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Sept 25, 2016
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NAME OF ASSISTANT TREASURER, IF ANY
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Dorothea Smullen
408-679-0254
MAILING ADDRESS
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10/27/2016
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5. Officeholder or Candidate Controlled Committee
NAME OF BALLOT MEASURE
NAME OF OFFICEHOLDER OR CANDIDATE
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JURISDICTION
Dede Smullen
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
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NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Saratoga, CA 95070
15363 Peach Hill Rd
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OFFICE SOUGHT OR HELD
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SUBTOTAL CASH PAYMENTS
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11. TOTAL EXPENDITURES MADE
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. LOAN GUARANTEES RECEIVED
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I.D. NUMBER
1387616
PER ELECTION
TO DATE
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Monetary Contributions Received to venae aouars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Dorothea Smullen
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
Self Employed Piano
Teacher
Nurse, Hennepin County
Medical Center
Accountant Unbent
Media
CONTRIBUTOR
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FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Betsy Chaung
13983 Lacey Ave
Saratoga CA 95070
Janine Landis
780 Greendale Ln
Vadnais Heights MN 55127
Darcy Kirkland
1171 Garrett Ct
San Jose CA 95120
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10/12/2016
10/12/2016
10/17/201
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I.D. NUMBER
1387616
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CUMULATIVE
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Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Dorothea Smullen
AMOUNT
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IF AN INDIVIDUAL, ENTER
11 OCCUPATION AND EMPLOYER
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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
95070
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1387616
BALANCE
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TO DATE
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CUMULATIVE
TO DATE
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SUBTOTAL $ 0 Summary Page,
Line 17 only.
Statement covers period
from Sept 25, 2016
through Oct 22, 2016
NAME OF FILER
Dorothea Smullen
AMOUNT
GUARANTEED
THIS PERIOD
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LENDER
DATE
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Loan Guarantors to whole dollars.
SEE INSTRUCTIONS ON REVERSE
IF AN INDIVIDUAL, ENTER
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I.D. NUMBER
1387616
PER ELECTION
TO DATE
(IF REQUIRED)
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CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1 - DEC 31)
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Statement covers period
from Sept 25, 2016
through OCt 22, 2016
NAME OF FILER
Dorothea Smullen
AMOUNT/
FAIR MARKET
VALUE
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❑ IND
❑ COM
❑ OTH
❑PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 151.61
DESCRIPTION OF
GOODS OR SERVICES
Donation
Envelopes
Nonmonetary Contributions Received ca wnvle avuars.
SEE INSTRUCTIONS ON REVERSE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
Self Employed Artist
CONTRIBUTOR
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ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Holly Van Hart
20830 Boyce Ln
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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 Sept 25, 2016
through Oct 22, 2016
AMOUNT THIS
PERIOD
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Expenditure
SUBTOTAL $ 0
DESCRIPTION
(IF REQUIRED)
Summary of Itxpenaitures 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
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Expenditure
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
0 Support 0 Oppose
0 Support 0 Oppose
0 Support 0 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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I.D. NUMBER
1387616
PER ELECTION
TO DATE
(IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
Statement covers period
from Sept 25, 2016
through Oct 22, 2016
AMOUNT THIS
PERIOD
SUBTOTAL $ 0
DESCRIPTION
(IF REQUIRED)
Summary of Expenditures to whole dollars.
Supporting/Opposing Other
Candidates, Measures and Committees
NAME OF FILER
Dorothea Smullen
TYPE OF PAYMENT
o Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Expenditure
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Contribution
O Nonmonetary
Contribution
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Contribution
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NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
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AMOUNT PAID
325.97
4349.16
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CODE OR DESCRIPTION OF PAYMENT
Magnets, Door Hangers, Business Cards
Mailer #1
Newsletter/Slate Ad
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NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Vista Print
275 Wyman St Waltham MA 02451
Vista Print
275 Wyman St Waltham MA 02451
Election Digest
1954 West Carson Ste.
Torrance CA 90501
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SUBTOTAL $
" Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
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SCHEDULE E (CONT.)
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Sept 25, 2016
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Oct 22, 2016
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SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
Dorothea Smutlen
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NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Budget WatchDog
1954 West Carson Ste.
Torrance CA 90501
Cal Voter Guide
1954 West Carson Ste.
Torrance CA 90501
Aristotle
205 Pennsylvania Ave
Washington DC 20003
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SUBTOTAL $
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Advertising
WEB - Walking
Ap/Data Base
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Facebook
Hacker Way
Menlo Park, CA 94025
Aristotle
205 Pennsylvania Ave
Washington DC 20003
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NAME OF AGENT OR INDEPENDENT CONTRACTOR
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I.D. NUMBER
1387616
(9)
CUMULATIVE
LOANS
TO DATE
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Statement covers period
from Sept 25, 2016
through Oct 22, 2016
(e)
INTEREST
RECEIVED
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OUTSTANDING
BALANCE AT
CLOSE OF THIS
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REPAYMENT OR
FORGIVENESS
THIS PERIOD*
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Schedule H Amounts may be rounded
Loans Made to Others* to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Dorothea Smullen
(b)
AMOUNT
I LOANED THIS
PERIOD
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OUTSTANDING
BALANCE
BEGINNING THIS
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*Loans that are contributions to another candidate or committee must
also be summarized on Schedule D. Loans forgiven must also be
reported on Schedule E. SUBTOTALS
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
FULL NAME, STREET ADDRESS AND ZIP CODE
OF RECIPIENT
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
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Schedule I
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I.D. NUMBER
1387616
AMOUNT OF
INCREASE TO CASH
Statement covers period
from Sept 25, 2016
through Oct 22, 2016
DESCRIPTION OF RECEIPT
Miscellaneous Increases to Cash
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Dorothea Smullen
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DATE
RECEIVED
O
SUBTOTAL $
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
ER ER ER
1. Itemized increases to cash this period.
2. Unitemized increases to cash of under $100 this period
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