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Form 460 -- 10-01-04 thru 10-16-04 A' Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) from Type or print in ink. Date Stamp I Statement covers period Date of election if applicable 10/01/2004 (Month, Day,Year) COVER PAGE 1 / 12 For Official Use Only SEE INSTRUCTIONS ON REVERSE I through 10/16/2004 I 11/02/2004 1. Type of Recipient Committee:All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: ❑ Officeholder,Candidate Controlled Committee ❑ Ballot Measure Committee X❑ Pre-election Statement ❑ Quarterly Statement Q State Candidate Election Committee Q Primary Formed ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall Q Controlled (Also Complete Part O Sponsored ❑ Termination Statement ❑ Supplemental Preelection 5.) ❑ General Purpose Committee ❑ Amendment(Explain below) Statement Attach Form 495 (Also Complete Part 6J Q Sponsored ❑ Primary Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7.) 3. Committee Information 11268244ER Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE NAME OF TREASURER Alice Jacobson for City Council Louise Cohen STREET ADDRESS(NO P.O.BOX) MAILING ADDRESS 164 Coop Court 5705 Friars Road Unit 54 CITY STATE ZIP CODE AREA CODE/PHONE Encinitas CA 92024-1437 CITY STATE San Diego CA ZIP CODE AREA CODE/PHONE 92110-1815 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX NAME OF ASSISTANT TREASURER,IF ANY CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS OPTIONAL:FAX/E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL:FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perj ry under the I S of the State of California that the foregoing is true and correct. Executed on i0 2OLL t. 1"( BY DA SIG URE OF TREASU R OR ASSISTANT TREASURER Executed on 10 Z-1104 B Y DAT SIGNATUR CONTROLLING OFFICEHO R,CANDIDATE,STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT Executed on By FPPC Form 460(June/01) DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT FPPC Toll-Free Helpline:866/ASK-FPPC State of California Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Alice Jacobson OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Sought: City Council Member City Encinitas RESIDENTIAL/BUSINESS ADDRESS(NO.AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑YES ❑NO COMMITTEE ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑YES ❑NO COMMITTEE ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE-PART 2 BALLOT NO.OR LETTER I JURISDICTION I❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder,candidate,or state measure proponent,if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY 7. Primarily Formed Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460(June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alice Jacobson for City Council Contributions Received 1. Monetary Contributions ............................................. Loans Received ......................................................... 3. SUBTOTAL CASH CONTRIBUTIONS............................ 4. Nonmonetary Contributions ................................... 5. TOTAL CONTRIBUTIONS RECEIVED........................... Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period W to whole dollars. from 1 O -� G> through 1 C) -� -�� 3/ 12 Expenditures Made Column A 6. Payments Made ........................................................ Column B 7. Loans Made .............................................................. TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 8. SUBTOTAL CASH PAYMENTS................................... CALENDAR YEAR TOTAL TO DATE Schedule A,Line 3 $ 5096.00 $ 23902.00 Schedule B,Line 7 0.00 0.00 Add Lines 1 +2 $ 5096.00 $ 23902.00 Schedule C,Line 3 0.00 346.98 Add Lines 3+4 5096.00 $ 24248.98 Expenditures Made 21848.60 6. Payments Made ........................................................ Schedule E,Line 4 7. Loans Made .............