ1N ATE
Sandra Baldonado
/KI SOl1GM Oil NEID (IIICLUO[ IOCATNT1/AN0 DISTRKT NUMa[R M A--LKAaIE)
City Council, City of Claremont, California
RESIOENruu oR allsrNESS ADDRESS pFO. ANO sTRE[n
776 Windham Drive
CRY sTATE ZI- CODE AREA COOE/DAIrTwE MION[
Claremont, CA 91711
Baldonado for City Council
I.D. NUMaER
990114
COMMITT[[ ADDRESS (NO. AND STREET)
1003 N. Indian Hill Boulevard
CRY STATE ZI-COO[ AREA CODE/DAYTIME MKN[E
Claremont, CA 91711 (909) 626-1224
NAME OF TREASURER
Anne Ashford and Cindy Sullivan
-ERMAN[NT ADDR[sS p TRUSURER p'-0. AND STR[ET)
1003 N. Indian Hill Boulevard
COVERPAGE-LONGFORM
Statement covers period
from 2/14/99
through 6/30/99
Date of election H applicable:
(Month, Day, Year)
3/2/99
Date Stamp
RECEi~/EI®
JUN 3 0 1999 P.g. 1 ,~ 7
For official use only
CITY CLERK
CITY OF CLAREMONT
utner ~ommlttees loot Included In this Statement: urtanyother
commktees not Included In this consolldatedrtatement that are conVOlled by you and any
committees of whkh you have knowledge thst are prfmarfly formed to rece/ve contrlbutIons
or to make expenditures on 6ehaN of your candldaq.
coMMm[t ru~M[
I.D. NUh1a[R
NAME CM TRLASURER CO-RROILID COMM[TTEIT
^ rES ^ NO
COM MRTIE ADO11E SS prD. ANO fTREfT)
CRY fTATI Zt- too[ AREA CODE/DAYTIME -/ql/!
I.D. NUMa[R
NA1dE W TREASURER CON'TROlLEO COMMRT[[1 --
^ r[s ^ NO
COMMRTEE ADDRtfS (NO. AND STR[IT)
CRY STAT[ ZM COOS AREA COOGDAYTIM[ h10N[
CRY STATE ZI- COO( ARIA COOUDAYTIME MIONE
Claremont, CA 91711 (909) 621-1953 attachaddn/onalln/ormat/ononapproprlateylabeMdconUnuadonsheets.
eri (cation
1 have used all reaso able diligence In preparing this statement. I have reviewed the statement and to the hart of m [~-IOw~edge th lormation con fined herein and in the attached schedules is
true and comp) . I certify un~d+er natty of perjury under the laws of the State of California that the foregoi true a,l~correct~~r
Executed on r ~• 7 At Claremont, California ~~
OAT( - CRY ANO STATE trcwArnu ^r.ci ur•
An officeholder a wndWate who corttroK a committee must also verHy the umpalgn statemert. I have used all reasonable diligence and to the my knowledge the treasurer has used sll
reasonable diligence in preparing this statement. I have reviewed the rtatement and to the best of my knowledge the in ormation contained h nd in the attached schtdules is true and
complete. I certi and r penahy of pery'ury under the laws of the State of California that the foregoing is true and c
Executed on ~ At Claremont, California Br
GATE CRY ANO STATE SIGNATU UNgDAT[/W rK[MOIDIR
Executed on At Claremont, California By ~ `
DAT CRT ANO sTATE SIGNATURE Dr Treasurer
Executed on
DATE
At
CRr AND STAT[
By
SIGNATUR[ OI CANDIDAT[ArIK[NOl O[R
rOR INIOMIATION RECMIIR[D i0 [[ -ROVIDEO TO roll -URSUANi TO THE INIORMATION -MCTKES ACT Of 197), SEE INIORMATION MANUA[ ON CAMPAI(,M DISCIOSVR( -ROVISIONS Of TN( -O' ITICAI R[IORM ACl
State of California Falr Political Practices Commission
'Campaign Disclosure Statement Trpeorprlr>tlnlnk. $UMMARYPAGE
Summar Pa a
Y 9 Amounts marbfrounded
tD whole dDllars. Statementcoversperfod
from 2/14/99
I
SEE INSTRUCTIONS ON REVERSE thr h 6/30/99
ouq 'a
2 7
Qe d
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
Sandra Baldonado, Sandy Baldonado for City Council. 990114
Contributions Received Column A Column B' Column C
• TOIAI T-fS RI000
QROM ATTACHED SO~EDUIES) TOTAi r'REVgUS tENOp
(SEE NOTE a[LOM1~ TOTAL TO DATE
(ADD COIUMIrS A ~ h
1. Monetary Contributions ............. schedule a, une 3 S 1, 607.00 s 12, 684.00 s 14, 291.00
2. Loans Received ......................................... Schedule e, une ~ 0 0 0
3. UBTOTAL CASH CONTRIBUTIONS ......................
~ Addunes f . 2 S 1, 607.00 S 12, 684.00 S 14, 291.00
~on-monetary Contributions ......................... sctieduk C une 3 0 0 0
S. SUBTOTAL CONTRIBUTIONS:(Eadu~deErEfbrceablePromises) adHUnes3 •t S 1,607.00 s 12,684.00 : 14,2Q1.00
6. Enforceable Promises 0 0
(Eacltide loan Guarantee; LMe fe below) ...................
