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November 8, 2016
2. Type of Statement:
Preelection Statement
Semi-annual Statement
Amendment (Explain below)
Statement covers period
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SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
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3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Dede Smullen for Saratoga City Council
MAILING ADDRESS
15363 Peach Hill Rd
AREA CODE/PHONE
4088599690
STREET ADDRESS (NO P.O. BOX)
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NAME OF ASSISTANT TREASURER, IF ANY
AREA CODE/PHONE
Dorothea Smullen
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OPTIONAL: FAX / E-MAIL ADDRESS
OPTIONAL: FAX / E-MAIL ADDRESS
dede.smullen2016@gmail.com
dede.smullen2016@gmail.com
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5. Officeholder or Candidate Controlled Committee
NAME OF BALLOT MEASURE
NAME OF OFFICEHOLDER OR CANDIDATE
Dede Smullen
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NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Saratoga, CA 95070
15363 Peach Hill Rd
DISTRICT NO. IF ANY
OFFICE SOUGHT OR HELD
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COMMITTEE ADDRESS
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AREA CODE/PHONE
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Dorothea Smullen
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Monetary Contributions
Schedule B, Line 3
Loans Received
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SUBTOTAL CASH CONTRIBUTIONS
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Nonmonetary Contributions
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TOTAL CONTRIBUTIONS REC
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11. TOTAL EXPENDITURES MADE
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17. LOAN GUARANTEES RECEIVED
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I.D. NUMBER
1387616
PER ELECTION
TO DATE
(IF REQUIRED)
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from July 1st, 2016
through Sept. 24, 2016
NAME OF FILER
Dorothea Smullen
AMOUNT
RECEIVED THIS
PERIOD
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SUBTOTAL $
Monetary Contributions Received to wnole sonars.
SEE INSTRUCTIONS ON REVERSE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Owner, House Winery
CONTRIBUTOR
CODE *
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(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
David House
1250 Oakmead Parkway Ste. 210
Sunnyvale CA 94085
DATE
RECEIVED
9/21/2016
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I.D. NUMBER
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Schedule B - Part 1 to whole dollars.
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Dorothea Smullen
AMOUNT
RECEIVED THIS
PERIOD
$
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OUTSTANDING
BALANCE
BEGINNING THIS
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0
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
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NAME OF BUSINESS)
Planning Commission
Chair City of Saratoga
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Dorothea Smullen aka Dede Smullen
15363 Peach Hill Rd. Saratoga CA
1070
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SUBTOTAL $ summary Page,
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Statement covers period
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through Sept. 24, 2016
NAME OF FILER
Dorothea Smullen
AMOUNT
GUARANTEED
THIS PERIOD
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DATE
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DATE
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Schedule B — Part 2 Amounts may de rounaea
Loan Guarantors to whole dollars.
SEE INSTRUCTIONS ON REVERSE
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W. NUMBER
1387616
PER ELECTION
TO DATE
(IF REQUIRED)
163.13
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CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1 - DEC 31)
163.13
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Statement covers period
from July 1st, 2016
through Sept. 24, 2016
NAME OF FILER
Dorothea Smullen
AMOUNT!
FAIR MARKET
VALUE
163.13
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❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 314.74
DESCRIPTION OF
GOODS OR SERVICES
Donation
Envelopes
Thankyou Cards
at Cost
Nonmonetary Contributions Received to wnvle avnars.
SEE INSTRUCTIONS ON REVERSE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
City Council Member,
City of Saratoga
Self Employed Artist
CONTRIBUTOR
CODE *
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FULL NAME, STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Emily Lo
Holly Van Hart
DATE
RECEIVED
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I.D. NUMBER
1387616
PER ELECTION
TO DATE
(IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
Statement covers period
from July 1st, 2016
through Sept. 24, 2016
AMOUNT THIS
PERIOD
SUBTOTAL $ 0
DESCRIPTION
(IF REQUIRED)
Summary of Expenditures Amounts may be rounded
Supporting/Opposing Other to whole dollars.
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Dorothea Smullen
TYPE OF PAYMENT
o Monetary
Contribution
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Contribution
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Expenditure
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Contribution
0 Nonmonetary
Contribution
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Expenditure
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Contribution
O Nonmonetary
Contribution
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Expenditure
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
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0 Support 0 Oppose
0 Support ❑ Oppose
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3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.)
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Dorothea Smullen
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Filing Fees and Candidate Statement
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Voter Data Base
2
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NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
City of Saratoga
13777 Fruitvale Dr Saratoga CA 95070
City of Saratoga
13777 Fruitvale Dr Saratoga CA 95070
Registrar of Voters
1555 Berger Dr BLDG San Jose CA 95112
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Sign Rocket
340 Broadway ave St. Paul Park MN 55071
UPS Store #1291
14435C Big Basin Way
Aristole, 205 Pennsylvania Av. SE Washington DC 20003
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Schedule I Summary
EA EA- EAR
1. Itemized increases to cash this period.
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SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Dorothea Smullen
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IF AN INDIVIDUAL, ENTER
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