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS................................... Add Lines 6+7 9. Accrued Expenses(Unpaid Bills) ............................. Schedule F, Line 3 10. Nonmonetary Adjustment ......................................... Schedule C,Line 3 11. TOTAL EXPENDITURES MADE............................. Add Lines 8+9+ 10 jurrent Cash Statement 12. Beginning Cash Balance ..................... Previous Summary Page,Line 16 13. Cash Receipts ................................................. Column A, Line 3 above 14. Miscellaneous Increases to Cash ....................................Schedule I, Line 4 Cash Payments ................................................. Column A,Line 8 above 16. ENDING CASH BALANCE..... Add Lines 12+ 13+ 14,then subtract Line 15 If this is a termination statement,Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED........................... Schedule B,Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ....................... Add Line 2+Line 9 in Column B above $ 14923.43 $ 21848.60 5096.00 0.00 0.00 $ 14923.43 $ 21848.60 from Column B of your last 0.00 0.00 0.00 346.98 $ 14923.43 $ 22195.58 $ 11880.83 To calculate Column B,add 5096.00 amounts in Column A to the corresponding amounts 0.00 from Column B of your last report.Some amounts in 14923.43 Column A may be negative $ 2053.40 figures that should be subtracted from previous period amounts.If this is the first report being filed $ 0.00 for this calendar year,only carry over the amounts from Lines 2,7,and 9(if any). $ 0.00 $ 0.00 I.D.NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date I20. Contribution Received $ 0.00 $ 24248.98 21. Expenditures Made $ 0.00 $ 22195.58 Expenditure Limit Summary for State Candidates 22.Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 11/02/2004 $ 21848.60 "Since January 1,2001.Amounts in this section may be different from amounts reported in Column B. FPPC Form 460(June/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alice Jacobson for City Council DATE FULL NAME,MAILING ADDRESS RECEIVED AND ZIP CODE OF CONTRIBUTOR 100.00 (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Rcpt Dt: Real Estate 0/04/2004 Rick Reeder ❑ OTH 705 Palomar Airport Road ❑ PTY Suite 100 ❑ SCC Carlsbad CA 92009-1060 x❑ IND ID: Rcpt Dt: 10106/2004 Deborah Brown ❑ PTY 2010 Noyes Street ❑ SCC Evanston IL 60201-2578 Rcpt Dt: 10/14/2004 Jackie Brown 1766 Winthrop Road Hiqhland Park IL 60035-3732 Rcpt Dt: 10/14/2004 Richard Campbell 630 Encinitas Boulevard Encinitas CA 92024-3732 RcI)t Dt- 10/1 4/2bO4 Tim Clancy PO Box 358 Cardiff By The Sea CA 92007-0358 Type or print in ink. Amounts may be rounded to whole dollars. CONTRIBUTOR IF AN INDIVIDUAL,ENTER OCCUPATION AND EMPLOYER CODE* (IF SELF-EMPLOYED,ENTER NAME 100.00 OF BUSINESS) X❑ IND Real Estate ❑ COM 250.00 j ❑ OTH 250.00 G 04 ❑ PTY Ga bb& Ellis/BRE Commer- ❑ SCC x❑ IND Engineer ❑ COM ❑ OTH ❑ PTY Robert Bosch Tool Corp. ❑ SCC x❑ IND Retired ❑ COM ❑ OTH ❑ PTY N/A ❑ SCC ❑ IND c� ❑ COM ❑ OTH ❑ PTY ❑ SCC 1K IND Landscaper ❑ COM ❑ OTH ❑ PTY JBK Trust ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ........................................................................................................$ 2. Amount received this period - unitemized contributions of less than $100 ............................................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .................... TOTAL$ SCHEDULE A Statement covers period 4,"J from =�5 '. through— L'P —O 4/ 12 I.D.Number 1268244 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN.1-DEC.31) (IF REQUIRED) 100.00 100.00 100.00 G 04 100.00 100.00 100.00 G 04 100.00 100.00 100.00 G 04 250.00 250.00 250.00 G 04 250.00 j 250.00 j 250.00 G 04 4875.00 221.00 5096.00 *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC `Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alice Jacobson for City Council DATE FULL NAME,MAILING ADDRESS RECEIVED AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Rcpt Dt: 0114/2004 Bob Echter 1101 Leucadia