Schedule D, Une 7 0
7. TOTAL CONTRIBUTIONS RECENED AddUnesS • 6 S 1, 607.00 s 12, 684.00 s 14, 291.00
Expenditures Made
8. Cash Payments (Other than loans Made) ............ schedule E, une s s 6.261.88 s 4, 813.59 s 11, 075.47
9. Loans Made .........................................
.... Schedule ne ~
H u 0
0
0
10. SUBTOTAL CASH PAYMENTS ............................ Aotdunes6 . 9 s 6 ~ 261.88 S 4, 813.59 s 11, 075.47
11. Accrued Expenses (Unpaid Bills) ........................ schedule F, une s 0 0 0
12. TOTAL EXPENDITURES MADE ............. . adklunes ~o . i f S 6, 261.88 s 4, 813.59 s 11; 075.47
Current Cash Statement
1~innl Cash Balance !'revlovssumma Pa e,unel7 s 7870.41
~ "" ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ry ~ 'From previous Statement Summary Paye, Cdumn C. However, If
14. Cash Receipts ...... Co/umna, une 3 above 1 , 607.00 this is the first report filed for the ukndar rear, Column B, should be
1 S. Miscellaneous Increases to Cash ........................ Schedules r, une ~ 0
16. Cash Payments ............................ ..... Co/umn,4, Une 10 above 6, 261.88
17. ENDING CASH BALANCE ..... Adiunes F3 . 1~ s fS, thentubrract une f6 S 3, 215.53
K rA/f IE a tlRIIIMtIOn ftafl RfIM, une I7 /nYSr b! ZIrO. E NpNG UfN aAU,NQ SNpu[D
NOT a[ A N[GATIVE AMOUNT
18. LOAN GUARANTEES RECEIVED .............. Schedule e, Pan 1, column (b) S 0'
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................ See instructions on reverse S 0
blank eKCept for Loam Received (Line 2), Enforceable Promises (Line
6), Loans Made (Line 9), and Aoaued Expenses (Line 11).
Summary for Candidates in Both June and
November Elections
1/1 through 6l~0 7/1 to Date
21. Cont~ibL~tions ___ ___
ecelve ... s
22. Mx~de ditures s --- ___
20. Outstanding Debts ................. Addune? . 1kTe t f !n column c,bove s ~
Schedule A Type orprlntlnlnk. SCHEDULER
Amounts may be rounded
Monetary Contributions Received Statement covers period
' ~ ' '
to wholedcllar:.
from 2/14/99
SEE INSTRUCTIONS ON REVERSE tnro~an 6/30/99 Pa9! 3 ~ 7
NAME Oi OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
Sandra Baldonado, Sandy Baldonado for City Council 990114
DATE
RECEIVED FULL NAME AND ADDRESS Oi CONTRIBUTOR
(IICOMMITTE[.INAODET10fIT0001dMETTE[•sNAMfANDAO[MESS,ENTE0.I.D.NUMlE0.
• OCCUPATION AND EMPLOYER
(MS(EI•EM-EOY[D,ENTE0. AMOUNT
RECEIVED THIS CUMULATIVE TO DATE
CALENDAR YEAR CUMULATIVE TO DATE
OTHER
p0.,MNOI.D.NUMBER/1AS/[ENAfSIGNEO.ENTERTItfASU0.ER
sNAMEANOAOOUSS) NAME Oraus+NESS) PERIOD (JAN.1-DEC. 31) (IF APPLICABLE)
2/18/99 Julia Downey Attorney
11828 Henley Lane City of Los Angeles $100.00
Los Angeles, CA 90077
2/18/99 Dorothy Somers Speech Therapist
1612 Mankato Court Fontana School Dist. $100.00
Claremont, CA 91711
2/18/99 Georgette Unis Artist
532 West 10th Street Self-employed $100.00
Claremont, CA 91711
2/25/99 Robert Baldonado= Contractor
927 Montecito Drive Self-employed $300.00
San Gabriel, CA 91776
5/99 Doty Hale Professor/Library Dir.