Blvd. Encinitas CA 92024 ID: Rcpt Dt: 10/14/2004 Steven Emmet MD 773 Academy Drive Solana Beach CA 92075-2031 Rcpt Dt- 1011 4/2bO4 Yuki Emmet 773 Academy Drive Solana Beach CA 92075-2031 Rcpt Dt: 10/14/2004 Elaine Halliday 4285 Ibis Street CODE* San Diego ID: Rcpt Dt: 10/14/2004 Robert Halliday 4285 Ibis St 0 IND San Diego CA 92103-1327 CA 92103 Type or print in ink. Amounts may be rounded to whole dollars. CONTRIBUTOR IF AN INDIVIDUAL,ENTER OCCUPATION AND EMPLOYER CODE* (IF SELF-EMPLOYED,ENTER NAME 250.00 OF BUSINESS) 0 IND Flower Grower ❑ COM 250.00 ❑ OTH 250.00 G 04 ❑ PTY Self ❑ SCC X❑ IND Physician ❑ COM ❑ OTH ❑ PTY Steven D. Emmet MD, Inc. ❑ SCC D IND Physician ❑ COM ❑ OTH ❑ PTY Steven D. Emmet MD, Inc. ❑ SCC [91 IND Owner ❑ COM ❑ OTH ❑ PTY Halliday Management ❑ SCC D IND Owner ❑ COM ❑ OTH ❑ PTY Halliday Management ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period -contributions of$100 or more. (Include all Schedule A subtotals.) ........................................................................................................$ 2. Amount received this period - unitemized contributions of less than $100 ............................................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .................... TOTAL$ SCHEDULE A 250.00 250.00 250.00 G 04 250.00 250.00 250.00 G 04 250.00 250.00 250.00 G 04 250.00 250.00 250.00 G 04 *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A r�nwunzs may oe rvunaea Monetary ontributions Received y to whole dollars. Statement covers period CALl [A COM from C) (other than PTY or SCC) through C) —I to —C) 6/ 12 SEE INSTRUCTIONS ON REVERSE -Political Parry SCC- NAME OF FILER I.D. Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) Rcppt Dt: X❑ IND Retired 125.00 125.00 G04 125.00 0/14/2004 Carol Jensen ❑ COM 744 Snapdragon St ❑ OTH Encinitas CA 92024 ❑ PTY NA ID: ❑ SCC Rcpt Dt: ❑ IND VP 200.00 200.00 200.00 G 04 10/14/2004 Stefan LaCasse ❑ COM 710 Rihley Place ❑ OTH Encinitas CA 92024 ❑ PTY Shoreline Communities ID: ❑ SCC Rcpt Dt: X❑ IND Financial Officer 100.00 100.00 100.00 G04 10114/2004 Pauline Lessman ❑ COM 815 America Way ❑ OTH Del Mar CA 92014-3915 ❑ PTY ❑ Western Planning Financi- al Corporation ID: SCC Rcpt Dt: X❑ IND General Contractor 200.00 200.00 200.00 G 04 10/14/2004 Craig Lewis El COM 3410 Adams Run ❑ OTH Encinitas CA 92024-7051 ❑ PTY Self ID: ❑ SCC Rcpt Dt: K IND President/Owner 100.00 100.00 100.00 G 04 10/14/2004 Janet Price ❑ COM 3416 Red Rock Road ❑ OTH Oklahoma City OK 73120-5625 ❑ PTY Kamber's ID: ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) .................................................... 2. Amount received this period - unitemized contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .. TOTAL$ *Contributor Codes IND Individual COM -Recipient Committee (other than PTY or SCC) OTH- Other PTY -Political Parry SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A .+Mounts may be rounded Monetary ontributions Received y to whole dollars. Statement covers period pAt>I= c �INIA from �C)` through (0-1,1C,�`� 7/ 12 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1-DEC.31) (IF REQUIRED) Rcpt Dt: Insurance Broker 250.00 250.00 G04 X❑ IND 250.00 0/14/2004 John Reinhardt ❑ COM 301 Horizon Drive ❑ OTH Encinitas CA 92024-4148 ❑ PTY ❑ Self ID: SCC Rcpt Dt: X❑ IND Real Estate Broker 250.00 250.00 250.00 G 04 10/14/2004 Jo Ann Shannon ❑ COM 1715 Oxford Ave ❑ OTH Cardiff CA 92007 ❑ PTY Property Insights ID: ❑ SCC Rcpt Dt: El IND Real Estate Broker 0.00 250.00 250.00 G 04 10/14/2004 Jo Ann Shannon ❑ COM 1715 Oxford Ave ❑ OTH Cardiff CA 92007 ❑ PTY Property Insights ID: ❑ SCC Rcpt Dt: x❑ IND Homemaker 250.00 250.00 250.00 G 04 10114/2004 Cathy Staver ❑ COM 345 Seeman Drive ❑ OTH Encinitas CA 92024-2841 ❑ PTY ❑ NA ID: SCC Rcpt Dt: ❑ IND 100.00 100.00 100.00 G04 10/14/2004 Betsy Jacobson And Associates El COM 363 Patty Lane 0 OTH Encinitas CA 92024-1629 ❑ PTY Sek4 ID: ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ............................................................................. 2. Amount received this period - unitemized contributions of less than $100 .............. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ... .. TOTAL $ *Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A wmuUms may oe rounaea Monetary Contributions Received to whole dollars. Statement covers period p CALI�tFtMA from c) — —o 4 M .,..- SEE INSTRUCTIONS ON REVERSE through _ �—� 8/ 12 NAME OF FILER I.D.Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) Rcppt Dt: ❑ IND 200.00 200.00 G 04 200.00 0114/2004 Encinitas Land And Cattle Co. ❑ COM 661 Melba Road OTH A Encinitas CA 92024-4619 ❑ PTY ❑ ID: SCC Rcpt Dt: ❑ IND 250.00 250.00 250.00 G 04 10/14/2004 Fred B.Weston, Inc. ❑ COM PO Box 234214 L4_C-o5A-" Aw e_ ❑ OTH Encinitas CA 92023-4214 ❑ PTY ❑ ID: SCC Rcpt Dt: 10114/2004 Rupp Financial Services ❑ IND El COM 250.00 250.00 250.00 G 04 2208 14th Street X❑ OTH ❑ PTY Encinitas CA 92024-6809 ID: ❑ SCC RC pt Dt: 10/14/2004 Santoro, Driggs,Walch, Kearney,Johnson &Thompson 400 S El IND ❑ COM � o f-41t" 250.00 250.00 250.00 G 04 4th Street X❑ OTH Floor 3 Las Vegas NV 89101-6201 ED PTY ID: ❑ SCC Rcpt Dt: 10114/2004 The Farber Family Limited Partnership ❑ IND ❑ COM 100.00 100.00 100.00 G04 991 C Lomas Santa Fe Drive OTH #441 Solana Beach CA 92075-2125 ❑ PTY ID: ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ............................................................ 2. Amount received this period - unitemized contributions of less than $100 ........ 3.Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL$ *Contributor Codes IND Individual COM -Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC `Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period p � from through k o —(to -C,� b 9/ 12 NAME OF FILER I.D. Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) Rcppt Dt: X❑ IND Civil Engineer 200.00 200.00 200.00 G 04 9/15/2004 W.Justin Suiter ❑ COM 1240 India Street ❑ OTH Unit 605 San Diego CA 92101-3572 El Pasco Engineering ID: ❑ SCC Schedule A Summary Amount received this period -contributions of$100 or more. (Include all Schedule A subtotals.) ............................................................... 2. Amount received this period - unitemized contributions of less than $100 ........ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) SUBTOTAL$ 4875.00 ......................$ ..............I.......$ .. TOTAL$ *Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Type or print in ink. SCHEDULE E Schedule E statement covers period Amounts may be rounded +CACNtA Payments Made to whole dollars. from SEE INSTRUCTIONS ON REVERSE Alice Jacobson for City Council through � D l(P—21 I 10/ 12 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants TB contribution(explain nonmonetary)* .;VC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others(explain)* LEG legal defense LIT campaign literature and mailinqs MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage,delivery and messenger services PRO professional services(legal,accounting) PRT Drint ads 1268244 RAID radio airtime and production costs RFD returned contributions SAL campaign workers'salaries TEL t.v.or cable airtime and production costs TRC candidate travel,lodging,and meals TRS staff/spouse travel, lodging,and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WFR infnrmntinn tarhnnlnmi rnefe(intarnat amnill NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Complete Campaigns ID: OFC Fees from Credit Card Contributions 116.50 610 Gateway Center Way Suite K San Diego CA 92102-4,948 Ims Intermarket Manufacturing Service ID: CMP 25 Signs 44 515.59 1504 Fayette Street FI Cnffinn CA 92020-1527 The Gemini Group ID: LIT Mailer; Postage 2186.40 110 W C Street Suite 1325 San D*Pgc) QA 92101 215PI00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of$100 or more. (Include all Schedule E subtotals.) ..................................................... 