248 West 7th Street Claremont Graduate $100.00
Claremont, CA 91711 University
- SUBTOTAL S '700.00
nnonetary Contributions Summary
1. Amount received this period - contributions of S 100 or more.
(Include all Schedule A subtotals.) ................................................................................................... .
2. Amount received this period - contributions of less than S 100.
(Do not itemize.) .......................................................................................................................
S 700.00
907.00
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 1.607.00
Schedule E ~ Tr~o<~I":'"'"k•
Amou"ts mar M rounded
Payments and Contributions to wholedottan.
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFKEHOLDER OR CANDIDATE AND CONTROLLED COM MITTEE
Sandra Baldonado, Sandy Baldonado for City Council
CODES FOR CLASSIFXING EXPENDITURES
Statement coven period
from 2/14/99
through 6/30/99 (Ian 4
IA.NUMBER
990114
SCHEDULE E
o+' ?
If one of the follovlring 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.
C - MONETARYANDIN-KIND~NON-MONETARY) •8' - BROADCAtTADVERMING "G' - GENERAL OPERATIONSANDOVERHEAO~
~
CONTRIBUTIONS TO OTHERCANDIDATES. •N" - NEWSPAPER AND PERIODICAL ADVERTISING °T• -TRAVEL. ACCOMMODATIONSArIJMEALS
AND COMMITTEES "O" - OUTSIDE ADVERTISING (MUST sE DESCRItED)
'1' - INDEPENDENT EXPENDITURES "S" - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLKITATIONS P" - PROFESSIONAL MANAGEMENT AND CONSULTING
'L" - LITERATURE "F' - FUNDRAKING EVENTS SERVICES
NAME AND ADDRiSS OF PAYEE. CREDITOR OR REOPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
pf coMwmi[. N aoorrwN ro to~MnT[rs iuur[ Iwo aooa[ss, urrcR w. M~Ka oti rt wo i.o. REPORT ONLY TH E LUMP SUM OF SUCH PAYMENTS ON UNE 4 OF THE SUMMARY SECTION BELOW.
~wa[a w-s actN Assw~co, c-rraTw-suairs w-w¢ Iwo ~ooassl
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
AADCO Print & Mail
1342 N. Benson Avenue, Suite C L 968.38
Upland, CA 91786
John T. Kelly & Associates '
821 North Mariposa Avenue L 212.84
Los Angeles,~CA 90029
Wolfe's Marketplace
160 West Foothill Boulevard F 330.60
Claremont, CA 91711
,.
Imppoortant: Contributtonsandexpenditvresmadeoutofcampaignfundstooronbehalfofother SUBTOTAL S 1,511.82
officeholders; candidates,' contmJttee~, or bal/ot measures must also be entered on the Allocation Page, Part G
Payments and Contributions Made Summary
1.. Payments made this period of 5100 or more. (Include all Schedule E subtota!s.) ............................:......................... S 6 ~ 012.04
2: Payments made this period of under S 100. (Do not itemize.) ...................:.......................:........................... s 249.84
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) .............................. s
0
4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ..................................... s _ 0
5: Total payments made this period. (Add Lines ;, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8.) ........... TOTAL s _ 6, 261.8$
Schedule E Type o<~rl^t In I^k• SCHEDULE E (cont.)
. ~ Amounts mar be rounded
(Contlnuatlon Sheet) towAoNdoears. Statemerrtcovenperiod
Payments and Contributions ~r,r„ 2/14/99
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE throu9A 30/99 Pam 5 ~ 7
NAME OF OFFKEHOLDER OR CANDIDATE AIYO CONTROLLED COMMITTEE I.D. NUMBER
Sandra Baldonado, Sandy Baldonado for City Council ~ 990114
CODES FOR CLASSIFYING EXPENDITURES
'C - .MONETARYANDiN-KIND(NON-MONETAR1n 'S' - BROADCASTADVERTKING
CONTRIBUTIONSTOOTHERCANDIDATES 'N' - NEVYSPAPERANDPERgDKALADVERTISING
ANDCOMMfTTEES '. 'O' - OUTSIDEADVERTKING
'I' - INDEPENDENT EXPENDRURES 'S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICfTATIOfYS _
~- LITERATURE 'F' - FUNDRAISING EVENTS
'G' - GENERALOPERATIONSANDOVERHEAD
'T' - TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
' P' - PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
~~
NAME AND ADDRESS OF PAYEE, CREDfTOR.OR RECIPIENT OF CONTRIBUTION
pr oo~ntn, rr ~comon To co~mrtri air-au pro ~oouss. tKtsn ~.o. r~aca otL r ra ~o.