2. Unitemized payments made this period of under$100. .......................................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................ 4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.). .................................. $ 14822.20 $ 101.23 $ 0.00 ..................... TOTAL$ 14923.43 FPPC Form 460(June/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Alice Jacobson for City Council Type or print in ink. Statement covers period Amounts may be rounded to whole dollars. from through__k D 11 / 12 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants TB contribution(explain nonmonetary)* .;VC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others(explain)* LEG legal defense LIT camoaian literature and mailinas MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage,delivery and messenger services PRO professional services(legal,accounting) PRT nrint aric 1268244 RAD radio airtime and production costs RFD returned contributions SAL campaign workers'salaries TEL t.v.or cable airtime and production costs TRC candidate travel,lodging,and meals TRS staff/spouse travel,lodging,and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WP:R info .firm fonhnnlnnv­+c ri.,+e -+ ­;IN NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Gemini Group ID: CNS Voter Data 484.87 110 W C Street Suite 1325 San Dopgo CA 92101-qqnn NORTH COUNTY TIMES ID: PRT 6 Newspaper Advertisements 1396.59 374 N Coast Highway 101 Suite P Fninin'tis CA 92024-2,942 Anne W. Kearns ID: CNS Design Walk Piece; Postcards;Ads 1450.00 7701 Knightwing Circle Fort Myers; FE 33912-7331 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of$100 or more. (Include all Schedule E subtotals.) ................................................... 2. Unitemized payments made this period of under$100. ........................................................................................ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .............. 4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ...................................... $ ...................................... $ ...................................... $ ........................ TOTAL$ FPPC Form 460(June/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alice Jacobson for City Council Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from _�—Cq through D l 'D CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants ';TB contribution(explain nonmonetary)* .;VC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others(explain)* LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage,delivery and messenger services PRO professional services(legal,accounting) PRT Drint ads 12/ 12 1268244 RAD radio airtime and production costs RFD returned contributions SAL campaign workers'salaries TEL t.v.or cable airtime and production costs TRC candidate travel,lodging,and meals TRS staff/spouse travel,lodging,and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WFR infn—tinn+—Innnlnnv nnofo 1;n+­­+ ­;11 NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CMP Printing Lge Postcards; Bumper Stickers 5214.00 Delta ID: 132 N El Camino Real #362 Delta ID: CMP Rack Cards; Buttons; Labels 549.00 132 N El Camino Real #362 Encinitas QA 92024-2801 Michael's Printing Company ID: CMP 12,000 Walking Brochures 2909.25 6760 University Avenue Suite 110 San Diego QA 92115-5827 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 14822.20 Schedule E Summary 1. Payments made this period of$100 or more. (Include all Schedule E subtotals.) ....................................................... 2. Unitemized payments made this period of under$100. ............................................................................................ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .................. 4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)... ............ $ ............ $ ............ $ TOTAL $ FPPC Form 460(June/01) FPPC Toll-Free Helpline:866/ASK-FPPC