rrt~rant w-s attN ~ss~to, tKtatt~usuwttts ruwt iuio ~ce~css)
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Claremont Courier
111 South College Avenue N 1,016.10
Claremont, CA 91711
Marilyn Dale Reimbursement of expenses
443 Baughman See Schedule G for vendors 699.17
Claremont, CA 91711 receiving $100 or more
Zoe TeBeau ~ Reimbursement of expenses
1009 West Butte Street See Schedule G for vendors 284.95
Claremont, CA 91711 receiving $100 or more
Claremont Community Foundation -
205 Yale Avenue Charitable Donation 500.00
Claremont, .CA 91711 - ~-
'
Claremont Community Foundation -
Senior EY>dowment Charitable Donation
205 Yale Avenue 500.00
Claremont, CA 91711
SUBTOTAL S 3,000.22
- T a print in Ink.
Schedule E ~ SCHEDULE E (cont.)
. Amounts msr be rounded
(Continuation Sheet) townol.donan. Statement coversperlod
Payments and Contributions from 2/14/99
(Other Than loans) Made
SEE INSTRUCTIONS ON REVERSE through 6/30/99 Page 6 of 7
NAME OF OFFKEHOLDER OR CANDIDATE AND CONTROLLED COMMITTE E I.D. NUMBER
Sandra Baldonado, Sandy Baldonado for City Council ~ 990114
CODES FOR CLASSIFYING EXPENDITURES
•C• - MONETARY AND IN-KIND(NON-MONETARY) •g• _ BROADCAST ADVERTISING 'G' - GENERALOPERATK)NSANDOVERHEAO
COR'TRI8UT10NSTOOTHERCANDIDATES •N' - NEWSPAPER ANDPER~ODKALADVERTISING 'T' - TRAVEL,A000MMODATK)NSANDMEALS
AND COMMITTEES •O• - OUTSIDE ADVERTISING (MUST gE DESCRIBED)
•1• - INDEPENDENT EXPENDITURES 'S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS •P~ - PROFESSIONAL MANAGEMENT AND CONSULTING
- LRERATURE •F• - FUNDRAISING EVENTY SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR.OR RECIPIENT OF CONTRIBUTION
dr cowMmnc, ~ ~oomon to coreranTCCS Mwc ~uro ~ooass, crRCtz r.o. r~sca o~ s+ rro w.
r~mt w-s accts wssrcMCC. crrtcR ruusuacRS ruvec nMO ~oo~css)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Friends of the Claremont Library
208 Harvard Avenue
Claremont, CA 91711 Charitable Donation 500.00
City of Claremont
Youth Activities Center Charitable Donation ~ ~~ 500.00
207 Harvard Avenue
Claremont, CA 91711
City of Claremont
• Youth Scholarship Fund
207 Harvard Avenue ~ Charitable Donation 500.00
Claremont, CA 91711
SUBTOTAL S 1,500.00
Schedule G Type orprlntinink.
Pa ments Made by an A ent or Independent Amounts may ~ rounded
contractor (on Behalf of an Officeholder or towl,ol.d'll'r['
Candidate)
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Sandra Baldonado, Sandy Baldonado for City Council
NAME OF AGENT OR INDEPENDENT CONTRACTOR
IA. NUMBER
990114
Marilyn Dale ~1) and Zoe 'PeBeau (2)
__
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes accurately describes the expenditure, you may enter the code rind leave the `Description of Payment column blank. Refer to the
back of Schedule E-Continuation Sheet for detailed explanations of each category.
• 'L' - LRERATURE
'B' - BROADCASTADVERTKING
'N' - NEVKPAPERANDPERx)OICALADVERTKING
'O' - OUTSIDE ADVERTKING
'S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLIUTATIONS
'F' - FUNDRAISING EVENTS
'T' - TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBlD)
NAME AND ADDRESS OF PAYEE OR CREDROR
Q1 tloMMRT[t, M ADOft10N To fOMMfitiCS NAM[ ANO AOOlltff. L1rT[R LD. NUM~tR D~ ~
No lo.NVraaaNASttaASSwNto,tNrteTAUwatrsNAAtcANOAOOassl CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(1) Daily Bulletin
2041 East Fourth Street N 508.50
Ontario, .CA
(2) Costco Wholesale
13111 Peyton Drive _
Chino Hills, CA F 128.53
•
SCHEDULE G
Statement coven perked
from 2/14/99
through 6/30/99 I Pam 7 ~ 7
Attach additional information on appropriately laded continuation sheets. TOTAL• S 637.03
a Do not transfer to any otMrtcheduk or to the Summary Pape. TMs cola! may not eQual the amount paid to the agent or independent contractor at reported on Schedule E by the olficeholdericandida te.